Physical Restraint Physical restraint has always been a very controversial subject between excessive againstguidelines use, emotional

damage that could result from its usage and the increasing research into abolishing it or keeping it minimal while seeking alternatives. We define it as a nursing intervention from the ursing !nterventions "lassification # !"$ defined as application, monitoring, and removal of mechanical restraining devices or manual restraints used to limit physical mobility of a patient%1 &any things could lead to resorting to such methods, mainly being the inability to control the patient to prevent them from hurting themselves or even others' that being either from the facility and the nursing faculty side inability to connect to the patient enough, or the patient being too violent and uncontrollable. (owever, the usage of physical restraint on the elderly could have many risks such as sever cognitive impairment or physical impairment, bruising, skin tears, fallinjury risk, depression, low self-esteem and extreme cases of hopelessness. &oreover, the patients) sense of dignity and autonomy could be directly affect by the physical restraint. *endering them frustrated, ashamed and even more angry than they were in the first place +n the other hand, how nurses view physical restraint varies. ,ome find it necessary in some cases while others find it unacceptable as it could have other serious negative effects on the patient, which makes many nurses go through stress, anxiety, guilt, dissatisfaction and a sense of inade-uacy if they were to be in a position where their only option is the usage of physical restraint. !n .ahrain and the gulf, physical restraint is used on patients in order to protect the patient from harming himself in case they are refusing treatment while it)s necessary and crucial, or in cases they are out of control, like for instance being delirious in a way that impedes their progress or risks harming others. /specially in the case of psychiatric patients. (owever, in that matter, we don)t seem to get a hold of statistics though. 0t the end, despite its emotional and physical risks, physical restraints are still used, within guidelines, in .ahrain and the gulf 1like many other countries1, as a method to protect patients who could not be stopped in any other way as from harming themselves or others, by obstructing their treatment or even inflicting direct physical damage that could be very fatal and disastrous.

References
1.Kapur R., Fink E.S. (2011). Chapter e293.1. The Vi !ent "atient. #n $.E. Tintina!!i, $.S. Stapc%&nski, '.(. C!ine, ).$. (a, R.K. C&*u!ka, +.'. (eck!er (E*s), Tintinalli's Emergency Medicine: A Comprehensive Study Guide, ,e.
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physical restraint. (2009). In Mosby's Dictionary of Medicine, Nursing, & Health Professions

2.K-entus $..., Kirshner /.S. (2011). Chapter 10. 'e!iriu1, 'e1entia, an* .1nestic S&n*r 1es. #n (./. E2ert, ".T. 3 sen, 4. 5urc 12e, $.F. 3eck1an (E*s), CURRENT iagnosis ! Treatment: "sychiatry, 2e. 3.Ka1e!, 5., (a6i1 s, (., 7 +aafar, (. (200,, $une 21). Reacti ns f "atients an* "s&chiatric / spita! Staff .2 ut "h&sica! Restraint. #orld health organi$ation. Retrie8e* 5 8e12er 9, 2011, fr 1 http:;;---.e1r .-h .int;i1e1rf;asn<;200,=>=2=1.p*f