‘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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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
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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:
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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:
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
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According to research by Khosraven et al (2015) one of the main disadvantages of an OP airway is that its length, shape & lack of an inflatable cuff may cause oxygen to leak, leading to less oxygen than we might hope for entering the patient’s lungs.
This post refers to treatment in hospital and the potential for future treatment pre-hospitally. Ischaemic CVAs are usually treated with thrombolysis using IV alteplase within 4.5 hours from symptom onset and after a CT scan and diagnosis, but there are new tests and treatments coming out and many other factors to consider.
These are strokes that are caused by a blockage in the blood flow to the brain. They may be treated with thrombolysis if not contra-indicated
If the person cannot:
‘understand the information relevant to the decision’
‘retain that information’
Remember, the person only needs to retain this information long enough to decide
‘use or weigh that information as part of the process of making the decision’
‘communicate his decision’
A person may communicate verbally or non-verbally. So long as he is able to get the information across, he can communicate.
…You might be able to say that he lacks capacity…
(Crown Copyright, 2005)
…But make sure you address the information below first
Or:
How do you decide if someone has capacity?
Crown Copyright (2005) Mental Capacity Act 2005, Available Online: http://www.legislation.gov.uk/ukpga/2005/9/part/1
This content has been summarised and quoted directly. The opinion or interpretation of this writer should not be evident. The reference is in accordance with the Harvard system. You must read the full disclaimer (link below) before putting into place anything you see here.
