Handle with care

Article Abstract:

Control and restraint are sometimes necessary in health-care settings but there are alternative, patient-sensitive methods which can first be used. Traditional methods of dealing with violence usually finish up with restricting and sedating the patient. One method for psychiatric nurses to consider is the use of a de-escalation model which contains a range of options that could be used before physical intervention as a last resort. The structured process gives the patient the opportunity to regain self-control and discuss problems with a nurse.

Models, Practice, Patients, Psychiatric nursing, Restraint of patients, Physical restraint

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Hurt indoors

Article Abstract:

UK community nurses are placed at high levels of risk when dealing with patients in their own homes. The remoteness and isolation of someone's home can lead to higher incidents of assault and violent attacks. Nurses can improve safety by ensuring they are fully aware of any unusual circumstances regarding specific patients, letting people know where they are going and what time to expect their return and making sure communication lines are accessible should a problem arise.

Violence, Assault and battery

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At risk of assault

Article Abstract:

All nurses are vulnerable to patient violence. Managers should take responsibilty for ensuring safety at work. They should provide education and training in prevention and coping procedures. They should guarantee sufficient staffing and provide safety equipment. Research has proved the efficacy of such measures in reducing assaults on nurses. However, violence against nurses is increasing and support should be available for victims.

Cover Story

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