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3 Psychiatry > Ethics > Flashcards

Ethics Flashcards

1
Q

sectioning a patient under the mental health act means you are ONLY allowed to treat the patient in hospital for their mental health T or F

A

T, you cant treat the patient’s physical conditions unless they have incapacity

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2
Q

name the 3 types of detention

A

emergency detention
short term detention
compulsory treatment order

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3
Q

how long does an emergency detention last?

A

72 hours

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4
Q

you must prove a patient has a mental illness before you can detain them as an emergency T or F

A

T

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5
Q

who can agree to an emergency detainment?

A

FY2 or above

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6
Q

who can agree to a short term detention?

A

usually a registrar or consultant AND a mental health officer

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7
Q

how long can a short term detention last for?

A

28 days

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8
Q

long term psychiatric treatment can be provided to a patient detained as an emergency T or F

A

F, can only be emergency medication

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9
Q

how long can a compulsory treatment order last?

A

6 months

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10
Q

what medical staff need to approve a compulsory treatment order before it goes to tribunal?

A

registrar/consultant PLUS a GP/doctor who knows the patient PLUS an MHO

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11
Q

what members make up a tribunal?

A

lawyer
psychiatrist
layperson

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12
Q

criteria for sectioning under the MHA?

A 
mental illness
evidence of harm to oneself or others
impaired to make decisions for oneself
treatment can be given in hospital
NECESSITY
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13
Q

a person may have capacity for one decision but not another T or F

A

T

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14
Q

to have capacity someone must be able to do 3 things….

A

understand and retain relevant info
use and weigh that info to make a decision
communicate that decision

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15
Q

what act is used to measure capacity?

A

adults with incapacity act 2000

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16
Q

what conditions can prevent someone from having capacity

A

mental disorder or underlying physical disorder that does not allow you to communicate in a meaningful way

17
Q

name the 3 types of mental disorder

A

mental illness
learning disability
personality disorder

18
Q

what illness is the main cause of incapacity?

A

dementia

19
Q

what conditions can impact someone’s capacity?

A 
dementia
delirium
schizophrenia
bipolar
learning disability
20
Q

why must capacity be reassessed?

A

it can fluctuate ie you can be cured of a condition that causes you capacity issues

21
Q

what info does a patient need to be able to consent to an intervention?

A
  1. what the intervention is, its nature and purpose, why its being proposed
  2. main benefits/risks/alternatives
  3. consequences of not receiving intervention
22
Q

when should capacity be assessed in an emergency?

A

deal with the emergency situation first then if non-emergency treatment is required assess capacity then

23
Q

who should you consult with on someone’s behalf about an intervention?

A

welfare attorney

welfare guardian

24
Q

when going ahead with an intervention in an emergency what should you do?

A
  1. make sure the intervention benefits them
  2. make sure the benefit cant be achieved without the intervention
  3. take account of past/present wishes
  4. consult with other relevant people
  5. encourage adult to use residual capacity
25
Q

what do PoA’s deal with?

A

your finances, welfare and property

26
Q

if you dont have a PoA and you fall ill what happens?

A

you need to have a guardian appointed to you by a sheriff which involves alot of paperwork

27
Q

when treating someone who lacks capacity what form should be filled out?

A

section 47 certificate of incapacity

28
Q

how should you fill out a section 47 certificate of incapacity form?

A
  1. talk to them to assess their capacity
  2. write down your opinion on their capacity
  3. fill out the form
29
Q

AWI act only allows you to treat a physical disorder T or F

A

T, if they have a mental disorder it is managed under the mental health act

30
Q

are you allowed to disguise medication eg in sweets?

A

yes if you feel that is the only way you can treat them

you have to weigh up the benefits

31
Q

if a patient is under 16 can they consent to treatment?

A

can consent on their own behalf if a qualified medical practitioner agrees

32
Q

who can help if someone can’t articulate themselves about their capacity?

A

SALT

33
Q

how can you assess someone’s capacity about going to a care home?

A

ask “do you know what a care home is?”

34
Q

acute confusional state is classed as a mental illness T or F

A

T, you should section under the MHA for this

3 Psychiatry (28 decks)

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