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Beyond Acting Out Managing Pediatric Psychiatric Emergencies in the Emergency Department

Beyond Acting Out Managing Pediatric Psychiatric Emergencies in the Emergency Department 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. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advanced Emergency Nursing Journal Wolters Kluwer Health

Beyond Acting Out Managing Pediatric Psychiatric Emergencies in the Emergency Department

Advanced Emergency Nursing Journal , Volume 34 (2) – Apr 1, 2012

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Copyright
© 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
ISSN
1931-4485
eISSN
1931-4493
DOI
10.1097/TME.0b013e318251a2ea
pmid
22561225
Publisher site
See Article on Publisher Site

Abstract

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.

Journal

Advanced Emergency Nursing JournalWolters Kluwer Health

Published: Apr 1, 2012

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