You are a PMHNP working in a large intercity hospital. You receive a call from the answering service informing you that a “star consult has been ordered by one of the hospitalists in the ICU. Upon arriving in the ICU, you learn that your consult is a 14 year old male who overdosed on approximately 50 Benadryl (diphenhydramine hydrochloride) tablets in an apparent suicide attempt. At the scene, a suicide note was found indicating that he wanted to die because his girlfriend’s parents felt that their daughter was too young to be “dating.” The client stated in the suicide note that he could not “live without her’ and decided to take his own life. Although he has been medically stabilized and admitted to the ICU, he has been refusing to talk with the doctors or nurses. The hospital staff was finally able to get in touch with the clients parents (using contact information retrieved from the 14 year old’s cell phone). Unbeknown to the hospital staff, the parents are divorced, and both showed up at the hospital at approximately the same time, each offering their own perspectives on what ought to be done. The client’s father is demanding that the client be hospitalized because of the suicide, but his mother points out that he does not have “physical custody’ of the child. The client’s mother demands that the client be discharged to home with her stating that her son’s actions were nothing more than a “stunt” and “an attempt at manipulating the situation that he didn’t like.” The client’s mother then becomes “nasty” and informs you that she works as a member of the clerical staff for the state board of nursing, and if you fail to discharge her child “right now” she will make you “sorry.” How would you proceed? The Assignment (2-3 pages):
Based on the scenario, would you recommend that the client be voluntarily committed? Why or why not? Based on the laws in Virginia, would the client be eligible for involuntary commitment? Explain why or why not. Did understanding the state laws confirm or challenge your initial recommendation regarding involuntarily committing the client? Explain. If the client were not eligible for involuntary commitment, explain what actions you may be able to take to support the parents for or against voluntary commitment. If the client were not eligible for involuntary commitment, explain what initial actions you may be able to take to begin treating the client.
Medicinal pot or restorative cannabis can be characterized as the utilization of weed for therapeutic purposes. Weed itself is a medication that originates from the straightforward leaves of hemp plant additionally alluded to as cannabis sativa. Its most dynamic fixing is delta tetrahydrocannibinol. All through history maryjane has been utilized as a part of a wide range of societies to change discernment, temperament and awareness. Its belongings run from inciting enchanted encounters to the addition of innovativeness. It comes next from liquor in the rundown of recreational medications. Around the world, it has been utilized for some reasons. For instance in the crude clans of South America India and Africa it is utilized for religious and services and furthermore for some restorative purposes. For example the African excavators utilized it in facilitating the drudgery of their work while the Jamaicans utilized it in the nights to ease or alleviated their weariness. The old Persians, Greeks, East Indians, Assyrians and Romans utilized pot as the medication for controlling lessening muscles fits, treating acid reflux and the diminishment of torment (Roth Rebecca 1). There are two sides on the issue of authorization of maryjane and each side has a large number of reasons in the matter of why therapeutic pot ought to be legitimized. This abandons one uncertain of which side is sound. Reasons in the matter of why medicinal maryjane ought not be sanctioned. There are a few reasons in the matter of why the a few people in the general public are negating the sanctioning of medicinal pot. One reason is that restorative cannabis is seen to be addictive in numerous nations. For instance in the unified conditions of America the Controlled Substances Act of 1970 ordered pot as a timetable 1 sedate on premise that it contained high potential for manhandle. This was impelled by the recognition that individuals who expend it generally get snared subsequently getting to be potheads and the medication in the long run commands their lives. They likewise trust that the successive abuse of the medication can prompt lazy practices or even genuine medical issues. Fixation is brought by the way that there is a plausibility that somebody treated for perpetual timeframes for a consistent torment will in the long run turn out to be more subject to the medication. He will likewise require high sums than previously. This enslavement may prompt passing because of respiratory disappointment. Another reason in the matter of why a few people are against the authorization of the medicinal maryjane is on account of they hold it has no acknowledged therapeutic utilize. For instance weed may yield impressive health advantages for some patients with afflictions, for example, tumor and glaucoma yet these advantages have not been all around acknowledged both broadly and universally. Another reason with reference to why numerous individuals are restricting this activity is that it is truly connected to opiates, for example, cocaine and courageous woman. For instance in America the early against sedate laws were stipulated with the goal that they may control opiates which included opium and its subsidiaries such morphine and champion. These hostile to medicate laws additionally controlled pot in spite of the fact that it's anything but an opiate. The other reason is that a few people trust that cannabis as a medication is related with unfashionable styles. This is on account of frequently numerous individuals have taken weed to be the medication for washouts and flower children. They feel that its authorization will prompt expanded number of failures and flower children and along these lines forcing of criminal assents against individuals who are observed to be in control of pot is seen to a type of common security "or extreme love." A few people who are restricting the sanctioning of medicinal pot feel that there is no enough proof to demonstrate that the medications fix sickness. In a few nations (Holland and