To prepare: • Review literature for moral/ethical issues encountered by a PMHNP. Anita’s ability to make autonomous decisions surrounding her care should outweigh the nurse’s obligation towards beneficence. Ethical and Legal Issues in Psychiatric/Mental Health Nursing ; 2 Introduction. This chapter explores ethical issues in mental health policy from a public health perspective, with a focus on the United States. Introduction. This research described the occurrence of ethical iss … In considering Anita’s wishes and agreeing a management plan to care for the wound incorporates both principles of Anita’s autonomy and the nurse’s obligation towards beneficence. Examples include diverse topics such as staffing ratios, and end of life care. Ethical Issues in Mental Health Nursing . In order to address the moral theory and moral principles that underpin the ethics of mental health nursing, I intend to demonstrate how clinical decision making mental health nursing is formulated based on the chosen moral principles of beneficence, non-maleficence and ‘respect for autonomy’ (NHS, 2015). Indeed there is an historical context for such intervention which this chapter will explore. Using the application of the Mental Capacity Act (MCA) (Great Britain (GB) 2005) and an established model for ethical decision making, we will look at how the decision of whether or not to enforce treatment for the wound was formulated and actioned. The case-study part of the chapter will consider how in these difficult circumstances mental health nurses can control and potentially restrict service user freedoms in a way that reduces moral distress and is beneficent and sensitive. Reference this. Related documents. Company Registration No: 4964706. This may indicate that Anita was under a great deal of distress at the time, which could have affected her capacity to make sound decisions; however her later decision of continuing to refuse treatment was based on her own morals and values towards her body that may have included these thoughts of self-loathing and the need to be punished. Copyright © 2003 - 2020 - NursingAnswers.net is a trading name of All Answers Ltd, a company registered in England and Wales. 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]… “are derived our primary duties towards them” (Beauchamp & Childress 2009:207). Although a person, under part four 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 and treatment is deemed to be in their best interests under the auspice of the Mental Capacity Act (GB 2007, MIND 2009). Ethical issues happen when choices need to be made, the answers may not be clear and the options are not ideal. It teases out the ethical challenges that mental health nurses can face on a daily basis. All actions that are performed by nurses can be regarded as having a moral dimension, most of which are for the benefit of the patient (Edwards 2009). Efforts to lasso health care costs puts increasing pressure on staff to do more with less. While all of the above effect both telehealth and tele mental health, there are additional ethical challenges to consider when using tele mental health. 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. Self-harm has been strongly associated with borderline personality disorder (Motz 2008) where thoughts of self-loathing and self-punishment are common precipitators; the act of self harm can be seen as a symptom of internal turmoil, an expression of internal pain or as controlling factor to maintain a level of care (Grocutt 2009). 2899 words (12 pages) Essay. We're here to answer any questions you have about our services. Complicating the resolution of these ethical issues, ... For example, mental health service users have reported that participatory research offered them opportunities to gain knowledge and to share their unique perspectives, increased their self-esteem, provided them with an opportunity for employment, and gave them a chance to give back to society and help others . The Mental Capacity Act (GB 2005) is clear in expressing that capacity is time and decision specific. To make matters even trickier for nurses, the same ethical dilemma on two different occasions may require a different solution each time. For hundreds of years, the Anglo-American legal system has been developing special rules for dealing with problems caused by the inherently perplexing phenomenon of mentally disordered behavior (Morse, In madness: a brief history (2002) Roy Porter describes madness as being potentially as old as mankind. It is similar to the medical model of ethics in that it deals with life and death issues. In deciding that the decision could be made at a later time not only complies with the Act but also promotes Anita’s autonomy. moral/ethical issues encountered by a PMHNP essay example. 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. This is not an example of the work produced by our Nursing Essay Writing Service. It teases out the ethical challenges that mental health nurses can face on a daily basis. Ethical nurses lead the way for health care reform which emphasizes healing even when curing is impossible. • Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment. EXAM 2 Study Guide MGT-434 Ch. Critically analyse how ethical, professional and legal issues underpin nursing practice. Topic # 2 Legal and Ethical Issues in Mental Health Nursing. World Health Organization. It is only since the 1930s that mental health nursing started to become recognised as a future field of nursing practice (Nolan, The role of the keeper started to emerge during the 1800s with the emergence of the asylums. Topic # 2 Legal and Ethical Issues in Mental Health Nursing. Legislation determines what is right or good within a society. Grand Canyon University. University. If this is not the case then the person cannot be seen as lacking capacity under the Act (GB 2005, DoCA 2007). Title: Ethical and Legal Issues in PsychiatricMental Health Nursing 1 Chapter 5. Physical punishment was not uncommon however some asylums offered rest and recuperation (Porter, Over time, as societal norms and rules developed, people on a day by day basis were expected to abide and sign-up to these rules – even if this was a tacit process. Be seen as actions to benefit and promote the welfare of others ( Butts & Rich ). 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