Write about the Hai’s Psychiatric Treatment Procedure.
Hai a 20-year-old male patient who was brought to the emergency Department of Brisbane hospital. Hai was brought to the hospital by the paramedics after a bystander saw Hai jumping out from a first-floor building’s balcony. He sustained some injuries in his arm where the doctors ruled out that his arm was broken. Hai remained quiet after his admission and the doctors were not sure where triggered the incident. A nurse who works in the emergency department Mark Traves was able to make Hai talk about himself. Hai lived alone as he was a student in Brisbane university. Hai has a big brother who also studies in Brisbane but his parent lived up north in Queensland. Mark had a connection with the patient and he was able to make him open up. Hai told the nurse that there were intruders in the house so he needed to jump to escape. After this Hai did not say more which left Mark with so many unanswered questions. This made the nurse curious as he went to check for Hai’s records relating to his admission (Husted, 2008).
The paramedic indicated that they did not find any intruder in the house and this left so many questions unanswered. Mark went on and checked Hai background and history in the hospital’s records. Mark found out that he was a psychiatric patient at the same hospital. Mark spoke to his psychiatrist who told him that mark experience psychiatric episodes which make him delusional at times (Swain, 2009). The doctor told Mark that Hai had gone through a diagnosis in the hospital and the doctors ruled out that Hai was not a threat to himself or others.Dr chin, Marks colleague run some test which indicated that Hai experienced a psychotic episode which made him delusional. As the doctor run up the test Hai told Dr Chin to hurry up as the intruders were on their way. Dr Chin advised Mark the nurse to first treat the mental illness so that he can the physical injuries can be treated. Mark consulted the patients as required by the mental health Act 200 that the patients should be informed of any procedure before it is executed (Cavusgil, 2014).
Mark told Hai that he was experiencing some hallucinations and the intruder did not exist. Hai denied the claim saying he has never experienced any hallucinations in his life. He further told Mark that he did not want any psychotic medication and he insisted on being discharged from the hospital. He told the nurse that he would take care of himself since he had the medical training of which he never did. According to the mental health act, if the patient is involuntary about the treatment and he is admitted to the authored mental health the patients automatically becomes a voluntary patient who can be detained at the authorised hospital for up to 24 hours. The hours could be extended up to 72 hours if the doctor finds out that the patient is not fit to be discharged. The time is calculated from the time the patient was admitted to the hospital. Hai older brother also came to the hospital and he gave the doctor the go ahead to treat his brother. A family member also gave the doctor the go ahead to treat Hai (Galliers, 2012).
Mark before initializing the psychiatric treatment of Hai he should consider the ethics issues as a nurse treating a mental patient without his consent. The ethical issue is there to guide and direct the medical practitioner in the hospital. Some of the ethical issue that registered nurses should follow include maintaining the commitment to the client choices, consulting other medical practitioner in medical cases, advocating for safe and competent nursing care in the hospital, engaging in the development of practice standards ,issue statement and position papers on professional issue, working with colleagues to identify crucial ethical issue for professions, encouraging and facilitating cooperation and collaborations between professional and between agencies to effect improvement within the health care. Mark should consider the choices of the patients before proceeding with any medical procedure. Hai had denied any medical care and he even insisted on leaving the hospital. Brisbane is Hai hospital where Hai was a psychiatric patient undergoing the medical care in the hospital before the doctors ruled him out that he was not a threat to his life or other people. Since he was undergoing the treatment in the hospital, the hospital becomes his authorised hospital. In this case, the hospital has the right to admit the patients for 24 hours to treat him and if he is not stable by 24 hours the hospital has the right to extend up to 72 hours. The doctor had the consent of Hai’s older brother who wanted Hail to recover. Following the law on mental health act, 2000 (Gastaldon, 2007), Hai decision was overruled in this case. Mark has to consult with other medical practitioners to ensure he is following the ethical rules of the hospital. Mark has to follow the practice standards, position papers and the issue statement on professional issues like in this case. Mark has to involve doctor who treated him in the psychiatric session since he understands the case better. The outcomes of the patient had to be shared with his brother and other close family members (Stanhope, 2016).
