The document discusses legal issues in mental health nursing in India. It provides an overview of the Mental Health Act of 1987 and the Mental Health Care Bill of 2013, including their objectives, key features, and rights of mentally ill patients. It also explains the roles and legal responsibilities of nurses in admission and discharge procedures, including issues of consent, confidentiality, and record keeping. The legal responsibilities of mentally ill patients regarding civil and criminal matters are also outlined.
The basic about the principles of psychiatric nursing , what all are the basic we have to follow while providing care to the psychiatric patients in hospital and in the community area
Mental health act drafted in 1987 and came into india in 1993. It includes need, objectives, act etc. it includes 10 chapters and mental health care act 2017 included.
This presentation is on Mental Health Act, Indian Lunacy Act and Rights of Patient. Mental Health Nursing one of core subject of B.Sc. Nursing Third Year.
BIBILIOGRAPHY
R SREEVANI “A Guide to Mental Health &
Psychiatric Nursing” 3rd Edition
Jaypee Medical Publisher Pp: 345 to 350
Shelia L Vedibeck “Psychiatric Mental Health
Nursing” 5th Edition Lippincott & Williams.
Mary C Townsend “Essential of Psychiatric health
nursing” 7th Edition F A Devis 2013.
ANTONY JAMES T (2000): “A decade with the
mental health act, Indian Journal
of Psychiatry, 42(4)
Kothari, Jaya “Moving towards autonomy &
equity an analysis of mental health care
bill 2013”
The basic about the principles of psychiatric nursing , what all are the basic we have to follow while providing care to the psychiatric patients in hospital and in the community area
Mental health act drafted in 1987 and came into india in 1993. It includes need, objectives, act etc. it includes 10 chapters and mental health care act 2017 included.
This presentation is on Mental Health Act, Indian Lunacy Act and Rights of Patient. Mental Health Nursing one of core subject of B.Sc. Nursing Third Year.
BIBILIOGRAPHY
R SREEVANI “A Guide to Mental Health &
Psychiatric Nursing” 3rd Edition
Jaypee Medical Publisher Pp: 345 to 350
Shelia L Vedibeck “Psychiatric Mental Health
Nursing” 5th Edition Lippincott & Williams.
Mary C Townsend “Essential of Psychiatric health
nursing” 7th Edition F A Devis 2013.
ANTONY JAMES T (2000): “A decade with the
mental health act, Indian Journal
of Psychiatry, 42(4)
Kothari, Jaya “Moving towards autonomy &
equity an analysis of mental health care
bill 2013”
In India, the Mental Health Care Act 2017 was passed on 7 April 2017 and came into force from 29 May, 2018. An act to consolidate and amend the law relating to the treatment and care of mentally ill persons, to make better provision with respect to their property and affairs and for maters connected therewith or incidental thereto
Occupational hazards, occupational health
Occupational safety and health should not be sidelined as a service delivery issue. Health worker health and well-being is an important aspect of workers’ motivation and job satisfaction, which influence productivity as well as retention. Health worker safety also affects the quality of care; caring for the caregiver should be a priority area of concern for the health system’s performance.
Anger is a normal human emotion that is crucial for individual’s growth. When handled appropriately and expressed assertively, anger is a positive creative force that leads to problem solving and productive change.
When channeled inappropriately and expressed as verbal aggression or physical aggression, anger is destructive and potentially life threatening force.
it is critical that psychiatric nurses be able to assess patients at risk for violence and intervene effectively with patients before, during and after an aggressive episode.
we communicate when we talk and also when we don't talk. the sharing of ideas, thoughts, perceptions, belief between two individuals (client and nurse) which will help nurse to provide effective care and treatment to the client.
Complimentry therapy, therapeutic touch and massage and pet therapyPriyanka Kumari
know about the complimentary therapies and effect of the therapeutic massage, therapeutic touch and pet therapy and it's effect in Mental health nursing
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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1. LEGAL ISSUES IN MENTAL
HEALTH NURSING
PRIYANKA KUMARI
M.SC. NURSING
2. SPECIFIC OBJECTIVES
Define the Mental Health Act-1987.
