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

PHYSICAL CONTROL IN CARE• Marked expansion of veins in the neck• The young person becoming passive very quickly and offeringno resistance• Loss, or reduced levels of, consciousness• Cyanosis (blue) around lips and finger/toe tips; this may bemore difficult to observe in young people fromAfrican/Caribbean background, therefore greater care should betaken to observe• Respiratory or cardiac arrestActionsThe actions to be taken are as follows:• Immediately release or modify the restraint as far aspracticable to achieve an immediate reduction in anyrestriction of breathing. Remove anything which may beblocking the airway.• Immediately summon medical attention and provide appropriatefirst aid in line with the policy of the establishment• If subject is not breathing, administer rescue breaths• If subject has no pulse, initiate CPR (cardio-pulmonaryresuscitation), defibrillator if trained staff are in attendance• Complete report• Attend post incident de-briefingPsychosisPsychosis 8 is a general term used to describe mental conditions inwhich there is loss of contact with reality, abnormal experiences suchas hallucinations and loss of insight.Most people suffering from mental illness/psychosis are not violent,however fear, confusion and abnormal beliefs experienced by somepeople suffering from psychosis may cause them to respond in aviolent manner.8 Puri, B.K., Laking, P.J., Treasaden, I.H. (2002) ‘Textbook Of Psychiatry.’ Edinburgh: Churchill-Livingstone.© National Offender Management Service National Tactical Response GroupJuly 201034