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Psychiatry Week 3 2018/19 > 2: Management of psychosis > Flashcards

Flashcards in 2: Management of psychosis Deck (43)
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1

Patients with psychosis have the potential to behave ___ towards you or others.

violently

2

Over the last 20 years, the rate of crime has (increased / decreased) overall.

decreased

3

What three factors increase the chances that someone will commit an act of violence?

Substance misuse

Mental illness

History of violence

4

What is the difference between violence and aggression?

Violence is a physical act

Aggression esp. in hospital is an attempt to gain an advantage over someone which MAY take the form of violence

5

How might you predict that a patient will become aggressive?

Body language

6

How is the risk of aggression against hospital staff reduced?

De-escalation of the situation - talking down, isolation or tranquilisation

Observers

Room layout i.e make sure there's a quick exit, don't stand between the patient and the door

7

What are some interventions to prevent an aggressive patient from doing harm?

Restraint

Isolation

Tranquilisation

8

If you think a patient is at risk of self harm or becoming aggressive, how can their observation be stepped up?

Change from routine observation to 1-1 or 2-1 observation

9

What is an advance statement?

Instructions given by a patient before they are unwell

So they can be treated properly if they lose capacity to decide for themselves

10

Which acts give you the power to

a) treat patients with mental disorders

b) treat physical disorders in patients with mental disorders?

a) Mental Health Act

b) Adults with Incapacity Act

11

Who does the Mental Health Act apply to?

Patients with mental disorders

12

Which diseases are included under the umbrella of "mental disorder"?

Mental illness

Personality disorder

Learning disability

WHATEVER THE CAUSE

13

Is intoxication with drugs or alcohol a valid reason to detain someone using the MHA?

No

but if they develop a mental disorder e.g psychosis as a result, you can

14

What are the three types of detention order you need to know about?

Emergency detention order

Short term detention order

Compulsory treatment order

15

Who can fill out an emergency detention order?

FY2+

with the consent of a Mental Health Officer

16

Why would you file an emergency detention order?

Patient requires a full mental state examination

AND you think they are a risk to themselves or others

17

Who needs to give their permission before an FY2+ doctor can file an emergency detention order?

Mental health officer

18

How long does an emergency detention order last?

Can it be appealed?

72h

No

19

Who can approve a short term detention order?

How long does it last?

ST4+ psychiatrist

28 days

20

Apart from doctors, who else can use the MHA?

Nurses

Police

Judges

21

In general, emergency detention orders are filled out for patients with mental disorders who lack ___.

lack capacity

22

Does the MHA authorise treatment?

Emergency treatment only

23

Where do patients need to be taken once an emergency detention certificate has been filled out?

Hospital

Psychiatric unit

24

Under which act can you give a patient emergency treatment while they are under an emergency detention order?

Adults with Incapacity Act

25

Which detention order allows you to detain a patient for 28 days?

Is treatment allowed under this act?

Short term detention order

Yes

26

Can patients appeal against

a) emergency detention

b) short term detention?

a) No

b) Yes

27

In general, short term detention orders are for patients who cannot make ____ for themselves.

decisions

i.e they don't have capacity due to their mental disorder

AND they pose a risk to themselves or others

28

What is meant by significant risk to a patient or others?

Obviously homicide and suicide

but also loss of possessions, disruption to family life, finances...

29

Which detention order allows a patient to be treated in hospital or in the community long-term?

Compulsory treatment order

30

How long does a compulsory treatment order last?

6 months