0MENTAL HEALTH NURSINGMental health nursingName of the studentUniversity nameAuthor’s note
1MENTAL HEALTH NURSINGTable of ContentsIssue on safety and legal responsibility......................................................................................2Dilemma of providing information to carers.............................................................................3Meaning of health related issues to the individual patients.......................................................55 R’s of reflection.......................................................................................................................6References..................................................................................................................................8
2MENTAL HEALTH NURSING Issue on safety and legal responsibility The current assignment focuses upon the nursing care practices adopted within amental healthcare setting. The nurses catering to the physical and mental health of thepatients possess a number of safety and legal responsibilities. As mentioned by Hunter,Weber, Shattell & Harris (2015), abiding by the safety rules and guidelines helps inimproving the quality and standards of care. Thus following of the safety guidelines alsohelps in preventing the occurrences of untoward incidents within an acute healthcare setup.In the present study, an actual clinical setup could be taken into consideration wherethe patient Mr. H is a 65 years old man with autism and lives with his foster parent. Thepatient has reduced cognitive abilities and decision making power owing to his autismspectrum disability, which makes him more dependent upon his foster parents and the careservice providers. Initially, Mr. H had been living in his own house along with his fosterparents. However, presently Mr. H had been reached the point of disagreements with hisparent where he wants to live on his own and travel alone. Mr. and Mrs. Kelvin who are thefoster parents of Mr. H had been worried about the well being of their foster son. Presently,Mr. H had grown very irritable and violent and would often throw things around the house. Ithas become increasingly difficult for his guardians to take care of him. Therefore, theydecided to send him to a day care centre.Working as a reporting nurse within the day care centre, I had been provided with theresponsibility of looking after Mr. H. However, I had received insufficient cooperation fromthe patient which made catering to his health requirements difficult for me. The patient hadbeen depicting an aggressive behaviour and insisted upon going out alone. However,provided the reduced cognitive abilities of the patient, it would have been risky for thenursing professional to allow the patient move out on his alone. Hence, I insisted that I
3MENTAL HEALTH NURSINGaccompany the patient or send someone along with him. This was done in order to reduce thehealth risks and maintain the safety standards around the patient. This could be furtherattributed to the standards 6 of the Nursing and Midwifery board (NMBA), Australia as perwhich the enrolled nurse is entitled to provide timely direction and supervision to ensure asafe and correct practice.According to the standard 7 of the NMBA standards , the nurses are responsible forcommunicating priorities, goals and health outcomes to the patients and their respectivefamilies (Mårtensson, Jacobsson & Engström, 2014). Therefore, it was the legalresponsibility of the attending nursing professional to inform his family regarding his healthprogress along with any untoward incident, which could endanger the safe keeping of thepatient. Therefore, hiding the relevant information from the patients as well as their familiescould be a breach of the legal guidelines and invite strict action to be taken against thecommunity centres and healthcare units (Sercu, Ayala & Bracke, 2015).Dilemma of providing information to carers A number of dilemmas are faced by the health and support service providers within anacute mental healthcare setting. Some of the challenges with respect to implementing aperson centred approach along with respecting the autonomy of the patient had beendiscussed over here. As per the Mental Health Capacity Act , 2005 a person with reducedcognitive abilities has equal rights in participating in important decision related to theirhealth and well being. As mentioned by Videbeck & Videbeck (2013), under nocircumstances the patient should be forced to agree with the healthcare professionalsregarding a certain plan of action. This could be encroaching into the basic rights possessedby a patient within an acute healthcare setup.
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