Advance Directives: identifying possible barriers in implementation and potential remedies

Journal Title: Open Journal of Psychiatry & Allied Sciences - Year 2019, Vol 10, Issue 2

Abstract

Advance Directives (AD) are the legal right of every adult individual, who has the mental capacity to decide at the time of making AD, irrespective of one’s previous mental illness. AD seem to be an answer for many concerns and make it possible for an individual to take or retain control over one’s care by specifying treatment choices, well in advance and by naming someone as a Nominate Representative (NR) to make medical decisions once one is no longer able to do so. It can be expected that many barriers in the implementation of AD will be encountered that cannot be overlooked and active steps need to be taken to explore the possible barriers standing in the way of its effective implementation in our country. In short, it can be concluded that it is a challenging time for the mental health community as we live in a world of scarce workforce and millions of people need mental health services which demands urgent action. Despite the backing of the new law, we are well aware that we have a massive challenge on our hands. Hence, it is essential to accept the crucial role of country leadership in efforts to improve the mental health along with the critical part of civil society, media, and others to account for health outcomes. The purpose of this article is to collect the blinding flashes of insight to begin the prediction of barriers to AD’s implementation and possible solutions.

Authors and Affiliations

Dharmender Kumar Nehra, Rajiv Gupta

Keywords

Related Articles

Mood, motor, and speech abnormalities in schizophrenia, mania, and other psychotic disorders: a comparative analysis

Background: Although schizophrenia is conceptualised as psychosis that affects predominantly thought and, mania that affects mood, careful observation of the psychopathology indicates that there is considerable overlap o...

Occupational stress among police personnel in India

Background: Occupational stress and associated physical and mental health related issues are not addressed in Indian police personnel with adequate importance. Methods: Cross-sectional survey was conducted among police p...

Schizophrenia care: an overview considering family burden, medication adherence, and pharmacoeconomics

Schizophrenia is one of the leading causes of disability among all health problems. The discrimination and stigma are two unavoidable consequences of schizophrenia that individuals suffer most in developing countries. Ma...

Impact of depression on quality of life of patients having history of recent myocardial infarction

Background: Major depressive disorder is very common in patients having history of myocardial infarction (MI). Quality of life (QOL) is seen to be poorer in persons having post MI depression than who are non depressed....

The endocrine impact of long term risperidone therapy in Asian Indian patients

Background: Risperidone is a widely used antipsychotic, known to cause secondary hyperprolactinaemia. Related problems include bone mineral density (BMD) and vitamin D deficiency. However, there is insufficient informati...

Download PDF file
  • EP ID EP594691
  • DOI 10.5958/2394-2061.2019.00023.5
  • Views 100
  • Downloads 0

How To Cite

Dharmender Kumar Nehra, Rajiv Gupta (2019). Advance Directives: identifying possible barriers in implementation and potential remedies. Open Journal of Psychiatry & Allied Sciences, 10(2), 105-109. https://www.europub.co.uk/articles/-A-594691