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 (Švarc J, 2008).

Objectives:

Our study is mapping the use of coercive measures in women seniors who have been hospitalized in Mental hospital Kroměříž 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.