Medical Legal Aspects in Psychiatric Nursing

 

Medical Legal Aspects in Psychiatric Nursing

2.     (I) Discuss the medical legal aspects in Psychiatric Nursing under the following headings (Mental Disorder Ordinance).

 

1. Voluntary admission (10 %)
2. Compulsory admission (10%)
3. Affidavit    (10 %)
4. Discharge from Psychiatry Hospital (10%)

 (II)             Discuss Psychiatric Nursing under the following headings:

 

5. Define Psychiatric Nursing (5%)
6. What does the nurse do as a process of carrying out psychiatric nursing   (5%)
7. Discuss therapeutic self     (30%)
8. List 7 characteristics of artfully therapeutic practice.

Medical Legal Aspects in Psychiatric Nursing

(I) Mental Disorder Ordinance:

a. Voluntary Admission (10%):

• Voluntary admission refers to the process by which a patient willingly seeks admission to a psychiatric hospital for treatment without any external pressure or coercion.
• Under the Mental Disorder Ordinance, individuals who are deemed mentally competent have the right to voluntarily admit themselves to a psychiatric facility.
• The process typically involves signing consent forms and agreeing to abide by the rules and treatment plans set forth by the hospital.

b. Compulsory Admission (10%):

• Compulsory admission, also known as involuntary admission, occurs when a person with a mental disorder is admitted to a psychiatric hospital against their will due to a risk of harm to themselves or others.
• The Mental Disorder Ordinance outlines specific criteria and procedures for compulsory admission, including psychiatric assessment and authorization by a designated authority, such as a psychiatrist or mental health tribunal.

c. Affidavit (10%):

• An affidavit is a legal document that provides sworn testimony or evidence, typically written and signed by the person making the statement.
• In the context of psychiatric nursing and the Mental Disorder Ordinance, an affidavit may be required to support a request for compulsory admission or to provide evidence of a patient's mental state and need for treatment.

d. Discharge from Psychiatry Hospital (10%):

• Discharge from a psychiatric hospital occurs when a patient's treatment goals have been achieved, and they are deemed stable and capable of managing their condition in a less restrictive setting.
• The process of discharge involves assessment by a multidisciplinary team, including psychiatrists, nurses, and social workers, to ensure the patient's safety and well-being upon return to the community.
• The Mental Disorder Ordinance may specify criteria and procedures for discharge, including follow-up care and support services.

(II) Psychiatric Nursing:

e. Define Psychiatric Nursing (5%):

• Psychiatric nursing is a specialized area of nursing that focuses on the care and treatment of individuals with mental health disorders.
• It involves providing holistic care, including assessment, diagnosis, planning, implementation, and evaluation of nursing interventions to promote mental health and well-being.

f. Nurse's Role in Psychiatric Nursing (5%):

• The nurse's role in psychiatric nursing involves:
  • Conducting comprehensive assessments of patients' mental health status.
  • Developing individualized care plans in collaboration with the patient and interdisciplinary team.
  • Implementing therapeutic interventions, such as medication administration, psychotherapy, and psychosocial support.
  • Evaluating the effectiveness of interventions and adjusting care plans as needed to promote recovery and stability.

g. Therapeutic Self (30%):

• Therapeutic self refers to the nurse's ability to establish and maintain therapeutic relationships with patients based on trust, empathy, genuineness, and respect.
• It involves self-awareness, emotional intelligence, and effective communication skills to facilitate healing and growth in patients.
• Therapeutic self enables the nurse to create a supportive and nonjudgmental environment that fosters collaboration, empowerment, and positive change.

h. Characteristics of Artfully Therapeutic Practice:

1. Empathy: The ability to understand and share the feelings of patients, promoting trust and connection.
2. Authenticity: Being genuine and sincere in interactions, building rapport and credibility.
3. Active Listening: Attentively listening to patients' concerns and experiences, validating their emotions and perspectives.
4. Nonverbal Communication: Using body language, facial expressions, and gestures to convey empathy and understanding.
5. Therapeutic Boundaries: Maintaining professional boundaries while being emotionally present and supportive.
6. Cultural Competence: Respecting and valuing diversity, considering cultural beliefs and practices in care delivery.
7. Self-Reflection: Engaging in ongoing self-assessment and professional development to enhance therapeutic effectiveness.

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This discussion provides an overview of the medical legal aspects of psychiatric nursing under the Mental Disorder Ordinance, as well as key concepts and practices in psychiatric nursing, including the nurse's role, therapeutic self, and characteristics of artfully therapeutic practice.