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Restraint — DGM MCQ

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HardEthics and lawRestraintDGM

An 87-year-old man with delirium repeatedly pulls at a cannula delivering antibiotics. He lacks capacity for treatment decisions at present and is at risk of serious harm. Staff ask about holding his hand during cannulation. Current medicines include no regular medicines known. What is the most appropriate management?

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Correct answer: DUse proportionate least-restrictive restraint if necessary and document best interests

The Mental Capacity Act permits proportionate least-restrictive restraint when necessary to prevent harm and in best interests. Convenience, avoiding needed treatment, prolonged unreviewed restraint and relying solely on relatives are inappropriate. Restraint should be time-limited, necessary and documented.

Reference: Mental Capacity Act 2005; NICE NG108