Study Document
...Informed consent Lack of Mental Treatment and Support
Introduction and Overview
Emergency departments (EDs) can play a major role in reducing the risk and occurrence of suicide, self-harm and harm caused to others by taking steps to create a safety plan for the patient (Stanley et al., 2018). However, many EDs do very little to actually assist patients in this regard. My own experience at Legacy Treatment Center, where I interned, allowed me to see as much. Legacy is in Lee County’s Screening Center for Mental Health Crisis and is located inside Main St Hospital, and patients from all over the county are processed through the Emergency Room. At Legacy, patients will be screened using the Columbia Assessment to see whether they are currently suicidal, homicidal or a danger to others. However, these patients are not offered counseling services. Instead, they are referred or voluntarily or involuntarily committed. The lack of any……
References
Appleby, L., Morriss, R., Gask, L., Roland, M., Lewis, B., Perry, A., ... & Davies, L. (2000). An educational intervention for front-line health professionals in the assessment and management of suicidal patients (The STORM Project). Psychological medicine, 30(4), 805-812.
Belmont Report. (1979). Ethical Principles and Guidelines for the Protection of Human
Subjects of Research The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. Department of Health, Education, and Welfare. Retrieved from https://www.hhs.gov/ohrp/regulations-and-policy/belmont-report/index.html
Browne, V., Knott, J., Dakis, J., Fielding, J., Lyle, D., Daniel, C., ... & Virtue, E. (2011). Improving the care of mentally ill patients in a tertiary emergency department: development of a psychiatric assessment and planning unit. Australasian Psychiatry, 19(4), 350-353.
Burnette, C., Ramchand, R., & Ayer, L. (2015). Gatekeeper training for suicide prevention: A theoretical model and review of the empirical literature. Rand health quarterly, 5(1).
Callaghan, P., Eales, S., Coates, T., & Bowers, L. (2003). A review of research on the structure, process and outcome of liaison mental health services. Journal of Psychiatric and Mental Health Nursing, 10(2), 155-165.
Chatterjee, R. (2018). A Simple Emergency Room Intervention Can Help Cut Suicide Risk. Retrieved from https://www.npr.org/sections/health-shots/2018/07/11/628029412/a-simple-emergency-room-intervention-can-help-cut-future-suicide-risk
Cooper, J., Kapur, N., Webb, R., Lawlor, M., Guthrie, E., Mackway-Jones, K., & Appleby, L. (2005). Suicide after deliberate self-harm: a 4-year cohort study. American Journal of Psychiatry, 162(2), 297-303.
Study Document
...Informed consent Introduction
From the year 1999 to 2014, the number of prescription opioids in the USA quadrupled. However, even with such an increase, there was no evidence of a reduction of pain the patients experienced. Instead, the number of deaths that resulted from overdoses of opioids increased in the same ratio as the increase in prescription figures. The Center for Disease Control provides safety guidelines for the prescription of opioids for pain alleviation in persons aged 18 years and above, in settings outside medical care facilities such as palliative care centers, and end of life care points(CDC, 2016). This paper provides a summary of the CDC guidelines on the prescription of opioids for chronic pain relief and a regime plan for opioids as APRN.
Summary of main concepts
Determining when to start or proceed with opioids for chronic pain
1. Non-first line or routine chronic pain therapy Opioids
Chronic pain is……
References
Breuer, B., Cruciani, R., & Portenoy, R. K. (2010). Pain management by primary care physicians, pain physicians, chiropractors, and acupuncturists: a national survey. Southern Medical Journal, 103(8), 738-747.
CDC, (2016). CDC Guideline for Prescribing Opioids for Chronic Pain. Center for Preparedness and Response (CPR).
Cheatle, M. D., & Savage, S. R. (2012). Informed consent in opioid therapy: a potential obligation and opportunity. Journal of Pain and Symptom Management, 44(1), 105-116.
Dowell, D., Haegerich, T. M., & Chou, R. (2016). CDC guideline for prescribing opioids for chronic pain—the United States, 2016. Jama, 315(15), 1624-1645.
Hudspeth, R. S. (2016). Standards of care for opioid prescribing: What every APRN prescriber and investigator need to know. Journal of Nursing Regulation, 7(1), 15-20.
Study Document
… the specific group,” (ACA, 2014, B.4.a). In this case, the clients were handed out a form that they had to sign for relevant informed consent to participate. Finally, the ACA (2014) clarifies the importance of respect for diversity in all settings, calling on the group leader to ensure ……
References
American Counseling Association (2014). ACA Code of Ethics. Retrieved from: https://www.counseling.org/resources/aca-code-of-ethics.pdf " target="_blank" REL="NOFOLLOW">
Study Document
… relationships,” (ACA, 2014, A.3). This means that the counselor first asks Robert for permission to consult with the marriage counselor. If Robert provides informed consent, in accordance with ACA Code of Ethics Standard A.2, then the counselor is obliged to consult with the marriage counselor to establish the ……
References
ACA (2014). Code of ethics. Retrieved from: https://www.counseling.org/resources/aca-code-of-ethics.pdf " target="_blank" REL="NOFOLLOW">
Study Document
… the necessary data. As far as the research being ethical, I do not see any problems here, and I would obtain every participant’s informed consent before interviewing them.
References
Grindstaff, L., & Turow, J. (2006). Video cultures: Television sociology in the “new TV” age. Annu. Rev. Sociol., 32, 103-125.…
References
Grindstaff, L., & Turow, J. (2006). Video cultures: Television sociology in the “new TV” age. Annu. Rev. Sociol., 32, 103-125.
