Emergency mental disorders

Emergency mental disorders
Educational objectives: (to get to our goal of mental health)
 At the end of nurse training to be able to:§ definition of emergency mental disorders.§ enumerating some examples of emergency mental disorders.§ describe the nursing interventions appropriate for some cases of mental disorders emergency.

Elements of the lesson:§ definition of emergency mental disorders.§ Some examples of emergency situations of mental disorders.§ agitation.§ suicide.§ numbing (cooling of consciousness).§ hunger strike.Emergency mental disordersEmergencies:Are the cases that need urgent medical intervention to save the life of the patient.Disorders of the emergency call for immediate intervention and refer patients to the hospital the following:(Agitation - suicide - stunned - refused to eat)First, agitation:An increase in motor activity without the goal of behavior is accompanied by verbal and physical, and angry hostility directed at the others and the environment surrounding him.Some diseases that cause agitation:- Schizophrenia- Emotional disorder (manic - depression)- Agitation resulting from taking certain drugs- Personality disordersWarning signs of a rampage:- Increased movement in the patient- The emergence of the features of the patient's anger- The use of inappropriate words- Change the behavior of the patient and tone than usual (kHz legs violently - beaten hands on the table - and threat - and threats of beatings)Nursing intervention:
          There are several ways to treat agitation, including:§ chemotherapy with bone Almtminat fast-acting (such as: Sprrarin, Klopksol).§ restrict the movement of the patient§ placed in isolation roomTaken into account when the nursing intervention of patient agitation following:§ nurse must explain to patients why it is a simple way to restrict his movement.§ nurse should note the patient every 15 minutes at least during the restriction or removal of the patient, taking into account the needs of the patient's physical infrastructure.§ be a nurse after an appropriate distance from the patient irritable.§ not to confront the patient face to face.§ and to be vigilant and ready for any sudden movement of the patient.§ control of the patient and restraint.Second, the patient's suicide:Suicide: the behavior is supported by the patient to end his life.Warning signs of a suicide:§ Develop a plan to commit suicide.§ Lahoud, and previous attempts at suicide.§ If the patient began to get rid of his personal belongings and plans for the completion of the special aspects of material things and family.§ dramatic improvement in mood and behavior of clinical depression.§ verbalization direct and indirect wanted to commit suicide.Nursing intervention (to get to our goal of mental health)§ Provide a safe environment free of all the tools you might use the patient's suicide. (To get to our goal of mental health)§ Note the patient carefully throughout the day, especially in the early morning (dawn) and the time change with an emphasis Alnobatjah observed in the night. (To get to our goal of mental health)§ The patient is positioned in a place easily seen all the time, such as put in a room close to the open room nursing. (To get to our goal of mental health)§ help the patient to express his feelings and discuss their ideas openly. (To get to our goal of mental health)§ make sure you take the dose of medication and follow-up in the times of its various activities. (To get to our goal of mental health)Third, stunned (chill of consciousness)
       Is the state where the patient stops completely with no movement to respond to any external or internal stimuli.
        Disease-causing shock.- Altkhcba schizophrenia.- Depression.- Some organic diseases.Nursing intervention:§ Note signs of life with the conservation of the entrances to breathe.§ Protecting the patient from patients with aggressive behavior.§ give explanation to the patient and the AVI before any intervention, even if nursing did not give a virtual response.§ try to feed the patient through the installation of tube equipment.§ catheter every two hours.§ the work of an enema every day.Fourth: the rejection of food:
          Is a state of emergency in which mental patient refrain from eating and drinking for three consecutive days or more.Cause of rejection of food:§ depression as a means of suicide or a sense that he does not deserve food.§ patient's delusions as a result of his beliefs wrong.§ schizophrenia patients as a result of hallucinations and delusions.Nursing intervention (to get to our goal of mental health)§ try to spoon feed the patient and observe the chewing and swallowing. (To get to our goal of mental health)§ Pipe prepared and fed every 6 hours, about 150 cm from the food mixture and puree in the proper temperature and contains all the food. (To get to our goal of mental health)§ Installation of the necessary solutions to the patient if you do not respond to the food through the stomach tube. (To get to our goal of mental health)The role of the family nurse (to get to our goal of mental health)§ Family Guidance Note how the warning symptoms of mental disorders emergency and how to deal with it. (To get to our goal of mental health)§ family education how to intervene in emergency situations different. (To get to our goal of mental health)§ definition of family accommodations to refer the patient to one of the cases immediately after the emergency. (To get to our goal of mental health)

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