Matching Items (2)

126912-Thumbnail Image.png

Reducing Seclusion and Restraints in Adolescent Patients

Description

Seclusion and restraint (SR) continue to be used in psychiatric settings when a patient is a harm to self or others despite growing concern and calls to eliminate the practice

Seclusion and restraint (SR) continue to be used in psychiatric settings when a patient is a harm to self or others despite growing concern and calls to eliminate the practice due to its harmful, potentially life-threatening effects on patients. The purpose of this evidence-based project was to assist a hospital in the southwestern United States decrease their seclusion and restraint rates among their adolescent patients. Trauma-informed care approaches have been shown to significantly reduce the incidence of SR in inpatient settings.

The nurses and behavioral health technicians (BHTs) received a two-hour trauma-informed care training in November of 2019. SR rates three months pre-training and post-training were compared. In the three months prior to the training, SR rates averaged 23.4 events per 1000 patient days. Comparatively, the three months after the training SR rates averaged 19.5 events per 1000 patient days. This shows a clinically significant decrease in SR rates after the TIC training. This evidence-based project (EBP) highlights the need to address this problem and gives an intervention option that can reduce harm for patients and address the needs of healthcare organizations seeking to improve patient care.

Contributors

Agent

Created

Date Created
  • 2020-05-03

157361-Thumbnail Image.png

Proprioceptive Activities to Lower Stress (PALS)

Description

A history of trauma can affect a child’s capacity to express emotions due to the neurological footprints left from neglect and abuse. Oftentimes, children do not have a caregiver as

A history of trauma can affect a child’s capacity to express emotions due to the neurological footprints left from neglect and abuse. Oftentimes, children do not have a caregiver as a protector which leaves them vulnerable to harm. In response, children use emotional survival strategies of either flight or fight to adapt to their stressful environment. Occupational Therapy Practitioners (OTP) are positioned to address social and emotional development; however, they often feel ill equipped to address the complexity of trauma and its impact on emotions. OTPs need to look at each sensory system from a nurturing/grounding perspective using movement-based strategies as inroads to address the child’s emotional capacity. A sensory integration intervention, Proprioceptive Activities to Lower Stress (PALS), was developed to study the effect on a six-year-old boy’s expressions of emotions using a single subject design. Three emotions were measured using a facial analysis system, Noldus FaceReader™. The emotions were happiness, sadness, and neutral. Neutral is defined as the level of emotional detachment. Results indicate a statistically significant improvement in the expressions of happiness and sad post the PALS program.

Contributors

Agent

Created

Date Created
  • 2019