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Depravation of liberties, if Mary hasn't got capacity, it can go as far as the court o protection.

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If Mary has capacity, nobody can make her do anything. If she hasn't power of attorney is needed.

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In my opinion it is better Mary should stay at her home, and we should hire her one care assistant at her home.  So that she feels more happy, and she will get all needed support from her care assistant.

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In my opinion it is better Mary should stay at her home, and we should hire her one care assistant at her home.  So that she feels more happy, and she will get all needed support from her care assistant.

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Why was it suggest to put Mary straight into a residential home? And not exhausted all different avenues like having carer's come to Mary's home and help provide some assistance to Mary. Couldn't this be argued that, this could cause maleficence which could affect Mary's mental and physical wellbeing. Studies suggests that a person thrives better living in their own home compared to living in a care home/ residential home. If carer's came into Mary's home, this would promote autonomy for Mary.

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Mary is just old, and with age naturally a person becomes forgetful. The usual age for a person to start showing indications of dementia is around 65 years old. As Mary is 89 it could be said she is less likely to develop dementia, and more likely to be forgetful due to natural brain shrinkage.
However legally if Mary wanted to stay independent and live at home, she could. This is because Mary does have mental capacity. Mary can understand and also process information, if this process to interpret and understand information was damaged the healthcare professionals would be correct in suggesting a plan to ensure Mary's safety. However this is not Mary's case.

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As a healthcare professional I would attempt to make Mary see the benefits of living in a residential home by using persuasive conversation, if she agreed she would maintain a degree of autonomy by having some input regarding the location of her new home. I believe that by keeping Mary informed and allowing her to participate in the decision making, the move to the residential home will be less daunting and stressful for her

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As a healthcare professional I would attempt to make Mary see the benefits of living in a residential home by using persuasive conversation, if she agreed she would maintain a degree of autonomy by having some input regarding the location of her new home. I believe that by keeping Mary informed and allowing her to participate in the decision making, the move to the residential home will be less daunting and stressful for her

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Is Mary considered a burden ? Are the family just using this as an excuse to unburden themselves without feelingguilty ? How often do other family members visit ?

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Is Mary considered a burden ? Are the family just using this as an excuse to unburden themselves without feelingguilty ? How often do other family members visit ?

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NMC Code           Professional standards of practice and behaviour for nurses and midwives

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NMC Code           Professional standards of practice and behaviour for nurses and midwives

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The Code sets standards for both patients and members of the public.

Including them telling us what they expect from healthcare professionals.

They are the standards shown every day by good nurses and midwives across the UK.

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NMC CODE STATES    "Listen to people and respond to their preferences and concerns"

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NMC CODE STATES    "Listen to people and respond to their preferences and concerns"

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1. Encourage and empower people to share decisions about their treatment and care.

2. Respect the level to which people receiving care want to be involved in decisions about their own health, wellbeing and care.

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Mary does not have freedom of choice.

Mary's mental capacity should of been assesses before the family and professions made a decision.

Mary states she has always wanted to stay at home.

A care plan could of been put in place.

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Clinical guidelines (NICE) states that treatment should take into account patients needs and preferences. People with dementia should have opportunity to make informed decisions about their care and treatment, in partnership with their healthcare professionals'. If patient do not have the capacity to make decision healthcare professionals' should follow the Department of Health's advice on consent from the Welsh Government. Patient Consent to examination or treatment. It is general legal and ethical principle that valid consent must be obtained before starting a treatment or physical investigation, or providing personal care, for a patient. If the person lacks the capacity to decide who should be involved in decision making , health and social care professionals must act in their best interest, bearing in mind of the Mental Capacity Act 2005. Good communication between care provides and people with dementia is essential and their families so people with dementia receive the information and support they require.

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Clinical guidelines (NICE) states that treatment should take into account patients needs and preferences. People with dementia should have opportunity to make informed decisions about their care and treatment, in partnership with their healthcare professionals'. If patient do not have the capacity to make decision healthcare professionals' should follow the Department of Health's advice on consent from the Welsh Government. Patient Consent to examination or treatment. It is general legal and ethical principle that valid consent must be obtained before starting a treatment or physical investigation, or providing personal care, for a patient. If the person lacks the capacity to decide who should be involved in decision making , health and social care professionals must act in their best interest, bearing in mind of the Mental Capacity Act 2005. Good communication between care provides and people with dementia is essential and their families so people with dementia receive the information and support they require.

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Aim of nursing role is to improve patients' quality of life, whatever their situations. These include physical needs, which can range from total care to helping patient with illness. The nurse maintains a patient's dignity while providing knowledgeable, skilled care.

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In NMC code states that treat people as individual and uphold their dignity and respect humans rights where Mary always wanted to stay home after hospital treatment it was decided in her best interest with medical staff and family that Mary will be discharged in residential care home, without Mary agreement 

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In NMC code states that treat people as individual and uphold their dignity and respect humans rights where Mary always wanted to stay home after hospital treatment it was decided in her best interest with medical staff and family that Mary will be discharged in residential care home, without Mary agreement 

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As a nurse I would speak with Mary's family member to inform their relative Mary were she will be discharged from hospital to the residential care home.

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In legal issues Mary was not included in decision making.

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In legal issues Mary was not included in decision making.

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-Mary still thinking she is going home after discharge from hospital.
-Decision was made by family members and medical team.

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As a nurse I would put Mary in residental care home and the care staff would look after Mary based on nursing values. As a nurse I would respect family decisions as it is in the best interest of family and Mary and it is agreed with a medical team regarding her current condition of health.  

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As a nurse I would put Mary in residental care home and the care staff would look after Mary based on nursing values. As a nurse I would respect family decisions as it is in the best interest of family and Mary and it is agreed with a medical team regarding her current condition of health.  

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- Mary always wanted to stay in home it is ethical issue she do not have autonomy to make her own decision. Mary will not be happy because she wants to stay home.