Crossing the Borderline

Crossing the Borderline

What do you want to know? I busy myself with getting some quills, parchment and ink out.

Annie switches her attention back to Blaine. Annie doesn't look bothered.

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Dom's face lights up at gossip. She then pointedly stares at the spot Gabby's sitting on.

She was there too. Did James obliviate her? No, of course not. Borderline Schizophrenia and Borderline Personality. Two item sets were developed to provide diagnostic criteria for the two concepts.

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High sensitivity and specificity were demonstrated for both item sets using data describing borderline and control patients. Sign in to access your subscriptions Sign in to your personal account. Create a free personal account to download free article PDFs, sign up for alerts, and more. Purchase access Subscribe to the journal. Get free access to newly published articles. Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure.

Medication-administration errors in an urban mental health hospital: The perceptions of nurses towards barriers to the safe administration of medicines in mental health settings.

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Create a free personal account to download free article PDFs, sign up for alerts, customize your interests, and more. Two item sets were developed to provide diagnostic criteria for the two concepts. The pain of being borderline: Is this the kind of style that you're into at the moment? Missing clinical and behavioral health data in a large electronic health record EHR system. Borderline personality disorder in primary care. Something went wrong Is your network connection unstable or browser outdated?

Int J Nurs Pract. Barriers to the reporting of medication administration errors and near misses: Suicide attempts and completions on medical-surgical and intensive care units.

Patients' expectations and experiences of feeling safe in an acute psychiatric inpatient ward. Inpatient suicide on mental health units in Veterans Affairs VA hospitals: Patient safety in psychiatric inpatient care: Electronic medical record availability and primary care depression treatment. J Gen Intern Med.

Hospital mistakes kept secret. Identifying and reducing medication errors in psychiatry: Facebook Twitter Linkedin Email. The Case A year-old woman with borderline personality disorder was admitted to an inpatient psychiatry unit following a failed suicide attempt with excess doses of acetaminophen. Patients with BPD have significantly elevated risk of suicide, and suicide attempts and self-injurious behavior must be taken seriously, including the use of brief hospitalization when necessary. Interpersonal and family relationships in patients with BPD are characterized by turbulence and intense swings from idealization to devaluation, and the reverse.

Active communication among all clinicians participating in the treatment of a patient with BPD is essential.

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Hospital staff should make every effort to consult with the referring therapist and, preferably, to schedule joint meetings during the patient's inpatient stay. Similarly, active communication with the patient's family and significant other persons in the patient's current life should be pursued. Frantic efforts to avoid real or imagined abandonment. A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation. Impulsivity in at least two areas that are potentially self-damaging e. Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior.

Affective instability due to a marked reactivity of mood e. Chronic feelings of emptiness.

Inappropriate, intense anger or difficulty controlling anger e. Transient, stress-related paranoid ideation or severe dissociative symptoms. Br J Health Psychol. Am J Emerg Med. Cottney A, Innes J. Int J Ment Health Nurs.