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Arguments on mental health
Arguments on mental health
Arguments on mental health
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There has been a long standing debate as to whether psychologists should be given the right to prescribe. Prescribing medication is not something that should be taken lightly, as it directly affects the lives of many patients. According to DeNelsky (1996), psychiatrists once used “lip therapy”, but were influenced by pharmaceutical companies in prescribing medication. Psychology has branched off and built its own reputation, being involved in research and therapeutic methods in clinical settings. This is unique compared to other non-physician careers involved in health care. But with prescription privileges, this may lead to a loss in identity of what a psychologist stands for. This may change the social perception on psychology and induce …show more content…
Firstly, the pharmaceutical companies would push psychologists to rely on drugs more, causing psychologists to gradually undermine therapeutic uses (DeNelsky, 1996). Even so, most patients usually stop taking medication, and with little therapy, could lead to stress in their lives as it the number one factor for mood disorders (M. Hywel, lecture, October 3rd, 2014). Therefore there would be an increased risk in patient mental health in the long run. DeNelsky (1996) highlights that as independent prescribers, psychologists would be legally and medically liable for all the consequences for the prescriptions they write for patients, such as those who may have an underlying heart condition that is not apparent at first, but becomes visible when medication is taken. This will increase the number of law suits, bringing about stress on the clinical psychologist, increasing his or her chances of mental and physical health issues as well. Finally, Hayes et el (2002) suggests that training for psychologists, if obtained the right to prescribe, would be costly, lengthy and stressful. This can bring about a financial burden to the additional loans from undergraduate and graduate studies, making it harder to obtain a stable career when the legislature requires psychologists to get training to prescribe. Stress is an important implication that is often overlooked, yet it determines the success of psychologists in treating patients effectively, and the overall mental health of those
Louise C. Cope et al, investigated the impact of non-medical prescribing. Non-medical prescribing could be evaluated through the NMP, or other health practitioner such as GP, and patients. Currently there is limited information on how NMP has impacted other professions, such as radiographer, optometrists and physiotherapists. Personally, I think this is due to how recent these professions gained the right to prescribe. Most of the findings have been extremely positive, with limited disadvantages. Within this evaluation of NMP “students who are becoming NMPs felt that the programme provided them with adequate knowledge to prescribe with some stating that the period of learning in practice was ‘the most valuable part of the course’”
A physician has an unenviable position; he is closest to man approaching a god-like stature. And despite the demise of 'doctor knows best', we still need to trust his diagnosis-something that is increasingly difficult in a world where information is widely available, and Google substitutes for a doctor. In the case of psychiatry the issue of trust is amplified since diagnosis is based on a patient's expressed thoughts and overt behaviours rather than solely on biological phenomena. And these thoughts and behaviours are influenced by the patient's environment-a mix of his social, cultural and technological experiences.
Collaboration with Others, a key principle of the NMBI Code, applies to the standards of medicines management. Nurses and midwives share responsibility with colleagues from other health care disciplines for providing safe quality health care. Additionally, collaborating and working together helps to achieve safe and effective management of the patient’s medication. Any authorised person administering a medicine to a patient or checking the administration must be satisfied that she or he knows the therapeutic uses of the medicine, its normal licenced dosage, side effects, precautions and contra- indications[ref]. It seems to be a best practice that a second suitable person to check all medicines for accuracy before administering.
As a Psychiatrist, they are to proficiently understand the function of the human mind to be able to penetrate into their patient’s thoughts and feelings. These medical doctors are required to spend approximately twelve years gaining a better insight into the complex structure of the brain. They are trained to understand how specific sections of the brain work together to achieve varieties of functions and how a mutation can cause a severe malfunction (Zorumski and Rubin). As a result of the years spent training, Psychiatrists are to differentiate and categorize physical and psychosomatic stress caused by chemical changes in the special parts of the brain. Psychiatrists are also trained to use neurotic technologies such as deep brain stimulation. Additionally, the medical doctors are equi...
Electronic-prescribing, often referred to as e-prescribing, is a fairly new, innovative way for physicians and other medical personnel to prescribe medications and keep track of patients’ medical history. Not only has e-prescribing enabled prescribers to electronically send a prescription to the patients’ pharmacy of choice, in the short amount of time it has been available, it has significantly reduced health care costs, not only for the patient, but for the medical facilities as well. In 2003, e-prescribing was included in the Medicare Modernization Act (MMA) which jumpstarted the role of e-prescribing in healthcare. It has proven to significantly reduce the yearly number medication errors and prescription fraud, and its widespread publicity has helped build awareness of e-prescribing’s role in enhancing patient safety. Although it has not been in practice for very long, e-prescribing has already made a positive impact in the field of health care.
