Principles for Patients with Altered Mental Health Conditions

This report examines the nursing principles essential for the care of patients experiencing altered mental status in a hospital environment. It thoroughly discusses patient rights, including the right to optimal mental health care, protection from mistreatment, and access to political, social, and economic rights. The report emphasizes the importance of patient safety, confidentiality, and cultural sensitivity in treatment. It outlines standards of care, treatment-related principles, medication guidelines, and consent form requirements, ensuring that care is patient-centered and respects individual autonomy. Furthermore, the report addresses the ethical considerations surrounding involuntary treatment, physical restraint, and the application of standard medical practices, all while underscoring the importance of comprehensive documentation and adherence to established mental health protocols. This assignment provides a detailed overview of the nursing principles that should be followed when caring for patients with altered mental status.

Running Head: MENTAL HEALTH PROBLEMS
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Mental health problems
Student name

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Table of Contents
Introduction...........................................................................................................................................2
Principles of altered mental health.........................................................................................................3
Patient’s Rights and Important freedoms...........................................................................................3
Minor people’s safety........................................................................................................................4
Resolving the mental sickness...........................................................................................................4
Confidentiality...................................................................................................................................5
Part of communal and culture............................................................................................................5
Standards of care...............................................................................................................................5
Treatment-related principles..............................................................................................................6
Medication principles........................................................................................................................6
Consent form related principles.........................................................................................................7
Statement of the individual's' rights...................................................................................................9
Principles related to the Rights and circumstances............................................................................9
Principles related to admission..........................................................................................................9
Conclusion...........................................................................................................................................10
References...........................................................................................................................................12

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Altered mental health
Introduction
The change in mental status refers to common changes in brain performance, like a
misunderstanding, , loss of attentiveness, incomprehension, faults in decision making or
thought, uncommon or odd behavior, underprivileged regulation of feelings, and troubles in
perception, psychomotor abilities, and behavior (Wilber, 2006). However an altered mental
status is clearly the feature of a number of emotional and psychiatric conditions, medical
situations and harms that cause impairment to the brain, counting alcohol or overconsumption
of drug and drawing syndromes, can also result in mental status alterations. Misperception,
exhaustion, , dementia problem, encephalopathy, and the organic brain syndrome are
altogether terms that have been applied to bring up to circumstances hallmarked by
psychological status alterations (King, & Avner, 2003). Various studies conducted in
emergency divisions have found that AMS is the main reason for the appointment in around 4
percent to 10 percent of all patients. Altered mental status is more usual in different types of
patients. Nearly 25 percent to 30 percent of elderly patients visit the emergency section with
AMS (Han, & Wilber, 2013). Significantly, an analysis of AMS can be hard to unravel in an
elderly patient with dementia. Acute altered mental status is considered a very wide topic and
can include any number of conditions, from minor agitation to delirium, or from sleepy to
coma (Han, & Wilber, 2013). In this particular written assignment, the nursing principles that
meet the needs of the patient with the altered mental condition in the hospital setting will be
discussed.

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Principles of altered mental health
Patient’s Rights and Important freedoms
All individuals have the basic rights to acquire the optimum accessible mental health
care, which must be comprised in the communal and health care system. All patients with the
altered mental position or other mental illnesses or people under treatment as such persons
need to be healed with esteem and mortality for the distinguishing dignity of the diseased
person (Gostin, & Gable, 2004). All the people who are receiving treatment must be
protected from economic, sexual, bodily and other types of maltreatment, manipulation, and
low leveled treatment. The discrimination must not happen on the foundation of
psychosomatic illness or others aspects. "Discrimination" is some difference, favoritism, and
removal that outcomes in the obliterating or causing impairment to the same fulfillment of
moralities (Drew et al., 2011). Partiality does not involve any difference, and predisposition
commenced in consent form with the requirements of these ethics or principles and important
to preserve the civil privileges or rights of a person with a changed mental problem or of
other persons (Gostin, & Gable, 2004).
Every human with changed mental status must have the right to get all political,
communal, financial, cultural, and basic rights as accepted in the International statement of
communal rights, the universal covenant on commercial, cultural and common rights, the
international covenant on community and constitutional rights, and in other associated
instruments, for example, the declaration on the human rights of bodily or mentally
challenged individuals the values should be followed by the authority for the security of
every individual under any kind of caging (Townsend, & Morgan, 2017). Any decision that,
by purpose of the deceased person's mental condition, a person shortages lawful capability,
and any decision that, results in such inability, an isolated illustrative must be chosen, must

