Journal of Disability and Oral Health

cover art

Cover Date:
March 2017
Print ISSN:
1470-8558
Vol:
18
Issue:
1

Audit of the use of clinical holding at Birmingham Community Healthcare Special Care Dental Service

Abstract
Aim and objectives: To evaluate the use of clinical holding within one Special Care Dental Team against the British Society of Disability and Oral Health 2009 Clinical Holding Guidelines and the Department of Health 2014
publication, Positive and Proactive Care. Methodology: Data were collected over an eight-week period for patients where clinical holding had been used to facilitate care. Results: Forty-six patients were identified as receiving clinical holding during the audit period with 70 separate clinical holds used. Low level arm restrictions were used in 40% (n=28) of holds with medium or high level arm restrictions used in 36% (n=25). The main justification given for the use of clinical holding was the facilitation of treatment (96%, n=67). The majority of holds were used to facilitate examination (31%, n=22) or intravenous access (31%, n=22). The intervention was abandoned for 3% (n=2) of holds. The use of clinical holding was planned at a prior appointment for 60% (n=42) of holds. Non-dental staff were used in 44% (n=31) of holds. Conclusions: The use of clinical holding within the service was in line with current guidance and was effective in the facilitation of care for people whose behaviour limited their ability to receive care. The audit results suggest improvements are required in advanced planning and documentation of consent. Future work should focus on the use of non-dental staff in clinical holding, post clinical holding debriefs and post incident reviews.
Key words: Clinical holding, restraint, Special Care Dentistry

10.443/JDOH/Willis_06

Article Price
£15.00
Institution Article Price
£
Page Start
10
Page End
15
Authors
R Willis

Articles from this issue

  • Title
  • Pg. Start
  • Pg. End

  1. Editorial
  2. 2
  3. 3

  1. The development of a mouthcare information leaflet for carers of older people
  2. 4
  3. 9

  1. Audit of the use of clinical holding at Birmingham Community Healthcare Special Care Dental Service
  2. 10
  3. 15

  1. Patient and carer involvement in evaluating a toothbrushing programme for children and young people with neurological motor impairment
  2. 16
  3. 22

  1. Continuing Professional Development Programme
  2. 23
  3. 24

  1. Diary Dates 2017-2018
  2. 25
  3. 25

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