$59.95 hard cover; $39.95 soft cover. Beneficence can be seen as actions to benefit and promote the welfare of others (Butts & Rich 2008). The chapter on Tarasoff and duty to protect provides an excellent description of the Tarasoff cases (Tarasoff I and Tarasoff II) and a discussion of their implications for mental health professionals. Updated 2020 to include changes in laws, use of technology, and more! The book includes as appendices two professional codes: The American Psychological Association’s (APA) Ethical Principles of Psychologists and Code of Conduct (2002) and the Code of Ethics of the National Association of Social Workers (1999). No plagiarism, guaranteed! 433 pp. Although a person, under part four of the Mental Health Act (GB 2007) can be treated for mental disorder without their consent, it is important to note that a physical problem can only be treated without consent should the person lacks capacity or treatment is deemed to be in their best interests under the auspice of the Mental Capacity Act (GB 2007, MIND 2009). All work is written to order. Application of knowledge through assessment and discussion of specific cases. To violate a person’s autonomy is to treat that person merely as a means: that is, in accordance with others’ goals without regard to the persons own goals. You can view samples of our professional work here. Registered Data Controller No: Z1821391. The remainder of this chapter focuses on health care issues and planning for health decisions. I noticed some overlap of content across chapters. She was taken to the clinic room where the wound could be cleaned and assessed. Should the decision to treat Anita for her self harm regardless of her wishes have gone ahead, there may have been a risk of impacting on the nurse-patient therapeutic relationship. Therefore the principle of respecting autonomy concerns the nurse’s acknowledgement of, and obligation in respecting, Anita’s decision over her own life. The Nursing and Midwifery Council (NMC 2008) stipulates that nurses must respect a patients right to confidentiality at all times and ensure that the patient is informed about how information concerning them is shared. It is about people reasoning, thinking and applying a process of reflection (Adshead 2010); however these people may have opposing views, values and experiences on which to base their moral judgements to define what is the right and wrong course of action (Hendrick 2009) and the principles used to decide this, not only by the individual but also within social groups and societies. Lakeman (2009) points out that an ethical dilemma occurs when there are a multitude of alternative courses of action to deal with a particular situation. This would not only encourage a supportive nurse-patient relationship but also provides care that is holistic, develops Anita’s confidence in being able to negotiate her care and allows her to take greater personal responsibility, This in turn will promote empowerment and hope which will improve the potential for recovery and discourage overly oppressive practices. Ethical and Legal Issues for Mental Health Professionals attempts to accomplish this difficult task in quite a comprehensive manner. Mental Health Nursing ESSAY Help. I liked the several legal case examples cited by the authors. Start studying Mental Health Chapter 3- Ethical and Legal Issues. Following a wider team discussion around whether Anita understood the severity of the wound, thus having capacity to make a decision to refuse treatment, the Responsible Clinician (RC) spoke to Anita and attempted to persuade her to have the wound sutured. Journal of the American Academy of Psychiatry and the Law Online … You can view samples of our professional work here. Limited resources force tough choices in quality of care. If I were in that position, Id want a caring nurse also. Spell. Which can make the nurses ethical dilemma difficult to manage due to balancing the two valid ethical principles of autonomy (respecting and supporting decisions making) and beneficence (relieving or minimising harm in the best interest of the patient) (Hendrick 2004, Beauchamp & Childress 2009). Created by. The main legal and ethical dilemmas that can be extracted from this case study are whether the Anita’s capacity to make decisions about her treatment should be overridden by use of the Mental Capacity Act (GB 2005) and whether Anita’s ability to make autonomous decisions surrounding her care should outweigh the nurse’s obligation towards beneficence. T. G. Sriram . However this may not feel entirely comfortable for the nurse. I was glad to see a comprehensive book devoted to this field. (Adshead 2010). Learn. From this we can surmise that ethics is a complex system of reflective thinking, which is used in the search for a standard that can be used to judge your own actions, or the actions of others, within your own moral code. We will look at how, after an episode of self-harm, the patient refused any medical treatment for the wound and how this posed an ethical dilemma for the nursing staff involved in their care. Editors of the book have distinguished academic backgrounds. Legal & Ethical Issues for Mental Health Professionals, Volume 1: Revised 2020 by Stephen Feldman Finally, a video program to fulfill your legal and ethical CE requirements that is not only indispensable for daily practice but also engaging, entertaining and informative. Ethical issues in mental health care Nurses working in the care