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be made lone after a neutral trial by an autonomous and neutral group made by local law
(Fortinash, & Worret, 2014). Where a federal or Supreme Court or other proficient tribunal
determines that a person with Changed mental health status is unable to uphold his or her
personal difficulties, measures must be taken, if it is necessary and appropriate to that
individual's illness, to check the safety of his or her anxiety (Townsend, & Morgan, 2017).
Minor people’s safety
High quality care must be delivered within the boundaries of these standards or
principles and according to the framework of local regulation connecting to the well-being of
minors to protect the their essential rights, as well as, if needed, the choice of an specific
illustrator other than the member of the family (Bolster, & Manias, 2010). Nurses must treat
each person with gentleness and respect; they should notice patient’s particular desires and
display sympathy and kindliness, and provide intervention in such a way that praises and
respect all the individuals with changed mental status (Bolster, & Manias, 2010).
Resolving the mental sickness
A nursing purpose in relation to that a person has a psychological sickness must be
made according to the internationally accepted medical principles. A determination of
disturbed psychological status should not be organized on the foundation of economic,
governmental, civic status, or connotation of a racial, cultural, sacred, or any additional
motive not openly associated to altered psychological health position (Battersby, Von Korff,
Schaefer, Davis, Ludman, Greene, & Wagner, 2010).
Professional or family conflict, or any non-conformity with social, ethical, political or
traditional values or spiritual beliefs prevailing in an individual's community, should never be
a defining factor in identifying altered mental illness (Johnstone, 2015). An involvement in
earlier treatment or hospital visit as a diseased person must not of itself secure any

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contemporary or coming determination of changed psychological condition. No nurse or
authority needs to classify a person as having, or then stipulate that a person has, a mental
problem excluding for determinations willingly connecting to a psychological disorder or the
prices of mental issues (Battersby, et al., 2010).
Confidentiality
The nurses must consider the privacy or confidentiality of the information related to
the patient. The right of confidentiality of person’s information about all individuals to whom
these Ethics or principles apply necessarily be appreciated (Baird et., 2014).
Part of communal and culture
1. Every person with mental illness must have the basic right to be healed and be worried for,
as far as feasible, in the communal or hospital.
2. Where illness management carried out in the facility of psychological health, the patient
must ensure to have the right, if feasible, to be healed or treated in the existence of his or her
relative, family member, or friend (Fairweather, Sanders, Cressler, & Maynard, 2017).
3. All patients should have the right to choose the treatment appropriate to their cultural
background (Fairweather, Sanders, Cressler, & Maynard, 2017).
Standards of care
1. Every patient admitted to the hospital setting should be given the right to obtain such
wellbeing care that is proper to their health requirements and is permitted to receive attention
and cure options in accord with the similar level as other sick persons.
2. It is the ethical and practiced duty of the nurses to safeguard the diseased person from
harm, counting contamination, fall, partial treatment, and maltreatment by other hospitalized

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person, employee or any action that can lead to psychological suffering or bodily discomfort
(Townsend, & Morgan, 2017).
Treatment-related principles
The minimum restricting atmosphere must be maintained near the diseased person
and with the lowest uncooperative or disturbing disease management proper to the mentally
unwell person’s wellbeing desires and the requisite to care for the physical safety of other
people.
The supervision of disorder and upkeep of each mentally ill person requisite be to deal
with the specific approved plan, mutual with the patient, tested or reviewed regularly, revised
as needed and carried out by trained and skilled nurses (Parahoo, 2014).
Mental health services must be conveyed according to the suitable principle or
standards for nurses provides psychological interventions, counting global acknowledged
standards, for example, the standards of medicinal principles acknowledged by the United
Nations General Assembly. Information on mental health and capacities must never be
ignored.
The sickness management of all patients must be concentrate on keeping and
improving individual autonomy (Videbeck, & Videbeck, 2013).
Medication principles
Administration of drug must reach the standard of every health requirements of the
diseased person with the changed mental health situation, must be brought to the patient
particularly for investigative or therapeutic purposes. Nurses are expected to administer a
medicine or drug of accepted or proven efficacy.

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All medicines or drugs must be administered to the mentally ill person according to
the instruction provided by the official physician and must be documented in the recording
sheet of the patient (Parahoo, 2014).
Consent form related principles
Treatment must not be used for the mentally ill person without their knowledgeable
consent.
Informed written agreement is actually the consent expected naturally, without
pressures or wrong inducements, after accurate revelation to the mentally sick person of
proper and understandable information in a written agreement and language that is
understandable by the diseased person on the analytical assessment; the aim, process,
expected period and probable benefit of the scheduled treatment; additional modes of
medication, together with those less invasive; feasible discomposure or pain, dangers, and
opposing effects of the scheduled cure (Schenker, & Meisel, 2011).
The mentally ill person may request for the existence of his or her family member or
and relative at the time of the practice for authorizing consent.
The person with mental issues can avoid or refuse the treatment. But, the problems
associated with declining the treatment necessarily are explained to the individual or their
family member.
The patient must positively not be inquired or stimulated to abandon the right to well-
informed consent. Still, if the patient does not want the same, then, it must be elucidated with
the person that the treatment process of a related disorder cannot be initiated without the
knowledgeable consent (Parahoo, 2014).