Study Document
… teaching at diverse schools will be considered and approached for the study. The former group will encompass educators not suffering from hypertension. The informed consent of study subjects will be acquired. Additionally, subjects will receive assurance that they are free to quit the study whenever they desire during ……
References
Cladellas, R., & Castelló, A. (2011). University Professors\\\\\\\\\\\\' Stress and Perceived State of Health in Relation to Teaching Schedules. Electronic Journal of Research in Educational Psychology, 9(23), 217–240.
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Fernandes, M., & Rocha, M. (2009). Impact of the psychosocial aspects of work on the quality of life of teachers. Brazilian Journal of Psychiatry, 31(1). Retrieved from http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462009000100005
Goetz, K., Berger, S., Gavartina, A., Zaroti, S., & Szecsenyi, J. (2015). How psychosocial factors affect wellbeing of practice assistants at work in general medical care? – a questionnaire survey. BMC Fam Pract, 16, 166. DOI: 10.1186/s12875-015-0366-y
Himmelfarb Health Sciences Library. (2019). Case-control study. Retrieved from https://himmelfarb.gwu.edu/tutorials/studydesign101/casecontrols.cfm
Jardim, J., & Pereira, A. (2016). Perceived impact of lifelong training in teachers. Interacções, 31(42), 22–31.
Karasek, R., Baker, D., Marxer, F., Ahlbom, A., & Theorell, T. (1981). Job decision latitude, job demands, and cardiovascular disease: a prospective study of Swedish men. Am J Public Health, 71(7), 694-705.
Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L. T., … Zaslavsky, A. M. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32(6), 959–976. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/12214795
Study Document
Ethics
First off, no decision can be made without the informed consent of the parents and if they are opposed to a hysterectomy then it is unethical to go ahead with the operation. Additionally, if ……
Bibliography
Cancer Cures. https://chemo.st/cancer-cures/
Evangelium Vitae 62
Watanabe, Y., Tsuritani, M., Kataoka, T., Kanemura, K., Shiina, M., Ueda, H., & Hoshiai, H. (2009). Radical hysterectomy for invasive cervical cancer during pregnancy: a retrospective analysis of a single institution experience. European journal of gynaecological oncology, 30(1), 79-81.
Study Document
… For instance, there could be many cases of researchers fabricating or falsifying data during…[break]…the APA, psychologists are only allowed, not to ask for consent, when federal laws or institutional regulations say so or when their studies are logically expected not to cause any harm, e.g., when they … and psychological research can be found. Such cases and some recent cases of unethical studies have underscored problems with human rights, dishonesty, coercion, consent, and the handling of vulnerable groups. The cases of unethical studies and their harmful or shameful consequences made it clear decades ago that … This led to the development of ethical codes. Among the most prominent pioneer ethical codes was the 1947 Nuremberg Code. The code was informed by the revelations of the types of research Nazi Germany scientists were conducting on human subjects without their consent and approval, and with total disregard for human rights, dignity,……
References
Hardicre, J. (2014). An overview of research ethics and learning from the past. British Journal of Nursing, 23(9), 483-486.
Kjellström, S., Ross, S. N., & Fridlund, B. (2010). Research ethics in dissertations: ethical issues and complexity of reasoning. Journal of medical ethics, 36(7), 425-430.
Simelane-Mnisi, S. (2018). Role and importance of ethics in research. Ensuring research integrity and the ethical management of data (pp. 1-13). IGI Global.
Smith, D. (2003). Five principles for research ethics. Monitor on Psychology, 34(1), 56.
Resnik, D. B. (2015). What is ethics in research & why is it important? Retrieved May 26, 2020, from https://www.niehs.nih.gov/research/resources/bioethics/whatis/index.cfm
Walsh, R. T. (2015). Introduction to ethics in psychology: Historical and philosophical grounding. Journal of Theoretical and Philosophical Psychology, 35(2), 69.
Study Document
… specialized or standardized ahead of time so that investigators know what to look for, and it should not be done without the participant’s consent. But once consent is given, the help should come in the form of one who knows what risks to look for and what aid can be … community members involved in social media through the program so that they can reach out and touch base with participants who give their consent to be contacted via social media. This can allow participants and community members to meet virtually and to communicate and foster real connections.
……
References
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Alternative Paths. (2020). Violence prevention. Retrieved from https://www.alternativepaths.org/services/diversion-programs/violence-prevention-program
Farrell, A. D., Meyer, A. L., Kung, E. M., & Sullivan, T. N. (2001). Development and evaluation of school-based violence prevention programs. Journal of clinical child psychology, 30(2), 207-220.
Johnson, D. W., & Johnson, R. T. (1995). Why violence prevention programs don't work--and what does. Educational Leadership, 52(5), 63-68.
Lee, C., & Wong, J. S. (2020). Examining the effects of teen dating violence prevention programs: a systematic review and meta-analysis. Journal of Experimental Criminology, 1-40.
Siegel, L. (2018). Criminology, 7th Ed. Cengage Learning.
Stagg, S. J., & Sheridan, D. (2010). Effectiveness of bullying and violence prevention programs: A systematic review. Aaohn Journal, 58(10), 419-424.
Study Document
… rare and expensive resources. Distributing these resources equitably remains one of the most pressing dilemmas in bioethics. Given that the dying patient did consent to organ donation, the primary ethical dilemmas in this case arise when determining the recipient. The case presents four different options, two of … whether the infant would have trouble with bile production even with a new liver.
In fact, the only way to really make an informed decision in this case is to eschew any immediate emotional response to the four candidates and consider only the issue of which candidate ……
References
“Ethical Theory and Bioethics,” (n.d.).
“Principles of Ethics,” (n.d.).
Steinbock, B., London, A.J. & Arras, J.D. (n.d.). Ethical issues in modern medicine. 8th edition. McGraw Hill.
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