Reference:
Newell, S.J. And Darling, 2014. J.C. Paediatrics: Lecture Notes, Ninth Edition, John Wiley & Sons: West Sussex
Category: ECA
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Choking Doesn’t Always Happen Instantly After Putting Something in Your Mouth
Reference:
Newell, S.J. And Darling, 2014. J.C. Paediatrics: Lecture Notes, Ninth Edition, John Wiley & Sons: West Sussex
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No SOB, No DIB, But It Is Still Pneumonia
Reference:
Newell, S.J. And Darling, 2014. J.C. Paediatrics: Lecture Notes, Ninth Edition, John Wiley & Sons: West Sussex
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The NEWS Score
Shaw, J. et al. 2017. ‘Can the prehospital National Early Warning Score identify patients most at risk from subsequent deterioration?’ Emergency Medical Journal, 34: 533-537
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Be wary of the quiet child
While this is very important, Brugha et al (2013) also warn that the child who isn’t quiet ‘may be distressed as a result of pain’ (Brugha et al, 2013: 16).
Reference
Brugha, R. et al, 2013. Paediatric Clinical Examination, London: JP Medical Ltd.
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What red flags need to be looked out for in a child?
Reference
Bruga, R. et al. 2013. Paediatric Clinical Examination, London: JP Medical Ltd
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Fare Warning: The Decompensating Child
‘Children are able to maintain their blood pressure through physiological compensation mechanisms in the early phases of serious illness, and the early signs of illness may be quite subtle. […] Once a child decompensates, he or she can collapse extremely quickly’ (Brugha et al, 2013: 11).
Reference:
Brugha, R. et al (2013) Paediatric Clinical Examination, London: JP Medical Ltd
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What are the main sections used for?
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Section 2 – Purpose: Admission for patient assessment.
Duration of section: 28 days
Section 3 – Purpose: Admission for treatment of a patient.
Duration of section: up to 6 months
Section 4 – Purpose: Urgent admission for patient assessment from the community, usually enforced when a section 2 would take to long to enact.
Duration of section: 72 hours (may be converted to section 2 to extend assessment period to 28 days)
Section 5(2) – Purpose: Urgent detention of inpatient
Duration of section: 72 hours
Section 5(4) – Purpose: Urgent detention of an inpatient by a nurse were a doctor is absent
Duration of section: 6 hours
Section 135 – Purpose: Removal of person from home to place of safety. This requires a court order to enact and remove someone from a private property.
Duration of section: 72 hours
Section 136 – Purpose: Removal of a person from a public place to a place of safety. This does not require a court order.
Duration of section: 72 hours
Community Treatment Order – Purpose: An order that a patient is placed upon after discharge from hospital for psychiatric treatment that allows continued treatment within the community setting.
Duration of section: up to 6 months.
References
- Crown Copyright (1983) Mental Health Act 1983 [online]. Available at: http://www.legislation.gov.uk/ukpga/1983/20/contents (Accessed 21/07/17) (amended by the Mental Health Act 2007)
- J. Collier, M. Longmore, T. Turmezel and A. R. Mafi. Oxford Handbook of Clinical Specialties, 8th edition, Oxford University press, 2008, pp: 398-401
[tabbyurl title =”1. What is a section?” url=”https://article999.co.uk/what-is-a-section” indicator=”ext”]
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What is a section?
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A sectioning order is legislation powers given to health care professionals and police officers under the Mental Health Act’s of 1983 and 2007 that allow for compulsory admission of an individual to hospital or a place of safety. These are enacted if a patient is judged to have a mental disorder that is sufficiently severe to require treatment for said disorder or to remove a person to a place of safety who could be at risk of being a danger to themselves or the public.
References:
- Crown Copyright (1983) Mental Health Act 1983 [online]. Available at: http://www.legislation.gov.uk/ukpga/1983/20/contents (Accessed 21/07/17) (amended by the Mental Health Act 2007)
- J. Collier, M. Longmore, T. Turmezel and A. R. Mafi. Oxford Handbook of Clinical Specialties, 8th edition, Oxford University press, 2008, pp: 398-401
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Who can enforce a sectioning order?
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There are several different types of sectioning orders as listed in the relevant tabs. Each one is used for different purposes, lasts for different lengths of time and can be used by a variety of different health care professionals and police officers. However, not everyone may use every type of order. The following are the sectioning powers available to the following professions:
Nurses: Section 5 (4) 
Doctors: Section 5 (2) 
Police Officers: Sections 135 and 136 
A mental health professional and doctor: Approved mental health professionals (social workers, nurses, psychologists or occupational therapists) and rarely relatives may also put an application in for sections 2, 3 and 4. These all require approval by 1 or more doctors to be carried out.
References
- Crown Copyright (1983) Mental Health Act 1983 [online]. Available at: http://www.legislation.gov.uk/ukpga/1983/20/contents (Accessed 21/07/17) (amended by the Mental Health Act 2007)
- J. Collier, M. Longmore, T. Turmezel and A. R. Mafi. Oxford Handbook of Clinical Specialties, 8th edition, Oxford University press, 2008, pp: 398-401
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