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Medical Restraint
Medical restraints are physical restraints used during certain medical procedures to restrain patients with (supposedly) the minimum of discomfort and pain and to prevent them from injuring themselves or others. Rationale There are many kinds of mild, safety-oriented medical restraints which are widely used. For example, the use of bed rails is routine in many hospitals and other care facilities, as the restraint prevents patients from rolling out of bed accidentally. Newborns frequently wear mittens to prevent accidental scratching. Some wheelchair users use a belt or a tray to keep them from falling out of their wheelchairs. In fact, not using these kinds of restraints when needed can lead to legal liability for preventable injuries. Medical restraints are generally used to prevent people with severe physical or mental disorders from harming themselves or others. A major goal of most medical restraints is to prevent injuries due to falls. Other medical restraints are inten ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Physical Restraint
Physical restraint refers to means of limiting or obstructing the freedom of a person's or an animal's bodily movement. Basic methods Usually, binding objects such as handcuffs, legcuffs, ropes, chains, straps or straitjackets are used for this purpose. Alternatively different kinds of arm locks deriving from unarmed combat methods or martial arts are used to restrain a person, which are predominantly used by trained police or correctional officers. This less commonly also extends to joint locks and pinning techniques. Purpose in humans Physical restraints are used: * primarily by police and prison authorities to obstruct delinquents and prisoners from escaping or resisting British Police officers are authorised to use leg and arm restraints, if they have been instructed in their use. Guidelines set out by the Association of Chief Police Officers dictate that restraints are only to be used on subjects who are violent while being transported, restraining the ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Posey Vest
A Posey vest is a type of medical restraint used to restrain a patient to a bed or chair. Its name comes from the J.T. Posey Company, its inventor, though the term "Posey" is used generically to describe all such devices. The vest is placed on the patient, and meshy straps extending from each corner are tied either individually to each side of the bed or together to the back of a chair. Poseys are most often used to prevent patients from injuring themselves by falling or climbing out of the bed or chair. They allow patients the freedom to move around their arms and legs if no limb restraints have been applied. Laws in many places require Posey vests be applied with the opening at the patient's front. Misuse in which a Posey vest is applied backwards has resulted in patients being choked to death. Many lawsuits have been litigated in which a patient has died while restrained by a Posey. Variations A cushion belt is a belt that does not include a vest, and simply fastens around the ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Systematic Review
A systematic review is a scholarly synthesis of the evidence on a clearly presented topic using critical methods to identify, define and assess research on the topic. A systematic review extracts and interprets data from published studies on the topic (in the scientific literature), then analyzes, describes, critically appraises and summarizes interpretations into a refined evidence-based conclusion. For example, a systematic review of randomized controlled trials is a way of summarizing and implementing evidence-based medicine. Systematic reviews, sometimes along with meta-analyses, are generally considered the highest level of evidence in medical research. While a systematic review may be applied in the biomedical or health care context, it may also be used where an assessment of a precisely defined subject can advance understanding in a field of research. A systematic review may examine clinical tests, public health interventions, environmental interventions, social ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Post-traumatic Stress Disorder
Post-traumatic stress disorder (PTSD) is a mental disorder that develops from experiencing a Psychological trauma, traumatic event, such as sexual assault, domestic violence, child abuse, warfare and its associated traumas, natural disaster, traffic collision, or other threats on a person's life or well-being. Symptoms may include disturbing thoughts, feelings, or dreams related to the events, mental or physical distress (medicine), distress to Psychological trauma, trauma-related cues, attempts to avoid trauma-related cues, alterations in the way a person thinks and feels, and an increase in the fight-or-flight response. These symptoms last for more than a month after the event and can include triggers such as misophonia. Young children are less likely to show distress, but instead may express their memories through play (activity), play. Most people who experience traumatic events do not develop PTSD. People who experience interpersonal violence such as rape, other sexual ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
The Guardian
''The Guardian'' is a British daily newspaper. It was founded in Manchester in 1821 as ''The Manchester Guardian'' and changed its name in 1959, followed by a move to London. Along with its sister paper, ''The Guardian Weekly'', ''The Guardian'' is part of the Guardian Media Group, owned by the Scott Trust Limited. The trust was created in 1936 to "secure the financial and editorial independence of ''The Guardian'' in perpetuity and to safeguard the journalistic freedom and liberal values of ''The Guardian'' free from commercial or political interference". The trust was converted into a limited company in 2008, with a constitution written so as to maintain for ''The Guardian'' the same protections as were built into the structure of the Scott Trust by its creators. Profits are reinvested in its journalism rather than distributed to owners or shareholders. It is considered a newspaper of record in the UK. The editor-in-chief Katharine Viner succeeded Alan Rusbridger in 2015. S ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Contradictory
