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Microsoft Word - INC 4 rubric - assignment 1 .docx This assignment challenges you to explore the evidence around restraints for challenging behaviours, be they physical or psychological, and asks the...

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Microsoft Word - INC 4 ru
ic - assignment 1 .docx
This assignment challenges you to explore the evidence around restraints for challenging behaviours, be they physical or
psychological, and asks the question:
In caring for someone who is displaying challenging behaviour's are restraints (physical or chemical) acceptable? Drawing on
contemporary evidence provide recommendations for alternatives to restraint that ensure patient safety.
Consider the following:
• Patient and Staff safety
• Ethical considerations (biomedical principles of justice, autonomy, beneficence and non-maleficence)
• Human and healthcare rights
• Australian healthcare standards, RN Standards for Practice, and local policies
• Australian Capital Te
itory law with regard to restraint.
• Mental health Act 2015 (ACT)
This should be presented in an essay format with a clear introduction and conclusion and at least 10 relevant and contemporary
eferences. The word limit is 1500 words +/- 10 %.

HD XXXXXXXXXXDI XXXXXXXXXXCR XXXXXXXXXXP 5-6.5 NX 0-4.5 Grade
Implications of
estraint (chemical
and physical) on
oth patient safety
and staff safety,
ecognising different
causes of
challenging
ehaviour.
Excellent
discussion of
estraint, both
chemical and
physical, and the
impact on
patient and staff
safety, as well as
the physical and
psychological
causes of
Very good discussion
of restraint, both
chemical and
physical, and the
impact on patient and
staff safety, as well as
the physical and
psychological causes
of challenging
ehaviour.
Good discussion of
estraint both,
chemical and
physical, and the
impact on patient
and staff safety, as
well as the physical
and psychological
causes of
challenging
ehaviour but may
Adequately addresses
estraint but may lack detail
of types of restraint,
mentions both staff and
patient safety, shows an
understanding of causes of
challenging behaviours but
discussion may be weak or
incomplete.
Shows a lack of
understanding of
estraint and misses
an element for
example does not
mention chemical
estraint.
Does not discuss
safety of both the
patient and staff.
Minimal
10
challenging
ehaviour.

lacks detail or
depth.
understanding of
causes of challenging
ehaviours.
Alternatives to
estraints that relate
to/incorporate the
RN standards and
scope of practice.
Excellent
discussion and
identification of
a range of
alternatives that
have sound
ationale,
provide safe
care and adhere
to the RN
standards for
practice.


Very good discussion
and identification of
alternatives to
estraint.
Rationale discussed
for each and the issue
of safety addressed,
Linked well to the RN
standards for
practice.
Good discussion and
identification of
alternatives,
however a full range
of options not
discussed and/or
ationale for use not
provided
Discusses the RN
standards.
Adequate discussion of some
alternatives to restraints,
mentions RN standards but
does not link them well to
the discussion.
Does not adequately
discuss alternatives to
estraint / RN
standards and scope
of practice.
10
Legal and ethical
implications, policy
and ACT law around
estraint.
Excellent
discussion of
legal issues
comprehensively
discusses local
policy and ACT
law in relation to
the use of
estraint.




Very good discussion
of legal issues relating
to restraint, identifies
most policy and legal
frameworks in
elation to restraint.
Good discussion of
legal issues
Identifies relevant
policy and law but
may lack depth of
understanding.
Adequate discussion of legal
issues but may lack detail or
interpretation. Identifies
some relevant policy and
Law.
Incomplete discussion
of legal issues
showing little
understanding or
poor knowledge of
the legal and ethical
implications of
estraint.
10
XXXXXXXXXX
Formatting
guidelines adhered
to, has a clear
introduction, body
and conclusion
co
ect grammar,
spelling syntax.
Adheres to the
Word limit.
Excellent
presentation as
per instructions,
essay format
with clear
introduction,
ody and
conclusion;
excellent
standard of
academic
writing with
co
ect
grammar,
spelling and
syntax. Adheres
to the Word
limit +/- 10%






Very good
presentation
according to
instructions: few
e
ors with grammar,
syntax, punctuation,
and spelling, Minor
editing and revision
equired. Adheres to
the Word limit +/-
10%

Good presentation
according to
instructions:
Minor e
ors with
grammar, syntax,
punctuation, and
spelling limited
editing and revision
equired Adheres to
the Word limit +/-
10%

Adequate
presentation according to
instructions: Many e
ors
with grammar, syntax,
punctuation, and spelling.
Adheres to the Word limit +/-
10%

Not presented
according to
instructions and / or
substantial e
ors
with grammar,
syntax, punctuation,
and spelling and/or
word count not
adhered to
5
References,
provides at least 10
elevant
contemporary
eferences
APA 7th.
Excellent:

