It is easy to just follow along with the laws and rules of the health care system; however, a nurse must advocate for the patients. In the case of dealing with an individual with mental health issues that requires treatment; it is necessary that a nurse provide resources that could benefit the patient and their family. Not only did this book, greatly and positively impact the nursing care that one provides, it also showcases how skewed the healthcare/mental system is. This system is focused on the laws, that are focused on the rights of the patient, and therefore fail to note that some patients with psychological issues, lack the insight or judgment to make informed decisions. The three categories to involuntary detain someone only help a small population. What about someone that is wandering the streets talking to themselves, clearly needs help, and is made fun of by the community. This person is labeled by society as “Crazy”, yet because they are not a danger to themselves, not a danger to others, or gravely disabled, they can continue to roam the streets without treatment. The healthcare/mental health system, is greatly influenced by the legal/justice system. The legal/justice system is also skewed, as this system focuses on the rights of the patient, and fails to address what is medically best for the individual. There is a disconnect with what is medically correct, as…
In this article, the incarceration of the mentally ill is encouraged because it is safer than keeping them in mental institutions. It claims that mental institutions are extremely dangerous by their very nature and the nurses there are trained to treat the mentally ill, not to keep them from hurting themselves or other people. In prisons however, the guards are equipped with the experience of a 16 week training program and are able to handle any commotion that might be made without endangering the lives of the prisoners or the public. This viewpoint is contrary to that in Pete Earley’s book because it endorses the imprisonment of the mentally ill, while in contrast Earley strongly believes the mentally ill need treatment, not imprisonment.…
Solitary confinement needs to be eradicated not only because it changes peoples’ brains but also because it has an indelible effect on a person’s “whole person”, their essence. Hard Rock’s treatment, which is now illegal, is no different than modern day prisoners’ treatment. Both treatments yield the same thing: distortion of the mind and in severe cases, a disabling of it. Simply, these inhumane acts detract a significant amount of humanity from a person. It takes away dignity and self-awareness in some cases. It plagues the youngest, troubled, testosterone- fueled inmates with senescence. This is beyond cruelty, this passes into the realm of evil, exorbitant torture. Why is torture acceptable in today’s society? Is the government really…
If an issue of challenging behaviour occurs within the Home, staff should try techniques to calm the situation to prevent any further disruption and try to identify any triggers. These techniques may include music therapy, relaxation therapy, complementary therapies and multi-sensory environments. Staff should receive training on these areas and techniques so that if a situation does arise, they're equipped with information and confidence to handle the issues without any further implications arising. If these are successful, the Care Plan must be updated immediately and this information must be passed over to the senior in charge or the General Manager so that it can be passed on to other appropriate members of staff. This will then provide others with the right tools to prevent a situation or to help manage it if one does arise again. The Care plan must be reviewed and updated every time an incident occurs. Restraint can be used as a way to manage challenging behaviour however this should always be a last resort and only if the danger to the service user outweighs the effect of losing their freedom. If restraint is used too frequently or for inadequate reasoning, it can damage a person’s mental and physical well-being; subsequently causing them to become more dependant, can increase the risk of pressure sores, incontinence and loss of dignity. If restraint is going to be used as a last resort, the senior in charge or the General Manager must be informed and must be in charge of the situation at hand. There should be clear instructions of what’s going to happen, to the staff and the resident to avoid further distress and not provoke further action from the service user. The Care Plan must be updated and the family should be informed immediately so that they can be involved in the risk assessments put in place.…
One of the worst forms of violence Assata endured was being kept in solitary confinement without a particular motif. This forced inertia manifested itself physically in Assata. She states: “I have always been an active and restless person, and being locked up in that little cage all day drove me wild. I needed to stretch my legs. I started to run around the cell.…
Staff/personnel who are dealing with mentally ill patients need to be trained in many different areas to become effective in each patient’s life. The staff members need to fully understand the clinics policies, plans, and programs that have been put into place for the safety and protection of all patients and staff members. With there being more than 200 types of mental illnesses, the staff needs to know and understand the different types of symptoms and disorders so that they can properly handle each individual per clinic policy (Mental Illness and the Family: Recognizing Warning Signs and How to Cope, 2013). Support groups have been proven as a useful tool for therapy, and patients need a support network either through staff/personnel, other patients, or outside sources such as friends and family. Staff members need to be helpful and considerate with each patient, each having the understanding that they can have a positive or negative effect on each individual. Showing respect to each patient will help remove any stigma that may be in place, allowing patients to fully trust the staff without any unnecessary walls of defense or feelings of threat. Communication amongst staff members has been known to help with potential safety issues. Staff members must log any patient misbehavior or any strange or unusual…
