Ethical Issues in Health and Social Care: Restraint Practices in Mental Health Patient Care

Ethical Issues in Health and
Social

Table of Contents
INTRODUCTION ..........................................................................................................................1
MAIN BODY ..................................................................................................................................1
CONCLUSION................................................................................................................................6
REFERENCES ..............................................................................................................................7

INTRODUCTION
Ethics is the sets of moral principles which pay important role in the individuals
behaviour and decision making. The situation at which this become difficult to make choice
between two moral principle for single factor or solution, is consider as moral dilemma. Control
and management of Individuals with a Mental Health Issue or Disability is the main area of
ethical consideration. Because in mental health care there are the different situation at which
health care professionals have to make right choice of restraint. There are the three types of
restraint use in the mental health patient care and control, such as physical. Chemical and
environment restraint (Brenner, and et. al., 2021). Restraint is the important practice in metal
health care but in context to the nurses it create various ethical issues and dilemma, because this
effects their ethical values along with human rights and dignity, This can also causes harm to the
service users ( (Reid, 2017)). In this report ethical and moral principles in context to the ethical
dilemma of selected topic, in health and social care environment is explored. There is also the
discussion of key issues of ethics such as confidentiality, fairness etc.
MAIN BODY
Restraint in the mental health care organisation and system use at the situation of patient
abnormal behaviour , when they can harm themselves or others. There are the three different
method's of restraint, such as physical, chemical and environmental. Physical restraint is done
by the aid of body movement preventing tools such as prescribed devices for restricting patient at
bad and char. This is done to control the body movement of aggressive patient for preventing self
and others harm. Ethical issues of physical restrain is difficulty is the management non-
maleficence principles (Chaudhuri, and Basu, 2018). According to the human right health care
organisation have to follow the Article 3, 8 and 14, but at the situation of mental health care
procedure some time this become difficult meet all theses principles. These principles create the
ethical dilemma of chasing right decision for patient control at abnormal condition. The five
principles of social justice is equity, participation, diversity and human right, at the process of
restraint social justice issues arise related to the participation and human right principles.
Because this become impossible to make participation of patient at care procedure when they are
behaving abnormally and crating the chances of harm (). Chemical Restraint use in some
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situation for restricting the movement of patient through drugs such as antipsychotics. In
context to the mentally ill patient safety from self harm environment restraint use. This involves
the limiting the resident to specific environment by assuring the removal of risk factors, such as
sharps, glass etc. patient restricted at the room and not allow to come outside. Both of these
restraint method's are also associated with the ethical and social injustice because there is not any
participation of patient and it create the issues of nursing code of conduct. Because some
restraint drugs can harm the patient, and according to the nursing code of conduct, human right
and social justice principles that is important to make participation of patient, not cause any
harm. Restraint is posing the possibility's of bad impact on patient health and social care
practices, because this causes the helplessness, tension anger, fear and trauma. In the health care
practices this can cause complications like dehydration, urinary incontinence and injuries.
Along with the patient, staff member's also face distress and ethical issues. In social care
restraint is posing came impact of physical and mental health issues, but in other hand that is
helpful for providing best care to the patient and treatment according to their mental health
condition. The major impact of this practice is one staff ethical values and empathy due to which
they face huge issues, while providing care to the patient (Scheepmans, and et. al., 2017).
Mental Capacity Act 2005 illustrating the rules and regulation regarding the patient decision
making support when they not able to make their own decision. According to this act Adult
mental health patient have to be supported for making their own decision regarding health care
practices. But is the person is harmful for others and themselves them they can resist (Duffy, and
Kelly, 2019).
From the above discussion it has been critically evaluated that restraint is use to manage
the abnormal behaviour of mental health patient, in order to provide the care which they don't
want to take but necessary for them. There are the different type restraint with several ethical
issues and social injustice issues but this become important at the situation when patient
behaviour force to use Restraint for their and other safety, and this practice supported by the
Mental Capacity Act.
Ethical and moral dilemma develop due to the classing of health professionals personal
and moral principles. Ethical dilemma is the problem in the decision making process between
the two principles and options related to the one situation. The major issues in ethics and moral
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