COERCIVE MEASURESIN PANDEMIC PSYCHIATRIC CARE — RETROSPECTIVE STUDY

Coercion raises serious ethical and legal issues in psychiatric care. Coercive medical measures are applied in psychiatric institutions for protective purposes. Alcoholism is a social and medical problem because it especially affects the behavior of the individual. Alcohol consumption can catalyze exacerbations of mental illness and predispose to behaviors with an increased risk of violence. Aim: The purpose of this study is to illustrate medical and legal issues related to coercive measures in emergency psychiatric care during the pandemic. Methods: The study is retrospective, and the data were taken from the observation sheets of patients in the period between March 1, 2020–March 31, 2021, in acute section II in the Institute of Psychiatry "Socola" Iasi. Results: Of those who required coercive measures during hospitalization, most were restraint for symptoms such as: self-aggression and aggression towards others. Mechanical restraint measures were also necessary in cases with hallucinatory-delusional symptoms, associated with self-aggression and aggression towards others. The share of hospitalized patients for alcohol abuse, who required coercive measures, was significantly higher during the pandemic. Conclusion: Manifestations of violence among patients with major mental disorders are rare. Mechanical restraint was necessary especially in those who had self-aggression and aggression towards others, symptoms secondary to alcohol consumption. Alcohol consumption amplifies the psychological imbalance in the context of the COVID-19 pandemic.

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Approach to Management of Wandering in Dementia: Ethical and Legal Issue

Indian Journal of Psychological Medicine ◽

10.1177/02537176211030979 ◽

2021 ◽

pp. 025371762110309

Author(s):

Adesh Kumar Agrawal ◽

Mahesh Gowda ◽

Umesh Achary ◽

Guru S. Gowda ◽

Vijaykumar Harbishettar

Keyword(s):

Behavioral Treatment ◽

Comprehensive Evaluation ◽

Mental Healthcare ◽

Legal Issues ◽

Legal Issue ◽

Clear Understanding ◽

Treatment Needs ◽

People With Dementia ◽

Increased Risk ◽

Ethical And Legal Issues

Wandering behavior is one of the most important and challenging management aspects in persons with dementia. Wandering behavior in people with dementia (PwD) is associated with an increased risk of falls, injuries, and fractures, as well as going missing or being lost from a facility. This causes increased distress in caregivers at home and in healthcare facilities. The approach to the comprehensive evaluation of the risk assessment, prevention, and treatment needs more strengthening and effective measures as the prevalence of wandering remains high in the community. Both the caregiver and clinicians need a clear understanding and responsibility of ethical and legal issues while managing and restraining the PwD. Ethical and legal issues especially in the light of the new Indian Mental Healthcare Act of 2017, related to confinement by family members in their homes by family caregivers, seclusion, physical or chemical restraints, other pharmacological and behavioral treatment, highlighting their effectiveness as well as adverse consequences are discussed. This article attempts to address an approach in managing wandering behavior in PwD in light of MHCA, 2017

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A Call for Compassion and Culture Change for Addicted Doctors

International Journal of Whole Person Care ◽

10.26443/ijwpc.v7i1.218 ◽

2020 ◽

Vol 7 (1) ◽

pp. 20

Author(s):

Patricia Dobkin

Keyword(s):