These are all questions that many people have not ever considered. I know that I didn’t, until my current technology center teacher introduced the topic to me. Though it is an unheard and unreported subject, I have recently been investigating it. I think it’s agreeable to say that this subject is going to require some very outgoing and motivated advocates. In “Restraining Special Needs Students – A Practice…
In the mid-1900s, the discovery of psychological and drug methods had a rapid succession as a form of treatment and created a decline of patients in asylums. Psychiatrists of this era worked in the asylums practicing “moral treatment” or “moral management”, a humane approach at quieting mental turmoil, this then replaced the often-cruel treatment that then prevailed. This treatment was also based on the belief that the environment was a vital role. Replacing shackles, chains and cement…
Careful consideration by the nurse is essential when deciding to use a physical restraint. Nurses must address their personal beliefs and attitudes of restraint use in older adults as well as consider their clinical experience and the available research about the implementation of restraints in the health care setting (3). Research about restraint use has focused on the reduction of restraints in the clinical setting, but it is essential to explore the ethical conflict that nurses face when making the decision to apply physical restraints to a patient. Studying the decision-making process that nurses take part in when considering what is best for the patient using evidence-based practice is vital. Several clinical and environmental factors are altered when working towards the reduction of restraint use, which ultimately impact the process that nurses go through to determine the use of physical restraints. Through evaluation of clinical guidelines, nurses expertise and attitudes towards restraint use, and patient preferences, interventions can be instituted into the clinical setting to aid in the decision-making process by nurses that result in the restraint of a patient…
Imagine alone in a dark hole for twenty-three hours a day, no one to talk to, to look at, or anything to do and with the exception of food, that is what Solitary Confinement entails. Solitary confinement is a controversial form of punishment used in the prison. Prisoners who are placed in Solitary Confinement will spend up to twenty-three hours a day in a cell without human contact except prison staff. Solitary Confinement should not be in the prison system because it drives people to suicidal thoughts, and also causes insanity and want to do more harmfull things to more people.…
There is a lot of controversy surrounding the prison system in the united states. Some of the controversies involve overcrowding, excessive costs, and the increase of violence. One of the biggest issue is solitary confinement. Although many way that solitary confinement is the only solution to keep and restrain violent inmates, because research shows that solitary confinement does more good than bad, harms the mental state of prisoners, and is more costly than the regular prisons, the practice should be abandoned and made illegal in all 50 states.…
People are put in solitary confinement for a number of different reasons, but the most common ones are for those prisoners with mental illness. They are put in solitary confinement so that prison officials have an easier time dealing with their difficulties and dangers. This, however, is not the way to deal with mentally ill prisoners. The effects that solitary confinement has on a person reduces their quality of life down to absolutely nothing and they would be better off getting the electric chair. Solitary confinement is not an effective way of imprisoning humans because it does not accomplish the goal of prisons which is to reform prisoners to be a successful member of society.…
Today, there are more than 80,000 prisoners in the United States that are held in solitary confinement. (Solitary Confinement) The two main reasons persons are put into solitary confinement are because of ones conduct in prison, and the severity of ones crimes. They are locked away in an eight by ten cell for twenty three hours a day for years; sometimes decades. They are deprived physical contact with other people; with the exception of when they are moved to shower and exercise. Their meals are given to them through slots. Some hold the opinion that it is the only way to handle the worst prisoners. Others may insist solitary confinement is tantamount to psychological torture.…
My method of intervention I have chosen for an example is; restraint, a form of physical intervention. It is an assertive approach to intervention.…
Nichols, K.A. (1993) Psychological care in physical illness. 2nd ed. London: Chapman & Hall. Cited in McQueen, A. (2000) Nurse patient relationship and partnership in hospital care: The journal of clinical nursing. Vol 9 (5), 723-731. Peplau, H. (1998) interpersonal relationships in nursing. New York: Putman. Cited in Hincliff, S., Norman, S. and Shober, J. (eds.) (2003) Nursing practice and health care. 4th ed. London: Aronold. Riley, J. B., Kelter, B.R, Schwecker, L.H. (2003) Communication: cited in Cutcliffe, J.R. and McKenna H.P. (2005) The essential concepts of nursing. London: Churchill Livingstone. Therapeutic. (2012)…