Sectioning Flashcards
Mental Health Act
compulsory admissions and treatment of MENTAL illness
Mental capacity act
consent and capacity, regarding PHYSICAL illness
5 aspects of MCA
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
Summary table showing section types
What is lasting power of attorney? When does it come into effect?
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.
What is deprivation of liberty safeguards?
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.
What is section 17?
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.
What is section 18?
section 18 issues to forcibly return patients who breached section 17 agreements.
Method of rapid tranquilisation
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.
How often should monitoring be done in rapid tranquilisation? What should be monitored?
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
How often should a patient with lacerations/physical injuries present on body be monitored for in rapid tranquilsiation?
every 15 mins
What section is used when a patient is in a mental health facility?
2, CANNOT USE SECTION 5(2) AS THIS I SUSED WHEN PATIENT IS IN HOSPITAL
