It was difficult to access the data (quantitative and qualitative) on the measures put
in place since there is no automatized register capable of identifying and framing them.
Clear and fully well-known rules have not been approved on the use of coercive measures
upon patients, but the above referred practices show a concern about the respect for dignity and for rights of hospitalised patients as their application is exclusively grounded on
clinical reasons and safety reasons, regarding themselves or others. The prescription and
administration of medication in the doctor’s absence (so-called SOS medication) depends
on an authorisation in advance which must be stated in the clinical record of each patient.
The administration of medication with calming effect, in this context, is not necessarily
considered and classified as a restraint measure by the professionals.
After the visitation to facilities for recently-admitted patients (service of intensive
intervention), it has concluded, on the basis of a broad assessment, that facilities have
good conditions of hygiene, of lighting and of maintenance. The privacy is sufficiently
safeguarded both in the wards and in the sanitary facilities. Without prejudice to the
positive general assessment, a remark has to be made to the lack of visual stimuli or objects
able to assure an autonomous recreational occupation of patients, in spite of the fact that
that is a space for short-term stays.
During the visitation, two inpatients placed in the “isolation room”, were observed
one of which in a situation quite disturbing as the measure applied appeared to be disproportionate compared with the absence of aggressiveness ascribed. It is a measure of last
resort to be applied when there is no alternative and to be overtaken as soon as possible,
as foreseen.
To sum up, the policy of mitigating the inpatients impacts deserves positive response,
no relevant reasons for censorship existing with respect to facilities, privacy and treatment
provided to patients in the visited area. As a preventive measure of possible abuses, it is
nevertheless worthwhile and appropriate to strengthen the feasibility and to disclosure
the procedures applicable to the use of patients’ restraint measures, including the unequivocal identification of the situations at stake, prerequisites, conditions, involved professionals, limitations and elements subject to mandatory registration. In this context, an
autonomous register of incidents is advisable.
•
Visit no. 12-2014
Date: 2014.11.07
Location: Santa Cruz do Bispo (Porto) Prison Facility for Women
Subject: Food quality. Contacts of persons deprived from their liberty with the
outside. Accommodation conditions and treatment given to children in Prison
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