3 ms·

>If the staff had been given proper training into dealing with neuro-atypical patients, there would have been no need for sedation. If people are given anti vi

by graphe 3y ago

>If the staff had been given proper training into dealing with neuro-atypical patients, there would have been no need for sedation. If people are given anti violence courses would it certainly stop violence? Doesn't matter if they have autism or not, doctors in their panic with or without training may make medical misfortune occur.

fnordpiglet 3y ago
It’s not about stopping violence it’s about managing and understanding situations that appear violent but are borne of anxiety or some other emotion. Violent rage or criminal violence is a lot different than anxiety, and can be dealt with through purely social mechanisms. Certainly resorting to heavy medication to cope with autism isn’t the right way to manage behavior induced through anxiety and fear, especially if they’re known and explicitly disclosed to be toxic to the individual.
- strken 3y ago
  When you get right down to it, aren't most examples of violence from neurotypical people also "situations that appear violent but are [born] of anxiety or some other emotion"? Like, if a man turns up in emergency high as a kite and is worried the hospital will call the police so he shoves a doctor over and runs away, or a new mother grabs the scrubs of a nurse because nobody will tell her where her child is, it's not a great outcome to jam those patients full of antipsychotics either.
- SpicyLemonZest 3y ago
  Is that certain? It's not a good solution, but it's also not a good solution to say that nurses just have to deal with agitated and combative patients for however long it takes to find or rule out non-pharmaceutical solutions. I'd question whether long-term use of forcible physical restraint is even better for the patient.
  - fnordpiglet 3y ago
    There are situations where it’s unclear what is happening and where it is clear. In situations like this where the family tells the hospital specifically what is going to happen and what to not do, it’s not alright to do the thing that’s known wrong. For someone severely autistic all you have to do is reduce stimulation. Sedating them isn’t the right way to handle them. Putting them in a quiet room is the right way to handle them. In situations where there’s no knowledge of what’s going on restraining them and getting a psychiatric nurse or doctor to evaluate them is probably a better outcome than sedating them. Sedation makes diagnosis impossible. The comeback is that there aren’t enough psych staff on hand to respond in emergencies. That’s just a pathetic state of things given the human mind is the most complex part of our being and illness of the mind is prevalent and largely untreated.

by graphe 3y ago

fnordpiglet 3y ago

It’s not about stopping violence it’s about managing and understanding situations that appear violent but are borne of anxiety or some other emotion. Violent rage or criminal violence is a lot different than anxiety, and can be dealt with through purely social mechanisms. Certainly resorting to heavy medication to cope with autism isn’t the right way to manage behavior induced through anxiety and fear, especially if they’re known and explicitly disclosed to be toxic to the individual.

strken 3y ago
When you get right down to it, aren't most examples of violence from neurotypical people also "situations that appear violent but are [born] of anxiety or some other emotion"? Like, if a man turns up in emergency high as a kite and is worried the hospital will call the police so he shoves a doctor over and runs away, or a new mother grabs the scrubs of a nurse because nobody will tell her where her child is, it's not a great outcome to jam those patients full of antipsychotics either.
SpicyLemonZest 3y ago
Is that certain? It's not a good solution, but it's also not a good solution to say that nurses just have to deal with agitated and combative patients for however long it takes to find or rule out non-pharmaceutical solutions. I'd question whether long-term use of forcible physical restraint is even better for the patient.
- fnordpiglet 3y ago
  There are situations where it’s unclear what is happening and where it is clear. In situations like this where the family tells the hospital specifically what is going to happen and what to not do, it’s not alright to do the thing that’s known wrong. For someone severely autistic all you have to do is reduce stimulation. Sedating them isn’t the right way to handle them. Putting them in a quiet room is the right way to handle them. In situations where there’s no knowledge of what’s going on restraining them and getting a psychiatric nurse or doctor to evaluate them is probably a better outcome than sedating them. Sedation makes diagnosis impossible. The comeback is that there aren’t enough psych staff on hand to respond in emergencies. That’s just a pathetic state of things given the human mind is the most complex part of our being and illness of the mind is prevalent and largely untreated.