Safe and competent medication practice requires using the seven rights of medication administration. The rights are: Right Medication - This means that the medication that is given is the right medication. Right Patient -Giving the medication to the patient for whom it was intended. Right Dosage-This means that the patient is given the dose that was ordered and the dose is appropriate for the patient. Right Route – meaning the medication is given only the route that was ordered and that the routes safe and appropriate for the patient. Right Time -This means that the drug was given at the correct time as ordered or according to agency policy. Right Reason- This is important to make sure the right medication was ordered. Right Documentation-Nurses
The ability to become reflective in practice has become a necessary skill for health professionals. This is to ensure that health professionals are continuing with their daily learning and improving their practice. Reflective practice plays a big part in healthcare today and is becoming increasingly noticed.
We have already seen numerous changes in the field of psychology, and these have yielded new opportunities and roles for psychologists not to mention the added benefits and new comprehensive services presented to the public. In his publication titled, Responding to Society’s Needs: Prescription Privileges for Psychologists, in the Journal Of Clinical Psychology, Norfleet urges the need for this continued trend in our future, and strongly advocates the need for prescription privileges to be a part of the equation. The author clearly lays out the importance of this advancement in the field of psychology by stress...
Medication is crushed and given with applesauce, (for those that cant sallow whole pills) while others are given the medication with water. Some won’t take the medication at all. Other patients refuse to bathe themselves. Resident #8, a white older man who was a very good attorney when he was younger had a stroke and now barely talks, but he will smile occasionally. Due to the stroke, he now has a lazy eye, and stares a lot. When nurse asked him “isn’t she beautiful,” (talking about me) he just smiled at me. Another Resident, #9, an older black women had a conversation with me; I asked her if she wanted to take a walk and she said “you can take a walk” – came off a bit strong at first and actually frightened me to continue talking to her as
...ing information about the psychology of their patients should be able to better meet the needs of patients and improve health outcomes for the patient over the long-term.
Prescription privileges have been debated at great length in this field. The decision to grant psychologists prescription privileges will forever change the nature of psychology. The major question is we need to ask ourselves is, will psychology be changed for the better? In my opinion, no. Psychology is a field that focuses on cognitive, behavioral, and psychotherapy while the rest of the world is focusing on the medical model. There is no doubt that some people do need medication for their psychological disorders but there are many resources to get medication. I believe a resource with less reliance on the medical model is what society needs and wants.
When most people hear the word ‘psychologist’, they visualize the classic stereotype of a therapist, with a pad and paper in hand, sitting in a leather chair with their legs elegantly crossed, asking their client, “and how does that make you feel?” While this typecast may be fitting for some types of psychologists, like school counselors or those who own a private practice, it is not fitting for all; especially for industrial organizational psychologists.
Many associate psychology with sitting in a chair in a small office as someone taking notes, asking how you feel about a certain event or feeling, analyzing your deepest secrets and memories. However, it branches off into many other fields. A clinical psychologist’s main job is “to reduce the distress and improve the psychological wellbeing of clients” (Bond). This can include anything from depression, eating disorders, and addiction, to mental illness, family and personal relationships, and learning disabilities (Bond). A clinical psychologist usually will choose to have an emphasis in a certain field such as children and learning disabilities and work in schools or social work facilities, or mental illness and work in a hospital (Bond). According to Vicki Cohen, people “typically are referred or come to therapy because they have a symptom”. These are defined by emotional, social, and or physiological.
A Thesis Proposal Presented to the Faculty of the Pharmacy Program University of the Immaculate Conception Davao City
The course Psychology 361: Introduction to Clinical Psychology served as an introduction to the profession and personal life of clinical psychologists. We discussed the ethical and legal issues, the importance of the client-therapist relationship, the rights and responsibilities of the client and the therapist and the different types of therapy within this field of practice. However, after evaluating these concepts in depth, I have come to find some of the material surprising, interesting and difficult to understand. After recognizing my interests and conflicts within clinical psychology, I was able to evaluate myself and determine this profession would not suit me as an individual.