Enlist the reasons for enactment of mental health act.
Discuss the objectives of Indian Mental Health Act.
Explain the salient features of the Act in detail.
Explain the Mental Health Care Bill-2013
List down the chapters of Mental Health Care Bill-2013.
Discuss the basic rights of Mentally ill patient.
Explain the legal responsibility of mentally ill patient.
Discuss the roles and responsibilities of a nurse during
admission and discharge procedure.
Explain the legal responsibility of a nurse.
3. INDIAN MENTAL HEALTH ACT
The Indian Mental Health Act was
drafted by the parliament in 1987, but it
came into effect in all states and Union
Territories of India in April 1993. This act
replaces the Indian Lunacy Act of 1912.
4. REASON FOR ENACTMENT
The attitude of the society towards the
mentally ill
It has become outmoded with the rapid
advancement of medical sciences
5. OBJECTIVES OF THE IMHA
• To regulate admission into psychiatric
hospitals and psychiatric nursing homes.
• To protect society from the presence of
mentally ill persons.
• To protect citizens from being detained in
psychiatric hospitals/nursing homes without
sufficient cause.
• To regulate maintenance charge of
psychiatric hospitals.
6. To provide facilities for establishing
guardianship of mentally ill person who are
incapable of managing their own affairs.
To establish central and state authorities for
mental health services.
To regulate powers of the government for
establishing, licensing and controlling
psychiatric hospitals.
To provide legal aid to mentally ill persons
8. CHAPTER I
It contains preliminary information. Some
definitions included in this are:
Psychiatric hospital/Nursing Home
Mentally ill Person
Psychiatrist
Reception order
9. Outdated definitions are changed based on
newer concepts and knowledge:
Old term New term
Lunatic Mentally ill person
Lunatic Asylum Psychiatric hospital
Criminal lunatic Mentally ill prisoner
10. CHAPTER II
Establishment of central and state
authorities for regulations and co-
ordinations of mental health services.
11. CHAPTER III
It provides guidelines for establishment
and maintenance of psychiatric
hospitals/nursing homes.
12. CHAPTER IV
It deals with the procedures for admission and
detention in psychiatric hospitals/nursing
homes.
14. VOLUNTARYADMISSION
Request by a major/guardian of the minor for admission to
medical officer
Medical officer makes enquiries within 24 hours
If the medical officer is satisfied for admission
Voluntary admission is made
15. ADMISSION UNDER SPECIAL
CIRCUMSTANCES
Patient is unwilling or unable to make request admission, a
relative makes an application to the medical officer on behalf
of the patient.
Medical officer makes enquiries within 24 hours
If the medical officer is satisfied for admission
Involuntary admission is made
16. ADMISSION UNDER AUTHORITY
OR ORDER:
Reception order on application
Reception order on production of a mentally
ill person before a magistrate
Reception order after inquest
Admission and detention of a mentally ill
prisoner.
17. Reception Order On Application:
Application is made by a relative/friend to
the magistrate
Application should be supported by two
medical certificates
magistrate obtains consent from the medical
officer-in-charge of mental hospital
Admission under reception order is made
18. Reception Order On Production Of A Mentally
Ill Person Before A Magistrate
Mentally ill patient exhibiting violent behavior
detained by police officer
Produced in the court within 24 hours of
detention
Application is supported by two medical
certificates
Magistrate issue reception order
19. Reception Order After Inquest
Inquest of a mentally ill patient by district court
In the interest of such person district court
directs for admission
Admission is made
20. Admission And Detention Of A Mentally
Ill Prisoner
A mentally ill prisoner may be admitted into
mental hospital on the order of the presiding
officer or a court.
21. CHAPTER V
It deals with the procedure to be followed for the
discharge of mentally ill persons.