for psychiatric patients daily face dilemma’s concerning respect for autonomy versus paternalistic behavior. During a one-to-one therapeutic session Anita disclosed that she was having strong urges to self-harm. The necessity of performing clinical evaluations raises important ethical issues as well. These issues are elaborated in the chapters in the section on general principles of ethics. Efforts to lasso health care costs puts increasing pressure on staff to do more with less. Finally, a clear and compelling presentation of the most critical legal and ethical issues practitioners need to know—updated in 2020! In deciding that the decision could be made at a later time not only complies with the Act but also promotes Anita’s autonomy. The contributors include professionals from the mental health and legal fields. The principles of autonomy (freedom to act on your own belief), Nonmaleficence (obligation to avoid doing harm), Beneficence (providing benefits and help) and Justice (fair distribution of benefits, risk and cost) which are derived from a duty based theory of Emmanuel Kant (1724-1804) (Beauchamp & Childress 2009). Gravity. Conflicting moral principles may create difficult ethical dilemmas for nurses by having to contravene one moral obligation to uphold another (Beauchamp & Childress 2009). bernikitty. Write. However, the nurse’s ability to critically appraise risks and benefits will help them to make decisions that are beneficial to the patient involved. The practice of paternalism is now generally discouraged in health care (Butts & Rich 2008) and is considered unjustifiable in cases where the patient has capacity to make a decision (Edwards 2009, Beauchamp & Childress 2009). We're here to answer any questions you have about our services. Mental health nurses work with people from all backgrounds to assess and treat psychiatric issues through work in the hospital and the community 1. Company Registration No: 4964706. mental health: ETHICAL AND LEGAL ISSUES. Test. Although this appeared to be an unwise decision, which felt uncomfortable to the team, it was agreed to monitor the wound, keep it clean and dry and continue to talk to Anita about her thoughts and feelings surrounding getting medical treatment for the wound. Of particular importance are ethical and legal issues that affect counseling, along with professional considerations such as community counselor identity, relationships with other mental health professionals, credentialing of mental health professionals, and managed care and third-party reimbursement. "right" or "good" Legislation determines what is _____ within a society. The main legal and ethical dilemmas that can be extracted from this case study are whether the Anita’s capacity to make decisions about her treatment should be overridden by use of the Mental Capacity Act (GB 2005) and whether Anita’s ability to make autonomous decisions surrounding her care should outweigh the nurse’s obligation towards beneficence. As the wound could be safely managed in the short term upon the ward the decision to allow Anita time to weigh up the information was the correct one to make. PLAY. Study for free with our range of nursing lectures! Title: Ethical and Legal Issues in PsychiatricMental Health Nursing 1 Chapter 5. 2916 words (12 pages) Nursing Essay . However, although the actions on behalf of nurses is clearly driven by obligations towards beneficence, nurses need to weigh up the harms and benefits of enforcing treatment before acting in such a way as to produce the best outcome for Anita (Edwards 2009). Legislation determines what is right or good within a society. In accordance with this the name of the patient has been changed and permission has been sought from the patient to use them in the case study. When nurses experience the ethical dilemma of having to enforce treatment irrespective of a patient’s right to autonomy, they can be seen as working in a paternalistic manner (Butts & Rich 2008). Mental Health Nursing. This event is not currently available for purchase. The discussion will also consider the legal, ethical and professional issues surrounding covert medication. Chapter 5. Therefore it may need to be considered whether Anita’s is refusal of treatment is something that she feels in control of, thus a way in which she feels empowered. To answer the question we need to examine how the dilemma sits within an ethical theory and the principles that apply. Do you have a 2:1 degree or higher in nursing or healthcare? NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. However with collaborative working practices this case study has shown that solutions can be found in even the most complicated of nursing dilemmas. *You can also browse our support articles here >. Binghamton, NY: The Haworth Maltreatment and Trauma Press, 2005. Nurses are constantly faced with the challenge of making difficult decisions regarding good and evil or life and death. This assignment aims to critically appraise an ethical conflict in relation to the care provided to a patient. This is not an example of the work produced by our Nursing Essay Writing Service. In response to a students question regarding choosing a psychiatric specialty, a charge nurse states, Mentally ill clients need special care. This approach was agreed in collaboration with Anita and the wider team as a way of her taking responsibility for her own decisions and actions. This text is of immense value, not only for mental health professionals