legal & selected issues

legal & selected issues - Selected Issues in Mental...

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1 Selected Issues in Mental Health Nursing Marilyn Tagatac
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2 Introduction Significance Quality of care Background Extended roles of the nurse Myth of psychiatric treatment Patient’s right Ethical theories
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3 Statutory and professional standards Standard of nursing practice – written document outlines minimum expectations for safe nursing practice Nurse practice act – defines the scope & limit of nursing practice Code of ethics – guideline for nurses regarding ethical conduct. Legislation - minimum expectation
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4 Critical Thinking in Mental Health Nursing 1. Parents demand that their child on a 72- hour hold, as a danger to self, be released to their custody to be evaluated by their child’s psychiatrist. You respond? 2. When would you administer medications without a patient consent? 3. Which is least restrictive - chemical or physical restraint?
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5 How would you advise? 911 - welfare check Mobile crisis team, Crisis Intervention Team 72-hour hold criteria, probable cause Danger to self Danger to others Gravely disabled
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6 Legal Issues Civil Rights: Commitment - Involuntary Commitment California’s LPS Act (1969) Criteria - Dangerous to self (DS) Dangerous to others (DO) Gravely Disabled (GD) Criteria is not the same in all states What is considered GD?
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7 Patient’s Legal Status Involuntary 72-hour hold, “5150” designated person authorized by law Tarasoff Law “duty to warn of threatened suicide or harm to others” 14-day, 180-day certification Conservatorship/ Public Guardian pt. unable to make own decisions
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8 Competence Determination Act Mini-Mental Status Examination Orientation Registration Recall Attention/ Calculation Language Alertness, attentiveness ability to process info thought processes ability to modulate mood and effect
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9 Patient’s Rights Confidentiality of records Least restrictive alternative to treatment Right to give or refuse consent for treatment What constitutes dangerous behavior that require meds to be given without patient consent? Freedom from restraint and seclusion Which is least restrictive - chemical or physical restraint?
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10 Violence A social problem that requires a public health approach - ecological model Macro-system – accounts for societal beliefs and
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legal & selected issues - Selected Issues in Mental...

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