Risk-Taking Behaviors of Adult Bedridden Patients in Neurosurgery: What Could/Should We Do?

Overview

Journal Front Med (Lausanne)

Specialty General Medicine

Date 2021 Aug 27

PMID 34447760

Citations 1

Authors

Jean-Jacques Lemaire

Remi Chaix

Anna Sontheimer

Jerome Coste

Marie-Anne Cousseau

Charlene Dubois

Melanie San Juan

Christelle Massa

Sandrine Raynaud

Alexandra Usclade

Benedicte Pontier

Youssef El Ouadih

Kamel Abdelouahab

Luca Maggiani

Francois Berry

Affiliations

Soon will be listed here.

Abstract

Risk-taking behaviors of adult bedridden patients in neurosurgery are frequent, however little analyzed. We aimed to estimate from the literature and our clinical experience the incidence of the different clinical pictures. Risk-taking behaviors seem to be more frequent than reported. They are often minor, but they can lead to death, irrespective of the prescription of physical or chemical constraints. We also aimed to contextualize the risks, and to describe the means reducing the consequences for the patients. Two main conditions were identified, the loss of awareness of risk-taking behaviors by the patient, and uncontrolled body motions. Besides, current experience feedback analyses and new non-exclusive technological solutions could limit the complications, while improving prevention with wearable systems, neighborhood sensors, or room monitoring and service robots. Further research is mandatory to develop efficient and reliable systems avoiding complications and saving lives. Ethical and legal issues must also be accounted for, notably concerning the privacy of patients and caregivers.

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PMID: 38803619 PMC: 11129749. DOI: 10.2147/JMDH.S463667.

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