In addition, Mr Young was deemed lacking capacity because he scored low with a mini mental state examination (MMSE), his score could have been associated to a UTI or some cognitive impairment, bearing in mind; he’d been diagnosed with dementia. Within the hospital setting this is an ongoing daily challenge across the field and often medical professionals find this challenging. MMSE is primarily based on requiring clients to answer various questions, this does not focus on a specific decision to be made (Dawson & Heath, 2008; Mental Health Foundation, 2012). However, the MMSE could still be useful as part of MCA, ensuring that the client is aware of whom they are, date of birth, time, address, month, year as well as ability to retain information (Mental Health Foundation, 2012). From time to time the MMSE can be an indication to request for further examination when clients scores very low in the test. For example, on discussion during weekly multi agency meeting, medical professional were advised to carry out further investigation as this may be as a result of cognitive impairment or (UTI). However, the MMSE is not frequently reviewed at different time of the day. For example, someone suffering from Dementia may be …show more content…
She refused amputation as advised by medical team who was treating her at his time. There were confusion around her capacity to make medical decisions and she was discharged without having surgery to her foot. On returning home, her foot became mummified and detached itself and required a procedure to close the wound. JB continues to change her mind to the event that her foot needed to be amputated to prevent infection. The NHS applied to the Court of Protection for a declaration that JB lacked capacity to consent to have medical treatment and it would be at her best interests to have an amputation through her knee and to be sedate if she
How do the issues facing those doing strategic planning differ from those doing tactical planning? Can the two really be
According to the American Psychiatric Association (APA), it defines mental illness as Mental illnesses are health conditions involving changes in thinking, emotion or behavior (or a combination of these). Mental illnesses are associated with distress and/or problems functioning in social, work or family activities. (What Is Mental Illness? (n.d.). Retrieved June 26, 2016, from https://www.psychiatry.org/patients-families/what-is-mental-illness). Mental Disorders are a wide range of mental conditions that affect mood, thinking, and behavior. There are a lot of different psychological disorders here is a list of the major psychological disorders and their definitions:
While working, Alex Bennett slipped and fell onto a lumber saw, severing his ankle joint. After cleaning and stitching his hanging foot to his leg, Myra and Alex traveled 60 miles to the doctor in Bonne Bay while Myra was pregnant. Due to her efforts, amputation was avoided. (Green, 1973/2012, pp. 127-133)
A communication issue that has been identified in this scenario is that John has a cognitive impairment and suffers from Alzheimer’s disease, this is causing John to have difficulties with memory and thinking. Anne is not effectively dealing with this situation with the correct communication. Whilst attending to a patient with a cognitive impairment, enough time must be allowed for them to respond, as well as only asking one question at a time, with the use
The CPA is a care management process for people with mental health and social care needs, including managing associated risks. The CPA main elements are: Assessment, Care coordinator, Care planning, Review, Transfer and Discharge. The National Standard Framework for Mental Health introduced it to supply a framework for effective mental health care (DOH, 1999; DOH, 2008; Gamble, 2005). Under CPA, John may use an Advance statement to illustrate his personal preferences and what he would like to happen in regards to his personal and home life should they come to lack capacity. These are important mechanisms for safeguarding and promoting a patient’s interests and health. The CPA is grounded in values and principles that are central to personalisation brought about when in March 2008 ‘Refocusing the Care Programme Approach’ was issued. This updated guidance highl...
According to Chalmers, assessment of oral health is generally dependent upon the ability of the resident to self identify problems with their oral health and their ability to cooperate and communicate with the nursing staff(3). This illustrates a problem with those patients who do not have the cognitive ability to self identify dental problems and then effectively communicate those problems to professionals. This is extremely common with patients who suffer from dementia.
