Ethical Dilemmas In Mental Health Care

I am writing on behalf of my client Ms Cindy Singleton. On the 24th of June 2016, my client was charged for uttering of a forged NHS prescription, stealing items worth the value of £8.50 and for behaving in a disorderly manner contrary to section 38(1) of the Criminal Justice and Licensing (Scotland) Act 2010.

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

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

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.

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)

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

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.

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.

This assignment tries to explain the role Nursing and Midwifery Council plays in safeguarding the public and maintaining standard care within the UK. Establishing and maintaining standard rules and regulation and legislations which are there to safeguard people. In order to do that, the author will discuss how the MNC seeks to safeguarding the patients specifically restricting discussing on mental health by regulating mental health nursing. Key terminologies such as regulation and Mental Health Nursing, confidentiality, advocacy, person centered care, fitness to practice, accountability and whistleblowing will be considered and at the same time stating their significance in nursing profession. Furthermore the Author will briefly outline the responsibilities of the NMC and the code of practice. It will then look at by the Mental Health user’s duty to maintain confidentiality and what happen to a care worker if they break confidentiality. The author will then consider if the NMC has properly seek to protect the public or not and said which areas do they need to improve.

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.

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

Tim has a long history of mental illness and was admitted to the ward following a deterioration in his mental illness after he lost contact with his son. His mood was elevated and he felt very restless and agitated. Prior to admission, he was found police in a very distressed state. Tim was placed on a section 2 of the mental health act (DH, 2007) and was originally observed generally where a member of staff would have to see him face to face on a hourly basis (NICE, 2005). Under section 2 of the mental health act Tim has lost the right to leave hospital at will and his responsible clinician has not granted him section 17 leave. A person can be detained for up to 28 days and treat against their will (DH, 2007). As Tim was detained it was important for staff to keep him on the ward.

Nurses are constantly challenged by changes which occur in their practice environment and are under the influence of internal or external factors. Due to the increased complexity of the health system, nowadays nurses are faced with ethical and legal decisions and often come across dilemmas regarding patient care. From this perspective a good question to be raised would be whether or not nurses have the necessary background, knowledge and skills to make appropriate legal and ethical decisions. Even though most nursing programs cover the ethical and moral issues in health care, it is questionable if new nurses have the depth of knowledge and understanding of these issues and apply them in their practice

In the same case with SJA, I continued working as a ward housekeeper for vascular patients at Leeds General Infirmary till the beginning of March this year. I catered and cleaned for patients, as well as assisted clinical support members with feeding patients. The reason why I left my job as a Ward Housekeeper was because I wanted a job that was involved in personal care. The skills and experience that I gained through this role will help me to be able to provide specialised care for demented patients to the best of my ability.

“…She’s somethin’ of a cunt, ain’t she Doc?” Although Milos Foreman’s character, Randle McMurphy (Jack Nicholson), put his opinion of Nurse Ratched (Louise Fletcher) in the most vulgar of terms, he was not so far from the truth. In the movie One Flew Over the Cuckoo’s Nest (1975), Nurse Ratched’s treatment and care of the patients was unethical when compared to the standards one would expect of a health care administrator. She used control over her patients to ensure order, without regard to the feelings and concerns of the patients. This issue is presented by the director, Milos Foreman, through symbolism, characterization and scenes. This, in turn, determines how the director wants us, as viewers, to feel about the issue.