Posted: January 17th, 2023

Utilizing an evidenced-based trauma-Informed care to decrease seclusion usage,Improving Patient Care

Utilizing an evidenced-based trauma-Informed care to decrease seclusion usage,Improving Patient Care by Utilizing an Evidenced-based Trauma-Informed Education to Reduce Seclusion
“Seclusion is considered a form a restraints in which a patient is involuntary confined alone in a room or area from which the patient is physically prevented from leaving” (Knox, D. K., & Holloman, G. H. 2012). Seclusion may be used only for the management of violent or self-destructive behavior. Behaviors indicating the potential need for this type of interventions occur in both acute care settings (such as public and private mental hospitals, state mental hospitals, emergency departments, Veterans Affairs hospitals, and medical or surgical units in general hospitals) and chronic care settings (such as nursing homes and psychiatric residential treatment facilities).10 Although psychotic disorders account for 44 percent of individuals requiring seclusion or restraint (or both), multiple psychiatric diagnoses, including substance misuse and delirium, are associated with aggression in health care settings. Hence, it is fair to say that seclusion is commonly exercised on psychiatry patients and has recorded tremendous increase in the critical psychiatric settings in the United States. However, this Practice evades fundamental rights of patients besides being harmful and costly (Worldview on Evidence–Based Nursing 2006). The use of seclusion and restraints as an intervention to manage acutely disruptive and violent behavior amongst patients in the psychiatric context is a highly contentious issue perceived by some as an infringement of basic human rights and dignity, and by others as unavoidable in order to maintain safety and control to protect patients from harm (Fisher, 1994). The use of restraints and seclusions causes psychological and physical harm both to patients and staff and also increases cost to the health care establishment (Carlson & Hall, 2014). This paper seeks to utilize an evidence-based trauma-informed education to reduce seclusion usage to the barest minimum if it cannot completely eradicate

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