[Restraint in paediatric care]

Marie Estrade1, Mélanie Tessier-Levêque2, Pascale Wanquet-Thibault3

  • 1Service de Néonatalogie, Hôpital Sud Francilien, 116 boulevard Jean-Jaurès, 91106 Corbeil-Essonnes cedex, France.

Insights

Pediatric restraint during emergency care is traumatic for children, parents, and caregivers. This study reflects on professional experiences with restraining children aged 2-4.

Area of Science:

  • Pediatric emergency medicine
  • Child psychology
  • Healthcare ethics

Background:

  • Restraint is frequently employed in pediatric care for disoriented or struggling children.
  • The practice of restraint is often traumatic for the child, parents, and healthcare providers.

Purpose of the Study:

  • To explore the experiences of healthcare professionals using restraint with young children (2-4 years) in pediatric emergency settings.
  • To reflect on the sensitive nature and impact of restraint in pediatric care.

Main Methods:

  • Qualitative reflection based on discussions with healthcare professionals.
  • Focus on professional exchanges regarding restraint use in pediatric emergency care.

Main Results:

  • Restraint in pediatric emergency care is a sensitive issue.
  • The practice is associated with significant distress for children, parents, and caregivers.

Conclusions:

  • Further reflection and discussion are needed regarding the use of restraint in pediatric emergency care.
  • Understanding the traumatic impact on all parties is crucial for improving care practices.

Related Concept Videos

Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
349
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
419
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
677
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
631
Standard Precaution01:26

Standard Precaution

Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
3.3K
Ethical Dilemmas I01:17

Ethical Dilemmas I

Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
2.2K