Treatment of Psychiatric Emergencies in Children Versus Adults

The diagnosis of psychiatric emergencies can include a wide range of problems—from serious drug reactions to abuse and suicidal ideation/behaviors. Regardless of care setting, the PMHNP must know how to address emergencies, coordinate care with other members of the health care team and law enforcement officials (when indicated), and effectively communicate with family members who are often overwhelmed in emergency situations.

In this week’s Discussion, you compare treatment of adult psychiatric emergency clients to child or adolescent psychiatric emergency clients.

Compare treatment of adult psychiatric emergency clients to child or adolescent psychiatric emergency clients
Analyze legal and ethical issues concerning treatment of child or adolescent psychiatric emergency clients
To Prepare:

Review the Learning Resources concerning emergency psychiatric medicine.
Consider a case where your adult client had a psychiatric emergency. (Note: If you have not had an adult client with a psychiatric emergency, ask your preceptor to describe one of their clients with a psychiatric emergency to use as an example for this Discussion.)
Post:

Briefly describe the case you selected.
Explain how you would treat the client differently if he or she were a child or adolescent.
Explain any legal or ethical issues you would have to consider when working with a child or adolescent emergency case.

Sample Solution

. Pierrepont Finch, a youthful window washer in New York City with huge aspirations, peruses the book How to Succeed in Business Without Really Trying. The “Book Voice” discloses to him that he will be effective in the business world in the event that he follows the book’s recommendation. Energized, Finch enters the World Wide Wicket Company scanning for an occupation (“How To Succeed”).

Finch chances upon J.B. Biggley, the leader of the organization, who sends him to the faculty director, Mr. Bratt. Rosemary Pilkington, a really, youthful secretary working at the organization, is dazzled purchase Finch’s intensity and encourages him meet Mr. Bratt. Bratt is initially blunt to Finch, thus Finch discloses to him that Biggley sent him and that they were companions. Bratt gives him a vocation in the sorting room, where he works with Mr. Biggley’s lethargic, self-important, and nepotistic nephew Bud Frump. Rosemary who longs for wedded life and has favored Finch, fantasizes about him to her companion Smitty. (“Glad To Keep His Dinner Warm”). A quick rest is called, however the machine has come up short on espresso. (“Short breather”). Finch is baffled about being at the organization for a week and not progressing. Through Rosemary, he meets Miss Jones, Biggley’s secretary. In the sorting room, Finch wins the regard of long-lasting leader of the sorting room, Mr. Twimble, who is moving to the transportation division and must pick his successor. He discloses to Finch the key to life span at the organization (“The Company Way”).

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