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This right allows patient to visit and hold telephone conversations in privacy and
send unopened letters to anyone of their choice, including judges, lawyers,
families, and staff. Although the patient has the right to communicate in an
uncensored manner, the staff may limit access to the telephone or visitors when it
could harm the patient or be a source of harassment for the staff. The hospital
also can limit the times when telephone calls are made and received and when
visitors can enter the facility.
The patient may bring clothing and personal items to the hospital, taking into
consideration the amount of storage space available. The hospital is not
responsible for their safety, and valuable items should be left at home. If the
patient brings something of value to the hospital, the staff should place it in
the hospital safe or otherwise provide for maintaining a safe environment and
should take dangerous objects away from the patient if necessary.
Right to Education
Many patient exercise the right to education on behalf of their emotionally ill or
mentally retarded children. The U.S. Constitution guarantees this right to
everyone, although many states have not provided adequate education to all
citizens in the past and are now required to do so.
The right to privacy implies the person’s right to keep some personal information
completely secret or confidential. Confidentiality involves the nondisclosure of
specific information about a person to someone else unless authorized by that
person. Every psychiatric professional is responsible is responsible for
protecting a patient’s right to confidentiality, including even the knowledge that
a person is in treatment or in a hospital. Revealing such information might result
in damage to the patient. The protection of the law applies to all patients.
The Health Insurance Portability and Accountability Act (HIPAA,2003) is the first
comprehensive privacy protection act which guarantees patients four fundamental
rights related to the release of information:
1. To be educated about HIPAA privacy protection
2. To have access to their own medical records
3. To request correction or amendment of their health information to which they
object
4. To require their permission for disclosure of their own personal
information.
The goal of informed consent is to help patients make better decisions. Informed
consent means that a clinician must give the patient a certain amount of
information about the proposed treatment and must attain the patient’s consent,
which must be informed, competent, and voluntary.
Diagnosis
Description of the patient’s problem
Treatment
Nature and purpose of the proposed treatment
Consequences
Risks and benefits of the proposed treatment including physical and psychological
effects, costs, and potential resulting problems
Alternatives
Viable alternatives to the proposed treatment and their risks and benefits
Prognosis
Expected outcomes with treatment, with alternative treatments, and without
treatment.
Right to Treatment
Early court cases extended the right to treatment to all mentally ill and mentally
retarded people who were involuntarily hospitalized. The courts defined three
criteria for adequate treatment:
1. A humane psychological and the physical environment
2. A qualified staff with a sufficient number of members to administer adequate
treatment
3. Individualized treatment plans
Most important is the requirement for an individualized treatment plan.
Failure to provide it means that the patient must be discharged unless he or she
agrees to stay voluntarily. Failure to provide it means that the patient must be
discharged unless he or she agrees to stay voluntarily.
The right to treatment in the least restrictive setting is closely related to the
right to adequate treatment. Its goal is evaluating the needs of each patient and
maintaining the greatest amount of personal freedom, autonomy, dignity, and
integrity in determining treatment. This right applies to both hospital-based and
community programs. Another consideration in the least restrictive alternative is
that it applies not only to when a person should be hospitalized but also to how a
person is cared for. It requires that a patient’s progress be carefully monitored
so that treatment plans are changed based on the patient’s current condition.
Role of Nursing
The National League for Nursing (1977) issued a statement on the nurse’s role in
patient’s rights. The league urged nurses to get involved in ensuring patient’s
human and legal rights.
The league identified many of the previously mentioned rights, plus the following: