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Applying ethical principles to restraint practice.

There are about 1.14 million people in the UK who have a learning disability, of whom more than 20% have a co-morbid mental health issue (Cooper et al 2007) often resulting in the need for help from mental health services. Within inpatient services, physical interventions are frequently used if de-e...

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Published in:Learning Disability Practice Vol. 19; no. 1; pp. 23 - 27
Main Author: Smethurst, Laura Jane
Format: Journal Article
Published: Royal College of Nursing of the United Kingdom (The) Feb2016
Online Access:View this record in EBSCOhost
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      pub: Royal College of Nursing of the United Kingdom (The)
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        atl: Applying ethical principles to restraint practice.
      aug:
        au: Smethurst, Laura Jane
        affil: Nottingham Trent University
      sug:
        subj:
          Restraint, Physical Ethical Issues
          Practice Guidelines
          Child Behavior Disorders
          Patient Rights
          Social Justice
          Professional Development
          Autonomy
      ab: There are about 1.14 million people in the UK who have a learning disability, of whom more than 20% have a co-morbid mental health issue (Cooper et al 2007) often resulting in the need for help from mental health services. Within inpatient services, physical interventions are frequently used if de-escalation techniques have failed during episodes of challenging behaviour. The effects and ethical issues of these physical interventions on people with learning disabilities are often overlooked. This article considers four ethical principles - respect for autonomy, non-maleficence, beneficence and justice - and how physical restraint breaches these principles. The author concludes that restraint practices cannot be removed altogether and makes five recommendations to ensure safer practice.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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