The ethics and legality of the use of physical restraint (PR) in the case of patients with acute mental disorders in general practice are discusse

Polonikov, A.

Ruzhenkov, V.

Rzhevskaya, N.

English

DSpace at Belgorod State University

6th Singapore Health & Biomedical Congress 2015PP-CR-75Physical Restraint in the Provision of Medical Care in Somatic Hospital: Ethics and LawA POLONIKOV1, N RZHEVSKAYA2, V RUZHENKOV21Kursk State Medical University, Russia, 2Belgorod State University, RussiaBackground & Hypothesis:The ethics and legality of the use of physical restraint (PR) in the case of patients with acute mental disorders in general practice are discussed.Methods:Anonymous survey among 42 physicians (16 neurologists and 26 resuscitators) was carried out using sociological method. We studied the prevalence, legality and ethical assessment of PR.Results:A total of 62.5% of neurologists noted agitation in 10% of their patients, and the rest 37.5% -  more than 25% of patients; 75% of physicians consider the need of use of PR for 50% of patients, and the others 25% -  in 70-100% of cases (including dementia); 65.4% of resuscitators noted agitation in 40% of their patients, and the rest 34.6% -  in 50-80% of cases; 61.4% of resuscitators considered it necessary to use these measures in 70% of cases, the remaining 36.8% -  20-40%. There is no legislative regulation of the use of PR in neurology and reanimatology, so physicians are guided by "common sense". More than 63% of neurologists and resuscitators estimated the importance of PR in 8-10 points on a 10-point scale, and the rest showed 5-7 points.Discussion & Conclusion:Between 10% and 80% of neurological patients has a PR which prevents negative consequences of uncoordinated behaviour. It should be designed on legislative basis for the use of PR, similar to the psychiatric law. During the transition, consultation with a psychiatrist period should be provided, which has rights to appoint such short-term measures in acute psychoses endangering the patient or others.S409 Annals Academy of Medicine October 2015, Vol. 44 (Suppl) No. 10

Physical restraint in the provision of medical care in somatic hospital: ethics and law

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Physical restraint in the provision of medical care in somatic hospital: ethics and law

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