It’s the right thing to do.
But this now means that anyone who [...]
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Nowadays, consent for information sharing is pretty much always sought – except in some circumstances. Patients, clients and even service users are often formally asked to sign consent as to who can receive what information about them before it gets passed around.
I thought I ‘d trial a new idea on the MN site based on the precept that several student (and pre-student) nurses visit this site. I’ll open up a forum discussion for feedback on the idea in general but leave this thread for responses to the vignette.
The idea is to set a [...] Did you all miss me? I decided to wait a couple of days after returning from the Comrade Stalin Expects Productive Diligence Recreational Facility, Scarborough before making any fresh posts. A bit of time to properly unwind from my sunny holiday and to allow the radiation poisoning to fade.
Since Mr Ian is [...] Mental health care most often becomes ethically clouded when it interacts with the law.
Jodie is a 19 year old female who is voluntarily admitted to the acute mental health unit following a suicide attempt whilst under the influence of alcohol. This is her first presentation to the service and you spend some time [...] Saturday at 2pm you arrive for your afternoon shift as nurse in charge of the acute mental health unit to be informed of a new admission. Joe (from previous vignette), was reviewed by the community consultant psychiatrist and admitted voluntarily on Friday afternoon (with some persuasion).
A slightly simpler vignette, but one that happens quite often where I work… You are a staff nurse on a locked ward. After supper, Bill the patient comes up to you, appearing agitated. He says he’s feeling stressed (or words to that effect) and needs a [...] Joe, having managed to stay for the weekend and not get “sectioned”, is reviewed again by the treating team on Monday. Following review the registrar tends to the consultants requests to run “routine admission blood tests”. He writes out the pathology lab request form and pops it in the pending tray.
When the phlebotomist [...] I like dropping in the odd buzz word.
Joe has consented to trial Clozapine. He has undergone all the tests, titration and monitoring is progressing without incident and is now at day 12. He’s receiving 50mg in the morning and 200mg a night and progress seems to be looking good. My mind was wandering during a session today (my mentor can be very waffly) and the following little scenario drifted into my mind. So I thought I’d share….
Sometimes on a psychiatric ward ward patients have had their cigarettes rationed by the nurses, so they’re only allowed one every hour or so. I’ve come across a few occasions when people have argued whether or not it’s ethical to do this, so I thought I’d do a case study vignette on the [...]
A person moves to a local small community. One of the community team knows him from previous admissions to hospital in another region following “bizarre behaviour” in public.
The man is known to have a diagnosis of “Schizophrenia”. Anecdotal reports suggest that the person can become extremely unwell within a month if not taking [...] Here’s a vignette from me, on the subject of eating disorders.
Kate is 15 years old, with a diagnosis of anorexia nervosa, currently being treated on an inpatient unit. She has a BMI of 14, which makes her severely underweight. She looks pathetically thin, is growing lanugo hairs, her periods have stopped and her [...] |
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