For more information: Call (800) 844-8260 × Close. Anita is a young woman with a primary diagnosis of emotionally unstable personality disorder borderline type as defined by the World Health Organisation (WHO 2010). Course … Disclaimer: This work has been submitted by a student. Copyright © 2020 by The American Academy of Psychiatry and the Law, Sign In to Email Alerts with your Email Address. This event is not currently available for purchase. Firstly the practitioner needs to ascertain whether the person being assessed has some sort of disturbance of the mind and, if such a disturbance exists then it “must affect their ability to make decisions when they need to” (Department of Constitutional Affairs (DoCA) 2007:45). $59.95 hard cover; $39.95 soft cover. As such the therapeutic session concentrated on exploring her feelings surrounding her impulses, alternative coping mechanisms to manage her thoughts of self-harm and strategies to help maintain her safety upon the ward. Using the application of the Mental Capacity Act (MCA) (Great Britain (GB) 2005) and an established model for ethical decision making, we will look at how the decision of whether or not to enforce treatment for the wound was formulated and implemented. Spell. The main legal and ethical dilemmas that can be extracted from this case study are whether the Anita’s capacity to make decisions about her treatment should be overridden by use of the Mental Capacity Act (GB 2005) and whether Anita’s ability to make autonomous decisions surrounding her care should outweigh the nurse’s obligation towards beneficence. The Gibbs(1988) reflection model will be used to guide the discussion. The nurses on duty cleaned and bandaged the wound and allowed Anita time to consider the implications of her decision further. They should also restrict their diagnoses to their area of … Where: BOISE, ID When: Friday, March 6, 2020 at 8:00 AM - 3:45 PM. Presentation PDF Available. Copyright © 2003 - 2020 - NursingAnswers.net is a trading name of All Answers Ltd, a company registered in England and Wales. Ethical decision-making model (s) Nuances of rural ethics. The chapter on Tarasoff and duty to protect provides an excellent description of the Tarasoff cases (Tarasoff I and Tarasoff II) and a discussion of their implications for mental health professionals. This month's issue explores critical social, cultural, and ethical dimensions of mental illness. The practitioner has the onus, not only of providing relevant information about treatments and procedures, but also of disclosing his own limitations, with regard to his training and expertise, and his value systems. 11th Feb 2020 Study for free with our range of nursing lectures! The author cites some examples of early research, which by current ethics standards would be viewed with horror. If the nurse’s obligation to act beneficently is informed by the patient’s choices and preferences, then the respect for the patient’s autonomy will ultimately override any paternalistic actions on the part of the nurse (Beauchamp & Childress 2009). Chapter 5. The more obvious as well as the more subtle ways in which research studies can lend themselves to manipulation are discussed. Yet, these issues are inadequately addressed in the traditional teaching curriculum of mental health professionals and in day-to-day practice. This course will strengthen your clinical decision-making, build your confidence and help minimize the likelihood of board complaints and malpractice litigation. From this we can surmise that ethics is a complex system of reflective thinking, which is used in the search for a standard that can be used to judge your own actions, or the actions of others, within your own moral code. Beneficence can be seen as actions to benefit and promote the welfare of others (Butts & Rich 2008). Write. Because one of the most ethically confronting issues in mental health care is the coercive treatment 2 of persons admitted as involuntary or non-voluntary patients to a psychiatric facility or program, particular attention will also be given to the issues of informed consent and competency to decide, and ongoing proposals to develop and operationalise ‘psychiatric advance directives’ (PADs) in jurisdictions around … Nursing Essay We're here to answer any questions you have about our services. Beauchamp & Childress (2009: 103) after Kant. Anita presented with a laceration to the inside of her thigh which was deep enough to expose the adipose tissue beneath, however was not deemed by the medical staff to be life threatening. This decision was reached due to Anita being able to understand the information being given to her, being able to retain the information and weigh it up to make a decision to refuse treatment. Patient safety may be compromised, resulting in injury and lawsuits. Multi-User. The Commission on Mental Health Law Reform was appointed by then Chief Justice of the Supreme Court of Virginia Leroy Rountree Hassell Sr. in October 2006 and was directed to conduct a comprehensive examination of Virginia’s mental health laws and services. Therefore it may need to be considered whether Anita’s is refusal of treatment is something that she feels in control of, thus a way in which she feels empowered. Beauchamp and Childress (2009) devised four basic moral principles which function as guidelines for professional ethical decision making. The NMC Code of Professional Conduct is clear in stating that nurses have an obligation to both protect and promote the “health and wellbeing” of patients as their