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Managing pediatric psychiatric emergencies can be a challenge for any emergency nurse. Young patients may have extreme anxiety about being in the emergency department and may act out as a result. Overwhelmed parents can hinder the assessment process and, in some cases, cause further escalation of their children. Understanding the common diagnoses for different age groups enables the nurse to use management strategies that are appropriate and effective. Establishing rapport, recognizing anxiety, setting effective limits, and facilitating cooperation with these patients and their parents are priorities for the emergency nurse. Key words: acting out, anxiety management, behavioral problems, pediatric diagnoses, pediatric psychiatric emergencies, rapport EALING with a pediatric psychiatric and compounding that may be an underlying patient can be overwhelming to even psychiatric issue with the parents. Rapport is D the most seasoned emergency de- an important tool in managing anxious chil- partment (ED) staff. A muddled picture, anx- dren and parents. Rapport facilitates commu- ious parents, and an acting-out child can be nication, builds trust, increases cooperation a confusing, difficult situation to manage. An and reduces anxiety. Unrecognized and un- established psychiatric diagnosis that guides managed anxiety often leads to agitation and symptom management may not be present.
Advanced Emergency Nursing Journal – Wolters Kluwer Health
Published: Apr 1, 2012
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