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10. Dialogue on the measures taken by the NPM
in the case of six persons and the suspension of the application of such drugs
was in progress in the case of another five residents.
We noticed during the first visit that the majority of the residents had
taken their medication without informed consent. At the time of the follow-up visit, many residents had no information on their own condition or
the medication that they took. Due to all the above, I repeatedly asked the
head of the Institution to ensure that the residents are provided clear information on their conditions and medications, including the explanation for
and consent to taking contraceptive pills. I was informed by the head of the
Institution that the general practitioner and the psychiatrist had explained
to the residents what medication they were taking for what, including the
consent to taking contraceptive pills.
In the Social Institution, it was only in the case of one resident that regular
physical restrictive measures had to be taken. This resident (one arm and one
leg) was tied to the bed each night because he demonstrated a threatening
behaviour to his peers and the staff members. I asked the head of the Institution to consider the option of isolation to replace tying down this resident for
the night. I was informed by the head of the Institution that a room suitable
for isolation had been made available. In my response, I called the attention
of the head of the Institution to that, in addition to ensuring a room suitable for isolation, it should be endeavoured to that isolation rather than tying
down is applied, if this method is adequate.
The rules for ordering and applying restrictive measures were not fully
compliant with the relevant statutory provisions. In my recommendation,
I asked the head of the Social Institution to take care of the revision of the
rules of procedure concerning restrictive measures in order to establish harmony with the laws. The head of the Social Institution promised to do so.
The psychologist of the visiting delegation established that the placement
of residents qualified as “agitated” in a common room increased tension because the circular process leading to tension was not stopped in this way. The
side effects of the tranquillisers taken by the residents may have deteriorated
their cognitive abilities and increased their communication difficulties. I proposed that the “agitated” residents, who receive ad hoc medication, should
not be placed in common rooms by the Social Institution. The head of the
Social Institution promised to keep this perspective in mind, however, the affected residents had so far protested against the attempts made at separated
placement. I accepted the response.
The members of the visiting delegation noticed that the majority of the
residents had bad teeth. In the case of any problems, the residents were sent
to an oral surgeon rather than to a dentist where, in most cases, their teeth
were extracted, rather than their receiving conservation treatment aimed at
keeping the teeth. I asked the head of the Social Institution to take action
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