Informed Consent In Nursing Essay Discussion
250-word essay on Informed Consent In Nursing Essay
Unit 1 Assignment – Clinical Preparation Journal
Patients have legal rights to determine the kind of therapeutic intervention for their condition and whether or not to participate in a clinical study/project through informed consent. Equally, providers are bound by law and ethical standards to provide patients with enough information for sound health decisions. The proposed intervention or clinical trial, costs and benefits, and available alternatives must all be included.
The components of informed consent include volunteerism, competency, disclosure, understanding, and decision (Neilson & Chaimowitz, 2015). Volunteerism ensures that the client is not manipulated, while competency determines a client’s capacity to understand and reason. The disclosure includes information on relevant policies, legal and ethical frameworks guiding practice provided by the physician. Understanding determines the patient’s ability to comprehend and appreciate information about his/her situation. Lastly, the decision refers to the patient’s approval of a proposed clinical intervention.
Informed consent can be breached when the patient is incapacitated, voluntarily waiver, when a patient is a danger to themselves and others, or when the patient is in a life-threatening emergency with a short time to obtain consent (Zur, 2020). However, each state has a specific law that guides the determination of a surrogate decision-maker. Equally, a legal guardian can be appointed by the court to make decisions for the patient.
Informed Consent among Minors
When it comes to children, the law argues that it is beyond their capacity to provide medical consent (Shah et al., 2020). Thus, the law allows one parent (s), guardian (s), or court to give informed consent for minors. However, both parents’ consent is recommended where the planned action poses a danger to the minor or contradicts either or both parents’ personal or religious convictions. Equally, the juvenile court intervenes when the parents disagree over a proposed intervention.
Committee on Bioethics. (2016). Informed consent in decision-making in pediatric practice. Pediatrics, 138(2). https://doi.org/10.1542/peds.2016-1484 (Informed Consent In Nursing Essay )
Neilson, G., & Chaimowitz, G. (2015). Informed consent to treatment in psychiatry. Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie, 60(4), 1. (Informed Consent In Nursing Essay ) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4459249/
Shah, P. R., Grewal, U. S., & Hamad, H. Informed Consent. Retrieved 12 May 2021, from (Informed Consent In Nursing Essay https://europepmc.org/books/n/statpearls/article-23518/?extid=29083707&src=med
Zur, O. (2020).Introduction to Informed Consent in Psychotherapy, Counselling, and Assessment. Retrieved 12 May, from https://www.zurinstitute.com/informed-consent/#:~:text=It%20often%20involves%20a%20process,obtaining%20consent%20from%20the%20client\ (Informed Consent In Nursing Essay )
Unit 15 Initial Discussion Post on Suicide Risk
1. Discuss the importance of informed consent in psychiatric-mental health treatment.
Like any other patient, individuals with psychiatric issues are active participants in our respective societies with rights stipulated in State statutes, including the right to decide what happens to one’s body (Neilson & Chaimowitz, 2015). Patients with mental capacity have the right to make autonomous decisions concerning their lives based on free and informed consent.
2. Would Mr. Knox meet the criteria for involuntary commitment, explain why or why not, and then discuss the involuntary commitment process for your state and if PMHNP can involuntarily commit a patient to the state where you practice?
In my considered opinion, Mr. Knox satisfies the parameters of involuntary commitment. In California 5150, the criteria for the hold stipulates that if an individual manifests signs and symptoms indicative of danger to self, a danger to others, or gravely disabled, then the court can order Dale Knox to a mental hospital. In California State, there are legal standards and guidelines to follow when a mentally ill person can be forced to receive treatment. If the guardian or conservator or the patient is not agreeable to a voluntary commitment, state law has provisions on the procedure for involuntary emergency hospitalization.
Should the PMHNP notify Mrs. Knox about her husband’s threat to kill her, or should the PMHNP protect the confidentiality of Mr. Knox’s treatment?
The PMHNP is required by law to notify Mrs. Knox of her husband’s threats to murder her and then take out his life as a necessary measure to ensure Mr. Knox’s murder-suicide plan does not come to fruition.
3. What additional resources should you consider in this case to help for the patient and his family?
Section 5150 of the California Welfare and Institutions Code under the Lanterman –Petris –Short Act or LPS Conservatorship allows a qualified officer or clinician to involuntarily confine an individual considered to have a mental disorder that makes one a danger to oneself and others, and or is gravely disabled. Additional personnel and resources include but are not limited to a California police officer or a specifically designated county clinician to request confinement once the officer has signed the necessarily written declaration.
4. What is the prevalence of suicide related to someone who has a plan and the means? Are there any other criteria that this patient meets that place him in a higher risk category for carrying out suicide?
It is reported that in 2019, about 24 000 people died of firearm suicide in the US (UC Davis Health n.d. citing WISQARS, 2018). The statistics mean that about 50% of all suicides in the US were executed through firearms – the very tool Knox intends to use. Bilsen (2018) further notes that youth is a risk factor for suicide, which means the patient in the case study falls under this age group(18-35 years) at 32 years and divorce only exacerbates the problem.
Bilsen, J. (2018). Suicide and youth: risk factors. Frontiers in psychiatry, 9, 540.
Neilson, G., & Chaimowitz, G. (2015). Informed consent to treatment in psychiatry. Canadian Journal of Psychiatry. Revue Canadienne de Psychiatry, 60(4), 1.
Turecki, G., & Brent, D. A. (2016). Suicide and suicidal behavior. The Lancet, 387(10024), 1227-1239.
UC Davis Health,(n.d.) What You Can Do URL: https://health.ucdavis.edu/what-you-can-do/facts.html Accessed November 2, 2021