In the hospital, the nurse and doctors have to follow and obey the ethical and legal decision-making process before treating any patients especially the patients with the special needs. The ethics help the medical practitioner in difficult cases and situation. The ethics and the legal system also help in resolving the health care conflicts which arise from the patients neglecting medication and medical care, the hospital settings, long-term care of the patient and the environment of the hospital. The main aim of the ethics system is to help in decision making when there is a disagreement between the values of the patients, medical practitioners and the family of the patients. The ethics help the nurses to choose the best values and decision in that environment. In this case, Hai’s health was at risk due to the injuries incurred from jumping from the balcony and the mental health problem of hallucinations.Mark was in a difficult place since the patient Hai declined to talk and refused any treatment. He also demanded to go home immediately. Mark as a nurse is trained to calm such patients who decline medical care when they are sick. In this case, it was more severe since the patients had a mental health issue. Mark had to make a decision on what to do to the patients who refuse medical care (Staunton & Chiarella, 2016). According to the ethical and legal rules of any hospital is to value the important things first which in this case was to treat Hai’s mental illness so that he could calm down and let the doctors treat the broken ribs. The importance of the ethical decision-making framework is to identify the value and situation that would be best considering the ethical implication. Hai had to be treated immediately since it is the best decision here that would benefit everyone in involved. Mark has to come up with an efficient method for making a difficult decision (Silva, 2008).
The method involves consulting with other doctor and especially the psychiatric that treated Hai. The information gathered from consulting would enable the doctor to make a clear decision on what to do. Mark should discuss the consideration with the patient, family and other medical practitioners involved (Freckelton & Petersen, 2006). Mark had to work with the best acceptable solution and decision agreed upon by the family and other staff members involved.Mark had also to work with a decision that represents the patient’s wishes balanced against ethical considerations such as professional standards, policies and best interest. The policies he had to consider was the Mental Health Act 2000 which allowed the patients to make his decision if he was not previously admitted to the hospital In (Robichaux, 2017).
In this case, he would consider letting Hai walk out of the hospital without proper medication. This would be against his professional standards. Mark had the support of the patient’s family member hence he had the obligation of following his professional standard and advice given by other members involved in the case. Mark had to treat Hai’s condition since his judgment could have been affected by the mental health.Mark had to consider what would happen if he let Hai walk out of the hospital sick. He would end up getting more injuries or probably harming other people out there. Brisbane was Hai’s referral hospital since he was receiving psychiatric treatment in the hospital. This was another reason why Mark had to keep Hai in the hospital for treatment since according to the mental health Act 2000 indicates that if the patient was previously admitted or receiving treatment in the hospital the hospital had the right to hold him for a 24 hours or more according to his condition. Mark ended up admitting Hai to the hospital for treatment (Husted, 2008).
References
Husted, J. H., & Husted, G. L. (2008). Ethical decision making in nursing and health care: The Sym phonological approach. New York: Springer Pub. Co.
In Robichaux, C. (2017). Ethical competence in nursing practice: Competencies, skills, decision-making.
Ivanov, L. L., & Blue, C. L. (2008). Public health nursing: Leadership, policy, & practice. Australia: Delmar Cengage Delmar.
Silva, M. C. (2008). Ethical decision making in nursing administration. Norwalk, Conn: Appleton & Lange.
In Stanhope, M., & In Lancaster, J. (2016). Public health nursing: Population-centered health care in the community.
Stanhope, M., & Lancaster, J. (2014). Foundations of nursing in the community: Community-oriented practice.
Galliers, R.D. and Leidner, D.E., 2013. Health Information: challenges in managing information systems. Routledge.
Cavusgil, S.T., Knight, G., Riesenberger, J.R., Rammal, H.G. and Rose, E.L., 2014. International Health. Pearson Australia.
Swain, P. A., & Rice, S. (2009). In the shadow of the law: The legal context of social work practice. Annandale, N.S.W: The Federation Press.
Gastaldon, R., & Queensland Parliamentary Library. Research Publications and Resources Section. (2007). implementing further recommendations of the review of the Mental Health Act 2000 (Qld): The Mental Health and other Legislation Amendment Bill 2007 (Qld). Brisbane: Queensland Parliamentary Library.
Staunton, P. J., & Chiarella, M. (2016). Law for nurses and midwives.
Freckelton, I. R., & Petersen, K. A. (2006). Disputes and dilemmas in health law. Annandale, N.S.W: Federation Press.
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