Call for clear guidance on restrictive practices
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Call for clear guidance on restrictive practices

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Learning Disability Practice. 24, 6, 6-6. doi: 10.7748/ldp.24.6.6.s3

Published: 02 December 2021

Edge Hill University senior lecturer and programme lead James Ridley told nurses at the RCNi Learning Disability Nursing webinar that it was important to understand a person’s mental and physical health, trauma and pain needs.

He said: ‘People need to have a health action plan and they may have a certain way they want to be cared for.’

Pain management

‘Behavioural assessments look respectively at secondary and tertiary interventions.

‘I am not saying every person may not require restrictive interventions. However, what I am saying is that we need to be very clear about why we are using restrictive practices or interventions or considering them,’ he told delegates.

Mr Ridley added that the pain management of people with learning disabilities can be poor: ‘Pain isn’t just physical, but can be a traumatic response.

‘Review medications. Are they always appropriate?’

He said that nurses should be having conversations with families and other clinicians, and said it was important to have a debrief, even in successful cases.

‘Any behaviour has meaning.’

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