In traditional logic, a contradiction involves a proposition conflicting either with itself or established fact. It is often used as a tool to detect disingenuous beliefs and bias. Illustrating a general tendency in applied logic, Aristotle's law of noncontradiction states that "It is impossible that the same thing can at the same time both belong and not belong to the same object and in the same respect." In modern formal logic and type theory, the term is mainly used instead for a ''single'' proposition, often denoted by the falsum symbol \bot; a proposition is a contradiction if false can be derived from it, using the rules of the logic. It is a proposition that is unconditionally false (i.e., a self-contradictory proposition). This can be generalized to a collection of propositions, which is then said to "contain" a contradiction. History By creation of a paradox, Plato's '' Euthydemus'' dialogue demonstrates the need for the notion of ''contradiction''. In the ensuing d ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Therapeutic Crisis Intervention
Therapeutic Crisis Intervention, also known as the abbreviation TCI, is a crisis management protocol developed by Cornell University for residential child care facilities. The purpose of the TCI protocol is to provide a crisis prevention and intervention model for residential child care facilities which will assist them in: *Preventing crises from occurring, * de-escalating potential crises, *effectively managing acute crisis phases, *reducing potential and actual injury to children and staff, *teaching constructive ways to handle stressful situations, and *developing a learning circle within the organization. The protocol was developed beginning in 1979, through funding from a grant by the National Center on Child Abuse and Neglect. A review by the Social Care Institute for Excellence The Social Care Institute for Excellence (SCIE; pronounced 'sky') is a UK Charitable organization, charity and improvement agency. SCIE shares knowledge about what works in practice across social ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
De-escalation
De-escalation refers to the methods and actions taken to decrease the severity of a conflict, whether of physical, verbal or another nature. It is the opposite of escalation. De-escalation may also refer to approaches in conflict resolution, by which specific measures are taken to avoid behaviours that escalate conflict. De-escalation can be modelled with game theory. Psychology Verbal de-escalation in psychiatric settings In psychiatric settings, de-escalation is aimed at calmly communicating with an agitated client in order to understand, manage, and resolve their concerns. Ultimately, these actions are intended to reduce the client's agitation and potential for present or future aggression or violence. An insufficient or overdue intervention may leave staff needing to use coercive measures to manage an aggressive or violent client. Coercive measures, such as chemical or mechanical restraints, or seclusion, are damaging to the therapeutic relationship and harmful to cl ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Pain Compliance
Pain compliance is the use of painful stimulus to control or direct a person. The purpose of pain compliance is to direct the actions of the subject, and to this end, the pain is lessened or removed when compliance is achieved. This provides incentive to the subject to carry out the action required. The stimulus can be manual through brute force and placing pressure on pain-sensitive areas on the body. Painful hyperextension or hyperflexion on joints is also used. Tools such as a whip or a baton (capable of inflicting blunt trauma), an electroshock weapon, or chemicals such as tear gas or pepper spray are commonly used as well. Use by law enforcement A common use in humans is as a law enforcement technique to assist with taking a suspect into custody, control a suspect in custody or encourage action on behalf of a person who is passively resisting. In disciplined law enforcement, the use of pain compliance forms part of a use of force continuum which will usually start with v ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Applied Behavior Analysis
Applied behavior analysis (ABA), also referred to as behavioral engineering, is a behavior modification system based on the principles of respondent and operant conditioning. ABA is the applied form of behavior analysis; the other two are: radical behaviorism (or the philosophy of the science) and experimental analysis of behavior, which focuses on basic experimental research. The term ''applied behavior analysis'' has replaced behavior modification because the latter approach suggested changing behavior without clarifying the relevant behavior-environment interactions. In contrast, ABA changes behavior by first assessing the functional relationship between a targeted behavior and the environment, a process known as a functional behavior assessment. Further, the approach seeks to develop socially acceptable alternatives for maladaptive behaviors, often through implementing differential reinforcement contingencies. Although ABA is most commonly associated with autism i ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Medication
Medication (also called medicament, medicine, pharmaceutical drug, medicinal product, medicinal drug or simply drug) is a drug used to medical diagnosis, diagnose, cure, treat, or preventive medicine, prevent disease. Drug therapy (pharmacotherapy) is an important part of the medicine, medical field and relies on the science of pharmacology for continual advancement and on pharmacy for appropriate management. Drugs are Drug class, classified in many ways. One of the key divisions is by level of controlled substance, control, which distinguishes prescription drugs (those that a pharmacist dispenses only on the medical prescription) from over-the-counter drugs (those that consumers can order for themselves). Medicines may be classified by mode of action, route of administration, biological system affected, or therapeutic effects. The World Health Organization keeps a list of essential medicines. Drug discovery and drug development are complex and expensive endeavors undertake ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Chemical Restraint
A chemical restraint is a form of medical restraint in which a drug is used to restrict the freedom or movement of a patient or in some cases to sedate the patient. Chemical restraint is used in emergency, acute, and psychiatric settings to perform surgery or to reduce agitation, aggression or violent behaviours; it may also be used to control or punish unruly behaviours. A drug used for chemical restraint may also be referred to as a " psychopharmacologic agent", " psychotropic drug" or "therapeutic restraint" in certain legal writing. In the UK, NICE recommends the use of chemical restraint for acute behaviour disturbances (ABD), but only after verbal calming and de-escalation techniques have been attempted. It is viewed as superior to physical restraint, with physical restraints only being recommended for the administration of a chemical restraint. In the United States, no drugs are presently approved by the U.S. Food and Drug Administration (FDA) for use as chemical restrain ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
