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[Medical-legal issues of physical and pharmacological restraint]
Esperanza L Gómez-Durán1, Julio A Guija2, Leopoldo Ortega-Monasterio3
1Servicio de Responsabilidad Profesional. Área de Praxis. Colegio de Médicos de Barcelona. Consejo de Colegios de Médicos de Cataluña. Barcelona. España; Departamento de Medicina. Facultad de Medicina y Ciencias de la Salud. Universidad Internacional de Catalunya. Barcelona. España; Unidad de Psiquiatría. Fundació Sociosanitaria de Barcelona. Barcelona. España.
Abstract:
The use of physical and pharmacological restraint is controversial but is currently accepted as inevitable. It is indicated for controlling behavioral disorders and psychomotor agitation that put patients and third parties at risk. Its indication should be medical, and we should opt for the least restrictive measure. Restraints represent a possible infringement of patients' fundamental rights and require understanding and strict respect for the medical-legal precepts by physicians and other practitioners involved in its application. This article reviews the current legal framework, as well as the medical-legal premises and aspects of applying restraints, with the objective of ensuring maximum respect for patients' rights and the appropriate legal safety in the activity of practitioners.
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