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examples of ethical issues in mental health nursing

University. (Adshead 2010). If I were in that position, Id want a caring nurse also. 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. 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. with patients. ... coercive practice and felt that integration of theory and clinical skills performance is easier but application of ethical principles in nursing care is difficult. Ethical Concerns For the nurse in a traditional medical setting, ethical decisions occur occasionally and at times the nurse may face ethical dilemmas. 2004 Apr;79(4):554-62. doi: 10.4065/79.4.554. Provide a thoughtful response to each of the following two sections, including specific, concrete examples to illustrate your ideas. Situations in healthcare arise where professionals have a duty of care which often can conflict with the patient’s right to autonomy (Beauchamp and Childress, 2009). In complex healthcare settings, nurses have a responsibility to ensure their patients get the best care while grappling with sensitive ethical issues. To achieve this aim the author will examine a case study of a patient whose care he was involved with whilst in placement. 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. Anita’s ability to make autonomous decisions surrounding her care should outweigh the nurse’s obligation towards beneficence. VAT Registration No: 842417633. a fully conscious adult patient of normal intelligence may be treated without consent, not for the protection of others (though this is also possible) but in their own interests (Fulford, Being able to control people who have been diagnosed with a mental health condition is nothing new. Share. Upon completion of the assessment it was decided that Anita did have capacity to make decisions surrounding treatment at that time, within the framework of the Mental Capacity Act (GB 2005). The nurses on duty cleaned and bandaged the wound and allowed Anita time to consider the implications of her decision further. Nurses are highly accountable to patients, the public, employers, and the entire profession. Helpful? All work is written to order. A challenge for the contemporary mental health nurse is to know how to wield this power in a way that acknowledges their societal responsibilities while at the same time respecting the rights of the individuals they are required to control. Ethical dilemmas in community mental health care is the focus of this article. Mental Health Nursing ESSAY Help. Copyright © 2003 - 2020 - NursingAnswers.net is a trading name of All Answers Ltd, a company registered in England and Wales. But, ethical dilemmas in nursing aren't all the same. Ethical and Legal Issues in Psychiatric/Mental Health Nursing ; 2 Introduction. The result could be declines in the quality of patient care; problematic clinical relationships; and moral distress, which is defined as knowing the right thing to … This chapter explores mental health nursing practice within an ethics context. Read Summary. It is imperative they have a sound understanding of various ethical, legal and professional issues they will face during their careers. The nursing model is one of individual patient empowerment. Lakeman (2009) points out that an ethical dilemma occurs when there are a multitude of alternative courses of action to deal with a particular situation. Grand Canyon University. Ethics regards standards of moral judgement and professional conduct. More technical elements of care were in their infancy (Nolan, Having the power to control and being expected to control people with mental health conditions has been shaped by the historical development of mental health nursing practice; it has also been shaped by the media and by public perceptions (Smith, Of course contemporary mental health nursing has moved away from the brutalities of the past in the way that people with mental health conditions were confined, conformed, and treated (Nolan. To help determine whether Anita has capacity, The Mental Capacity Act (2005) sets out a two stage functional approach. Topic # 2 Legal and Ethical Issues in Mental Health Nursing. The discussion will also consider the legal, ethical and professional issues surrounding covert medication. Ethical and Legal Issues in Psychiatric/Mental Health Nursing Multiple Choice 1. Ethical nursing principles include ensuring confidentiality, obtaining consent, veracity and honesty, always acting in a fair manner and ensuring justice, and the intention of always doing good and not causing harm. According to Felicia “Liz” Stokes, JD, RN, senior policy advisor at the ANA’s … It is only since the 1930s that mental health nursing started to become recognised as a future field of nursing practice (Nolan, The role of the keeper started to emerge during the 1800s with the emergence of the asylums.

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