In which situation are restraints considered appropriate for use on patients?

The use of restraints in a healthcare setting is governed by principles that emphasize patient safety and the least restrictive means necessary. In the context of the situation described, the scenario where confused but not combative patients might require a mitt restraint on the opposite side demonstrates an appropriate application of restraint.

When patients are confused, they may lack the capacity to understand their environment or the need to stay safe, yet if they are not exhibiting combative behavior, they can often be managed with less restrictive measures. A mitt restraint on the opposite side allows for the safety and protection of the patient without completely limiting their ability to move or communicate, thus preserving their dignity and facilitating a more positive care environment. This approach aligns with protocols that prioritize safety while minimizing the potential for psychological distress associated with more restrictive forms of restraint.

In contrast, the use of restraints in patients who are combative or aggressive, or those under high sedation typically calls for a deeper evaluation of alternatives prior to implementation, as these situations may not necessitate restraints or may put the patient at higher psychological or physical risk. Similarly, physically disabled individuals often require accommodations that do not involve restraints, as their needs are typically best met through supportive measures.