Ethical and Legal Foundations of PMHNP Care Across the Lifespan

Ethical and Legal Foundations of PMHNP Care Across the Lifespan

In your role as a PMHNP, you will regularly encounter situations that require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidence-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their background or worldview. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action. Ethical and Legal Foundations of PMHNP Care Across the Lifespan

· Analyze salient ethical and legal issues in psychiatric-mental health practice

· Analyze the impact of cultural considerations on ethical/legal decision making in advanced practice nursing

· Evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination*

Discussion: Ethical and Legal Foundations of PMHNP Care

Advanced practice nursing in all specialties is guided by codes of ethics that put the care, rights, duty, health, and safety of the patient first and foremost. PMHNP practice is also guided by ethical codes specifically for psychiatry. These ethical codes are  frameworks to guide clinical decision making; they are generally not prescriptive. They also represent the aspirational ideals for the profession. Laws, on the other hand, dictate the requirements that must be followed. In this way, legal codes may be thought to represent the minimum standards of care, and ethics represent the highest goals for care.

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For this Discussion, you select a topic that has both legal and ethical implications for PMHNP practice and then perform a literature review on the topic. Your goal will be to identify the most salient legal and ethical facets of the issue for PMHNP practice, and also how these facets differ in the care of adult patients versus children. Keep in mind as you research your issue, that laws differ by state and your clinical practice will be dictated by the laws that govern your state. Ethical and Legal Foundations of PMHNP Care Across the Lifespan

To Prepare

· Select one of the following ethical/legal topics:

· Autonomy

· Beneficence

· Justice

· Fidelity

· Veracity

· Involuntary hospitalization and due process of civil commitment

· Informed assent/consent and capacity

· Duty to warn

· Restraints

· HIPPA

· Child and elder abuse reporting

· Tort law

· Negligence/malpractice

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· locate a total of four scholarly, professional, or legal resources related to this topic. One should address ethical considerations related to this topic for adults, one should be on ethical considerations related to this topic for children/adolescents, one should be on legal considerations related to this topic for adults, and one should be on legal considerations related to this topic for children/adolescents.

Briefly identify the topic you selected. Then, summarize the articles you selected, explaining the most salient ethical and legal issues related to the topic as they concern psychiatric-mental health practice for children/adolescents and for adults. Explain how this information could apply to your clinical practice, including specific implications for practice within your state. Attach the PDFs of your articles

Mental health providers are required to consider the legal and ethical implications to ensure patient satisfaction and improve health outcomes. The code of ethics provides healthcare professionals with rules and guidelines for treating patients. The discussion will focus on the issue of informed consent. Ethical and Legal Foundations of PMHNP Care Across the Lifespan

Informed consent is one of the essential issues in mental health settings and focuses on emphasizing respect for persons (Lamont et al., 2019). The issue relates to autonomy because the patient must accept or refuse treatment. Additionally, informed consent involves the permission of care between the healthcare professional and the patient. However, there are differences involved in the case of informed consent when treating children or adolescents and adults.

The other article by Lamont et al. (2019) focuses on ethical considerations linked to informed consent when dealing with children and adolescents. According to the article’s most salient ethical issue, though parents are allowed to undertake informed consent and engage in decision-making when treating adolescents, in case the adolescent refuses a certain treatment, it is unethical for the healthcare professional to continue with the treatment. The article by Mathai et al. (2022), it is ethical for the adult patient to be offered the legal right to consent. However, the healthcare provider may not offer this right if the mental capacity and understanding of the patient are overwhelmed. Ethical and Legal Foundations of PMHNP Care Across the Lifespan

The salient legal issue that emerges from the article by Carnevale et al. (2021) is that adolescents and children are incompetent when making psychotherapy decisions. According to O’Shea et a. (2022), healthcare professionals have a legal mandate to uphold their patient’s autonomy and offer informed consent unless the patient shows cases of limitation of their cognitive capacity. Ethical and Legal Foundations of PMHNP Care Across the Lifespan

This information will apply to treating adults with mental capabilities limitations in my clinical practice. Also, it will be used to treat children and adolescents who do not require the clinicians to continue with certain treatments contrary to their parent’s or guardians’ views. In Ohio, psychiatric nurse practitioners should not make decisions for their patients and should offer full consent to adult patients. However, parents and guardians make decisions for children and adolescents.

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References

Carnevale, F. A., Collin‐Vézina, D., Macdonald, M. E., Ménard, J. F., Talwar, V., & Van Praagh, S. (2021). Childhood ethics: An ontological advancement for childhood studies.   Children & Society,  35(1), 110-124.

Lamont, S., Stewart, C., & Chiarella, M. (2019). Capacity and consent: knowledge and practice of legal and healthcare standards.   Nursing Ethics,  26(1), 71-83.   https://doi.org/10.1177/0969733016687162

Mathai, D. S., Lee, S. M., Mora, V., O’Donnell, K. C., Garcia-Romeu, A., & Storch, E. A. (2022). Mapping consent practices for outpatient psychiatric use of ketamine.   Journal of Affective Disorders,  312, 113-121.   https://doi.org/10.1016/j.jad.2022.06.036

O’Shea, D. U., Gabel, N., Aghjayan, S., Shmidheiser, M., & Divers, R. (2022). Guiding Principles and Common Pitfalls of Capacity Assessment.   A Casebook of Mental Capacity in US Legislation, 24-37 Ethical and Legal Foundations of PMHNP Care Across the Lifespan

Also check: Practicum Experience Plan