VOLUNTARY DISCHARGE:
Medical officer in-charge of psychiatric hospital
on recommendation from two medical
practitioners preferably a psychiatrist, can issue
directions for discharge of the patient.
22. DISCHARGE OF A PATIENT ADMITTED
UNDER SPECIAL CIRCUMSTANCES
A relative or a friend may make an application
to the medical officer for care and custody of the
patient.
23. DISCHARGE OF PATIENT ADMITTED
ON RECEPTION ORDER:
An applicant who feels that the patient has
recovered from illness may make an
application for discharge to the magistrate.
A certificate should accompany such as an
application from medical officer in-charge of
the psychiatric hospital.
If the magistrate deems fit, he may issue an
order for discharge.
24. DISCHARGE OF A PATIENT ADMITTED BY
POLICE
In cases where the police detain the mentally ill
individual in hospital, he may be discharged after
the family members agree in writing to take proper
care, and the medical officer-in-charge opines that
he is fit to be discharged.
25. DISCHARGE OF A MENTALLY ILL
PRISONER:
The hospital authorities have to report every 6
months about the person’s state of mind to the
authority, which had ordered detention.
26. LEAVE OF ABSENCE
It means they may be given time limited
leave, to leave the hospital with
permission to visit family members. On
application by a relative or others medical
officer-in-charge and a bond duly signed
stating that the patient will be taken
proper care and prevented from injuries,
leave of absence may be granted for
maximum 60 days.
27. CHAPTER VI
It deals with judicial enquiry regarding mentally ill
persons possessing property, their custody and
management of property.
28. CHAPTER VII
It deals with ways and means to meet the cost
of maintenance of mentally ill persons
detained in psychiatric hospital/nursing home.
29. CHAPTER VIII
It is the latest addition to the Act that contains
a very novel and explicit provisions for
protection of human rights of mentally ill
persons.
30. CHAPTER IX
It deals with procedures followed for the
establishment and maintenance of psychiatric
hospitals/nursing homes.
31. CHAPTER X
It deals with clarification pertaining to certain
procedures to be followed by the medical
officer-in-charge of the psychiatric
hospital/nursing home.
32. THE MENTAL HEALTH CARE BILL,
2013
THE KEY FEATURES OF THE BILL
Every person shall have the right to assess
mental health care and treatment from services
run or funded by Government.
A mentally-ill person shall have the right to
make an advance directive that states how he
wants to be treated for the illness during a
mental health situation and who his nominated
representative shall be.
33. Every mental health establishment has to be
registered with the relevant Central/State
Mental Health Authority.
The mental health Review commission will be a
quasi-judicial body that will periodically review
the use of and the procedure for making
advance directives and advise the Government
on protection of the rights of mentally ill
persons.
34. A person who attempts suicide shall be
presumed to be suffering from mental illness
at that time and will not be punished under the
Indian Penal Code.
Electro-convulsive therapy is allowed only
with the muscle relaxants and anesthesia. The
therapy is prohibited in minors.
35. CHAPTERS
Chapter 1- Preliminary information on
definitions, short titles.
Chapter 2- mental illness and capacity to make
mental healthcare and treatment decisions.
Chapter 3- Advance Directive
Chapter4- Nominated representative
Chapter 5- Rights of persons with mental illness.
Chapter 6- Duties of appropriate Government
36. Chapter 7- Central mental health authority.
Chapter 8- State mental health authority.
Chapter 9- Finance, accounts and audit.
Chapter 10- Mental health establishments.
Chapter 11- Mental health review commission.
Chapter 12- Admission, treatment and discharge.
Chapter 13- Responsibilities of other agencies.
37. Chapter 14- Restriction to discharge functions
by professionals not covered by professions.
Chapter 15- Offences and Penalties.
Chapter 16- Miscellaneous
38. BASIC RIGHTS OF MENTALLY
ILL PATIENTS
Some of the rights of psychiatric patients:
The right to wear their own clothes
The right to have individual storage space for
their private use
The right to keep and use their own personal
possessions.
