title: Physical interventions to manage patients with brain injury: an audit on its use and staff and patient injuries from the techniques.
abstract: OBJECTIVE
  To report the use of physical interventions (PI) used to manage aggressive behaviour in a neurobehavioural unit and any injuries that were sustained to patients and staff during its implementation.
  
  
  METHODS
  A retrospective audit was adopted utilizing a standard accident and incident recording database.
  
  
  METHODS
  Records of PI utilized to manage the aggressive behaviour of 75 adults with acquired brain injury were analysed over the course of one calendar year. In addition duration PI, frequency of use and injuries sustained to staff and patients from its application were investigated.
  
  
  RESULTS
  During the 12 month period records were audited, PI was used on 1427 occasions. The majority (90.1%) lasted less than 10 minutes. Injury rates to patients (0.98%) and staff (6.5%) were both considerably lower than those rates reported for other clinical populations.
  
  
  CONCLUSIONS
  Use of PI with people who have an acquired brain injury is particularly challenging due to complex patterns of physical impairment that can be an outcome of this condition. This study describes how a multidisciplinary approach to the application of PI and the contribution of the physiotherapist in particular can result in comparatively low injury rates.
authors.affiliation: St Andrews Healthcare, Northampton, UK. bstubbs@standrew.co.uk
authors.forename: Brendon
authors.initials: B
authors.lastname: Stubbs
authors.forename: Nick
authors.initials: N
authors.lastname: Alderman
mesh_terms: D000374:Aggression / Q000523:psychology*; D001526:Behavioral Symptoms / Q000517:prevention & control* / Q000523:psychology; D001930:Brain Injuries / Q000523:psychology*; D054869:Clinical Audit; D005260:Female; D006801:Humans; D008297:Male; D009741:Nursing Staff, Hospital; D011567:Psychiatric Department, Hospital; D012149:Restraint, Physical / Q000009:adverse effects; D012189:Retrospective Studies; D012308:Risk Management; D014947:Wounds and Injuries / Q000517:prevention & control*