"Protect all confidential information concerning patients and clients obtained in the course of professional practice and make disclosures only with consent, where required by the order of a court or where you can justify disclosure in the wider public interest."

One incident which I believe highlights the problem I will address, involved myself bathing 'John'. This was not the first time that I had bathed a person during the placement, however, the difference this time was that while I was washing 'John', he would display elf-injurious behaviour by slapping his face and then repeating the phrase 'stop slapping face'. I chose this incident from my clinical diary as I feel that the self-injurious behaviour that 'John' exhibited is an interesting and difficult Nursing problem and one, which affected my ability to care for him.

Rather than focussing on the self-injury specifica

Ellis, K. (1990). Therapy In Practice 17. Bury St. Edmunds: St Edmunsberry Press Ltd. p.p. 146-147. ISBN: 041232220X

To manage this problem effectively, a multi-disciplinary approach is required, but for the purposes of this essay I will look at the problem from a Nurse's perspective. I will begin by giving a brief description of self-injurious behaviour and the possible causes. I will then highlight the different techniques available to Nurses for the management of this behaviour.

Firstly, restraint raises some ethical questions, such as does someone have the right to injure themselves? This dilemna and others related to this topic are difficult to answer, but in general we make the assumption that the client is not capable of choosing for themselves. Secondly, the use of restraint present devaluing images of the client. Thirdly, they involve the violation of personal space which is usual for everyday social interaction.

Some common words found in the essay are:
Murphy Wilson1985, Murphy Wilson, UKCC Code, Chlorpromazine Hapliperidol, Jones Eayrs1993, Wilson1985 Create, Environmental Strategies, Eayrs1993 Care, Nursing Project, self-injurious behaviour, Press Page, challenging behaviour, bernstein et, murphy wilson1985, et al1994, jones eayrs1993, bernstein et al1994,  self-injurious behaviour, managing self-injurious, reinforcement modelling, positive reinforcement, 'sensory room', treatment challenging behaviour, managing self-injurious behaviour, self-injurious challenging behaviour,
Approximate Word count = 1767
Approximate Pages = 7 (250 words per page double spaced)