Ethics And Professional Practice

Editor's Notes

1. Although Aus & Nz college of Mental Health Nurses has developed standards for practice and competencies for advanced practice not yet developed a separate code of ethics for MH nurses Internationally professional nursing organisations have identified the need for a code of ethics to guide practice For interested parties – http://hometown.aol.com/egeratylsw/ethics.html. shows how other organisations have approached ethical codes of practice as well as general info about prof ethics
2. Should be the most fundamental aspect of mental health care delivery under ethical consideration – effects of diagnosis A label often marginalises people from community and jepodises them from regaining social integration Diagnosis is a powerful tool -Used for describing odd or objectionable behaviour or that that is unlawful – in this case the law recognises that mental illness can compromise an individuals free will and can classify them as not legally responsible for their actions – making a diagnosis a positive thing Some of you may consider some behaviours mental illness others may not – psychiatrists diagnosis's sometimes vary Classification systems reflect contemporary beliefs about behaviour rather than objective standards
3. E.g. restraint & seclusion This has meant that acute interventions and containment are the predominant care provided less rehabilitation and comprehensive discharge planning – in this climate patients report boredom and feeling unsafe
4. Rights should include access to effective professional treatment, information concerning side effects, desired effect, contraindications, complications and the freedom to accept or refuse treatment However a patient is able to request a medication review particularly if they are experiencing side effects that are difficult for them to live with
5. If refused a psych has to gain a second opinion
6. Not deemed as treatment but a a management tool by MH Act
7. Now look at scenarios 1-4