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Social Medication.pptx

Social Medication.pptx - Controversies Social Medication...

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Controversies “Social Medication”
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Social Medication Drugging other people to meet our needs AKA “chemical restraint” AKA “covert medication” Two classes most commonly socially medicated Pediatric Restless, agitated, hyper children can be sedated Awake children can be induced to sleep Sick children can have symptoms masked so they can attend day care/school Elderly Combative, agitated, socially inappropriate behavior in the demented Wandering off, pacing, delusional behavior in the sick or demented
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Social Medication There are NO APPROVED drugs for inducing pediatric sleep Cold medications with sedatives have ZERO indications for those younger than 6 YO Even so, parents give children drugs to sedate them, and often this causes effects that are the opposite of those desired There are NO APPROVED drugs for stopping “bad” elderly behavior Even so, antipsychotics and tranquilizers are used off-label to “control” the elderly Both groups represent each end of the pharmacological spectrum Are considered in pharmacology “special populations”
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Right to Refuse Treatment This right was built on basic rights to privacy, equal protection under the law, and due process Voluntary patients can get up and walk out If you are competent in the legal sense and can make your own decisions, your rights trump all others’ even those of medical personnel You must be able to understand the information relevant to making the decision about the treatment AND able to appreciate the reasonably foreseeable consequences of your decision or lack of decision
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Definition of Legal Competence Legal competence Is specific to the task at hand Requires mental capacities to reason and deliberate And requires that The person hold appropriate values and goals The person in question can appreciate one’s circumstances The person can understand information given The person can communicate a choice
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Right to Refuse Treatment Also, religious objections are honored, even if they will cause death Jehovah’s Witnesses refuse blood transfusions, for instance But involuntarily hospitalized patients ALSO have a right to decide what happens to their bodies You can be involuntarily hospitalized if you present a risk to self or others For instance, if you threaten to kill yourself to your healthcare provider, he/she can call the fire department/ambulance to “escort” you to the hospital Then, a “10-13” allows a psychiatric “hold” for up to 72 hours
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Legitimate Drugging Against One’s Will A hospital CAN administer a drug if You are a schizophrenic and refuse to take prescribe antipsychotic drugs You are unconscious and require care You are a minor and require care and parents consent Think anorexia, bulimia, self-injurious behavior, overdose You are a harm to yourself or others You have dementia and are non compos mentis
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