working in the forensic sector, but also for mental health professionals at large. This raises the principle of Nonmaleficence (doing no harm), in this instance to the therapeutic relationship, wellbeing and care of Anita. Overall, this is an essential book for students in training as well as for mental health practitioners in academic and clinical settings. Being a sound mental health professional entails that the individual be competent, practice her profession with integrity, be aware of her limitations, respect the dignity of the client, and understand the do’s and don’ts of practice from an ethics perspective. Beauchamp and Childress (2009) devised four basic moral principles which function as guidelines for professional ethical decision making. The chapter on privacy and confidentiality discusses situations in which communication must be disclosed and instances in which information may be disclosed to third parties. This section also discusses professionals’ responsibilities in maintaining patients’ records. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Legal and Ethical Issues for Mental Health Professionals: Revised 2020. This is not an example of the work produced by our Nursing Essay Writing Service. Nursing Essay The ethics and legal implications of boundary violations (sexual contact with patients, misuse of professional influence) are discussed in the section on general ethics standards in practice. Disclaimer: This work has been submitted by a student. Together, these legal tools help direct and manage property and health care decisions in accordance with a person’s wishes when the person no longer has the ability (capacity) to make decisions. This relationship is built upon trust as well as purposeful and effective communication (Buka 2008) and is considered to be the cornerstone of nursing care (Lakeman 2009, Pryjmachuk 2011).Therefore the nurses would need to consider future risk as part of the ethical decision making process. The ethical issues experienced by mental health nurses in administering antipsychotic depot and long‐acting intramuscular injections (LAI) were explored in the present study. Respect for autonomy flows from the recognition that all persons have unconditional worth, each having the capacity to determine his or her own moral destiny. Mental health nurses are registered nurses who have gone through training for licensure. PDF | On Mar 1, 2019, Rajshekhar Bipeta published Legal and Ethical Aspects of Mental Health Care | Find, read and cite all the research you need on ResearchGate Terms in this set (33) Nurses are constantly faced . Copyright © 2020 by The American Academy of Psychiatry and the Law, Sign In to Email Alerts with your Email Address. What legal dilemma can be hypothesised as underpinning the decision making process of the mental health professionals in this case? The nurses on duty cleaned and bandaged the wound and allowed Anita time to consider the implications of her decision further. This infringement is “supported by the principle of beneficence, which is the argument frequently used to impose treatment on patients whether they want it or not” (Buka 2008: 29). For more information: Call (800) 844-8260 × Close. These beneficial actions fall under the heading of beneficence. The practitioner has the onus, not only of providing relevant information about treatments and procedures, but also of disclosing his own limitations, with regard to his training and expertise, and his value systems. To help determine whether Anita has capacity, The Mental Capacity Act (2005) sets out a two stage functional approach. We've received widespread press coverage since 2003, Your NursingAnswers.net purchase is secure and we're rated 4.4/5 on reviews.co.uk. Beneficence could be interpreted to incorporate the patient’s autonomous choice as “the best interests of the patient are intimately linked with their preferences … [from which]â€¦ “are derived our primary duties towards them” (Beauchamp & Childress 2009:207). Matters of ethics that arise in the different stages of the study, ranging from the decision to conduct the study, to the design of the study, data collection, and analysis are discussed. Buy Now. Course … Enter multiple addresses on separate lines or separate them with commas. Major ethical/legal issues encountered in practice; Eight major areas of focus; Ethical and Legal Issues; The five moral-ethical principles; Outline Part Two. The contributors have done a marvelous job of presenting updated information. Ethical and Legal Issues for Mental Health Professionals: A Comprehensive Handbook of Principles and Standards, Journal of the American Academy of Psychiatry and the Law Online, Mild Traumatic Brain Injury and Postconcussion Syndrome: The New Evidence Base for Diagnosis and Treatment, Assessment of Malingered Neuropsychological Deficits, Trials of a Forensic Psychologist: A Casebook, by The American Academy of Psychiatry and the Law, American Academy of Psychiatry and the Law. The editors should be commended for their efforts to sensitize mental health professionals on ethics and legal issues, which, despite their importance, are often sidelined. Anita presented with a laceration to the inside of her thigh which was deep enough to expose the adipose tissue beneath, however was not deemed by the medical staff to be life threatening. And ethical issues for mental health Nursing | Find, read and cite all the research need! 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