Issues on sedating mental patients professionaldatingguide com
Because patients are often unable or unwilling to provide a clear history, other collateral sources of information (eg, family members, friends, caseworkers, medical records) must be identified and consulted immediately.
The clinician must be aware that patient violence may be directed at the treatment team and other patients.
Patients posing a threat to others include those who are actively violent (ie, actively assaulting staff members, throwing and breaking things), those who appear belligerent and hostile (ie, potentially violent), and those who do not appear threatening to the examiner and staff members but express intent to harm another person (eg, spouse, neighbor, public figure).
Once the patient is restrained, close monitoring, sometimes involving constant observation by a trained sitter, is required.However, the team should not bring restraints into the room unless they are definitely to be applied; seeing restraints may further agitate patients. In most states, when a patient expresses the intention to harm a particular person, the evaluating physician is required to warn the intended victim and to notify a specified law enforcement agency. Typically, state regulations also require reporting of suspected abuse of children, the elderly, and spouses.Use of physical restraints is controversial and should be considered only when other methods have failed and a patient continues to pose a significant risk of harm to self or others.Restraints may be needed to hold the patient long enough to administer drugs, do a complete assessment, or both.Because restraints are applied without the patient’s consent, certain legal and ethical issues should be considered (see Regulatory Issues in Use of Physical Restraints in Aggressive, Violent Patients).
However, once the clinician has determined that restraints are necessary, there is no negotiation, and patients are told that restraints will be applied whether or not they agree.