The Mental capacity Act 2005 is a very important piece of legislation, because it makes a real difference to the lives of people who may lack mental capacity. The act will empower patients to make their own decision; it will also protect people with lack capacity by providing them with a flexible framework that places individuals at the very heart of the decision-making process.it will make sure that the patients with lack of capacity participate as much as possible in any decisions made on their behalf, and that these are made in their best interests. It also allows people to plan ahead for a time in the future when they might lack the capacity, for any number of reasons, to make decisions for themselves. The Act covers a wide range of decisions and circumstances; the act is supported by the practical guidance, and the Code of Practice which provides information about how the act works in practice. (http://www.direct.gov.uk 2007)
The Mental Capacity Act 2005 (MCA) is designed to protect and empower individuals who make lack the mental capacity to make their own decisions about their care and treatment. The law applies to individuals aged 16 and over.
Throughout Jessica’s journey of losing her leg she acquires an enormous level of support and comfort from her family while she is finding her way. Losing a leg is something that nobody ever wants to happen, but Jessica didn’t get this choice. Along the way of the process of healing Jessica’s
According to the NICE (2015) health and social care professionals should always seek valid consent from people with dementia. This should entail informing the person of options, and checking that he or she understands, that there is no coercion and that he or she continues to consent over time. If the person lacks the capacity to make a decision, the provisions of the Mental Capacity Act 2005 must be followed. The nurse assessed the patient capacity and ensured that the decision made was in the best interest of the patient. The doctor uses specialist knowledge and experience and clinical judgement, and the patient’s views and understanding of their condition, to identify which investigations or treatments are likely to result in overall benefit for the patient (GMC, 2008). They took into consideration how the decision made will benefit Jean. After carrying out a full assessment, it was clear that Jean lack capacity and was therefore place under the mental capacity act
When I first began hearing Mental Health, I thought it was a nice way of saying you’re dealing with crazy people (I know we are not supposed to say this). I have learned that Mental Health is an umbrella under which Mental Illness or Disorders are developed or discovered and treated. Everyone has Mental Health whether they have a problem or not is another question. I think every place of employment should be required to have classes on mental health and customer service no matter line of line it is. This would help solve some of the problems we have with work place violence and stress and some of the issues with the police. It would also help lead some people to getting the help they may need on their own
This is in place to ensure that all care principles are met to the service users own standards, as each individual has different needs and preferences when it comes to their own health care. “Offering personalised care, support and treatment. Supporting people to recognise and develop their own strengths and abilities to enable them to live an independent and fulfilling life” (The Health Foundation, 2014). This means that, when a service user is given person centred care then their safety is a priority to the service as the staff will need to ensure that individuals are calm and comfortable so they can then be aware of any situations that may cause discomfort, which may signal that the individual has problems within their home life such as physical or emotional abuse. These could be signs such as: always being thirsty or hungry, could link to malnutrition; acts of self-consciousness; unwillingness to be examined by GP; unexplained bruising; shaking of the body while the temperature is warm; poor concentration, etc. if a professional noticed these signs then they would report this to their line manager, who may alert authorities, and keep a record so that they will be able to ensure the safety of the service user (Royal College of Nursing,
...could be greatly improved by depicting some patients having forgotten who they are. In one study, it suggests that “short –term memory loss is common but underestimated because psychiatric symptoms and speech problems often interfere with the assessment of memory.
I introduced myself to the patient stating that I was a student nurse and gained verbal consent to carry on with the assessment, as a student nurse you must respect patients wishes at all times, if t...
A psychiatrist must fulfill the training and education necessary to obtain this degree. On average for this career is about a 6-8 year process when you plan to receive your doctorates degree. Also it will take about 6 years full time and about 8 if part-time. Therefore you will have accumulated 21 credit hours .in addition if you plan to attend KSU and will be entering their psychology program at their university. The requirements for attending this school is you must maintain a 3.0 GPA the cost for attending this school is about $32,236 with scholarships and $46,236 without (Estimating Cost 1). Financial aid will pay the bulk of the money needed to pay for my college career. The specific course you need to go there is the psychology program and the medical program because you have to license to give out prescriptions for medicine before you graduate.