Use of Restraints

All individuals have a fundamental right to be free from unreasonable bodily restraint. At times, however, health conditions may result in behavior that puts patients at risk of harming themselves. In such situations, it may be ethically justifiable for physicians to order the use of chemical or physical restraint to protect the patient.

1. Use best professional judgment to determine whether restraint is clinically indicated for the individual patient.
2. Obtain the patient’s informed consent to the use of restraint, or the consent of the patient’s surrogate when the patient lacks decision-making capacity. Physicians should explain to the patient or surrogate:
   1. why restraint is recommended;
   2. what type of restraint will be used;
   3. length of time for which restraint is intended to be used.
   AMA Principles of Medical Ethics: I, IV

   Council Reports

   Related Opinions

   Opinion 1.2.9

   Use of Remote Sensing & Monitoring Devices

   Devices that transmit patient information wirelessly to remote receiving stations can offer convenience for both patients and physicians, enhance the efficiency and quality of care, and promote increased access to care, but also raise concerns about safety and the confidentiality of patient information.

   Opinion 2.1.1

   Informed Consent

   Informed consent to medical treatment is fundamental in both ethics and law. Patients have the right to receive information and ask questions about recommended treatments so that they can make well-considered decisions about care.