Ethical Dilemmas In Mental Health Care

Throughout this reflective account i will refer to the individual I was working with as Gloria. I have not used her real name throughout this piece to protect her identity and to ensure that I am maintaining confidentiality. “You must respect people’s rights to confidentiality” (NMC 2013) Gloria is a 74 year old lady who lives at the residential care home at which I am currently on placement Gloria is under the Adults with Incapacity Scotland Act 2000 due to a diagnosis of Dementia. She is mobile with the aid of a Zimmer frame and is still as independent as her health allows. She requires the assistance of 1 carer for most activities of daily living. After breakfast I offered to take Gloria to the toilet

The Life Esidimeni case provided a clear example of how the rights under this act were breached during the care of mentally ill patients. Firstly, regardless as to whether one is mentally ill or physically impaired, they deserve the right to adequate healthcare (Burns, 2011). Life Esidimeni patients were however deprived of this right and sent to facilities that were crowded and not well equipped to take care of patients with serious impairments due to the fact that more funding is allocated towards formal traditional healthcare rather than mental healthcare and even less goes to community based care (Petersen & Lund, 2011). It was seen that many facilities that patients were moved to did not have the correct medication for them or they were

The resident physician violated beneficence, because he did not do good by respecting the patient’s autonomy and he was being uncivil.

Although sometimes information isn’t always shared properly in 2000 Victoria Climbie unfortunately died as a result of lack of communication between social workers, the police and hospitals. ‘Many professionals involved with the case admitted they were overwhelmed by their work loads, downtrodden by low pay and

The patient was admitted to the hospital by her daughter after discovering that she had abandoned her medication and was significantly experiencing adverse effects from the withdrawal. The patients’ medical history included renal dysfunction, anemia, malnourishment, back pain, and a family history of mental health. The patient has a psychiatric history of being previously placed in the same clinical structure eight months ago due to related issues including the failure to take her medication and increased levels of mental health conditions that led

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)

A few months ago, client FH refused his medication. His mood had deteriorated over the past few days and there were signs of him beginning to self-harm. A few grazes on his arm and he had shaved the sides of his hair off. From his Behaviour Support Plan these were a few of the key signs of him having a relapse. One day FH appeared to have lost all mental capacity, his language was obscene, verbally aggressive to everyone and about everyone and he totally refused all medication. I telephoned his previous placement, a hospital, and spoke with a Mental Health Nurse who knew him very well. The Nurse agreed with me that FH was in a downward spiral of no return and it was imperative that he take his medication or he will need hospitalisation again. The plan was that if FH did not take medication by the following morning that the assessment team from the hospital would visit and try to speak with him.

You have the right to make a complaint about the care you are receiving. This is a way to take charge of your recovery. Complaints can be made about the agency, a care provider contracted with the agency, or anything else about your treatment experience.

so as not to be hauled to court. This refusal to treat patients has already

Case Study: An older woman was partially paralysed as she had a stroke. Her carers came into her home two times a day, her husband cared for her the rest of the day. Her husband became increasingly aggressive behaviour. One day at night, she asked him to help her to the toilet, he pushed her and she fell on the floor and hitting and slapping in her face. one day she called Social Services, they saw bruise on his face, injury in his knee and he was depressed. Social services also noticed that she could not move properly and due to her back pain and lot of unexplained marks. She is seeking help and was crying. Social service sent her to GP for treatment.

It is a basic principle of law in this country that an adult, mentally competent person has the right to refuse treatment. The court of appeal has emphasised that provided the patient has the necessary mental capacity, which is assessed in relation to the decision to be made, then he or she can refuse to give consent for a good reason, a bad reason or no reason at all (Dimond, 2008). However, in this case it is in the best interest of the patient that the MDT administrated medication covertly. The legal issue identified in this case relates to the issue of consent. Within the case study professionalism had to challenged when it came to the capacity of the patient. The MDT had to resolve the legal issues associated with capacity and consent.

Each person is an individual who can consent to being given medication and who is informed fully about the kind of medication they are going to receive. Their choices should be informed, with a doctor’s advice they can choose the best medication for their condition. They are allowed to refuse medication if they want to. Te carers have to be aware of all medication. They can review their care plan at any time if there is a health change. If the person is considered to be lacking the capacity to judge for themselves what kind of medication they receive, the Mental Health Act says that a professional can decide what kind of medication to administer.

It is this author’s belief that no entities should stand in the way of an individual’s right to seek counsel, regardless of outcome. The ramifications of not suing a HMO could demonstrate no evidence to support efforts to amend the current law, and without legal documents demonstrating the consequences related to denial of care, the rights of patients, to ensure a safe and effective health care, according to standards of practice, may be compromised.

Miller had an outburst in the office on March 21, during which she expressed the feeling that she was being persecuted and victimized in her work environment. Shortly after the incident, Miller was approached by the government minister (Verna St Rose-Greaves) who spoke briefly with her,” the letter continue to stated. “Some time after that things, took a turn for the worse”. “Medical personnel arrived at the office and ‘forcibly’ removed Miss Miller from her work station after a ‘brief interview’”. “During this interview and removal, Miss Miller displayed no violent or psychotic behaviour but only asked repeatedly why she was being treated this

a 44 year old Divorced African Male came into Henry Ford Hospital ED as a walk-in and told the HFHS staff that he was having mental health issues he does still struggle with depression and anxiety. The consumer stated that he initially went into the hospital after his brother was shot twice in the head. At that time the client reports that he was placed on Risperdal, while at Kingswood in January, and he became a zombie at that time. He stated that he has been in and of the hospital multiple times since then, and each time, he has been placed on Risperdal and he doesn't feel that his meds were ever adjusted correctly.