 A young male (? early 20s) is BIBA  He presents with agitation and rapid speech  He is hypertensive -160/110, HR 140, sweating with psychotic features:

Slides:

Advertisements

Similar presentations

The Mental Capacity Act 2005 Implications for Front Line Staff Richard Williams Professor of Mental Health Strategy, University of Glamorgan Professor.

Advertisements

What features of inflammatory arthritis aid a rheumatology nurse specialist in diagnosing inflammatory arthritis? G. Gormley 1*, K. Steele 1, D. Gilliland.

Prepared by J. Mabbutt & C. Maynard NaMO September : Opportunistic Intervention.

PACIFIC HEADS OF PRISONS CONFERENCE Mental Health Workshop.

Dementia Masterclass December 2013 Types of Dementia, key features, prognostic issues and when to re-refer. Dr A R McMahon ST4 Old Age Psychiatry.

 Mr Walker, a 67 year old retired banker, is BIBA after falling at a club while intoxicated  On arrival he is hypertensive, agitated, confused and poorly.

Farhiyo hassan Zabiti Omer

Prostate Cancer Support Federation Charity Nº: We have no national screening programme for the most common cancer in men and the only test we.

Illinois EMSC1 Assessment and Triage Objectives Upon completion of this lecture, you will be better able to: Discuss the importance of performing a systemic,

1 Marsha Frankel, LICSW Clinical Director of Senior Services-JF&CS Ruth Grabel, MPA Program Specialist and Coordinator, Massachusetts Partnership on Substance.

New Employee Orientation

New Employee Orientation (Insert name) County Health Department.

 A patient admitted to your ward is on methadone maintenance 120mg daily and had his normal dose earlier today  He was admitted after he stopped taking.

1 Co-occurring Alcohol and Other Drug and Mental Health Conditions in Alcohol and other Drug Treatment Settings Session 3: Identifying Comorbidity.

Rhonda Nelson, M.S. Ed, LCPC Aimee Anderson, MS.  A serious mental disorder characterized by thinking and emotions that are so impaired that they indicate.

Copyright Alcohol Medical Scholars Program1 Screening and Brief Interventions for Heavy Drinking Laura Jean Bierut, MD Alcohol Medical Scholars.

Learning Objectives ALL will understand the history of community care MOST will be able to explain the key features of community care SOME will evaluate.

The West Midlands Children and Young People’s Palliative Care Toolkit Lynette Thacker Clinical Nurse Specialist Paediatric Palliative Care ABMU Health.

WELCOME TO IS IT DEMENTIA, DELIRIUM, OR DEPRESSION ?

Assessments with Alcohol on Board

1 October, 2005 Activities and Activity Director Guidance Training (F248) §483.15(f)(l), and (F249) §483.15(f)(2)

Developing capacity to deal with the challenges of life at work and in personal lives. Facilitator : Richard Wakerell Mental Health Training Manager, Plymouth.

Summary of Resources Ministry of Health Advance Planning web page: RESOURCES FOR ADVANCE CARE.

Alcohol and Other Drugs – Corrections Health Service Debbie Gell – Clinical Director Department of Corrections.

To examine the extent to which offenders with mental health or learning disabilities could, in appropriate cases, be diverted from prison to other services.

Toxicology for Medical Students

 A 35 year old accountant, is day 2 after giving birth to a healthy girl – her first child  The baby is starting to become increasingly unsettled and.

Managing Substance Misuse In The Workplace Kelly Burke Primary Care Drug Liaison Worker Bury Substance Misuse Service 4 Tenterden Street, Bury

Appendix 8 ‘CHANGING FOR CHILDREN’ The Southern Trust’s Strategic Plan for Children's Services Providing the Right Care in the Right Place at the Right.

Mental and Behavioral Disorders 1. Mental, Behavioral and Neurodevelopment Disorders (F01- F99)  Codes in this chapter include disorders of psychosocial.

Dorset Healthcare Continence Advisory Service

 A 26 year old woman called Jess has presented while you are on intake  She has a past history of self harm, hospitalisations for overdose and past use.

NZGG – Self-harm and Suicide Prevention Collaborative Collaboratives – making best practice happen Silke Kuehl Emergency Nurse Advisor Self-harm and Suicide.

Capacity for Consent - How Much Do We Know About It? Kate Evans Specialist Registrar in Emergency Medicine Derriford Hospital, Plymouth.

 A patient presents to your small rural hospital emergency department at 7.30pm on a Saturday evening  He is sweating, c/o pain in his legs and back,

 Sally, a 33 year old legal secretary, is admitted to your ward after being involved in a MVA  She has a past history of poly drug use and last used.

