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The essay aims to address a two-fold objective to wit: (1) to identify and describe at least one ethical or legal issue related to their nursing care in your journal; and (2) to summarize at least three articles, comparing and contrasting each article and how it affected your thoughts, feelings, values, or actions in your practice.
The Mentally Ill A. Journal Writings I am a psychiatric nurse from a local community hospital and was taking care of Patient X (not the real name to protect confidentiality of patient information). Patient X was diagnosed with schizophrenia and was treated with clozapine (Clozaril), an atypical psychotropic drug used to treat psychotic symptoms, hallucinations, and breaks with reality (NIMH, 2012, 6). For a period of four weeks, I usually give Patient X a 200 mg oral preparations of clozapine twice a day as ordered. After series of inpatient medication regimen, Patient X’s symptoms of schizophrenia decreased and the patient is now stabilized. With this, Patient X requested to be discharged and be treated through outpatient commitment. I told Patient X that I will relay his request to the health care team and will inform him of the decision made. Upon discussing it with the health care team, we were put in a dilemma whether to grant Patient X’s request to respect his autonomy and independence or denied it to uphold the principle of nonmaleficence because the client might not take medications on time or not take medications at all and may result to an imminent threat or danger to self or to others due to relapse of schizophrenic symptoms. ...
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