psych er psychiatric patients come to the emergency room

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Psych Er

Author : Rene J. Muller
ISBN : 9781135060725
Genre : Psychology
File Size : 59. 72 MB
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Drawing on the experience of evaluating over 2000 emergency room patients, René Muller explores the important role of psychiatry in emergency room medicine. He discusses some of his most challenging cases, showing how psychiatry comes to the aid of medicine in managing the crises - real, imagined, and contrived - that are the everyday fare of clinicians who work in the ER. We are introduced to a world in which lies are exposed, manipulations revealed, diagnoses made, medications adjusted, and even very brief psychotherapy attempted. Muller begins with patient narratives rooted in the mental disorders most commonly encountered in the ER: Depression, panic disorder, drug dependence, bipolar depression, bipolar mania, schizophrenia, and Alzheimer's dementia. These stories pave the way for more puzzling ER cases, which Muller gathers into sections of "Veiled and Bizarre Stories" and "Stories with a Medical Component." He introduces us to the meanings of ER malingering and offers hard-won insights into managing "dumps" (when patients are dumped into the ER by families, police, doctors) and "stumbles" (when patients' bizarre behavior lands them in the ER). The stories patients tell - and the questions these stories raise - drive Muller's text. A young man has seriously overdosed, but with what? Why has a successfully medicated schizophrenic suddenly begun hearing voices again? And what are we to make of a patient who is willing to risk death attempting to "drown" his hiccups by drinking up to 12 liters of fluid a day? For these and equally fascinating questions, Muller is a sure-handed guide, working his way through one ER challenge after another with psychiatric acumen and a balanced appreciation of the medical, custodial, socioeconomic, and legal dimensions of ER work. An intriguing account of the competing agendas that enter into the handling of emergencies, Psych ER is also a compilation of evocative patient stories about the subjective experience of being ill.


Author : Susan Miller
ISBN : 9781134910700
Genre : Psychology
File Size : 65. 14 MB
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Susan Miller, author of two foundational works on shame (The Shame Experience [TAP, 1985/1993pbk]; Shame in Context [TAP, 1996]), now turns to disgust, an intriguing emotion that has received little attention in the professional literature. For Miller, the psychological study of disgust revolves around boundary issues: We tend to feel disgusted about things (from bodily processes to decaying organic matter to ethnic attributes of "foreign" people) that lie on the border between our sense of self and nonself or between our sense of "good self" and "bad self." Miller's clinical and everyday examples of disgust lead her to explore the developmental grounding of the capacity to disgust, and this topic opens to consideration of the relation of the various sensory modalities to disgust reactions. Why, Miller asks, do we see disgusting images and smell disgusting smells but not hear disgusting sounds? And further, what makes sensory impressions or objects "disgusting" to certain people but not to others? Why do the images and smells of disease so frequently elicit disgust? And what is the relation of disgust to sex, procreation, and human intimacy? Laced with developmental insights and vivid illustrations of disgust-related syndromes, Disgust: The Gatekeeper Emotion incorporates cultural analysis that links disgust to images of illness and health, to family life, to group identity, and to artistic and scientific creativity. For Miller, the central disgust dialectic - the self's need to safeguard itself against noxious intrusions from without and simultaneously to nourish itself through contact with "otherness" - obtains whether the discourse concerns nature, nations, or noses. With her typically graceful and gracious prose, Miller puts disgust on the psychological map and thereby adds a chapter to our understanding of the role of emotion in therapy and in everyday life.

Emergency Department Treatment Of The Psychiatric Patient Policy Issues And Legal Requirements

Author : Susan Stefan
ISBN : 9780190293420
Genre : Psychology
File Size : 40. 59 MB
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Many hospital emergency departments are overcrowded and short-staffed, with a limited number of available hospital beds. It is increasingly hard for emergency departments and their staff to provide the necessary level of care for medical patients. Caring for people with psychiatric disabilities raises different issues and calls on different skills. In Emergency Department Treatment of the Psychiatric Patient, Dr. Stefan uses research, surveys, and statutory and litigation materials to examine problems with emergency department care for clients with psychiatric disorders. She relies on interviews with emergency department nurses, doctors and psychiatrists, as well as surveys of people with psychiatric disabilities to present the perspectives of both the individuals seeking treatment, and those providing it. This eye-opening book explores the structural pressures on emergency departments and identifies the burdens and conflicts that undermine their efforts to provide compassionate care to people in psychiatric crisis. In addition to presenting a new analysis of the source of these problems, Dr. Stefan also suggests an array of alternatives to emergency department treatment for people in psychiatric crisis. Moreover, the author proposes standards for treatment of these individuals when they do inevitably end up in a hospital emergency department. Emergency Department Treatment of the Psychiatric Patient presents a thoughtful and thorough analysis of the difficulties faced by people with psychiatric disabilities when seeking emergency medical care. It is essential reading for anyone working in a hospital emergency department, as well as health care policy makers, and advocates and lawyers for people with psychiatric disabilities.