Legal Issues ◽

Health Programs ◽

Medical Culture ◽

Addiction Recovery ◽

Real Patient ◽

Code Of Silence ◽

Physician Health ◽

Ethical And Legal Issues ◽

Reflective Questions ◽

The Individual

There is a code of silence regarding addicted doctors in medicine. While the doctor is minimizing or denying the problem, often her or his co-workers look the other way. Colleagues may be concerned but hold back from “denouncing” one of their own. Yet, ethical and legal issues are real. Patient care may be compromised. This presentation will engage listeners by asking several reflective questions. The 4 C’s of addiction will be reviewed. Signs of addiction will be enumerated. Why doctors become entangled in substances will be examined. Is addiction different from burnout? If so, how? The adverse consequences of addiction will be reviewed. How can compassion be offered for a problem that triggers blame and shame?Impaired doctors are usually referred to Physician Health Programs. What do they offer? Can the Buddhist view of addiction contribute to Western therapies? Addiction recovery will be examined through a mindfulness lens.This, however, still puts the onus on the individual who struggles with addiction. What about the medical culture may contribute to the problem? Can this be changed? If so, how? Addicted doctors are not alone, and the problem is more than personal. Rather than simply review the literature, this presentation will engage the audience so that the taboo of addiction can be tackled. It is intended to break the silence such that upon return to work, participants may notice a colleague who shows signs of addiction and then open their hearts to offer support.

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Neuroethics and Implanted Brain Machine Interfaces

Uberveillance and the Social Implications of Microchip Implants - Advances in Human and Social Aspects of Technology ◽

10.4018/978-1-4666-4582-0.ch015 ◽

2013 ◽

pp. 351-365

Author(s):

Ellen M. McGee

Keyword(s):

Legal Issues ◽

The Internet ◽

Brain Machine Interfaces ◽

Computer Interfaces ◽

Scientific Organizations ◽

Human Ability ◽

Ethical And Legal Issues ◽

The Individual ◽

The Brain ◽

Radical Enhancement

Transformations of humans through advances in bioelectronics, nanotechnologies, and computer science are leading to hybrids of humans and machines. Future brain-machine interfaces will enable humans not only to be constantly linked to the Internet, and to cyber think, but will also enable technology to take information directly from the brain. Brain-computer interfaces, where a chip is implanted in the brain, will facilitate a tremendous augmentation of human capacities, including the radical enhancement of the human ability to remember and to reason, and to achieve immortality through cloning and brain downloading, or existence in virtual reality. The ethical and legal issues raised by these possibilities represent global challenges. The most pressing concerns are those raised by privacy and autonomy. The potential exists for control of persons, through global tracking, by actually “seeing” and “hearing” what the individual is experiencing, and by controlling and directing an individual’s thoughts, emotions, moods, and motivations. Public dialogue must be initiated. New principles, agencies, and regulations need to be formulated and scientific organizations, states, countries, and the United Nations must all be involved.

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Ethical and Legal Issues in the Telehealth Environment

PsycEXTRA Dataset ◽

10.1037/e603642010-001 ◽

2010 ◽

Author(s):

Thomas F. Nagy

Keyword(s):

Legal Issues ◽

Ethical And Legal Issues

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Ethical and legal issues in the clinical practice of primary health care

Frontiers in Bioscience ◽

10.2741/e626 ◽

2013 ◽

Vol E5 (2) ◽

pp. 435-445

Author(s):

Marcos Martinez-Romero

Keyword(s):

Health Care ◽

Primary Health Care ◽

Clinical Practice ◽

Legal Issues ◽

Primary Health ◽

Ethical And Legal Issues

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A Study on Ethical and Legal Issues of Animal Exhibition and Modern Challenges of Zoo

Environmental Law Review ◽

10.35769/elr.2017.39.3.014 ◽

2017 ◽

Vol 39 (3) ◽

pp. 439-473

Author(s):

함태성

Keyword(s):

Legal Issues ◽

Ethical And Legal Issues

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Lovotics

10.1093/oso/9780190652951.003.0013 ◽

2017 ◽

Cited By ~ 3

Author(s):

Adrian David Cheok ◽

Kasun Karunanayaka ◽

Emma Yann Zhang

Keyword(s):

Science Fiction ◽

Intimate Relationships ◽

Intelligent Systems ◽

Humanoid Robots ◽

Legal Issues ◽

Sex Communication ◽

Ethical And Legal Issues ◽

Recent Activity ◽

Academic Area ◽

Robot Companions

Intimate relationships, such as love and sex, between human and machines, especially robots, has been one of the themes of science fiction. However, this topic has never been treated in the academic area until recently. It was first raised and discussed by David Levy in his book Love and Sex with Robotics (2007). Since then, researchers have come up with many implementations of robot companions, like sex robots, emotional robots, humanoid robots, and artificial intelligent systems that can simulate human emotions. This chapter presents a summary of significant recent activity in this field, predicts how the field is likely to develop, and discusses ethical and legal issues. We also discuss our research in physical devices for human–robot love and sex communication.

