Unit 2 Ethics and Legal Chapter 6 Flashcards
Voluntary Admission
Voluntary admissions occur when patients apply in writing for admission to the facility.
Do Voluntary Admission patients have the right to obtain release?
A. Yes
B. No
A. Yes
Voluntarily admitted patients have the right to request and obtain release. Before being released, reevaluation may be nec- essary. Reevaluation can result in a decision on the part of the care provider to initiate an involuntary commitment according to criteria established by state law.
Involuntary commitment
Involuntary commitment, also known as assisted inpatient psychiatric treatment, is a court-ordered admission to a facility without the patient’s approval. State laws vary, but they address both the criteria for commitment and the process for com- mitment.
Criteria for Involuntary commitment
- Diagnosed with mental illness
- Posing a danger to self or others
- Gravely disabled (unable to provide for basic necessities such
as food, clothing, and shelter) - In need of treatment and the mental illness itself prevents
voluntary help-seeking
Veracity
- Veracity – duty to be truthful
Fidelity
Fidelity – Do no wrong; maintain loyalty, maintain expertise in nursing skills, being faithful to your promises
Justice
Justice – duty to distribute resources equally, regardless of personal attribute (to be fair)
Autonomy
Autonomy - respecting the rights of others to make their own decision.
The right to approve or disapprove treatment and drugs
Beneficence
Beneficence – the duty to act to benefit or promote the good of others
Bioethics
Bioethics – study of specific ethical issues in healthcare
Ethics
Ethics - study of beliefs of what is right and wrong in society
Patients Rights Under the Law
*Right to Refuse Treatment
*Right to Treatment
*Right to Informed Consent
*Rights Regarding Psychiatric Advance Directives
*Rights Regarding Restraint and Seclusion
*Rights Regarding Confidentiality
Patients Rights Under the Law (Right to treatment)
They include:
* The right to be free from excessive or unnecessary medica-
tion
* The right to privacy and dignity
* The right to the least restrictive environment
* The right to an attorney, clergy, and private care providers
* The right to not be subjected to lobotomies, electroconvul-
sive treatments, and other treatments without fully informed consent
The Health Insurance Portability and Accountability Act (HIPAA),
The Health Insurance Portability and Accountability Act (HIPAA), enacted in 1996, legally protects the psychiatric patient’s right to receive treatment and to have medical records kept confidential. Generally, your legal duty to maintain confi- dentiality is to protect the patient’s right to privacy.
Rights Regarding Restraint and Seclusion
Rights Regarding Restraint and Seclusion
* ONLY utilized in emergency situations, when the patient is danger to self or others
and less-restrictive interventions have failed ** least restrictive interventions are
always tried first **
Right to Treatment
Right to Treatment – quality care
Right to Informed Consent
Right to Informed Consent – informed about disorder, tx options, tx benefits and tx
risks