Managing Aggressive Behaviors among Psychiatric Inpatients Through the Use of Restrictive Methods

Abstract

The most aggressive behaviors were common in patients who diagnosed with schizophrenia, major depressive disorder, bipolar disorder, and substance use disorders. The prevalence in Jordan 23.6% of psychiatric inpatients occurred with them aggressive behavior. There are interventions and ways to control the aggressive behaviors include seclusion, physical restraints, time out, and chemical restraints. The aim of this paper is to highlight on the concepts about aggressive behaviors, seclusion, physical restraints and factors that consider using seclusion and physical restraints and the effective methods were used with aggressive behaviors among psychiatric inpatients. Searching strategies used an online database that searched include PubMed, Wiley, EBSCO host, Ovid database, and Google Scholar from 2006 to January 2016. The most articles of physical restraints and seclusion that use among psychiatric inpatients setting work on to reduce it and to know factors of aggressive behaviors to move away from using it. Recommendation train staff nurse to managing with aggressive behaviors, work as multidisciplinary staff, and creating a therapeutic environment.

Patient Self-Harm in the Emergency Department: An Evidence- Based Approach

“…In fact, the prevalence of chemical restraints in certain settings exceeds 33% [91]. At times, pharmacological approaches are used in conjunction with PhyR [92]. Some of the most common pharmacological agents used in psychiatric emergencies include haloperidol, droperidol, lorazepam, olanzapine, and midazolam [93][94][95].…”