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Unit 40 dementia care assignment 1
Unit 40 dementia care
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More handpicked essays just for you.
Unit 40 dementia care assignment 1
Unit 40 dementia care
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Even the respondent agreed with the Court of Appeals when they said that it doesn’t matter whether the patient is an inpatient or outpatient or whether the patient is occupying a bed, the hospital is still using the drugs for their own use (Abbott Laboratories v. Portland Retail Druggists, 1976). When an inpatient or outpatient has a take-home prescription, the Supreme Court ruled that the hospital is using the drugs for its own use. This is because the take-home prescription is only used for a limited and appropriate amount of time, and that continuation of care is not unreasonable (Abbott Laboratories v. Portland Retail Druggists,
These days’ patients can either opt out of treatment or health care options in general because the healthcare system has undergone so much scrutiny for many incidents that still go on, because there’s not a day that goes by without see these drug compensation commercials. Compensation for patients whom have suffered the side effects of drugs that were tested on them with vague explanations of how it would work, and we see human beings die off of such careless inhumane acts. Patients should be constantly reminded of their rights, like how the police read one’s Miranda before they arrested it should be the first thing a care giver makes sure his or her patient knows before they agree to any type of treatment that just
Alternatively, in an emergency, urgent and acute prescribing circumstances, supplementary prescribing is not suitable because the clinical management plan needed to be agreed in-between Independent Prescriber, Supplementary Prescriber and the patient before prescribing (DOH, 2006). However, Nuttall and Rutt-Howard (2011) argued that for long term conditions, non-medical prescribers are able to make an independent prescribing decision. Additionally, they stated that for long term conditions, patients are typical, predictable and their response to treatment is straightforward. But they also suggested that if a patient is presented with a condition in which they are competent to prescribe, then non-medical prescribers should be confident and competent to treat patient. ). Nuttall and Rutt-Howard (2011) states that nurses, midwives and pharmacists are capable to prescribe independently, but allied health professionals are able to prescribe only as a supplementary prescribing who needs a CMP to be in place for the patient they want to prescribe.
Strategies are methods or plans that solves a problem; strategies are essential to resolve issues to be able to prevent them from happening again and it helps to do a better job. Computerized physician’s order, electronic medication administration record with a barcode and reviewing the practice standards from CNO such as medication and documentation are the suggested strategies to inhibit the incidents and the breached ethical values from occurring again. Moreover, using information technology is the first strategy to impede medication error in the long-term care facility where an ethical value such as commitment to client was breached.
A piece of legislation was created in 2005, with the purpose to allow clinicians to make decisions for the patient, when it is deemed that they haven’t got the ability to think clearly or understand information that is being presented to them, whether that is permanently or temporarily. Whilst this is the case, different levels of capacity are required for different decisions, so a patient cannot be “deprived of their liberty” (SCAS, 2010, 5) and all decision made in the best interest of the patient must be the “least restrictive alternative” (SCAS, 2010, 7.1). This means that these decisions cannot cause the patient to feel uncomfortable, embarrassed, or be detrimental to their health. Until proven otherwise, everyone is assumed to have capacity to make a decision. There are a variety of reasons that affect a patient’s capacity; neurological conditions (eg. dementia etc), head/brain trauma (eg. concussion etc) learning disabilities, effects of hypoxia, the effects of alcohol or substance use, amongst others (SCAS, 2010, 7.1).
Limitations recognised throughout the SDM process were related to risk of further deterioration in the Consumer’s mental state. As the Consumer was slowly taken off his medications, in a safe clinical manner, his presentation deteriorated. The Consumer’s sleep pattern worsened due to the elevation in his mood, there was a noted increase in impulsivity and poor boundaries with others on the inpatient unit, leading to the Consumer becoming vulnerable. There was a prominent increase in erratic and aggressive towards others, leading to the assault of a staff member on the inpatient unit and subsequently required the use of restrictive interventions. The decline in mental state resulted in the Consumer’s father, case manager and treating team coming together for a family meeting with the Consumer present in which the previous medications the Consumer had been previously prescribed were recommenced in an attempt to re-stabilise his presentation, unfortunately this was a substituted decision made by the consumer’s father and treating tream.
