Mental health nursing powerpoint templates

Mental Health Nursing

Transcript: Voluntary Involuntary Commitment (inpatient OR outpatient) Informed Consent Objectives, benefits, risks of treatments Only competent adults have right to refuse Courts decide competence www.advocacyinc.org/ Answer: 4 Rationale: It is important when assessing for mental illness that social and cultural norms be evaluated. The context of cultural norms determines if behaviors are considered acceptable or aberrant. Belief in reincarnation may be acceptable in one culture and "delusional" in another Documentation Must include: The behavior leading to restraint or seclusion The time put in and taken out of restraints/seclusion Any less restrictive interventions attempted prior to restraint/seclusion However, you must abide by your facilities policy and procedure. Trend is moving AWAY from restraints unless ABSOLUTELY necessary Serious injury and death have occurred. MYTHS ABOUT MENTAL ILLNESS Practice within scope Know established practice standards Use P&P manuals Respect client rights Establish a good interpersonal relationship with client and family Breach of Confidentiality Inappropriate delegation Breach of Confidentiality Defamation of Character Invasion of Privacy Assault/Battery Negligence/Impairment False Imprisonment Violation of boundaries Failure to take action DSM's Five Axis Diagnosis System: Competency and Consent Assault and Battery All patients have a right to courteous and individualized health care by qualified, knowledgeable nurses. MENTAL ILLNESS DEFINED When a decrease in sensory overstimulation is needed (seclusion only). When the patient requests it. 7 indicators: You... *Interpret reality accurately *Have a healthy self-concept *Are able to relate to others *Achieve a sense of meaning in life *Have control of your behavior *Adapt to change and conflict Elopement LAMA Ethical Nursing Practice Guardians may be obtained for legally incompetent clients. May be family, a social worker, or other. In Texas, informed consent is required for every medication given. Mental Health Nursing TERRELL STATE HOSPITAL “A clinically significant behavioral or psychological syndrome or pattern that occurs in an individual and that is associated with present distress (e.g., a painful symptom) or disability (i.e., impairment in one or more important areas of functioning), or with a significantly increased risk of suffering death, pain, disability, or an important loss of freedom…and is not merely an expectable…response to a particular event.” DSM-IV-TR (APA, 2000) Unconditional positive regard Right to participate in treatment planning and implementation Advocate for client’s wishes ANA Code of Ethics for Nurses pg. 125, Box 7-2 The public may believe that people who suffer from mental illness: Never recover enough to become contributing members of their communities Are fundamentally unstable and unpredictable May be dangerous to those around them Are possessed by evil spirits or curses Are paying the price for some moral wrongdoing Competency must be determined by a judge. Ruling based on “client’s best interests” and if a competent client would have accepted treatment. Look for key words: here, assessment is one of them...options 1-3 are either not an assessment or is not the most important assessment!! Notify physician, hospital administration, and family Notify law enforcement if client considered a danger to himself or others. Facility can be held liable if client is injured, commits suicide, or hurts another individual while away from hospital Support right to decide Acts to benefit others Not causing pain or suffering Telling the truth Keeping promises Treat all equally Types of Psychiatric Admissions Principle Defined as a social condition marked by attitudinal devaluing or demeaning of persons who, because of disfigurement or disability, are not viewed as being capable of fulfilling valued social roles. One of your greatest responsibility as a nurse is your role as Client Advocate Those with mental illness are among the most vulnerable of our population and often are not able to be their own advocate Capacity to understand the consequences of one’s decision. Patients must be considered legally competent until they have been declared incompetent through a legal proceeding. Nursing Responsibilities Person apprehensive (assault) of harmful/offensive touching (battery) Threat to use force with opportunity and ability Treatment without client consent Chapters 1-7 Avoiding Liability Restraints require order from physician or NP Order is time limited. Must be placed by adequately trained person Thorough and ongoing assessment – every 15 minutes is standard or 1 on 1 if necessary. Jami Baker RN, BSN Client Rights Autonomy Beneficence Nonmaleficence Veracity Fidelity Justice Right to treatment Right to refuse treatment Right to informed consent Rights regarding involuntary admissions and advance psychiatric directives Rights regarding restraint and seclusion Rights regarding confidentiality Ethical Action

Mental Health Nursing Powerpoint Templates

Create your presentation by reusing a template from our community or transition your PowerPoint deck into a visually compelling Prezi presentation.