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Ethics in the
Life Sciences
Chapter 14
Mental Health Nursing
1
Learning Objectives
• Identify the nurses’ professional responsibility for truth-
telling, advocacy, confidentiality, and ...
Mental Health Nursing
Autonomy vs. Paternalism
• Autonomy is a fundamental moral expectation in
Western health care delive...
Mental Health Nursing
Providing treatments against the patients will
• At times decisions may have to be made to
provide t...
Mental Health Nursing
Some treatment against the patients will
scenarios include:
• Mandating treatments
• Use of differen...
Mental Health Nursing
Challenging Patient
• Nurses have a responsibility to provide compassionate
care, even in the settin...
Mental Health Nursing
Some of the challenges a nurse ma confront
include
• Non-compliance- with treatments or medical
ther...
Summary
• Professional nurses will interact with a variety of
persons whom the nurse perceives as
challenging. This may in...
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Ch 14 mental health nursing

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Transcript of "Ch 14 mental health nursing"

  1. 1. Ethics in the Life Sciences Chapter 14 Mental Health Nursing 1
  2. 2. Learning Objectives • Identify the nurses’ professional responsibility for truth- telling, advocacy, confidentiality, and resource allocation when caring for a person with a mental health disorder. • Discuss the nurse’s professional obligation to simultaneously promote patient Autonomy and prevent harm • Discuss the ethical principles affecting the decision to implement an act of restraint with a patient • Discuss the professional nurses obligation to provide car to difficult patients. 2
  3. 3. Mental Health Nursing Autonomy vs. Paternalism • Autonomy is a fundamental moral expectation in Western health care delivery. • For autonomy to exist- the patient must have the decisional capacity necessary to make an informed decision to consent or refuse treatment. • With mental health disorders it may not be possible to support a patients ability to make decisions autonomously. 3
  4. 4. Mental Health Nursing Providing treatments against the patients will • At times decisions may have to be made to provide the appropriate treatment for patients even when that treatment is against the patients will. • Civil legislation and federal law protects patients in certain circumstances. The nurse must be aware of what situations and scenarios allow for the implementation of treatments against a patients will. 4
  5. 5. Mental Health Nursing Some treatment against the patients will scenarios include: • Mandating treatments • Use of different types of restraints • Physical restraints • Seclusion • Chemical restraints 5
  6. 6. Mental Health Nursing Challenging Patient • Nurses have a responsibility to provide compassionate care, even in the setting of a difficult or challenging patient. • Nurses may find it difficult to fulfil this ethical obligation when the patient is extremely challenging. • Challenges in caring for patients may extend to caring for the patients family members who may also be challenging. • Nurses should look to develop skills and techniques to deal with the challenging patient and patient family members who may also be challenging. 6
  7. 7. Mental Health Nursing Some of the challenges a nurse ma confront include • Non-compliance- with treatments or medical therapies • Inadequate resources for dealing with a challenging patient • Unmet expectations when the nurse believes the patients expectations are unrealistic. • Confusion related to rights vs privileges 7
  8. 8. Summary • Professional nurses will interact with a variety of persons whom the nurse perceives as challenging. This may include patients, family members and even other health care professionals • The nurse should try to recognize conflicting goals and unmet expectations and work to improve communication and resources for understanding and collaboration 8
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