Mental Health: Decisions In The Health Context

Mental health: decisions in the health context

This article expresses a transformation of a paternalistic model, based on authorities that previously possessed a therapist doctor to a model established by law, which in a sanitary context gives the patient autonomy and freedom of thought to voluntarily make decisions about decisions about decisions about decisions aboutyour mental health, all this depending on what you consider convenient for yourself.

That said, the use of an informed consent to act in a sanitary context is vitally important, which legally establishes the autonomy that a person possesses to refuse an effective treatment, even if it is favorable to continue alive, since, since, since, since, since, since, since, since, since, since, since, since, since, since, since, since, since, since,According to your rights, it is found in all your power to do so, as long as you have previously received the information of what your health is affecting and still demands it verbally, in addition, it must specify in a writing bythat you do not want to receive the surgical intervention that you consider that you can generate risk to your health.

However, the law normalizes the information granted to the patient before performing a health process, as well as in special cases of omitting consent when there is a risk to public health and immediate and serious danger to the health of the healthPatient: In the event that the patient is not able to give his consent.

Even more, there is a questioning from the ethical of what is called the "state of therapeutic necessity" or therapeutic privilege, where it covers the authorization to the doctor to intervene without prior report to the patient, when that information will generate significant risk for their health. Notwithstanding this therapeutic privilege, it can also be questioned when it comes to people minors or people with serious mental disorders with active symptoms, with cognitive disorders of some intensity or people with revealing intellectual disabilities.

On the other hand, there are competencies that a person must have as a clause for healthy autonomous decision making, such as: having obtained information about the necessary process, having knowledge of the diagnosis and particularities of it, how serious the situation is so serious in thethat is found that therapeutic techniques will be used and options, advantages and disadvantages and risks in such a case that the measure proposed by the doctor is not taken.

It is important to clarify that there are more difficult decisions than others, such is the case of people who undergo an effective and risk treatment or discarding another that contains great discomforts or problems and will not obtain a significant benefit, it is a more competitionEasy, to know if a person has the skills to make decisions, it is necessary that he have a conscience focused on the clinical situation that is being experienced and a verbal or written consent but the difficult decisions are those in which we opt to save life. For decisions of this difficulty the requirements that we should ask the person would be the understanding of the clinical situation and the proposed treatment, and a capacity for choice that at least take into account the results of the intervention.