ch12 - Chapter 12 Psychiatric and Behavioral Disorders...

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Chapter 12 Psychiatric and Behavioral Disorders
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Topics Behavioral Emergencies Pathophysiology of Psychiatric Disorders Assessment of Behavioral Emergency Patients Specific Psychiatric Disorders Management of Behavioral Emergencies Violent Patients and Restraint
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Behavioral Emergencies Behavior Normal vs. Abnormal Behavior Indications of a Behavioral or Psychiatric Condition Behavior that interferes with core life functions Behavior that poses a threat to the life or well- being of the patient or others Behavior that deviates significantly from society’s expectations or norms
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Pathophysiology of Psychiatric Disorders Mental Health Problems Role of Medication Noncompliance - adds to the problem of managing patients with mental health problems Causes of Disorders Biological (Organic) Cause related to disease process or structural changes (dementia, CVA, etc.) Psychosocial Cause related to the patient’s personality style, unresolved conflicts, or crisis management methods Sociocultural Cause related to the patient’s actions and interactions
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Assessment of Behavioral Emergency Patients (1 of 4) Scene Size-up Ensure personal safety. Initial Assessment Suspect life-threatening emergencies. Assess and manage ABCs. General Impression: Consider posturing, hand gestures, and signs of aggression. Observe the patient’s awareness, orientation, cognitive abilities, and affect. Consider the patient’s emotional state. Control the scene.
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Assessment of Behavioral Emergency Patients (2 of 4) Focused History and Physical Exam Obtain the patient’s history: Listen. Spend time. Be assured. Do not threaten. Do not fear silence. Place yourself at the patient’s level. Keep a safe and proper distance. Appear comfortable. Avoid appearing judgmental. Never lie to the patient.
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General Appearance Behavioral Observations Orientation Memory Sensorium Perceptual Processes Assessment of Behavioral Emergency Patients (3 of 4) Mood and Affect Intelligence Thought Processes Insight Judgment Psychomotor Mental Status Examination
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Assessment of Behavioral Emergency Patients (4 of 4) Psychiatric Medications Determine Presence and Type Compliance Identify Mental Health Professional
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Specific Psychiatric Disorders (1 of 13) Cognitive Disorders Delirium Rapid onset of widespread, disorganized thought Dementia Gradual development of memory impairment and cognitive disturbances Aphasia, apraxia, agnosia, disturbance in executive functioning
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ch12 - Chapter 12 Psychiatric and Behavioral Disorders...

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