Use of Physical Restraints in General Hospital: Clinical Practice and Considerations

Abstract

        Physical restraints are measure used to restrict patient’s freedom of movement by using mechanical or devices, while the patient cannot easily remove it by himself/herself. Restraints may control the physical or behavioral activity or a portion of body, including limiting the area of movement. In general, restraints are used to prevent consequences or harm due to patient’s behavior both intentionally or unintentionally. However, such restraints may lead to adverse effects or complication particularly in the context of general hospital where the patient has a disease or physical condition problem. The adverse effects that occur can be serious or even fatal. Therefore, standard of care is absolutely important – as a hospital practice guideline to help patients be safe from their behavior and minimize the chance of serious adverse effects. In practice, the ethical dilemma of restraint is inevitable. Decision-making of stakeholders with consideration of necessity of care and benefit of patient, thus, is important.