Working in Partnership to improve outcomes of Children looked after. Laurie Ward Specialist Nurse Children Looked after and Care leavers.

The term schizophrenia comes from two Greek words that mean splitting apart of mental functions. “Split mind“ U-Ajwbok&sns=em.

1 Prof Steve Pilling, Dr Steven Reid and Douglas McKelvie Camden Crisis Care Pathway – Options for Development July 2015.

ED Stream Workshop TMH ED MOC August 2013 ED Stream Workshop 1.

Addictive Behaviors Chapter 12 Overview Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

 You are working in a children’s ward in a country hospital. Toni is a 15 yr old girl who lives with her mother and two younger sisters  She has a reputation.

Child Protection Services Department of Health and Human Services Maggie Crawford State Manager Child and Family Services 3 April 2006.

Warm-up List 5 influences on your choice of health care products or services. Circle the two that most often affect your decisions Remember yesterday we.

Clinical Governance – Pursuing Quality, Safety and Excellence ISBAR In Our Communication Introduction –Who, what and where you are and why are you calling.

Developing a specialist community based service for adolescent drug users Jack Leach Consultant in substance misuse Young persons drug project, Bolton.

Drug Addiction Whitney Ayers Nursing Care Problem Nurses perception of the quality of care they give to hospitalized drug addicts. Stereotypes Violent.

3 STUDENT ASSESSMENT DEPARTMENT

Category Category Category Category Category

MAKING WELLNESS A LIFESTYLE Chapter 1. Wellness & Quality of Life Wellness is the state of being in good health Often associated with quality of life.

1. 2 Learning Outcomes Gain awareness and understanding of the definition of mental disorder contained within the MHA; Understand the criteria for detention.

PRESENTATIONS MENTAL HEALTH. ADDICTIONS Name and define your addiction Provide 5 signs / symptoms Treatment methods (2) Any additional information or.

The Virtual Ward – current model A Community Ward with patients cared for in their own homes Virtual Ward Co-ordinator (Advanced Nurse Practitioner) Monday.

NH Statewide Addiction Crisis Line HELP (4357)

Chapter 6 The School Health Program: A Component of Community Health

General Approach to Assessment of Psychiatric Patients

Approaches and challenges in meeting Children and Young People’s Health and Emotional Wellbeing A school approach.

Opioid Overdose Responder Training

Workforce Planning Framework

Clinical Intake Assessment

Schizophrenia Spectrum and Other Psychotic Disorders

Schizophrenia Spectrum and Other Psychotic Disorders

Wednesday 7 June – Tuesday 13 June

Urgent Care Access and Demand Management Integration: Improving the utilisation of available afterhours GP and specialist medical advice services Lindsay.

Geriatric Emergency Department Guidelines

Mental Health in the Correctional System

Disaster question (24 ) It is Friday 1600 hrs and you are the consultant in charge of the emergency department in a tertiary hospital. You have been notified.

Alcohol Care Pathway As part of medical assessment, complete AUDIT-C

Presentation transcript:

 A young male (? early 20s) is BIBA  He presents with agitation and rapid speech  He is hypertensive -160/110, HR 140, sweating with psychotic features: paranoid and hypervigilance Emergency Department Case Study A (1) Outline (from Mabbutt & Berendsen SSWAHS)

1. What Triage category would you put this person in? 2. What are the different diagnoses 3. You find out he has been injecting ‘shabu’, how do out find out what it is? 4. How will you manage his nursing care? 5. Where could you find advice on how to manage this situation? Emergency Department Case Study A (2) Questions – in small or large group(s)

This case study is best conducted with an Emergency Department (ED) nurse, preferably an CNS, CNE / CNC 1-2. These should be facilitated by the ED nurse 3. Shabu is a street name for Methamphetamine/‘Ice’. Even D&A experts will hear names of drugs they haven’t heard before. (See Guidelines Chapter 4 and Appendix 6 – street names of drugs, refer also to Local D&A Services or Alcohol & Drug Information Service (ADIS – 24/7) on or ) Emergency Department Case Study A (4) Brief guide to answers for the questions

4.Answer with ED Nurse, a thorough mental health/suicide/risk assessment & drug & alcohol assessment, reassurance/support, information re withdrawal & signs & symptoms, monitor withdrawal symptoms & signs, look for other causes & seek medical advice/assessment – diazepam is the likely drug of choice if symptoms escalate, keep in mind basic nursing and safety principles, & continue to look for other causes (see Chapters 6 & 9.4 in the guidelines refer to Guidelines Chapter 9.4) 5.Local D&A services & Specialist D&A Advisory Service hr – if the symptoms of intoxication increase utilise Emergency & Mental Health specialist staff Emergency Department Case Study A (5) Brief guide to answers for the questions