TAILIEUCHUNG - mosby paramedic (35)

9/11/20121Chapter Disorders2Learning Objectives.• Define what constitutes a behavioral .emergency• Identify potential causes for behavioral and .psychiatric illnesses• List three critical principles that should be .considered in the prehospital care of any .patient with a behavioral © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Objectives.• Outline key elements in the prehospital .patient examination during a behavioral .emergency• Describe effective techniques for interviewing .a patient during a behavioral emergency• Distinguish between key symptoms and .management techniques for selected .behavioral and psychiatric disorders4Learning Objectives.• Identify factors that must be considered when .assessing suicide risk• Formulate appropriate interview questions to .determine suicidal intent• Explain prehospital management techniques .for the patient who has attempted Objectives.• Describe assessment of the potentially violent .patient• Outline measures that may be used in an .attempt to safely diffuse a potentially violent .patient situation• List situations when patient restraints can be . © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Objectives.• Discuss key principles in patient restraint• Describe safety measures taken when patient .violence is anticipated• Explain variations in approach to behavioral .emergencies in Behavioral Emergencies .• An estimated percent of Americans age 18 .and older suffer from diagnosable mental .disorder in given year.– About million people • National Institute of Mental Health has estimated .that 1 in 7 individuals will need treatment at .some point in life for emotional disturbance.– Mental health problems are leading cause of disability .in . and Canada for people 15 to 44 years of Behavioral Emergencies .• No clear agreement or ideal model for “normal” .behavior.• Considered to be adaptive behavior accepted by .society.– Can vary by culture and ethnic group.– Concept of “abnormal” (maladaptive) behavior also is .defined by society when behavior.• Deviates from society’s norms and expectations.• Interferes with well‐being and ability to function.• Harms individual or group9Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning you think of a time in your life .when you, a family member, or a .close friend had a behavior that fit .this definition? How did it make you .feel?.10Understanding Behavioral Emergencies .• Behavioral emergency.– Change in mood or behavior that cannot be .tolerated by involved person or others .– Requires immediate attention.– May range from brief inability to cope with stress .or anxiety to situations in which patients may be .dangerous to themselves and others.– Most people with mental illness function well on .daily Behavioral Emergencies .• Depression, anxiety disorders, mild .personality disorders often are effectively .managed with medication and counseling in .outpatient mental health centers.• Most behavioral emergencies have a .biological/organic, psychosocial, or .sociocultural cause12Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Causes.• Physical or biochemical disturbances in brain .can result in significant changes in behavior.• Biological disturbances.– Mental disorders that result from physical rather .than a purely psychological cause14Biological Causes.• Examples of biological causes.– Genetic factors.– Prenatal and postnatal factors.• Infection.• Endocrine, metabolic, vascular disorders– Imbalance in brain chemistry (may have heritable .component).– Alterations in neurotransmission15Copyright © 2013 by Jones & Bartlet

• Sáng kiến kinh nghiệm
• Mosby's paramedic
• Mosby's paramedic textbook
• Medical terminology
• EMS systems
• Acute interventions
• Home care
• EMS system development
• Current health care reform
• Prehospital patient care repor
• Patient care report
• Emergency medical services
• Narrative section
• Hazardous materials awareness
• Scope of hazardous materials
• Paramedic’s practice
• Claim of negligence
• Well‐being of the paramedic
• Physical fitness
• Components of wellness