A Community Mental Health Team For My First Placement

“A decision made by a person (‘P’) after he has reached 18 and when he has capacity to do so, that if – (a) at a later time and in such circumstances as he may specify, a specified treatment is proposed to be carried out or continued by a person providing health care for him, and (b) at that time he lacks capacity to consent to the carrying out or continuation of the treatment, the specified treatment is not to be carried out or

The Mental Capacity Act (MCA) 2005 states that “an act done, or decision made, under this Act, for or on behalf of a person who lacks capacity must be done, or made, in his best interests’. The Deprivation of liberty safeguards are a legal framework introduced into the mental capacity act 2005 (MCA) by the mental health act 2007 (MHA). This legislation protects the rights of people in care homes or hospitals, where the care is imputable to the state, who lack capacity or have a mental dysfunction to make decisions regarding their care and treatment (Jones, 2008 p 383). DOLS ensures against arbitrary deprivation of liberty (dol) which was identified in the Bournewood Case ( HL v UK 45508/99 (2004) ECHR 471). The judgement in this case determined that in order to adhere to the ECtHR, lawful detention needed to meet Article 5 (1) that requires a ‘procedure prescribed by law’ and Article 5 (4) which requires a means to apply to a court to see if deprivation of liberty was unlawful (dols code of practice 2008). As such, the DOLs are designed to protect the rights of people who fall within the scope of the act.

Make sure that the individual’s voice has been heard and that they are included in any decisions made if the individual lacks capacity it may be good to bring in family or an advocate to speak on behalf of the individual so that they still have a voice and their choices and rights are still there for them.

Individual’s rights also need to be promoted in order for holistic support to be provided by professionals. All adults in a health and social care environment such as a care home have rights to their confidentiality, respect, choice and to have their individuality taken into consideration. They also have the right not to be discriminated against, to receive equal and fair treatment and also to have access to the policies and procedures of the health and social care organisation. They should know when and how to make a complaint should they feel there care need are not being met. Children in care settings also have promotion of rights. These individuals should always have the right to be heard and it remain confidential, to have their wishes considered, be provided with stimulating activities and the right to be safe and secure from harm.

In order to exercise your duty of care, staff must ensure that any decisions and choices people make are based on understanding the consequences and potential risks of what they want to do. Care worker role is not to prevent people from doing what they want, but making sure that they know the possible results. This can result in some very finely balanced decisions, especially where there are concerns about someone’s capacity to understand the possible risks and consequences from their actions. The question of capacity to make decisions is highly complex and staff must consider it carefully. It is very easy to make the assumption that because someone has dementia, a learning disability or a long-term mental health problem, for example, they lack the capacity to make decisions about important issues affecting their own life.

The NSW Mental Health Act 2007 lays down the foundation in the proper provision and facilitation of care and treatment to persons with mental health disorders and promote their recovery while protecting the rights of these persons. One of the provisions of the Act uplifting this objective is in the involvement of family and nominated carers of patients. As defined by the Act, designated carers may represent from the person’s guardians; the parent

My chosen reflection piece is on ageism, see appendix one. I will provide evidence reflecting the links between diabetes and depression, which will form my chosen seminar topic, see appendix two. I will then critically analyze the mental capacity Act (2005) and relate it to my specific scenario, see appendix three. I will explore how nurses the Act within nursing practice, decision- making, and how we access a person’s capacity to make specific decisions. I will explore any ethical issues that may arise following the principles of Mental Capacity Act (2005).

The court must listen to the evidence received by two doctors and their evidence must satisfy the court that the offender is suffering from a mental illness as described under the definition above and that their detention is appropriate for medical treatment to take place. They must also assert the court that appropriate medical treatment is available for the offender and when considering to imposing the above order the courts must also take into consideration the offenders history and character; any other relevant circumstances and any other alternative methods that could be imposed. All other avenues must also be explored before the court makes its final decision. the evidence given by the doctors must ascertain the court that hospitalisation is the most beneficial course of action to take in this offenders case (MHLO, 2010)

| * Established the independent mental capacity advocates service * Makes it clear who can make decisions for other individuals in different situations, and how they must go about doing so. * Applies whether the decision is about living changing events or every day matters – relevant to adults of any age, regardless of when they lost capacity

This act is made to help protect those who are unable to make decisions for them. This could be due to a mental health condition, a learning difficulty or a brain injury. The purpose of this act is to allow adults to make as many decisions for them as possible. For example, somebody with dementia might make a decision about whether they want future medical treatment or not. This act links to people who are suffering with dementia as within the later stages of dementia they are unable to make decisions for themselves and consequently, the Mental Capacity Act ensures that the individual has somebody to make the decisions for them.

Moreover, through the Mental Capacity Act (2005), it provides a legal framework for making decisions on behalf of the individual who lack the capacity to make decisions for themselves as long as it does not restrict the rights and freedom of action.

I am diagnosing Sheen with Bipolar disorder which is categorized as an Axis I disorder, in the DSM-V. Bipolar disorder affects approximately 7.5 million people eighteen years or older in any given year (Mohr, 2013). Of the three types of bi-polar disorder, I am diagnosing him with type I bipolar disorder, which is characterized by alternating depressive episodes and one or more manic episodes. “Manic episodes are periods of abnormally and persistently elevated, expansive or irritable mood” (Mohr, 2013). During mania someone exhibits extreme mood swings with irritability and sudden outbursts of misplaced rage, work output is decreased, and they may go on spending sprees or engage in promiscuity (Mohr, 2013). He must exhibit at least three of the following symptoms in order to be correctly diagnosed with the disorder. The symptoms for type I bipolar disorder are: decreased need for sleep, inflated self-esteem or grandiosity, distractibility, more talkative than usual, increase in goal

The author will also discuss the principles of the Mental Capacity Act (2005) and the Mental Health Act (1983) and how it protect an adult who is vulnerable and lacks capacity. Likewise, the author will discuss ranges of nursing interventions, person-centred care, and ethical dilemmas.

Mrs Ford is vulnerable and will need restorative care. A vulnerable adult is defined as someone over the age of 18 who is not able to look after themselves or protect themselves from harm and might need help from care services (Lord Chancellors Department, 1997). Although DOH et al. (2009) state that there are people who want to change the term vulnerable adult to a person at risk. As stated by the Safeguarding Vulnerable Groups Act (2006), Mrs Ford is a vulnerable adult because she is elderly, needs assistance and has a new disability. She is anxious and knowing that the nurses are treating her individually and with compassion will make her feel safer. Although she is vulnerable and at risk there is nothing to indicate that Mrs Ford does not have capacity. Mental capacity is assumed unless proven otherwise and patients should be able to make their own decision even if it is an unwise one (Mental Capacity Act, 2005). Therefore Mrs Ford can make informed decisions and consent to all aspects of her care. With Mrs Ford 's consent, her family can be involved in her care and they may be able to assist with

Bipolar employees who exhibit manic symptoms within the work place may appear to have an excessive eagerness to take on numerous new tasks. Employees in a manic episode may feel they are capable of any undertaking. Thus, they may pressure superiors to for assignments which they are unqualified, offer advice to coworkers despite little knowledge of the topic area, or take on far too many assignments at one time (Montejano, Goetzel,Ozminkowski 2005). During a manic episode, people are usually overly talkative and their speech may be louder and more rapid than usual. They may also experience distractibility that could be noticed in the work place as an inability to focus on a conversation or work-related task. Racing thoughts, which are characteristic of mania, may be manifested by frequent and sudden changes in topics of conversation, something referred to as flight ideas.