Representation and practice about "chimical restraints": qualitative study with 50 health worker

Gériatrie et psychologie neuropsychiatrie du vieillissement
Brice ColombierLaurent Teillet

Abstract

The term "chemical restraints" seems to be used in medical practice, but does not have the same meaning for all French health care professionals. In available literature it is considered as use of psychotropic medications for behavioral disorders. We used qualitative research method based on semi-directive interviews, in order to better understand meaning of "chemical restraint" term for geriatric medical and paramedical personnel. This term is well understood, rarely used, wrong for some professional because "drugs do not hold". The term of "physical restraint" has a more tangible reality. The term of "sedation of psychocomportemental troubles" is more common and seems to have a less pejorative connotation. In practice chemical restraint may correspond to emergency use of benzodiazepines or neuroleptics by injection at doses leading to the patient's sedation without his consent.

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