Use of Seclusion, Chemical and Physical Restraint

During an on-call shift in the general hospital settings, it is not uncommon for a physician to prescribe seclusion and restraint as a clinical intervention to control an aggressive and/or dangerous patient, as allowable under local laws and regulations. Out of respect to patient autonomy and dignity, seclusion and/or restraint should only be used in emergency situations where the patient is at risk of harm to self and/or to others and should never be used as a coercive or threatening measure. When using these methods, clinicians should use the least restrictive method possible using a patient-centered approach. Clinicians should be mindful of the innate risks of using seclusion and restraint in geriatric patients including falls, injury, and other negative physical effects, psychological trauma, risk of increased agitation and aggression, as well as potential death. Clinicians must also be aware of the legal framework they are practicing under in their respective jurisdiction.