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

PHYSICAL CONTROL IN CAREContainment - where possible, to prevent the psychological reactionto perceived aggression exacerbating the condition, the young personshould be given comparative freedom of movement in a cordonedarea until appropriate medical assistance is available. However theneed to protect the young person, staff and other young people fromharm, and the security of the establishment, may make this strategyimpractical.Intervention - if containment is not an option then staff must gaincontrol of the young person as quickly as possible.The longer the restraint goes on the greater the risk of deathbecomes. It must be noted that pain compliance techniques may beineffective in gaining control.Restraint in a prone position (face down) should be avoided unlesscircumstances leave no other reasonable option.Once control has been achieved, and as soon as possible, theyoung person should be placed in the supine position (face up).Medical assistance must be sought immediately, particularly wherethe young person continues to behave in a disturbed manner and/orresist the restraint.Sickle Cell AnaemiaDescriptionSickle cell anaemia 12 is an inherited form of anaemia — a condition inwhich there are not enough healthy red blood cells to carry oxygenthroughout the body. Sickle cell disorder is more common in blackAfricans, throughout the Mediterranean and Middle East and in someparts of India (and the descendents of these groups).Under normal circumstances red blood cells are flexible and round, inpeople with sickle cell anaemia, the red blood cells are shaped likesickles or crescent moons. The haemoglobin (oxygen carrying)component of these blood cells is less effective than in healthypeople, therefore the ability of the blood to carry oxygen is reduced.People with sickle cell anaemia may also be at greater risk of stroke12 Dyson, S., Boswell, G. (2009) Sickle Cell and Deaths in Custody. London: Whiting & Birch© National Offender Management Service National Tactical Response GroupJuly 201038