Posted: September 2nd, 2023

Caring for the Mentally Ill Patient

Moral, Ethical and; Legal discussion. Caring for the Mentally Ill Patient: The nursing profession is an ever-changing profession that has a responsibility of responding to issues concerning protecting a patient, human rights and maintaining their dignity. provide 1000words discussion elaborating on the topic

Caring for the Mentally Ill Patient: Addressing Ethical Responsibilities in Nursing
The nursing profession holds a duty of care towards patients that extends beyond merely treating medical conditions. As healthcare practitioners, nurses are tasked with upholding principles of ethics, human rights, and dignity in all patient interactions. For those experiencing mental illness, demonstrating compassion while respecting autonomy presents unique challenges that deserve thoughtful consideration.
Maintaining Patient Safety and Dignity
When treating the mentally ill, nurses must balance patient safety with preserving their self-determination and privacy. For instance, using restraints could protect an agitated patient from harming themselves but also infringes on their freedom and bodily integrity. Less restrictive alternatives, like verbal de-escalation, should always be attempted first (Substance Abuse and Mental Health Services Administration, 2018). Nurses must also be vigilant against stigmatizing language or behaviors that could damage a patient’s self-worth (Mental Health Commission of Canada, 2017).
Obtaining Informed Consent
Gaining consent is complicated with those experiencing psychosis or cognitive impairment. However, nurses are still ethically bound to involve patients in their own care whenever possible (Canadian Nurses Protective Society, 2019). This may require simplifying explanations, allowing extra time for comprehension, or consulting substitute decision-makers. Even involuntary treatment warrants discussing the plan of care and answering any questions respectfully.
Confidentiality and Privacy
Mental health information is especially sensitive, so protecting patient privacy is paramount. Nurses should only disclose details to other care providers on a need-to-know basis, with consent whenever feasible (Canadian Nurses Association, 2017). Electronic health records also require vigilance, as breaches could lead to stigmatization and barriers to things like employment or housing (Office of the Privacy Commissioner of Canada, 2016).
Advocating for the Vulnerable
Those with mental illness face social stigma and may struggle to understand or assert their rights. Nurses must champion for fair and compassionate treatment, whether advocating in the healthcare system or helping patients navigate community services and the legal system (Canadian Nurses Association, 2008). This means being knowledgeable about relevant mental health and human rights legislation as well as local resources for housing, income support, or crisis intervention.
In summary, caring for the mentally ill demands that nurses thoughtfully consider issues of ethics, consent, privacy, safety, dignity and advocacy in all interactions and decisions. Upholding patients’ autonomy and human rights, while protecting their wellbeing, requires sensitivity, open communication and a willingness to creatively problem-solve challenging situations. Nurses play a vital role in ensuring this vulnerable population receives compassionate, dignified and rights-respecting care.
Canadian Nurses Association. (2008). Code of ethics for registered nurses. Ottawa: Author.
Canadian Nurses Association. (2017). Joint statement on protecting personal health information. Ottawa: Author.
Canadian Nurses Protective Society. (2019). Consent and mental capacity. Ottawa: Author.
Mental Health Commission of Canada. (2017). Toward recovery & well-being: A framework for a mental health strategy for Canada. Calgary, AB: Author.
Office of the Privacy Commissioner of Canada. (2016). Guidance on electronic health records and privacy. Ottawa: Author.
Substance Abuse and Mental Health Services Administration. (2018). Alternatives to seclusion and restraints. Rockville, MD: Author.

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