10 or more
pieces of
elevant and
contemporary
literature
esourced and
used to support
Very good:

10 or more pieces of
elevant and
contemporary
literature resourced
and used to support
discussion. Reference
list provided as per
Good:

10 or more pieces of
contemporary
literature resourced
and used to support
discussion.
Reference list
provided as per APA
Satisfactory

10 pieces of contemporary
literature resourced and
used to support discussion.
Quality of references may be
questionable. Reference list
provided as per APA 7th
eferencing style, but
Unsatisfactory:

Poor referencing style
Multiple e
ors
and/or unreferenced
claims, less than 10
contemporary
eferences or
5
discussion.
Reference list
provided as per
APA 7th
eferencing
style.

No e
ors in
eferencing and
no unreferenced
claims.
APA 7th referencing
style.

Minor e
ors in
eferencing.
7th referencing
style.

Some e
ors in
eferencing.
multiple e
ors in either
intext references and/or
eference list.
inappropriate
eferences.
Answered 3 days After Sep 15, 2021

Solution

Eshika answered on Sep 18 2021
151 Votes
RESTRAINTS FOR CHALLENGING BEHAVIOURS: ALTERNATIVES TO RESTRAINT THAT ENSURE PATIENT SAFETY
Restraints for challenging behaviors: Alternatives to restraint that ensure patient safety
    Patient safety in healthcare refers to the group of methods that aim to minimize adverse incidents in the healthcare field in order to achieve a reliable and trustworthy system of delivering healthcare. Patient safety is a collaborative effort of healthcare professionals to ensure the safety of patients as they are in a constant process of analyzing the evidence-based outcomes obtained via medical interventions to improve the conventional patient safety protocols. A profession in healthcare demands performing tedious tasks concerning cautious and safe patient handling. It has been observed that these workers majorly suffer from musculoskeletal disorders (MSDs) due to their profession. Healthcare employees who experience the consequences of overexertion and lifting heavy weights may even be less productive and attentive due to the pain and fatigue and thus more likely to risk the health and safety of others in that condition. Thus, staff safety and implementation of necessary protocols are essential for nursing professionals and other medical staff who are in contact with the patients to achieve high-quality healthcare and reduce the chances of adverse outcomes for the patient as well as the staff.
    Restraints in nursing are used to prevent any accidental or purposeful removal of medical devices by patients during the medical intervention in order to eliminate the chances of severe injuries or harmful health issues which if not rectified can be fatal to the patient. Restraints also help to manage behaviour patterns in patients caused as a result of discomfort which may render the patients restless and i
itated. The use of restraints in safe patient care is based on four major governing factors:
i. When the patient is physically combative.
ii. When the patient is a clear and immediate danger to self or others.
iii. When less restrictive alternatives have been attempted without success.
iv. When it reasonably appears that delay in restraint would subject the patient and others to risk of serious harm.
The two types of restraints are used in healthcare:
i. Physical restraints: these restraints comprise physical material or mechanical equipment which is attached to the patient’s body. This restraint blocks the patient’s body movements thus preventing any damage or removal of a treatment intervention while the patient is under medical surveillance. Physical restraints used in healthcare is of various types such as wheelchair bars and
akes, vests, straps
elts, limb ties, chairs that tip backwards etc. Sometimes when the situation gets worse; nurses also tug in the bed sheets tightly to avoid movement or increase the height of bed rails.
ii. Chemical restraints: these restraints comprise chemical entities such as drugs or a chemical formulation such as psychotropics, hypnotics, or anxiolytics to control the behaviour of patients.
    Restraints are mainly used to guarantee patient and staff safety and smooth the progress of treatment along with compensating for problems such as understaffing in the healthcare sector.
    Biomedical principles are a crucial part of healthcare and biomedical research. Healthcare professionals are entitled to these ethical considerations with an aim to respect and value the patient while administering a specific treatment. Biomedical ethics highlight the various facets of patient care in order to provide proper assistance to the patient thus reducing the chances of injury during a medical intervention. Research suggests that the use of restraints has had negative impacts on patients such as increased risks of pressure ulcers, contractures, hallucinations, falls, restlessness and pain. Patients under physical or chemical restraints have been observed to develop severe mental health problems such as stress, anxiety and depression which can even be fatal. The risk factors associated with the use of restraints are:
i. Demographic factors: these factors include aspects such as age, sex, education level and marital status of the patient.
ii. Physical factors: these factors include daily life activities of the patient such as personal hygiene, use of the toilet, locomotion, dependent or independent consumption of food, urinary and bowel continence, presence of an enteral feeding...
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