More than a silent witness

Article Abstract:

A nurse faces a difficult situation if a patient requests the truth about their condition but relatives, and other members of the care team, have requested that the patient is not told the truth. The nurse may find some guidance in the UKCC code of conduct which describes the nurse's duty to the patient, in the fact that patients have a legal right to information about their own condition, and in the Family Law Reform Act 1969 which says that no one can give consent on another adult's behalf. However, the decision rests with the individual nurse.

Analysis, Nursing ethics

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Breaking the chains

Article Abstract:

Being in mixed mental health wards can make female patients feel physically and emotionally vulnerable, especially if they are treated by male nurses. Nurses are expected to be caring and supportive and it is easy for relationships to develop. Health care services should screen applicants carefully to reject unsuitable or unstable candidates and set up procedures to monitor the attitudes and behaviour of existing staff. Induction and training courses should include an awareness of abusive relationships and sexual or gender issues.

Mentally ill persons, Crimes against, Mentally ill

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What's your poison?: Nurses need to be on the lookout for underlying drug or alcohol problems in patients admitted to hospital

Article Abstract:

There is evidence that many medical and surgical beds are occupied by patients who have primary or secondary drug and alcohol problems. Patients may not be properly assessed or effectively managed, as nurse can be reluctant to get involved. It should be routine procedure to ask patients about their use of substances, and nurses should reassure them that confidentiality will be maintained. Physical screening methods can be used, such as urine toxicology, blood tests and liver function tests.

Management, Drug abuse

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