Hospital Violence Reduction – Emergency Department Acute Mental Health Area

An acute mental health area in the ED? Patients suffering from an acute psychological or psychiatric crisis have unique and often complex requirements. An Emergency Department (ED) should have adequate facilities for the reception, assessment, stabilisation and initial treatment of patients presenting with acute mental health problems. It is not intended that this should reproduce

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Care Home Safe Holding: Issues in Managing Distress in Dementia Care

Time and again caregiving staff in services for older people are explaining scenarios where they believe: 1) The resident’s care needs and previously reported challenging behaviour / violent incidents were not assessed properly prior to admission to the home. 2) The instructions from supervisors were not appropriate to the person’s needs. 3) Newly identified risks

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Hospital Violence Management – Psychiatric Patients in the Emergency Department

Patients with acute psychiatric symptoms often present at the Emergency Department triage.   “Psych patients” were referred to as one of the main protagonists of violent behaviour in the Emergency Department during our surveys.    Because of their unpredictable behaviour – often lashing out without displaying obvious signs of distress or frustration – these patients are

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Restraint Training: Complex Motor Skills in Control scenarios are just a Pain!

Restraint Training: Complex Motor Skills in Control scenarios are just a Pain!

During our 2015 Advanced Control Tactics instructor-level training certification, Coach Tony Torres explained some of his experience and functional, pragmatic ideas in relation to why pain-compliance holds should not be used during the ‘Control’ phase of an incident.  We define the ‘Control Phase’ as the early-stage and often rapidly-unfolding physical interaction between subject and intervening staff.  It

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Restraint Training: How many people to clean a resisting subject in a bed?

In addition to the issues we have previously identified [ Post 1 ] and [ Post 2 ] in regards to those residents who combatively resist efforts to assist them with personal hygiene (particularly if they have incontinence without awareness of this), one further example of the risk assessment/manual handling issue is that I often hear

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