What is the difference between conditions that create a risk of injury with seclusion/restraint, and conditions that preclude the use of seclusion/restraint?
• In context, “Medical conditions or physical limitations that might create a risk”, means there are conditions that need particular scrutiny. For example, in the case of “obesity” some of the deaths attributable to prone restraint occurred with obese individuals who could not get sufficient oxygen, or had heart attacks. This doesn’t mean all obese people can’t be restrained. It simply means prone may not be a good approach in those cases where the individual already has reduced respiratory capacity. In context, “preclude the use of one or more reactive strategies”, means that there may be some procedures that should be ruled out or prohibited from use with an individual with a known risk.
