Treatment of Psychiatric Emergencies in Children Versus Adults

Treatment of Psychiatric Emergencies in Children Versus Adults

Discussion: Treatment of Psychiatric Emergencies in Children Versus Adults
The diagnosis of psychiatric emergencies can include a wide range of problems—from serious drug reactions to abuse and suicidal ideation/behaviors. Regardless of care setting, the PMHNP must know how to address emergencies, coordinate care with other members of the health care team and law enforcement officials (when indicated), and effectively communicate with family members who are often overwhelmed in emergency situations. Treatment of Psychiatric Emergencies in Children Versus Adults.

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In this week’s Discussion, you compare treatment of adult psychiatric emergency clients to child or adolescent psychiatric emergency clients.
Learning Objectives
Students will:
Compare treatment of adult psychiatric emergency clients to child or adolescent psychiatric emergency clients
Analyze legal and ethical issues concerning treatment of child or adolescent psychiatric emergency clients Treatment of Psychiatric Emergencies in Children Versus Adults.
To Prepare:
Review the Learning Resources concerning emergency psychiatric medicine.
Consider a case where your adult client had a psychiatric emergency. (Note: If you have not had an adult client with a psychiatric emergency, ask your preceptor to describe one of their clients with a psychiatric emergency to use as an example for this Discussion.)
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts and cannot post anonymously. Please check your post carefully before clicking Submit! Treatment of Psychiatric Emergencies in Children Versus Adults.
By Day 3
Post:
Briefly describe the case you selected.
Explain how you would treat the client differently if he or she were a child or adolescent.
Explain any legal or ethical issues you would have to consider when working with a child or adolescent emergency case.
By Day 6
Respond to at least two of your colleagues by recommending at least one additional way you would treat a child or adolescent client differently than you would an adult and at least one additional way you would address the legal and ethical issues involved. Treatment of Psychiatric Emergencies in Children Versus Adults.

Psychiatric Emergencies: Violent Behavior

Violent behavior is a common manifestation of psychiatric disorders. Specifically, violent behavior is a manifestation maniac phase of bipolar disorder.  Violent patients are harmful to both self and others, including the healthcare workers (Savage, 2014). The following essay will describe a case of violent behavior, management with emphasis on adult versus child patient and finally the related legal issues in such a case. Treatment of Psychiatric Emergencies in Children Versus Adults.

While working as a nurse in a hospital, a patient was brought to emergency department with allegations of violent behavior. The patient was male and 40 years of age. The allegations included physical assault to relatives, co-workers and other persons with no clear cause for the violent behavior for the previous two days Treatment of Psychiatric Emergencies in Children Versus Adults.

Thorough history was taken from the relatives, including the patient’s biographic data, history drug use, family history of psychiatric cases and alcohol use. In addition, complete physical examination was performed, paying attention to the dressing mode, the client’s language and general appearance. The patient’s mood, level of concentration and memory were also assessed comprehensively. The patient was treated with lorazepam and haloperidol so as to stabilize the moods. Thereafter, the patient was admitted to mental unit and restrained followed by daily psychotherapy. If the patient was an adolescent, the history taking would be similar although different. For instance, while taking the history, the nurse would emphasize on the history of drug abuse and use since adolescents are a higher risk of drug abuse than the adults. In addition, the appropriateness of the dressing code should be assess paying attention to the patient’s age (Duxbury & Scholes, 2018) Treatment of Psychiatric Emergencies in Children Versus Adults.

When providing care to vilent patient, prior to admission, the patient’s caretaker should fill in the prerequisite forms for involuntary admission so as to avoid forced detention cases. While restraining the patient, only trained and supervised staff should take the role to avoid harm to the patient (Layde, 2015).

In conclusion, the treatment for violent behavior is similar although different for adult and adolescent patients. There are several legal issues concerning care for violent patients Treatment of Psychiatric Emergencies in Children Versus Adults.

References

Layde, J. B. (2015). The legal framework of medical ethics in the United States. In Professionalism and Ethics in Medicine (pp. 27-38). Springer, New York, NY.

Savage, J. (2014). The association between attachment, parental bonds and physically aggressive and violent behavior: A comprehensive review. Aggression and violent behavior, 19(2), 164-178.

Duxbury, J. A., & Scholes, A. (2018).Minimising Violence and Related Harms. Essentials of Mental Health Nursing, 385. Treatment of Psychiatric Emergencies in Children Versus Adults.