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The recommended plan of disease management can be delivered to a diseased person
without his or her informed consent in some situations, given below;
 The diseased person is, at the related time, detained as an instinctive patient.
 An autonomous authority, having the ownership of all associated data, including the
data, is contended that, at the expected time, the individual lacks the ability to deliver or
decline the consent to the recommended plan of healing or, if local regulation so
provides, that, having admiration to the individual’s own protection or the wellbeing of
others, the diseased person knowingly refuses such consent.
 The autonomous authority satisfied that the recommended plan of healing or treatment
is in the best concern of the mentally ill person’s wellbeing necessities (Stuart, 2014).
Every treatment should be immediately noted in the patient’s medical record sheet, with
a recommendation of whether instinctive or voluntary (Stuart, 2014).
Physical issues or involuntary separation of a patient must not be avoided and the
treatment should be provided according to the publicly recognized practices of the mental
health facility and precisely when it is the single means present to stop prompt or upcoming
injury to the mentally ill person or others. It must not be extended and outside the
recommended time period which is thoroughly necessary for the determination. The complete
occurrences of physical restriction or involuntary separation, the objects for them and their
personal behavior and rate instantly noted in the patients’ medical record sheet (Morgan et
al., 2012).
The standard medical or surgical practice can be applied on the person with altered
mental status specifically where it is permissible by the public law, where it is resolute that it
can best appear to the wellbeing needs of the mentally ill individuals and where they arrange
for the informed consent, without that, where the diseased person is unable to provide the

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knowledgeable consent, the practice must be accepted, only after the autonomous assessment
(Franklin, Rowland, Fox, & Nicolson, 2012).
Statement of the individual's' rights
The individual in the psychological or mental health hospital setting essentially be
knowledgeable previously after admission, in a paper and in the reasonable language to the
diseased person, of all their human or basic rights appropriate to the values and principle and
according to the general law, which data or information should comprise an explanation of
those rights and the procedure of applying them descriptively (Szmukler, Daw, & Callard,
2014). If the mentally ill person is not capable to recognize such information, the rights of the
person must converse to the particular illustrative (Molodynski, Rugkåsa, & Burns, 2010).
Principles related to the Rights and circumstances
Every patient in a hospital must be in particular keep the right to acquire full respect
or admiration for their: response everywhere as a person before the law; privacy or
confidentiality (Shea, 2016).
Principles related to admission
Where the mentally ill person requests, medication in the hospital setting, every effort
must be prepared to avoid the involuntary admission. Admission to the hospital must be
organized in a parallel way as admittance to other amenities for any other illness. Nurses and
other staff should work collectively to make sure that the person will get a good care and
disease management that also complete or fulfill the client satisfaction
The values or principles should be apprehensive with the completed work and the
outcomes of the specialized physician in the hospital setting of their usual functioning
environment. The values for particular practice embrace a definition of the significant
personal features that are imaginary to underlie ability in the viewpoint of mental health

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nursing. The standard and principles for the particular exercise the level of job performance
desired the outcomes to the predictable and the circumstantial in which the therapeutic task
presentation takes place (Shea, 2016). The nurses must form a therapeutic communication
with the diseased person with altered mental health status. Any patient with mental problems
frequently seems to be difficult and hard to handle, in this case, the professional nurses must
not be irritated or annoyed and deal with them steadily and or calmly (Stuart, 2014).
Occasionally the patient’s behavior might be worrying and violent; in that case, the mental
nurses should safeguard themselves and talk to the concerning physician or higher authority
(Stuart, 2014).
Conclusion
The altered mental health problem is the problem associated with the brain
functioning that generally caused among the hospitalized person. It is found that the
alterations in the cerebral, emotional, psychological, and personal well-being which usually
escorted by the fluctuations in the patient’s activities or behavior. The person with Altered
mental wellbeing problems frequently not dealt appropriately and with dignity, the medical
professionals or nurses occasionally become impolite and careless. Thus, the essential
principles correlated to the psychological health problems are crucial to discuss. Certain
principles comprise considering the basic human rights of the diseased, caring the minors,
determining the psychological health disorder, keep the diseased person information private,
providing high quality care, including them or/and their family members in decision making
process, planned cute methods must be disclosed with them and their relative or family
member, medicine used for the patient must be uniform, and the treatment-related consent
form must be taken from the diseased person and if the person is not able to provide the
document then it must be debated with his or her family member. The individual often

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requests for the attendance of a known. The secrecy for the patient must be delivered, the
patient has to be knowledgeable with the treatment detail and the predictable of recovery, the
nurses must follow the regular process of protecting the patient from contamination, self-
harm, other injuries. They should also record the disease management process and the
patient's data in the individual’s record sheet.