There is an all-too-familiar scenario that takes place in
emergency departments nationwide. The patient is
brought in with complaints of “not feeling so well.”
He is crying and clearly upset, and his behavior is bizarre
and erratic. As the nurse completes the assessment interview,
attempting to determine the chief complaint, the
patient’s behavior escalates. Unfortunately, this situation
occurs too often. The behaviors exhibited by patients in
the emergency department can range from mild to severe
and can be caused by a variety of disorders. Suicidal behaviors
are the most common; however, the purpose of this
article is to address other important behavioral emergencies
presented in the emergency department such as severe anxiety,
severe depression, mania, acute confusion, and aggression.
These underlying conditions escalate the patient’s
behavior, and patients become a threat to themselves and
others. Health care providers should be familiar with certain
psychiatric disorders and be prepared to handle the behavioral
emergency quickly and appropriately
There is an all-too-familiar scenario that takes place inemergency departments nationwide. The patient isbrought in with complaints of “not feeling so well.”He is crying and clearly upset, and his behavior is bizarreand erratic. As the nurse completes the assessment interview,attempting to determine the chief complaint, thepatient’s behavior escalates. Unfortunately, this situationoccurs too often. The behaviors exhibited by patients inthe emergency department can range from mild to severeand can be caused by a variety of disorders. Suicidal behaviorsare the most common; however, the purpose of thisarticle is to address other important behavioral emergenciespresented in the emergency department such as severe anxiety,severe depression, mania, acute confusion, and aggression.These underlying conditions escalate the patient’sbehavior, and patients become a threat to themselves andothers. Health care providers should be familiar with certainpsychiatric disorders and be prepared to handle the behavioralemergency quickly and appropriately
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