Physical Control in Care Training Manual - Independent Advisory ...

PHYSICAL CONTROL IN CAREIf staff freeze in these situations then they are at high risk ofbecoming a victim. Therefore it is important that training preparesstaff to deal with confrontation and that they are aware of what courseof action is required:• Escape• Verbal reasoning• Use of forceWhen we perceive a threat:• Heart rate increases• Breathing rate accelerates• Blood vessels dilate• Blood diverts from the digestive system• Glucose and fat are released• Brain releases stimulants• Endorphins are releasedPhysiological effects of confrontation:When we perceive a threat the body releases adrenal chemicals. Thepositive effects are:• Heightened awareness• Additional strength• Increased pain thresholdThe negative effects of adrenal response:• Loss of fine motor skills (clumsiness)• Tunnel vision• Time distortion• Auditory exclusionLoss of fine motor skills• Due to the acceleration of nerve impulses controlling musclecontraction, hand / eye co-ordination becomes impossible• This clumsiness prevents a person performing any complexmotor skills© National Offender Management Service National Tactical Response GroupJuly 201017