Weekends At Bellevue

Author : Julie Holland
ISBN : 9780553906974
Genre : Biography & Autobiography
File Size : 70. 32 MB
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NATIONAL BESTSELLER Julie Holland thought she knew what crazy was. Then she came to Bellevue. For nine eventful years, Dr. Holland was the weekend physician in charge of the psychiatric emergency room at New York City’s Bellevue Hospital. In this absorbing memoir, Holland recounts stories from her vast case files that are alternately terrifying, tragically comic, and profoundly moving: the serial killer, the naked man barking like a dog in Times Square, the schizophrenic begging for an injection of club soda to quiet the voices in his head, the subway conductor who watched a young woman pushed into the path of his train. Writing with uncommon candor, Holland supplies not only a page-turner with all the fast-paced immediacy of a TV medical drama but also a fascinating glimpse into the inner lives of doctors who struggle to maintain perspective in a world where sanity is in the eye of the beholder.

Danger To Self

Author : Paul Linde
ISBN : 9780520269835
Genre : Medical
File Size : 27. 8 MB
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Clinical & internal medicine.

Emergency Psychiatry

Author : Rachel L. Glick
ISBN : 078176873X
Genre : Medical
File Size : 36. 38 MB
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Written and edited by leading emergency psychiatrists, this is the first comprehensive text devoted to emergency psychiatry. The book blends the authors' clinical experience with evidence-based information, expert opinions, and American Psychiatric Association guidelines for emergency psychiatry. Case studies are used throughout to reinforce key clinical points. This text brings together relevant principles from many psychiatric subspecialties—community, consultation/liaison, psychotherapy, substance abuse, psychopharmacology, disaster, child, geriatric, administrative, forensic—as well as from emergency medicine, psychology, law, medical ethics, and public health policy. The emerging field of disaster psychiatry is also addressed. A companion Website offers instant access to the fully searchable text. (

Doing Psychiatry Wrong

Author : René J. Muller
ISBN : 9781136823008
Genre : Law
File Size : 56. 33 MB
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First Published in 2007. Routledge is an imprint of Taylor & Francis, an informa company.

Ethical Issues In Mental Health

Author : Steve Baldwin
ISBN : 9781489932709
Genre : Medical
File Size : 62. 81 MB
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Why write another book on ethics? As practitioners we are involved both in the design and delivery of services to people with mental health problems. In common with all other professionals, our work has led to the experience of ethical dilemmas: typically, these have involved major confrontations, either with our col leagues or our consciences. This book, however, is not limited to a discussion of such major themes. Rather, we have tried to use a broader canvas: ethics, in our view, is really about the judgement of right and wrong in ordinary, everyday life. Ethics are highly personal: we fashion our own personal code from our experi ence of others, and from the 'tests' which bring meaning to our lives. Such experiences shape our individual values. We bring these codes and values to our work. We are not always aware of their influence in our dealings with people. Although we may not always be aware of it, all our actions pose an ethical question. Given that our work involves us in helping others to live ordinary, satisfying lives, this challenge heightens the intensity of our ethical dilemmas. This is most evident where our personal code conflicts with the implicit code of the health setting.

Big Book Of Emergency Department Psychiatry

Author : Yener Balan
ISBN : 9781351984188
Genre : Business & Economics
File Size : 75. 84 MB
Format : PDF
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This book focuses on the operational and clinical strategies needed to improve care of Emergency Psychiatric patients. Boarding of psychiatric patients in ED’s is recognized as a national crisis. The American College of Emergency Physicians identified strategies to decrease boarding of psychiatric patients as one of their top strategic goals. Currently, there are books on clinical care of psychiatric patients, but this is the first book that looks at both the clinical and operational aspects of caring for these patients in ED setting. This book discusses Lean methodology, the impact of long stay patients using queuing methodology, clinical guidelines and active treatment of psychiatric patients in the ED.

Emergency Department Treatment Of The Psychiatric Patient

Author : Susan Stefan
ISBN : 9780195189292
Genre : Psychology
File Size : 80. 31 MB
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This text explores the pressures on emergency departments and identifies the burdens and conflicts that undermine their efforts to provide compassionate care to people in psychiatric crisis.

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