Amsterdam) where medicinal weed is thought to be illicit, it is expected that weed can not be utilized for restorative purposes in light of some destructive impact achieved by its utilization. For instance it is accepted that it influences the aptitudes required for one to drive securely on the grounds that it brings readiness or the capacity down to think, capacity to respond rapidly and individual coordination. It additionally influences the driving aptitudes by making it troublesome for one to respond to signals, sounds out and about and judge separations. Other hurtful outcome of marinol medicate which is produced using cannabis incorporate untimely growth, mental clutters, for example, despondency, expanded forcefulness and antagonistic vibe, memory misfortune, general lack of care impedance of the safe framework and the regenerative inabilities. For instance logical investigations demonstrate that maryjane debilitates the safe arrangement of individuals experiencing AIDS for it is evaluated that pot smokers who are HIV positive advance to the all out guides twice as quick as the non-smokers. Opposers of legitimization of the medicinal cannabis additionally trust that authorizing of the medication will prompt expanded access to pot for the youthful populace who are well on the way to be harmed by the medication utilize. They additionally contend that there are numerous different medications which can be utilized as a part of the treatment of similar sicknesses. In this way, the utilization of pot for medicinal reasons for existing is uncalled for. The opposers keep on asserting that it is hurtful on the grounds that it is a flimsy blend made up of progressively those 425 synthetic concoctions which normally change over to thousands particularly when it is being smoked (Marijuana.com 1) Reasons with respect to why therapeutic maryjane ought to be sanctioned. A furious civil argument has resulted about the sanctioning of the maryjane prescription. The advocates of the legitimization of cannabis trust that pot ought to be moved to a timetable II medicate so it can be helpful to a point that it can be recommended by a specialist. They additionally trust that it doesn't cause some medical issues like those caused by liquor or tobacco, for example, solid fixation, malignancy, heart issues, birth deserts liver harm and emphysema. They likewise trust that demise from an overdose is incomprehensible. An investigation did by the UCLA institute of prescription which included 243 pot smokers more than 8 long stretches of smoking has demonstrated that neither the intermitted nor the proceeding with pot smokers demonstrated any declining rates in the lung work contrasted with the general population who have never smoked maryjane (Barry 1). Numerous advocates likewise trust that numerous individuals are captured and charged when they take maryjane for treatment since numerous individuals would rather confront the law that kick the bucket of specific sicknesses which can be helped by cannabis. They likewise declare that logical and therapeutic tests going back to thousand of years point to the medicinal properties of cannabis. They additionally express that a huge number of specialists, patients and their families have likewise have likewise seen the health advantages of pot since they have told other through declarations in broad daylight hearing and furthermore in the broad communications. They have likewise added to books and even research contemplates on the medication. The defenders assert that the marvel (utilization of cannabis for restorative intentions) is genuine and the individuals who say the proof isn't adequate are overlooking what's really important. They likewise contend that the confirmation is sufficient for one to pronounce that there is no any important reason with respect to why therapeutic patients who utilize cannabis for genuine restorative reason ought to be subjected to capture, correctional facilites, open humiliation and fines. They contend that the choices about the utilization or motivations behind pot lie in the hand s of specialists and patients. A few nations or states have authorized and others are pushing for the legitimization of restorative weed due to its positive properties which incorporate the medicinal esteem and its utilization as a recreational medication joined by generally mellow reactions. Numerous individuals trust that it's a decent treatment of a few sicknesses. For instance it give the help in torment, spasticity, sickness and numerous different side effects which have not been effectively been treated with traditional solutions. This is obvious from the State of California whereby the smoking of pot has adequately been utilized as a part of the calming of perpetual HIV related nerve torments which were described by throbbing, consuming and agonizing deadness. The patients were encouraged to smoke pot no less than three times each day so they can get rid of the torment. Individuals say it helps disease patients since they trust it can empower craving consequently reducing the spewing and queasiness related with the chemotherapy methods (Sanfranciscocannabisclubs.com 1). It is likewise contended that cannabis offers a gentle and direct method for unwinding dissimilar to liquor which has a portion of the indecencies related with it, for example, visit pee, queasiness and now and again retching particularly when the individual had not taken some sustenance before drinking taking it. After individual perceptions done by numerous individuals it is said that cannabis can be a decent decision of medication since it has moderately low reliance obligation and it is somewhat less demanding to control its symptoms contrasted with alternate medications. It is trusted that the greater part of the pot clients predominantly create resilience to the medication's reactions and the individuals who don't then quit utilizing the medication with a quick impact (Alternet.org 1). Definitively, legitimization of maryjane is a fervently wrangle between the opposers and proposers. Each side has a huge number of motivations to help its individual stand and this makes a uniformly adjusted level headed discussion. A portion of the therapeutic reasons refered to by one side are a counter to the reasons set forward by the opposite side. This makes a mess seeing the entire issue as one is uncertain of which side is more believable.>GET ANSWER