DS Restraint

Introduction to Restraint

• Guidelines
• Legislation
• Frameworks
• Restraint Reduction Network Training Standards 2019
• BILDACT Certification

Theories of Restraint Use

• Least Restrictive Option Theory
• Proportionality Theory
• Best Interest Theory
• Duty of Care Theory
• Dignity and Human Rights Framework
• Therapeutic Relationship Model
• De-escalation as Prevention
• Safeguarding Vulnerable Adults

Protection from Liability

• Introduction to liability
• The Acid Test / Deprivation of Liberty

Types of Restraint

• Physical Restraints
• Safe Application of Physical Restraint
• Mechanical Restraints
• Safe Application of Mechanical Restraint
• Chemical Restraints
• Safe Application of Chemical Restraint
• Key Principles for all Types of Restraint

Preventative

• De-escalation Skills
• Non-Verbal De-Escalation

Risk Assessment and Prevention

• Prevention of Injury
• Adhering to Ethical Guidelines
• Teamwork and Communication
• Ongoing Training and Development
• Accountability

Compliance with DoLS and LPS

• Understanding DoLS and LPS
• Criteria for Using Restraint under DoLS/LPS
• Key Principles
• Safeguarding Patient Rights
• Best Practice for Compliance

Deprivation of Liberty Safeguards (DoLS)

• Definition of Patient Centred Care
• What does Patient Centred Care mean?
• Understanding How to Use Restraint
• Understanding the Principles of Care
• Emphasizing De-Escalation Techniques
• Exploring Alternatives to Restraint
• Informed Consent and Advocacy
• Regular Review and Reflection
• Legal and ethical considerations
• Communication with Patient and Family

Using Restraint with Dignity, Autonomy and Individual Care Needs at the Forefront

• Respecting Patient Dignity
• Promoting Patient Autonomy
• Addressing Individual Care Needs
• Importance of De-escalation
• Alternatives to Restraint
• Using Restraint Appropriately
• Legal and Ethical Considerations

Case Studies

• Seni’s Story
• Colin Holt
• JK
• Kingsley Burrell
• The ‘Bournewood Case’
• Oliver McGowan

Monitoring and Assessment of Patients Under Restraint

• Preventing Physical Harm
• Ensuring Emotional and Psychological Well-being
• Assessing the Necessity of Continued Restraint
• Monitoring for Complications
• Post-Restraint Monitoring and Care