The right to spend a sum of their money for
their own expenses.
39. The right to have reasonable access to all
communication media like telephone, letter
writing and mailing.
The right to see visitors every day.
The right to treatment in the least restricted
setting.
The right to hold civil service status.
The right to refuse ECT.
The right to manage and dispose of property
and execute wills.
41. Criminal responsibilities
Section 84, IPC (Indian Penal Code of
1860): According to it “nothing is an
offence which is done by a person who, at
the time of doing it by reason of
unsoundness of mind, was incapable of
knowing the nature of the act or that what
he was doing was either wrong or
contrary to law”.
42. Criteria used to determine criminal
responsibilities: -
M’Naghten’s rule
The irresistible impulse test
The Durham test
American law Institute
43. M’ Naghten rule: -
• The individual at time of the crime did not
“know the nature and quality of act”.
• If he did not know what he was doing, he
did not know that it “was wrong”
44. The Durham impulse test: -
“An accused person is not criminally responsible
if his unlawful act is the product of mental
disease or mental defect”.
In this, the casual connection between the mental
abnormality and the alleged crime should be
established.
45. Irresistible impulse act: -
According to this rule, a person may have
known an act was illegal but as a result of
mental impairment lost control of their action.
46. American law institute test:- A person not
responsible for criminal conduct if at the time of
such conduct, as a result of mental disease or
defect, he lacks adequate capacity either or
appreciation the criminality of his conduct or to
conform his conduct to the requirements of the
law.
48. ROLES AND RESPONSIBILITIES OF A
NURSE DURING ADMISSION-
DISCHARGE PROCEDURE
Admission Procedure:
Setting the patient in the ward
Welcoming to the ward
Introducing to other staff members
If any patient having suicidal ideas, he should
have located in a place where the patient can be
closely observed.
49. The patient should be shown various
facilities like bathroom, recreation etc.
Acquaint the patient with some of ward
rules.
Provide appropriate information
History, MSE, and head to toe observation
to be done.
Write nurses notes; enter in admission
register.
50. Discharge procedure:
Nurse must ensure that the patient leaves the unit
with all belongings and personal effects, has the
appropriate medications with him, and
appointment for follow up.
All necessary instructions, especially regarding
his medication regimen, side-effects, etc. must
be clearly given to the patient and his family
members.
Any paper work, signing of documents should
be completed. The hospital file along with all
charts and notes should be sent to the medical
records section.
51. The nurse should ascertain his travel plan
and offer assistance if necessary.
The nurse must bear in mind that the
patient may have mixed feelings about
leaving the hospital and going back to his
home environment.
52. LEGAL RESPONSIBILITY OF
A NURSE
NURSE MUST BE AWARE OF:
Both the law in the state in which they
practice.
Patient’s rights.
Criminal and civil responsibilities of
mentally ill patients.
Legal documentation
55. Informed consent:
The informed consent is a process of
communication between patient and a
nurse that results in a patient’s
authorization or agreement to a specific
medical intervention.
56. Substitute Consent:
It refers to the situation where a patient is not
capable of giving their own consent to the
proposed treatment. In such cases authorization
is given by another individual, being a
guardian appointed by the court or the kith and
kin on behalf of the patient.
Before getting the consent of the patient or his
legal guardian, a full explanation is necessary
in regard to the risks involved in the
investigation, treatment and procedures
administered to the patient.
57. Record Keeping:
Nursing notes and progress records
constitute legal documents and hence
should be maintained carefully.
They should be non-judgmental and the
statements made should be objective in
nature.
58. CONCLUSION
To practice psychiatric-mental health
nursing, nurses must understand the basic
legal aspects of caring for psychiatric
clients. Each state has laws attempt to
balance protection of the mentally ill.
Such laws attempt to balance protection of
the mentally ill client’s civil rights with
the preservation of public safety.