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Week 2 lecture notes
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Week 2 lecture notes anne pottinger mental health
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Mental HealthTalking about legalities assessment, depression, and suicide today
She’s posting a thing showing the table of contents of the 5th edition so that we can figure out
our lives with the fourth edition
Don’t give an MAOI with an SSRI ever - to avoid serotonin syndrome
MAOIs have strict dietary restrictions - no aged cheese, dried fruit
The combo of the two cause a hypertensive crisis (hi ali)
Building Objectives for Week 2
Students will:
- Examine the legal implications of the Ontario Mental Health Act on patient care, patient
safety and mitigating risk Part 1
- Explore ethical issues within mental health care Part 1
- Analyze the importance of assessment and apply the concepts in conducting a mental
status examination Part 2
- Discuss mood disorder – focus depression Part 2
- Analyze the implications of nursing practice caring for patient experiencing depression
Part 2
- Recognize suicide and self injury as key patient safety issue Part 3
Objectives
At the end of the Part I lecture students will:
- Distinguish between ethics and law
- Identify ethical and legal considerations in the provision of mental health care
- Discuss key aspects of mental health legislation - Mental Health Act (Ontario)
○ Voluntarily and involuntary admission
○ Rights advice
○ Community treatment order
○ Competence
- Recognize the importance of rights of persons
Ethics is …
- The consideration of the way a person should act in order to live a good life with and
for others
- Ethics vs law
- Ethics - how you should act?
- Law - be held accountable in terms of the law
- Just because something is legal, doesn’t mean it feels ethical
- It’s legal to make competent decisions
- Fine line brown non-verbal consent and assent
- If the person has pressure to give consent, they can give “assent” Which is the person
just does it because you need to do it even though they don’t want you to? Something
, like that I think - doing it for the sake of without actually will. Eg, person doesn’t want it
but has to be NPO the night before.
- Ethical dilemmas feel mucky and yucky
- If ur trying to solve ethical dilemmas, know resources at hosp, what code of conduct is
…
Moral principles that govern our behaviours, activities, and practice
- Relationships
- Principles
- Duties
- Rights
- Responsibilities
CNA Code of Ethics - framed by seven values with related ethical responsibilities.
Legal Aspects of Caring for Persons with Mental Ilness
- Chapter 5 – Box 5-1 Entry to Practice mental health and addiction competencies
- Domain 1: The nurse provides care in accordance with professional and regulatory
standards when promoting mental health or preventing or managing mental health
conditions and/or addictions
Indicators
- 1:1 Understands and applies mental health – related legislation, and upholds the rights
and autonomy of persons with a mental health condition or addiction
- 1:5 Demonstrates knowledge related to the process of voluntary and involuntary care
- 1.6 Protects clients, self and others from harm in situations where a person with a
mental health condition or addiction poses a safety risk while maintaining the client’s
dignity and human rights.
-
, Forms
● There’s a lot of them and they are confusing (more on this later)
● The text book helps with this, or google.
Need for Hospitalization
- Most clients with mental health illnesses are treated in the community
- Admission into hospital occurs at a time when there is a crisis or danger to the client or
others
○ Client feeling unsafe - Having lost control of self to stay safe
○ Lost any will to live
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