P-725 - Coercive measures in women psychogeriatric wards, mental hospital kromeriz Czech Republic - restrospective study (2011)

Abstract

Introduction Coercive measures (mechanical restraint, physical restraint, seclusion, protective beds, unvoluntary application of medication) are used in protection of a patient or his/her surroundings in case of autoagressive or heteroagressive behavior which is resistant to all other therapeutic modalities (Svarc J, 2008). Objectives Our study is mapping the use of coercive measures in women seniors who have been hospitalized in Mental hospital Kroměřiž from 2009 to 2011 due to any psychiatric disorder. Aims Study focuses on clinical reasons for indication of coercive measures and types of coercive measures which have been used. Methods an design Retrospective study (2011). Instruments Medical records in written and electronic form. Results The most common reason for application of coercive measures is autoagression of the patient (62.2%) followed by heteroagression (31.8%). The most common coercive measure was unvoluntary application of medication (58.9%), followed by mechanical restraint (37.6%), physical restraint (3.5%). No seclusion and no protective beds were used in management of agression in our senior patients. Conclusion Coercive measures is the ultimum refugium in management of agression in our patients. When applying them, all the medical, legal, psychological and ethical aspects must be taken into account.