The use of seclusion and emergency medication in a hospital for people with learning disability
| Autor: | S. P. Tyrer, T. P. Berney, M. E. H. Rangecroft |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Adult
Counseling Male Restraint Physical medicine.medical_specialty Time Factors Population Patient Isolation 03 medical and health sciences Behavior disorder 0302 clinical medicine Female patient Humans Medicine Learning disorders 030212 general & internal medicine Medical prescription education Psychiatry Patient isolation education.field_of_study Learning Disabilities business.industry Middle Aged medicine.disease 030227 psychiatry Aggression Hospitalization Psychiatry and Mental health Learning disability Female Medical emergency Emergencies medicine.symptom business Seclusion |
| Zdroj: | British Journal of Psychiatry. 170:273-277 |
| ISSN: | 1472-1465 0007-1250 |
| DOI: | 10.1192/bjp.170.3.273 |
| Popis: | BackgroundThe management of disturbed behaviour in facilities for those with learning disabilities involves a spectrum of approaches including the prescription of emergency medication, restraint and seclusion. The use of these techniques has recently come under close scrutiny.MethodAll incidents requiring emergency medication or seclusion that occurred in a large hospital for those with learning disabilities were studied over a six-months period. The precipitating factors, course and outcome of those who had received emergency medication or seclusion were then examined.ResultsIn all, 286 incidents involving 72 individuals occurred during the study period. The episodes requiring seclusion comprised 19% of all incidents. Two-thirds of the patients involved were male but six female patients accounted for 36% of all incidents. During the second part of the study, when the staff knew that the treatments used were being monitored, there was a significant reduction in use of restraint and emergency drugs given intramuscularly. Patients receiving seclusion were judged to have a better outcome one hour after the onset of the incident compared with those who received medication.ConclusionsDespite concerns about the use of seclusion, the results of this survey suggest that procedures that remove the patient from the environment contributing to the disturbance may have certain advantages in this population. |
| Databáze: | OpenAIRE |
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