Ethical Dilemmas of Covert Medication Administration in the Treatment of Mental Health Conditions “What’s in the Pudding” is a short text describing how mental health conditions such as dementia and psychosis can present significant challenges in the treatment and care of patients. These conditions can cause many symptoms including confusion, fear, and aggression, making it difficult for patients to adhere to their medical treatment instructions, more predominantly when taking prescribed medications. To ensure that patients will take their medicine, healthcare workers may use a strategy called ‘covert medication administration,’ which involves hiding the medication in the patient’s food or drink so that they are unaware that they are taking
If he desires to exercise his medical bill of right to refuse medication and he is mentally competent, the provider has the obligation to honor the patient’s demands
In care settings the currently legislations, guidelines policies and protocols relevant to the administration of medication would be: - The misuse of drugs act 1971 - The Medicines Act 1968 - Care Standards Act 2000 - The Health and Social Care Act 2001 The Control of Substances Hazardous to Health Regulations 1999 - The RPS Handling Medicines in Social Care Guidelines The recording, storage, administration and disposal of medication must be adhered by employees in accordance with the current policies and procedures. The policies are in place to protect everyone - training must be undertaken or up-to-date before support workers can administrate any medication.
Healthcare professionals must work on the assumption that every patient has the capacity to make decisions about their care, and to decide whether to agree to, or refuse, an examination or treatment. However, in the case that patients are deemed to be lacking capacity the Mental Capacity Act (2005), The Adults with Incapacity (Scotland) Act (2000) legislations must be followed (General Medical Council, 2008). Gaining consent before providing care or treatment to any patient is very important because patient requires
Covert use of medication can be seen as dishonest as the NMC code (2015) states respect the level to which people receiving care want to be involved in decisions about their own health, wellbeing and care; the code of practice also states act with honesty and integrity at all times, treating people fairly. In contrast however, Beauchamp and Childress (2009) highlights non disclosure, limited discolour, deception or lying may be considered when veracity and the principle of autonomy is thought to conflict with other ethical obligation. Jean was given the opportunity to understand and evaluate what was being asked and was provided with all relevant information to support their decision making process.
For this discussion I chose a topic related to work. I am a nurse and a Director of Nursing at a rehab facility. One of my jobs is to look at RTH or return to hospital within 30 days for our patients. The one correlation that I have found while doing my research and looking at each patient that returned to the hospital was that the patient is followed by and MD that only has a mid-level in house 2 days a week was higher than the MD that had a midlevel provided in house 5 days a week. A mid- level provider is someone such as a PA (physician assistant) or a NP (nurse practitioner)
In my experience, where I worked with patients with psychological issues, I have investigated patient’s entitlement to confidentiality. For instance, in a case of Mr Mark with psychological issues, who has epilepsy and on an everyday solution to deal with his condition (Carter, et al., 2015). He attends IT session at the work focus and as I am the in charge healthcare officer for him. While spending time with him, we have encountered some conversation among each other and it is my legal and ethical responsibility for maintaining the confidentiality of my patient unless the information is related to the health of my patient. During the conversation, he let me know that the taste of his medicine refrains him from taking his medicine as required (Carter, et al.,
Payne, 2015). Many decisions are made daily in nursing which we may or may not agree with. If the idea is somewhat like how we would also think or allow something to happen then we will be much more likely to agree with that person’s decision. It will be a lot harder to persuade persons to agree to a decision if we don’t share their attitude and we don’t have the same thought processes that enable that person to reach their decision. Because our thought processes are different then it is unlikely that we can agree on a decision and unlikely that we would change our mind.
Ethics in health care play a vital role every day. The practice of health care includes many scenarios that have to do with making adequate decisions when it comes to patient’s life. For the purpose of this paper, I want to explain the occurrence and some of the ethical concerns found in a case of an elderly patient, who believed in Curanderos and didn’t realize the harm she was doing in regards to her health by not taking her medications. This was a case I found in the book Ethics in Administration a Practical Approach for Decision Makers. The case is the following, Porter Sanders was the assistant administrator at a home health program.