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Biomedical subjects

B Dimond

Publications and source records attributed to B Dimond.

At least 73 records · Page 4Linked to original sources

Complementary therapy and the midwife.

The UKCC recognises that midwives may become qualified in non-traditional therapies. One of the major difficulties for a practitioner advancing into a new field of practice is determining her/his competence. As new therapies develop, there is not initially the expertise to determine the accepted standards of care and practice. Vicarious liability depends on whether the midwife is acting in the course of her employment when she is carrying out the therapy. The midwife has a legal duty to respect the mother's wishes and choices. It is essential for the midwife to keep comprehensive, clear records on any agreement with the mother over the use of complementary therapies.

Clinical Competence

Complementary therapy and the mother's wishes.

Midwives cannot ignore the growing interest from clients who wish to use complementary therapies. However, midwives have a duty to ensure that their clients are aware of the advantages and the dangers of particular therapies. Co-operation with complementary therapists is to be encouraged, but the midwife must never delegate responsibility for her client. Managers should arrange for midwives to receive training in particularly complementary therapies, so that midwives may widen the scope of their professional practice. Midwives whose clients request complementary therapies may find themselves asked to provide hypnotism, aromatherapy or another therapy that may conflict with the accepted standards of midwifery practice. A mother might also wish to use homeopathic remedies for an underlying condition.

Clinical Competence

Foreign bodies.

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Foreign Bodies

Fears for the future.

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Attitude of Health Personnel

Grave mistakes.

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Abortion, Legal

Children and the accident and emergency department.

It is not unusual for children to come into the Accident and Emergency (A & E) department unaccompanied by their parents and alone or with other children. At the one extreme there might be a child who is bleeding from a cut which requires urgent stitching, at the other extreme, there may be a road traffic accident where the child is unconscious and no one initially knows his name or parents and address. What is the legal situation regarding the duty of the A & E staff? This article starts with the general principles relating to consent to treatment and then looks at specific situations relating to children.

Adolescent

Living wills: patient choice and the accident and emergency nurse.

The article explores the legal issues relating to the right of the patient to make known his views relating to consent or refusal to receive specific treatment in the future. Such a future or advance directive is known as a living will. At present there is no statutory right for a person to make a living will but it is considered to be part of the right at common law for patients which would be recognised by the courts. The absence of statutory provision creates considerable difficulties for Accident and Emergency staffing. The Law Commission has recommended that there should be statutory provision enabling patients to make living wills and the article explores some of the consequences of their recommendations.

Choice Behavior

Attempted suicide in the accident and emergency department.

The following situation is not unusual in the Accident and Emergency (A & E) department: A young man is brought in by his girlfriend. She says that she came home unexpectedly and found him in a drowsy state, with an empty bottle of paracetamol and a farewell note left by the bedside. With the help of a neighbour she brought him to the department. The patient is not unconscious and resists any attempt to be given a stomach wash-out. Staff know that if this does not take place he is likely to suffer serious internal harm and his life could be in danger. He does not seem capable of listening to rational argument, but is shouting to be allowed to go. What is the legal position? As a sequel to this question, if he eventually does have a stomach wash-out and is able to leave the hospital but staff fear that he may repeat the suicide attempt, can he be compelled to stay?

Emergency Nursing

Violence in the accident and emergency department.

It is not surprising that the increased level of violence in society has had its effect upon safety within the Accident and Emergency (A & E) department. At a time when every health professional including General Practitioners (GPs) report incidents of assault during their work, it is inevitable that such incidents should also occur within hospitals. Many A & E departments now employ security firms to guard the premises and to be on call should trouble arise. Most departments would have a system of closed circuit television which may be useful in identifying and controlling trouble at an early stage and in assisting in the recognition of offenders subsequently. Unfortunately such measures are not entirely successful in preventing violence in the departments, and the nurse may be confronted by such situations as: An injured person coming in with his drunken friends on a Friday night or after a football match, bringing havoc and uproar to the department An injured spouse/cohabitee following a violent quarrel at home, with the uninjured party trailing behind fiercely defensive of his innocence and yet aggressive to others around Tramps, bewildered and terrified, denying the need for help and resisting the assistance of the staff. What is the legal position of the nurse in such situations? If the nurse fears for safety would the right exist to evict such persons from the department even though there may be severe injuries? Is the nurse permitted to take any action in self-defence? What duty exists upon the nurse's employer to secure health and safety?(ABSTRACT TRUNCATED AT 250 WORDS)

Emergency Nursing