This assignment challenges you to explore the evidence around restraints for challenging behaviours, be they physical or psychological, and asks the question: In caring for someone who is displaying challenging behaviour’s are restraints (physical or chemical) acceptable? Drawing on contemporary evidence provide recommendations for alternatives to restraint that ensure patient safety. Consider the following: Patient and Staff safetyEthical considerations (biomedical principles of justice, autonomy, beneficence and non-maleficence)Human and healthcare rights Australian healthcare standards, RN Standards for Practice, and local policies Australian Capital Territory law with regard to restraint.Mental health Act 2015 (ACT) This should be presented in an essay format with a clear introduction and conclusion and at least 10 relevant and contemporary references. The word limit is 1500 words +/- 10 %.
| HD 8.5 -10 | DI 7.5-8.5 | CR 6.5-7.5 | P 5-6.5 | NX 0-4.5 | Grade | |
| Implications of restraint (chemical and physical) on both patient safety and staff safety, recognising different causes of challenging behaviour. | Excellent discussion of restraint, both chemical and physical, and the impact on patient and staff safety, as well as the physical and psychological causes of | Very good discussion of restraint, both chemical and physical, and the impact on patient and staff safety, as well as the physical and psychological causes of challenging behaviour. | Good discussion of restraint both, chemical and physical, and the impact on patient and staff safety, as well as the physical and psychological causes of challenging behaviour but may | Adequately addresses restraint but may lack detail of types of restraint, mentions both staff and patient safety, shows an understanding of causes of challenging behaviours but discussion may be weak or incomplete. | Shows a lack of understanding of restraint and misses an element for example does not mention chemical restraint. Does not discuss safety of both the patient and staff. Minimal | /10 |
| challenging behaviour. | lacks detail or depth. | understanding of causes of challenging behaviours. | ||||
| Alternatives to restraints that relate to/incorporate the RN standards and scope of practice. | Excellent discussion and identification of a range of alternatives that have sound rationale, provide safe care and adhere to the RN standards for practice. | Very good discussion and identification of alternatives to restraint. Rationale discussed for each and the issue of safety addressed, Linked well to the RN standards for practice. | Good discussion and identification of alternatives, however a full range of options not discussed and/or rationale for use not provided Discusses the RN standards. | Adequate discussion of some alternatives to restraints, mentions RN standards but does not link them well to the discussion. | Does not adequately discuss alternatives to restraint / RN standards and scope of practice. | /10 |
| Legal and ethical implications, policy and ACT law around restraint. | Excellent discussion of legal issues comprehensively discusses local policy and ACT law in relation to the use of restraint. | Very good discussion of legal issues relating to restraint, identifies most policy and legal frameworks in relation to restraint. | Good discussion of legal issues Identifies relevant policy and law but may lack depth of understanding. | Adequate discussion of legal issues but may lack detail or interpretation. Identifies some relevant policy and Law. | Incomplete discussion of legal issues showing little understanding or poor knowledge of the legal and ethical implications of restraint. | /10 |
| 5 | 4 | 3 | 2.5 | 0-2 |
| Formatting guidelines adhered to, has a clear introduction, body and conclusion correct grammar, spelling syntax. Adheres to the Word limit. | Excellent presentation as per instructions, essay format with clear introduction, body and conclusion; excellent standard of academic writing with correct grammar, spelling and syntax. Adheres to the Word limit +/- 10% | Very good presentation according to instructions: few errors with grammar, syntax, punctuation, and spelling, Minor editing and revision required. Adheres to the Word limit +/- 10% | Good presentation according to instructions: Minor errors with grammar, syntax, punctuation, and spelling limited editing and revision required Adheres to the Word limit +/- 10% | Adequate presentation according to instructions: Many errors with grammar, syntax, punctuation, and spelling. Adheres to the Word limit +/- 10% | Not presented according to instructions and / or substantial errors with grammar, syntax, punctuation, and spelling and/or word count not adhered to | /5 |
| References, provides at least 10 relevant contemporary references APA 7th. | Excellent: 10 or more pieces of relevant and contemporary literature resourced and used to support | Very good: 10 or more pieces of relevant and contemporary literature resourced and used to support discussion. Reference list provided as per | Good: 10 or more pieces of contemporary literature resourced and used to support discussion. Reference list provided as per APA | Satisfactory 10 pieces of contemporary literature resourced and used to support discussion. Quality of references may be questionable. Reference list provided as per APA 7th referencing style, but | Unsatisfactory: Poor referencing style Multiple errors and/or unreferenced claims, less than 10 contemporary references or | /5 |
| discussion. Reference list provided as per APA 7th referencing style. No errors in referencing and no unreferenced claims. | APA 7th referencing style. Minor errors in referencing. | 7th referencing style. Some errors in referencing. | multiple errors in either intext references and/or reference list. | inappropriate references. |
