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Restraints

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Submitted By LatoyaG
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Working on an acute inpatient psychiatric unit in the City Health Care System is not a job for the faint of heart. On a daily basis nurses have to choose between whether a patient should be left alone to commit, self-harm, harm to others or be place in four points restraint. This ethical dilemma can lead to several hard consequences. The primary nurse rapport that was built with the patient has now been diminish the patient trust no-ones and continues to decompensate. In my conversation with some of the patients in regards to care and treatment, proved that the health care system that was supposed to help and protect this population failed in such endeavors. This system was cited by many to be broken, cruel and misrepresented. One patient quoted “being in restraint reminds me of my miserable past, my stepdad got revenge by tying me to my bed as a form of punishment for standing up to him whenever he physically abuses my mother.”
In my capstone project I will try to provide an alternate to the frequent use of restraint by designing and incorporating music as an outlet for expression. In this project I will try to show the effect therapeutic music and involving the patient in the selection process can reduce the violence, self- harm and subsequently the ultimate use of four- point restraints.
Music is an ancient art that has soothed minds for centuries. Music helps people regain inner peace and is the voice that binds people together. It has been used to treat the sick since ancient times and frequently is used to offset depression. According to Klainin-Yobas et al (2015) songs offer people solace in adversity and joy in prosperity. They are sung on birthdays and even at the death of a loved one. Music is accepted as a universal means to express one's emotions. Caldwell et al (2015) made reference to music as an essential component of ancient healing. Music has

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