Sectioning

Question 1

Mental Health Act

Answer 1

compulsory admissions and treatment of MENTAL illness

Question 2

Mental capacity act

Answer 2

consent and capacity, regarding PHYSICAL illness

Question 3

5 aspects of MCA

Answer 3

Presumption of capacity
Individuals should be supported to make their own decision whenever possible
People have the right to make unwise decisions, and this cannot be seen as ‘lacking capacity’
Best interests of the person should always be the priority when making decisions on behalf of someone who lacks capacity
When acting in the best interests of someone lacking capacity, the least restrictive treatment option should be chosen

Question 4

Summary table showing section types

Answer 4

Question 5

What is lasting power of attorney? When does it come into effect?

Answer 5

Lasting power of attorney(LPA) is when a person legally nominates a person of their choice to make decisions on their behalfif they lack mental capacity. LPA only comes into effect if the patient lacks the capacity to decide for themselves. It does not give the person with LPA control over a decision if they can still make that decision themselves.

Question 6

What is deprivation of liberty safeguards?

Answer 6

Deprivation of liberty safeguards(DoLS) involves an application made by a hospital or care home for patients who lack capacity to allow them to provide care and treatment. Whilst in hospital, or a care home, the patient is under control and is not able to leave. This means they are “deprived of their liberty” and require a legal framework to protect them.

Question 7

What is section 17?

Answer 7

Section 17 allows temporary leave from specialist psychiatric unit (exact execution and agreement varies case by case).

NOTE: Can be revoked if needed, and section 18 issues to forcibly return patients who breached section 17 agreements.

Question 8

What is section 18?

Answer 8

section 18 issues to forcibly return patients who breached section 17 agreements.

Question 9

Method of rapid tranquilisation

Answer 9

Aim to calm the patient via de escalation

IM lorazepam on its own OR IM haloperidol + IM promethazine
If one doesn’t work try the other
If one is working, consider another dose if only partial response

Monitor side effects and the service user’s pulse, blood pressure, respiratory rate, temperature, level of hydration and level of consciousness
At least every hour until there are no further concerns about their physical health status
Monitor every 15mins if patient sedated/drugs or alcohol use/physical health problem/experienced harm from restrictive intervention.

Question 10

How often should monitoring be done in rapid tranquilisation? What should be monitored?

Answer 10

At least every hour until there are no further concerns about their physical health status

Monitor every 15mins if patient sedated/drugs or alcohol use/physical health problem/experienced harm from restrictive intervention.

Monitor side effects and the service user’s pulse, blood pressure, respiratory rate, temperature, level of hydration and level of consciousness

Question 11

How often should a patient with lacerations/physical injuries present on body be monitored for in rapid tranquilsiation?

Answer 11

every 15 mins

Question 12

What section is used when a patient is in a mental health facility?

Answer 12

2, CANNOT USE SECTION 5(2) AS THIS I SUSED WHEN PATIENT IS IN HOSPITAL