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For those patients sectioned under the Mental Health Act 1983, legal protection against prosecution in the criminal courts or litigation in the civil courts is afforded to healthcare professionals who physically restrain them ‘unless the act is done in bad faith or without reasonable care’ (s139). Similarly, the Mental Capacity Act 2005 acknowledges that restraint may be necessary for incompetent patients, provided that it is ‘a proportionate response’ (s6). No definitions of ‘reasonable’ or ‘proportionate’ are provided and it would be unfair to expect that they would be, given that each situation will be unique. Nevertheless, we could perhaps say that the level of restraint to be applied should be the minimum necessary to achieve the desired objective.

‘A smattering of positive liver fluke counts and also some high ‘strongyle’ worm egg counts, many of these dominated by Haemonchus (barber’s pole worm(BPW)). I think a WormTest from Gundagai takes the prize with a WormTest (usually done on 10 samples) returning an average worm egg count (WEC) of ~ 11 000 epgs per gram.   Usually you can bet the highest WEC in a WormTest involving 10 individual sheep (sometimes batching of samples is done), will be 2-3 times the average. In this case the highest was about 20 000.

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