legal and ethical aspects of nursing practice chapter 13
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Legal and Ethical Aspects of Nursing Practice Chapter 13. Psychiatric / Mental Health Nursing West Coast University NURS 204. Principles of Bioethics. Autonomy Beneficence Fidelity Justice Nonmaleficence Veracity. Ethical Guidelines. - PowerPoint PPT PresentationTRANSCRIPT
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Legal and Ethical Legal and Ethical Aspects of Nursing Aspects of Nursing
Practice Practice Chapter 13Chapter 13
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Principles of Principles of BioethicsBioethics
Autonomy
Beneficence
Fidelity
Justice
Nonmaleficence
Veracity
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Ethical GuidelinesEthical Guidelines
Standards for Psychiatric–Mental Health nursing practice published by ANA
ANA Code of Ethics
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Ethical DilemmasEthical Dilemmas
The potential stigma of psychiatric diagnostic labels
Psychiatry’s right to control individual freedom
The justification for involuntary treatment The use of restrictive treatment
interventions The client’s right to suicide The client’s right to privacy
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Stigma Associated with Stigma Associated with Diagnostic LabelsDiagnostic Labels
Stereotypes
Need for diagnostic labels
Nurse’s moral stance
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Mental Health Statutes Mental Health Statutes and Regulationsand Regulations
Rules and regulations are set by state governments
Vary considerably
Nurses must know the law of the state in which they practice
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Voluntary AdmissionVoluntary Admission
Informed consent
Client retains all rights
Client has a right to demand and obtain release
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Involuntary Involuntary CommitmentCommitment
Hospitalization against one’s will
Criteria: Dangerous to self (DTS) Danger to others (DTO) Gravely Disabled (Unable to provide for
basic needs due to Mentally illness)
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Involuntary Involuntary Commitment Commitment
5150 - 72 hour-hold (DTS, DTO, GD) 5250 - 14 day hold (DTS, DTO, GD) Consecutive 14 day hold for DTS 30 day hold (GD) 180 day hold for (DTO) Temporary Conservatorship - GD LPS Conservatorship - GD
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Legal TermsLegal Terms
Riese Petition (Medication Capacity Hearing)
Probable Cause Hearing
Writ of Habeus Corpus
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Psychiatric–Mental Psychiatric–Mental Health Nursing CareHealth Nursing Care
Rights
Dignity
Autonomy
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Psychiatric Advance Psychiatric Advance DirectiveDirective
Modeled after advance directives for end-of-life care
Allows competent persons to document their preferences regarding mental health treatment
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Determining Determining NegligenceNegligence
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Common Sources of Liability Common Sources of Liability in Psychiatric / Mental in Psychiatric / Mental
Health ServicesHealth Services
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Potential ProblemsPotential Problems
Poorly funded services
Stigma
Isolation
Denial of rights