Emergencies in Mental Health Nursing (Emergencies in...)

Mental health nursing in emergency departments: the case for a nurse practitioner role.

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Semistructured interviews were used for data collection, with the following questions: What do you consider to be an emergency in mental health?

Edited by Patrick Callaghan

How do you approach people in emergency situations in mental health? Data were analyzed in the light of Thematic Analysis, involving the following phases: The data that emerged from the interviews were analyzed and grouped in four categories: Conception of emergency in mental health. The participants reported that emergency in mental health is a life-threatening situation for the patient and third parties and is perceived through manifestations of aggressiveness, agitation and loss of control.

The term episode was repeatedly used to define an emergency situation and three of the interviewees cited suicide attempts as an occurrence that demands emergency care. Examples are the following reports: A person beyond his normal awareness, at quite an altered level, aggressive, agitated, confused, who in some way presents risks for himself and the people around him.

A patient going through an episode. Both aggressive with people and self-aggression. A patient who tries to commit suicide and reaches a threshold of despair, depression, of madness really. I see these two situations as psychiatric emergency E. Physical containment was appointed as a way to approach patients who represent risks for themselves or others, and is therefore considered a means to protect the patient in crisis, companions and employees involved, followed by talking, administering medication and checking vital signs.

First I try to talk.

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Before I approach him, I call the team, prepared them and the containment material. First, physical containment is done. Then, vital data are collected, when the patient is calm, contained A. If not, then I call help and we go for containment, to avoid that the person ends up attacking other people or himself A.

As his level is getting better, the contentions are removed, it protects the team and him too E. Physical containment in case of emergency in mental health. According to the participants, physical containment is a nursing team practice in case of emergency situation in mental health at the study institution.

Hence, the facts develop and the group decides on how to act during the event.

The participants discuss the lack of specific materials and sometimes have to improvise, using diapers, sheets, cotton padding, materials for use in physical containment: There are the containment strips we use. There were some strips padded with foam so as not to hurt the patient.

Behavioral Health

We use bandages, of 15, 10 centimeters. One for each arm and leg and the sheet to contain the chest.

When those padded strips from the emergency medical service are available, we use those. When not, we put a baby diaper around the wrists, around the ankles, get the bandage and do the containment, taking care not to hurt, not to make it too tight, see peripheral perfusion [ Difficulties in emergency practice in mental health. They mentioned lack of preparation to deal with specific situations in the mental health area and that this causes feelings ranging from fear to mistrust, guilt, anger, pity and insecurity.

Some subjects also reported on dissatisfaction with the negligent and careless way in which some colleagues treat mental patients. They also appointed lack of sufficient and adequate material for physical containment. I prefer two cardiac arrests at the same time than a patient like that [ All participants mentioned lack of preparation and training for care delivery to patients with mental disorders. It is perceived however that, on the one hand, less experienced professionals related the lack of training with difficulty and fear they feel, entailing insecurity when delivering emergency care in mental health.

On the other hand, more experienced and better-trained professionals discuss the separation of care in reserved places and with specialized staff, as a way to improve care delivery, according to the following report.

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I think that, here [ In this study, some nursing technicians did not acknowledge the mention of suicide attempts and behavioral alterations caused by psychoactive substance use as emergency situations. These situations, however, correspond to a considerable number of emergency situations, sometimes due to intentional self and hetero-inflicted injuries or non-intentional external causes traffic and other types of accidents , or also to other psychic clinical events depression, anxiety, violence and suicide.

This lack of understanding can lead to contempt for emotional needs and the importance of suicide attempts in professional care delivery to psychoactive substance users Behavioral Health Patients in the Emergency Department Journal of Emergency Nursing , March As nurses, we must examine our own beliefs, attitudes, and actions when it comes to providing care for patients with behavioral health issues. It seems clear that for the foreseeable future, behavioral health patients will be a large component of the emergency patient population…. Doe, a year-old woman, was brought in by police for a psychiatric evaluation after she was found walking toward the middle of a lake at a local park.

My Account Welcome, useremail domain. Behavioral Health Every day, people with behavioral health issues seek help, but have nowhere to turn except their local emergency department. Resources Emergency Care Psychiatric Clinical Framework A consistent practice model for competent and accountable emergency psychiatric clinical care regardless of facility or time of day. A psychiatric evaluation should be conducted after a medical cause for their behavior has been eliminated… Behavioral Health Patients in the Emergency Department Journal of Emergency Nursing , March As nurses, we must examine our own beliefs, attitudes, and actions when it comes to providing care for patients with behavioral health issues.

It seems clear that for the foreseeable future, behavioral health patients will be a large component of the emergency patient population… Medical Evaluation of the Behavioral Health Emergency Patient Journal of Emergency Nursing , January J. Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription. Please subscribe or login to access full text content. If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

Emergency Mental Health Nursing

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