primary consideration (NMC 2008:2) and this is no different for mental health nurses working with patients who self-harm. The chapter on informed consent outlines the components of informed consent and traces the historical antecedents to the current consent procedures. Of particular importance are ethical and legal issues that affect counseling, along with professional considerations such as community counselor identity, relationships with other mental health professionals, credentialing of mental health professionals, and managed care and third-party reimbursement. View Legal -Ethical issues in Mental health.ppt from NURSING 231 at Egerton University. Company Registration No: 4964706. Journal of the American Academy of Psychiatry and the Law Online … Mental health nurses work with people from all backgrounds to assess and treat psychiatric issues through work in the hospital and the community 1. Matters of ethics that arise in the different stages of the study, ranging from the decision to conduct the study, to the design of the study, data collection, and analysis are discussed. Any decision made from this ethical viewpoint has a higher probability of producing the best outcome under any given circumstance. To violate a person’s autonomy is to treat that person merely as a means: that is, in accordance with others’ goals without regard to the persons own goals. The contributors include professionals from the mental health and legal fields. In considering Anita’s wishes and agreeing a management plan to care for the wound incorporates both principles of Anita’s autonomy and the nurse’s obligation towards beneficence. As the wound was neither life threatening or of such a degree that it could not be safety managed upon the ward enabled the staff to consider the possibility of enabling Anita to make an autonomous choice. T. G. Sriram . Anita initially made her decision to refuse treatment shortly after self-harming. Although this appeared to be an unwise decision, which felt uncomfortable to the team, it was agreed to monitor the wound, keep it clean and dry and continue to talk to Anita about her thoughts and feelings surrounding getting medical treatment for the wound. Start studying Mental Health Chapter 3- Ethical and Legal Issues. Free resources to assist you with your nursing studies! Disclaimer: This work has been submitted by a student. (Adshead 2010). bernikitty. The remainder of this chapter focuses on health care issues and planning for health decisions. PDF | Ethical issues in Mental Health Nursing | Find, read and cite all the research you need on ResearchGate. The APA code is frequently referenced in the book and used as a yardstick for discussions. We do not capture any email address. Self-harm has been strongly associated with borderline personality disorder (Motz 2008) where thoughts of self-loathing and self-punishment are common precipitators; the act of self harm can be seen as a symptom of internal turmoil, an expression of internal pain or as controlling factor to maintain a level of care (Grocutt 2009). Solo Practitioner. STUDY. Editors of the book have distinguished academic backgrounds. When nurses experience the ethical dilemma of having to enforce treatment irrespective of a patient’s right to autonomy, they can be seen as working in a paternalistic manner (Butts & Rich 2008). LEGAL AND ETHICAL ISSUES IN MENTAL HEALTH AND PSYCHIATRIC NURSING BY EUNICE KATUNGWA Legal … She was taken to the clinic room where the wound could be cleaned and assessed. Title: Ethical and Legal Issues in PsychiatricMental Health Nursing 1 Chapter 5. In considering whether Anita needed to make the decision around treatment, we can see that, as the wound was not life threatening, it was decided to allow her time to settle and re-approach the question of treatment. Being a sound mental health professional entails that the individual be competent, practice her profession with integrity, be aware of her limitations, respect the dignity of the client, and understand the do’s and don’ts of practice from an ethics perspective. Major ethical/legal issues encountered in practice; Eight major areas of focus; Ethical and Legal Issues; The five moral-ethical principles; Outline Part Two. Finally, a video program to fulfill your legal and ethical CE requirements that is not only indispensable for daily practice, but also engaging, entertaining and informative. Ethical Issues in Mental Health Nursing. In mental health nursing, autonomy is sometimes overridden in the interests of promoting the principle of beneficence (Lakeman 2009). As the wound could be safely managed in the short term upon the ward the decision to allow Anita time to weigh up the information was the correct one to make. Limited resources force tough choices in quality of care. Ethical and Legal Issues in Psychiatric/Mental Health Nursing Multiple Choice 1. Ethical Concerns For the nurse in a traditional medical setting, ethical decisions occur occasionally and at times the nurse may face ethical dilemmas. Match. A large proportion of moral and ethical dilemmas that are faced by nurses stem from the conflicting principles of autonomy and beneficence. The conflicting principles of autonomy and beneficence that have been presented within this case study would both be ethically and morally correct courses of action to take. To help determine whether Anita has capacity, The Mental Capacity Act (2005) sets out a two stage functional approach. This section also discusses professionals’ responsibilities in maintaining patients’ records. Do you have a 2:1 degree or higher in nursing or healthcare? Reference this. In contrast, the correctional nurse may face ethical situations daily. Test. Ethical And Legal Issues In Mental Healthcare. Following a wider team discussion around whether Anita understood the severity of the wound, thus having capacity to make a decision to refuse treatment, the Responsible Clinician (RC) spoke to Anita and attempted to persuade her to have the wound sutured. "right" or "good" Legislation determines what is _____ within a society. Ethical and Legal Issues for Mental Health Professionals: A Comprehensive Handbook of Principles and Standards, Journal of the American Academy of Psychiatry and the Law Online, Mild Traumatic Brain Injury and Postconcussion Syndrome: The New Evidence Base for Diagnosis and Treatment, Assessment of Malingered Neuropsychological Deficits, Trials of a Forensic Psychologist: A Casebook, by The American Academy of Psychiatry and the Law, American Academy of Psychiatry and the Law. Morality requires not only that we treat persons autonomously and refrain from harming them, but also that we contribute to their welfareâ€¦ and â€¦[is therefore]â€¦ a moral obligation to act for the benefit of others. This infringement is “supported by the principle of beneficence, which is the argument frequently used to impose treatment on patients whether they want it or not” (Buka 2008: 29). Buy Now. Overall, this is an essential book for students in training as well as for mental health practitioners in academic and clinical settings. Nurses are constantly faced with the challenge of making difficult decisions regarding good and evil or life and death. We will look at how, after an episode of self-harm, the patient refused any medical treatment for the wound and how this posed an ethical dilemma for the nursing staff involved in their care. Updated 2020 to include changes in laws, use of technology, and more! This raises the principle of Nonmaleficence (doing no harm), in this instance to the therapeutic relationship, wellbeing and care of Anita. The main legal and ethical dilemmas that can be extracted from this case study are whether the Anita’s capacity to make decisions about her treatment should be overridden by use of the Mental Capacity Act (GB 2005) and whether Anita’s ability to make autonomous decisions surrounding her care should outweigh the nurse’s obligation towards beneficence. Legal and Ethical Issues for Mental Health Professionals: Revised 2020. I noticed some overlap of content across chapters. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. As Anita was still refusing to have the wound sutured the RC decided that an assessment would need to be carried out to ascertain whether Anita had the capacity to decide to refuse treatment. As a mental health counselor, you will hear intimate details of clients’ lives that may spark ethical concerns. Ethical and Legal Issues for Mental Health Professionals attempts to accomplish this difficult task in quite a comprehensive manner. 11th Feb 2020 Nursing Essay Reference this Tags: nursing. In accordance with this the name of the patient has been changed and permission has been sought from the patient to use them in the case study. mental health: ETHICAL AND LEGAL ISSUES. Although mental health and substance use disorders are the leading cause of disability worldwide , World Health Organization (WHO) statistics from 2014 indicate that the median number of practicing psychiatrists worldwide is 0.1 per 10,000 people . VAT Registration No: 842417633. Learn. The ethical issues experienced by mental health nurses in administering antipsychotic depot and long‐acting intramuscular injections (LAI) were explored in the present study. Mental Health Nursing ESSAY Help. NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. As she felt that the pressure of being constantly watched would unsettle her further, thus not allowing her to manage her own feelings, it was initially agreed to place Anita on intermittent observation (as opposed to constant) within the scope of the policy on safe and supportive observations of the service that was caring for her (Oxford Health 2010). 433 pp. 2916 words (12 pages) Nursing Essay . The chapter on ethics in research, an important inclusion in the book, is very informative. During a one-to-one therapeutic session Anita disclosed that she was having strong urges to self-harm. This article will examine some of the ethical and legal issues correctional nurses must address in their practice. Should the decision to treat Anita for her self harm regardless of her wishes have gone ahead, there may have been a risk of impacting on the nurse-patient therapeutic relationship. This is not an example of the work produced by our Nursing Essay Writing Service. Application of knowledge through assessment and discussion of specific cases. If I were in that position, Id want a caring nurse also. Ethical and Legal Issues for Mental Health Professionals: A Comprehensive Handbook of Principles and Standards Edited by Steven F. Bucky, PhD, Joanne E. Callan, PhD, and George Stricker, PhD. The next chapter focuses more specifically on the ethics of publication. These issues are elaborated in the chapters in the section on general principles of ethics. Questions arise about the use of coercion, e.g., when a patient doesn’t want to take his medicine, refuses treatment or … Mental health nurses face ethically‐difficult situations when administering these medications. 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