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[Representation and practice about "chimical restraints": qualitative study with 50 health worker]
Brice Colombier1, Sophie Moulias2, Niccolo Curatolo3
1Soins de suite et de réadaptation gériatrique, Hôpital Sainte Périne, Hôpitaux universitaires Paris Île de France Ouest, AP-HP.
Geriatrie Et Psychologie Neuropsychiatrie Du Vieillissement
|March 20, 2015
Summary
French healthcare professionals interpret "chemical restraints" differently, often equating it to psychotropic medication for behavioral issues. Many find the term inaccurate, preferring "sedation of psychocomportemental troubles" for its less negative connotation.
Area of Science:
- Geriatrics
- Medical Ethics
- Pharmacology
Background:
- The term "chemical restraints" is inconsistently defined among French healthcare professionals.
- Existing literature often defines it as the use of psychotropic medications for behavioral disorders.
Purpose of the Study:
- To explore the understanding and connotations of the term "chemical restraint" among geriatric medical and paramedical personnel.
- To identify alternative terminology used in practice for managing behavioral disorders in geriatric patients.
Main Methods:
- Qualitative research approach utilizing semi-directive interviews.
- Interviews conducted with geriatric medical and paramedical staff to gather their perspectives.
Main Results:
- The term "chemical restraint" is understood but rarely used, with some professionals deeming it inaccurate as "drugs do not hold."
- "Physical restraint" is perceived as having a more concrete reality.
- The phrase "sedation of psychocomportemental troubles" is more commonly used and carries a less pejorative connotation.
- In practice, chemical restraint may involve emergency injectable benzodiazepines or neuroleptics for patient sedation without consent.
Conclusions:
- Healthcare professionals' understanding and application of "chemical restraints" in geriatrics is varied.
- The terminology used significantly impacts perceptions, with "sedation of psychocomportemental troubles" being preferred.
- Emergency use of sedating medications without consent highlights ethical considerations in geriatric care.
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