Informed Consent Case Study

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Mike has an adequate understanding of that information. Mike may need time to reflect on the treatment offered before making the decision. He may need the information to be explained to him a number of times before he comes to a decision. In some circumstances it may not be possible to obtain the patient’s informed consent. For example, the patient may be a young child, be unconscious, suffer dementia or have an intellectual disability. In such cases a legal guardian or an appropriate person who is in the position to grant consent on behalf of the patient should be contacted. The only individuals who are entitled to grant consent on behalf of a patient are legal guardians (welfare guardians under the Protection of Personal Property Rights Act, …show more content…
Grief and loss normally make people feel isolated as it may affect social support (Ogrodniczuk, Joyce, Piper, 2003). The loss has alienated him from his social network. Grief counselling groups provide a source of social support. In addition, groups can provide a means of catharsis and a place to learn coping skills and stress management techniques (MacNair‐Semands, 2004; Piper, et al., 2001; Sikkema, et al., 2006). The role of the therapist facilitating the group is to create an atmosphere in which clients can examine responses in a here‐and‐now experience. The therapist encourages the client to find a balance of tension and comfort, and helps the client to explore uncomfortable emotions (Ogrodniczuk, 2003). Group therapy can be beneficial for older adults. These include the opportunity for structured socialization with peers, sharing age-related problems with others, and a chance to give and receive feedback and positive reinforcement. It also gives individuals an opportunity to be altruistic and that can be transforming to them. Group therapy using this type of structured, psychoeducational approach provides a comfortable and nonthreatening environment and provides practical information and strategies. The program is also designed to provide mentally stimulating exercises for individuals with mild cognitive impairment and apathy, which are common in …show more content…
This has significantly demonstrated better results in treating people experiencing chronic grief and hopelessness (Fischmann, 2005). Complicated grief treatment (CGT) has been rigorously tested in three large studies funded by the National Institute of Mental Health (NIMH). The treatment is administered in 16 weekly sessions using techniques derived from interpersonal therapy, motivational interviewing, positive psychology and cognitive-behavioral therapy. Grief is never completed but it usually does subside in intensity as you accept the reality, learn what the loss means to you and to your relationship with the deceased person and understand there are ways to have joy and satisfaction in your life again. Chronic grief treatment helps you to make these important adaptations. The therapist makes the assumption that grief is a natural response to loss and is the form love takes when someone we love dies. Typical thoughts and beliefs that impede grief are often related to prominent separation anxiety, bitter protest or caregiver self-blame. For example, a bereaved person may believe that he can never be happy without the deceased or that he will not be able to manage without this person. He may think the death was wrong or unfair: that this good person did not deserve to die when there are so many bad people in the world. He may think that it’s not right to be happy if his loved one can no