NRNP 6575 Week 8 Legal and Ethical Issues Related to Psychiatric Emergencies
Walden University NRNP 6575 Week 8 Legal and Ethical Issues Related to Psychiatric Emergencies-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NRNP 6575 Week 8 Legal and Ethical Issues Related to Psychiatric Emergencies assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NRNP 6575 Week 8 Legal and Ethical Issues Related to Psychiatric Emergencies
Whether one passes or fails an academic assignment such as the Walden University NRNP 6575 Week 8 Legal and Ethical Issues Related to Psychiatric Emergencies depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
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How to Write the Introduction for NRNP 6575 Week 8 Legal and Ethical Issues Related to Psychiatric Emergencies
The introduction for the Walden University NRNP 6575 Week 8 Legal and Ethical Issues Related to Psychiatric Emergencies is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NRNP 6575 Week 8 Legal and Ethical Issues Related to Psychiatric Emergencies
After the introduction, move into the main part of the NRNP 6575 Week 8 Legal and Ethical Issues Related to Psychiatric Emergencies assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NRNP 6575 Week 8 Legal and Ethical Issues Related to Psychiatric Emergencies
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NRNP 6575 Week 8 Legal and Ethical Issues Related to Psychiatric Emergencies
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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A psychiatric emergency is any unusual behavior, mood, or thought that, if not rapidly attended to, may result in harm to a patient or others. Some of the common psychiatric emergencies include suicide, violence, abuse, adolescent crises, akathisia, alcohol intoxication or withdrawal, delirium, mania, and catatonia. The purpose of this paper is to discuss laws regarding psychiatric emergencies and the ethical and legal issues related to these events.
Texas State Laws for Involuntary Psychiatric Holds for Child and Adult Psychiatric Emergencies
The Texas law on involuntary commitment states that a physician must examine a patient within 12 hours of arriving at the healthcare facility. A person should not be detained for over 48 hours after they arrive at the facility except if a judge signs an Order of Protective Custody (Texas Public Law, n.d.). In addition, the law states that a person can only be admitted to the facility if the physician who examines them establishes that the individual has a mental illness. One can also be involuntarily admitted if they pose a considerable and imminent risk of serious harm to themselves or others, and emergency detention is the least restrictive method to control one from harm.
Emergency Hospitalization for Evaluation/Psychiatric Hold, Inpatient Commitment, and Outpatient Commitment in Texas
Emergency hospitalization for evaluation in Texas occurs when a peace officer or a physician detains an individual for a short period without a court order if the individual poses an immediate threat to themselves or others (Texas Public Law, n.d.). A person can be involuntarily committed to an inpatient unit if they have a mental illness or are suffering severe and abnormal emotional, mental, or physical distress and cannot make logical decisions concerning their need for treatment (Texas Public Law, n.d.). Outpatient commitment occurs when, after a mental health hearing for a patient who was under emergency detention, the court dismisses the case, and the judge issues a court order for outpatient treatment.
Capacity vs. Competency
Capacity refers to a person’s autonomy and ability to make their own decision and is usually based on a clinician’s assessment. When evaluating a patient’s capacity, the clinician assesses the following four components of decision-making: understanding, communicating a choice, appreciation, and reasoning (Dalal, 2020). On the other hand, competency refers to having the mental ability to make a decision in line with one’s goals, concerns, and values. A person is considered competent unless determined otherwise by a court of law.
Legal and Ethical Issues Related To EMTALA
Emergency Medical Treatment and Labor Act (EMTALA) establishes guidelines for accepting an appropriate transfer from another facility or providing an appropriate transfer to another facility for a patient with an emergency medical condition who requests or requires a transfer for further medical care and follow-up to a receiving facility (Shenoy et al., 2022). Legal issues related to EMTALA include its obligations on the appropriate transfer of an individual determined to have an emergency medical condition to any ED or dedicated ED of a hospital, whether located on or off the hospital campus and all other departments of the hospital (Shenoy et al., 2022). Ethical issues concerning EMTALA entail hospitals with specialized capabilities or facilities being required to accept from a transferring hospital an appropriate transfer of a patient with an emergency medical condition who requires specialized capabilities if the receiving hospital can treat the individual.
Evidence-Based Suicide Risk Assessment
The Ask Suicide-Screening Questions (ASQ) tool can be used to screen patients across the lifespan for risk of suicide. It is intended to screen medical patients eight years and older for risk of suicide. It is free and available in various languages (Horowitz et al., 2020). Patients found positive for suicide risk on the ASQ should undergo a brief suicide safety assessment (BSSA) carried out by a trained clinician to establish if there is a need for a more comprehensive mental health assessment.
Evidence-Based Violence Risk Assessment
The Historical Clinical Risk Management-20 (HCR-20) is the most commonly used violence risk assessment tool globally, and I can use it to screen patients for risk of violence. The tool is available in 20 languages and has been adopted and evaluated in over 35 countries. The HCR-20 would be the tool of choice because it offers a structure to the risk assessment process and guides clinical practice with regard to case prioritization (De Beuf & De Vogel, 2023). It also helps monitor a patient’s risk over time, given the periodical reassessment of the risk factors.
Conclusion
The Texas law allows for involuntary holding if a person poses a risk of serious harm to themselves or others and requires emergency hospitalization. After a mental health hearing following emergency hospitalization, a patient can be involuntarily committed to an inpatient facility if they cannot make logical decisions concerning their need for treatment. However, the court can order outpatient treatment if the patient is deemed suitable for outpatient mental health services.
References
Dalal, P. K. (2020). Consent in psychiatry – concept, application & implications. The Indian Journal of Medical Research, 151(1), 6–9. https://doi.org/10.4103/ijmr.IJMR_1518_19
De Beuf, T., & De Vogel, V. (2023). ‘Violence risk assessment with the HCR-20V3 in legal contexts: A critical reflection’. Tijdschrift voor Forensische Psychiatrie en Psychologie, 1(1), 115-118. https://doi.org/10.5553/tfpp/295044302023001001011
Horowitz, L. M., Snyder, D. J., Boudreaux, E. D., He, J., Harrington, C. J., Cai, J., Claassen, C. A., Salhany, J. E., Dao, T., Chaves, J. F., Jobes, D. A., Merikangas, K. R., Bridge, J. A., & Pao, M. (2020). Validation of the ask suicide-screening questions for adult medical inpatients: A brief tool for all ages. Psychosomatics, 61(6), 713–722. https://doi.org/10.1016/j.psym.2020.04.008
Shenoy, A., Shenoy, G. N., & Shenoy, G. G. (2022). The impact of EMTALA on medical malpractice framework models: a review. Patient Safety in Surgery, 16(1), 1-7. https://doi.org/10.1186/s13037-022-00325-w
Texas Public Law. (n.d.). Tex. Health & safety code chap. 573 – Emergency detention. Texas.Public.Law: Online Texas Law Library. https://texas.public.law/statutes/tex._health_and_safety_code_title_7_subtitle_c_chapter_573