Seclusion Room: A Case Study

Disadvantages Even though the advantages outweigh the disadvantages of informed consent, it is still vital to talk about the shortcomings involved. It is important for health care professionals to understand the disadvantages of informed consent just as much as the advantages so that they can prevent these drawbacks, if possible. The disadvantages I will be discussing in this section is the act of coercion and undue influence, emergency situations and special circumstances where informed consent does not apply, and therapeutic privilege. When informing patients about their care options, the health care provider may be convinced that one way is the best and may inadvertently pressure a patient to make a different decision than they originally

Over 80,000 inmates in the United States are in Solitary Confinement as said by the Bureua of Justice Statistics (“Solitary Confinement Facts”). Because the federal government doesn’t keep count of the number if inmates in Solitary Confinement, there is no more recent data. However, solitary confinement is a form of punishment used all over the country. Solitary confinement is used as a punishment for the most “dangerous” criminals, but is the right way to approach the problem? Sarah Jo Pender, a woman who experienced solitary confinement in the Indiana Women’s Prison writes, Women who enter sane will become so depressed that they shut down or hurt themselves.

The value of non-maleficence, or, ‘to do no harm’ prohibits the infliction of harm and is correlated to effective pain management, as poorly managed pain causes harm to the patient. This harm includes anxiety, and possibly depression, related to suffering pain. By failing to reasonably treat a patient in pain, this results in harm. Persistent inadequately treated pain has both physical and psychological influences on the patient (Brennan, Carr & Cousins, 2007). Failing to act is a form of abandonment according to Carr (2001).

Yet, the social worker would be ask to breach confidentiality agreements when one is pursuing involuntary psychiatric hospitalization of a troubled client; or social contact with a former client (Company, 2016). Nonetheless, other ethical challenges relates to agency administration, community work, social policy, and research. For instance, administrators’ decisions about the distribution of scarce or limited agency resources, conflicts of interest among staff, and the use of ethically questionable marketing strategies to solicit clients. Still other ethical dilemmas involve relationships among professional colleagues. For examples social worker’s response to a colleague who has behaved unethically or who is impaired or incompetent or what’s Frederic G. Reamer refers to as the ethics of “whistle-blowing” (Company, 2016).

There is a professional standards of practice to guide them in preventing harm. Hospital staff should sensibly ensure that no harm comes to a patient under their care. To withhold necessary treatments from violent patients simply imply that there is an intention to cause harm, perhaps, indirectly (Staunton & Chiarella, 2017). In law, there are three elements that constitute a negligent action - the duty of care is owed to the patient, the duty of care has been breached through inaction, and through this inaction, physical or financial harm has been caused. The negligence demonstrated in withholding treatment shows that the hospital staff’s inaction is below the expected standard.

Thus a routine where emotional concerns can often be dismissed in a way that prevents any further discussion on the topic. This can manifest itself through the preemptive reassuring of the patient before their main concerns have been voiced and also simply stating that a certain level of stress is expected. It is also possible the fact that patients do not reveal all of their concerns and the reasons for this may not be understood by the healthcare professional. Patients may hold back on voicing concerns for a number of reasons including not wanting to be a burden, concern that their issue is not legitimate and worrying that they will seem unknowledgeable. At the start of the encounter with the patient eye contact should be established and maintained regularly to demonstrate interest.

Repression in Freud and Freyd Freud describes repression as the act of blocking unacceptable urges, but this phenomenon is not that simple. Ever since he popularized using repression to describe cases of abnormal forgetting, alternative theories of repression have been formulated. In contrast to Freud, Freyd theorizes that repression occurs when someone is abused by a close caregiver, and to survive, they must repress their memories of the abuse to maintain a relationship with their caregiver. Her theory diverges from Freud’s as she is more focused on the abuse causing the repression while Freud is more concerned about the ramifications of acting upon taboo desires. Likewise, both authors use survival as a core concept in their theories.

ineffective use of dignity can make individual antisocial and affect them emotionally.an example of this would be if a patient needed help getting out of bed to go to the bathroom and there was nobody there to assist them this could result in uncomfortable setting for the individual and embarrassment and frustration.if I were working in a health care setting I would make sure all clients feel comfortable and would regularly check on them and make sure they feel comfortable. A way I could empower clients in this scenario would be to promote autonomy and building trust. This way clients will feel safer and I would be seen as approachable if there are any

According to Paul Keating “Euthanasia is a Threshold Moment We Should Not Cross” from The Sydney Morning Herald, euthanasia is a negative form of treatment for patients with terminal illnesses and has negative effects on other aspects of society. Multiple studies are referenced and examples are given to support the authors claim that euthanasia is wrong and should be avoided. The use of euthanasia is related to assisted suicide or the intentional killing of a patient by physicians. The author also discusses the idea of safeguards that are said to be put in place to protect the patient from any consequences other than to put them out of their pain and misery. Keating debates that these ideas of ‘safeguards’ will not help due to the human error

In circumstances where respect is not availed, it becomes impossible to achieve promising results. The society indeed taught me the essentiality attached to respecting others thus serving a source of encouragement, the consideration that I carefully examined before venturing into the nursing profession. It is natural that patients do need not only drugs but also respect for survival. In other words, it is difficult for someone who does not value others to find solace in nursing. For example, nurses are expected to respect the voice of the patients so that there can be a sort of understanding to facilitate better treatments and caregiving.

People cannot accept their serious illness, but doctors should be able to accept helping them out and supporting them. Nurse Ratched

The DSM-5 and prior versions are strongly biased toward a Western view of what is acceptable behavior. Some criteria considered as mental illness could, in fact, be considered normal in another culture. (Varcarolis, 102016, p. 15) The Cultural Formulation Model is a very much perceived tool to use to give an inside and out investigation of the patient 's issues with regards to culture. The model has five classes: social personality of the individual, social clarification of the individual 's disease, social variables identified with psy­chosocial environment and levels of working, and social components of the relationship between the individual and the clinician. This assessment tool gives a general social evaluation to advance socially capable determination and care (Jarvis, pg.24).

Dissociation can be interpreted as an “emergency defense,” or a “shut off mechanism.” It is an attempt by the individual to prevent overwhelming flooding of consciousness at the time of trauma. The individual subconsciously cannot tolerate being present emotionally during the trauma but cannot control the situation, and protects him or herself from experiencing it in the moment by using dissociation. “Dissociative symptoms are failures of normal neurocognitive functioning and are considered disruptive, because there is a loss of information due to having experiences separated among personalities… The essential feature of the dissociative disorders is a disruption in the usually integrated functions of consciousness, memory, identity, or perception.”

Lancaster Advocacy (2006) cited in Community Care (2006), believe that “Older people can be particularly vulnerable”. Many, older people will go straight into a care environment straight after hospital. Some may have been treated poorly in hospital but “find it difficult to challenge doctors, nurses or social workers”. The ageing process can suppress people; consequently, they not strong enough to face the stress of taking on complaints systems alone (Lancaster Advocacy, 2006 cited in Community Care, 2006). Therefore, advocacy can ensure that if the person wishes to make a complaint, they will be well informed of the options open to them and will be able to access external independent support in order to pursue said complaint (Advocacy QPM,

A poltergeist is said to be a spirit that harasses and torments its victims. Harassment typically includes mysterious and disturbing events such as loud sounds, moving furniture, sheets and covers being pulled of the beds , small objects inexplicably falling off shelves, stones rising off the ground and being hurled people. In a 2005 Gallup poll found that 37% of Americans believe in haunted houses and nearly half believe in ghost. Current research indicates, however that poltergeist activity may have nothing to do with ghosts or demons. Since the activity seems to center around an individual, it is, believed that it is caused by the subconscious mind of that it is caused by the psychokinetic activity.