ACTIVITY 1

Mora, Miguel B. March 28, 2023

BSN 3YB-9 NCMB 317

1. Clients who fail to take medications regularly are often admitted to the hospital repeatedly, and this can
become quite expensive. How do you reconcile the client’s rights (to refuse treatment or medications) with
the need to curtail avoidable health care costs?

○ The reconciliation of a client's rights to refuse treatment or medications. The need to curtail avoidable
healthcare costs is a complex issue. It requires a delicate balance between respecting individual
autonomy and promoting public health. One potential solution could be to provide education and
support to clients. This is to help them understand the importance of adhering to their medication
regimen. Additionally, implementing programs that assist clients in managing their medications. That
may also prove beneficial. In summary, it is important to engage in open and honest communication
with clients. To address their concerns and work towards a mutually beneficial solution.

2. What is the quality of life for the client with schizophrenia who has a minimal response to antipsychotic
medications and therefore poor treatment outcomes?

- Clients with schizophrenia who have a minimal response to antipsychotic medications and
consequently subpar treatment outcomes can experience a range of levels of quality of life.
Schizophrenia is a complex disorder that has negative effects on both the individual and the wider
society. Antipsychotic medications can reduce some symptoms and enhance quality of life, but
reactions vary from person to person and many stop taking them because of ineffectiveness or
disabling side effects. Clinical ratings and/or symptom scales are frequently used to evaluate treatment
outcomes, but patients and caregivers may place a different emphasis on outcomes than do clinicians.
The recovery literature emphasizes the significance of acknowledging a wide range of outcome
domains in the treatment of schizophrenia, highlighting the relevance of enhanced social and domestic
functioning along with subjective wellbeing, optimism, and empowerment.

3. Clients who take depot injections of antipsychotic medications are sometimes court-ordered to comply with
this treatment when they are in the community. Does this violate the client’s right to self-determination or
autonomy? When should clients have the ability to refuse such medications?

○ Complex ethical questions may be raised by court-ordered treatment, including depot injections of
antipsychotic drugs. Maintaining the moral principle of respect for autonomy is one problem with
court-ordered treatment. Court-ordered treatment may be used to ensure that people receive the care
they need, but it may also be seen as a violation of their autonomy or right to self-determination. Each
individual's unique situation and needs should be taken into consideration when deciding whether to
use court-ordered treatment. It's critical to maintain open lines of communication with clients, respect
their autonomy and rights, and work to improve their overall health and wellbeing.
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