Treatment Of Psychiatric Emergencies

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Treatment Of Psychiatric Emergencies

Treatment Of Psychiatric Emergencies

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In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.

To Prepare:

  • Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
  • Select a healthcare program within your practice and consider the design and implementation of this program.
  • Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.
  • Review the User Guide for Uploading Media in your Blackboard Classroom by accessing the Kaltura Media Uploader on the Left Navigation Bar in preparation to record your narrated video or audio for this Assignment.

The Assignment: (2–3 pages)

In a 2- to 3-page paper, create an interview transcript of your responses to the following interview questions:

  • Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
  • Who is your target population?
  • What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
  • What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
  • What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
  • Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?
Psychiatric emergencies like extreme psychomotor agitation or suicidality frequently occur in non-psychiatric settings like general hospitals, emergency rooms, or doctors’ offices, causing stress for everyone concerned. 
They could be life-threatening and should be addressed right away. 
As an assistance to their prompt and effective management, we address the primary presenting symptoms, differential diagnoses, and treatment choices for the main forms of mental emergencies in this article.


Selective literature review was used as method.


Conclusions and findings


The few controlled studies and sparse accurate data that are now available do not adequately record the occurrence of mental emergencies in non-psychiatric settings, such as general hospitals and doctors’ offices, and their treatment. 
Existing research implies that mental emergency diagnosis and treatment should be improved. 
Aside from requiring necessary medical skills, the treatment of such instances entails tremendous expectations on the physician’s attitude and behaviour. 
Establishing strong, trustworthy connection with the patient, as well as the capacity to gently and methodically “talk down” anxious patients, are critical components of successful treatment. 
prompt and unambiguous treatment selection, which includes examination of the available options for effective medication, usually resolves acute symptoms quickly.


Mental disease is often, but not always, the cause of psychiatric emergency. 
They necessitate immediate action to preserve the patient and others from death or other dire effects (1). 
Immediate treatment aimed at the acute manifestations is required, both to ease the patient’s subjective symptoms and to prevent potentially harmful conduct.


Visit the Learning Objectives page.


The following are the learning objectives for readers of this article:


to get general understanding of the various sorts of psychiatric emergencies;


to understand and be able to apply the legal framework (in Germany) for preventing harm to the patient and others;


to learn how to differentiate between different types of mental emergencies and how to treat them effectively.


There are little accurate statistics on the frequency of mental emergencies in general and family practice, in general hospital emergency rooms, or among patients handled by emergency medical teams. 
The prevalence rate of mental emergencies has been found to range from 10% to 60% in various research (2). 
This large range of results could be due to number of methodological flaws. 
Given the current realities in medical care, as well as the public’s overall antipathy to mental problems of any kind, it’s not surprising that psychiatric emergencies are rarely treated in specialized psychiatric facilities. 
Mentally ill people who don’t want to be stigmatized frequently go to general hospitals’ emergency departments, which are usually easy to find and open 24 hours day.




In non-psychiatric institutions such as general hospitals and general medical practices, the prevalence rate of mental emergencies has been reported to range from 10% to 60%.


According to retrospective study conducted at Hannover Medical School (Medizinische Hochschule Hannover, MHH), mental patients presented to the emergency room at rate of 12.9 percent in 2002. (3). 
Psychiatric emergencies accounted for 12 percent to 25% of all emergency cases seen by emergency medical services (4, 5). 
In 10% of cases, general practitioners and family physicians, the most widely regarded providers of primary care, saw psychiatric emergencies. 
Regardless, there are few credible data on this topic from German-speaking countries, and disparities in health-care systems between countries may restrict the generalizability of findings from one country to the next (6, 7).


As result of the foregoing, all physicians require basic understanding of the diagnostic and therapeutic procedures to be followed in mental emergencies. 
number of studies have indicated that up to 60% of mental problems presenting to medical attention in mostly non-psychiatric facilities and hospitals are not effectively diagnosed or treated (2, 8).


Acute excitement with psychomotor agitation and self-destructive or suicidal behavior are the two basic forms of psychiatric emergency. 
The purpose of this article is to present the diagnostic and differential diagnostic features of these entities, as well as treatment options. 
The algorithms in Figures and 22 are meant to aid in diagnostic and therapeutic decision-making, but they are not required to be followed to the letter in every situation. 
Because there is scarcity of high-quality research in emergency psychiatry, the algorithms and treatment suggestions presented here should be taken as expert guidance rather than absolute truth. 
They are based on the authors’ clinical experience and relate to contemporary psychiatric emergency management at the University of Bochum’s Psychiatry Department (Germany). 
Every physician, on the other hand, should be conversant with the fundamentals of psychiatric emergency management, which are discussed in the next section.
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