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The Need for Personalized Risk-Stratified Approaches to Treatment for Gestational Diabetes: A Narrative Review

Seminars in Reproductive Medicine ◽

10.1055/s-0041-1723778 ◽

2021 ◽

Author(s):

Shamil D. Cooray ◽

Jacqueline A. Boyle ◽

Georgia Soldatos ◽

Shakila Thangaratinam ◽

Helena J. Teede

Keyword(s):

Gestational Diabetes ◽

Pregnancy Outcomes ◽

Population Based ◽

Adverse Pregnancy Outcomes ◽

Therapeutic Interventions ◽

Clinical Prediction Model ◽

Increased Risk ◽

Adverse Pregnancy ◽

The Individual ◽

Personalized Risk

AbstractGestational diabetes mellitus (GDM) is common and is associated with an increased risk of adverse pregnancy outcomes. However, the prevailing one-size-fits-all approach that treats all women with GDM as having equivalent risk needs revision, given the clinical heterogeneity of GDM, the limitations of a population-based approach to risk, and the need to move beyond a glucocentric focus to address other intersecting risk factors. To address these challenges, we propose using a clinical prediction model for adverse pregnancy outcomes to guide risk-stratified approaches to treatment tailored to the individual needs of women with GDM. This will allow preventative and therapeutic interventions to be delivered to those who will maximally benefit, sparing expense, and harm for those at a lower risk.

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The patient advisor, an organizational resource as a lever for an enhanced oncology patient experience (PAROLE-onco): a longitudinal multiple case study protocol

BMC Health Services Research ◽

10.1186/s12913-020-06009-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

M. P. Pomey ◽

M. de Guise ◽

M. Desforges ◽

K. Bouchard ◽

C. Vialaron ◽

...

Keyword(s):

Cancer Patients ◽

Clinical Oncology ◽

Patient Experience ◽

Emotional Support ◽

Social Care ◽

Legal Issues ◽

Care Services ◽

Health And Social Care ◽

Ethical And Legal Issues ◽

The Impact

Abstract Background Quebec is one of the Canadian provinces with the highest rates of cancer incidence and prevalence. A study by the Rossy Cancer Network (RCN) of McGill university assessed six aspects of the patient experience among cancer patients and found that emotional support is the aspect most lacking. To improve this support, trained patient advisors (PAs) can be included as full-fledged members of the healthcare team, given that PA can rely on their knowledge with experiencing the disease and from using health and social care services to accompany cancer patients, they could help to round out the health and social care services offer in oncology. However, the feasibility of integrating PAs in clinical oncology teams has not been studied. In this multisite study, we will explore how to integrate PAs in clinical oncology teams and, under what conditions this can be successfully done. We aim to better understand effects of this PA intervention on patients, on the PAs themselves, the health and social care team, the administrators, and on the organization of services and to identify associated ethical and legal issues. Methods/design We will conduct six mixed methods longitudinal case studies. Qualitative data will be used to study the integration of the PAs into clinical oncology teams and to identify the factors that are facilitators and inhibitors of the process, the associated ethical and legal issues, and the challenges that the PAs experience. Quantitative data will be used to assess effects on patients, PAs and team members, if any, of the PA intervention. The results will be used to support oncology programs in the integration of PAs into their healthcare teams and to design a future randomized pragmatic trial to evaluate the impact of PAs as full-fledged members of clinical oncology teams on cancer patients’ experience of emotional support throughout their care trajectory. Discussion This study will be the first to integrate PAs as full-fledged members of the clinical oncology team and to assess possible clinical and organizational level effects. Given the unique role of PAs, this study will complement the body of research on peer support and patient navigation. An additional innovative aspect of this study will be consideration of the ethical and legal issues at stake and how to address them in the health care organizations.

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