Psychiatric Crash Cart Presentation - Sutter Medical Center

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Objectives• Recognize the importance of symptom managementfor psychiatric patients• Gain understanding of psychiatric diagnoses andassociated symptoms• Identify patients at high risk for suicidality, self-harmand acting out behaviors• Learn specific strategies for dealing with a variety ofbehavioral issues• Identify characteristics of “special populations”• Gain insight regarding therapeutic rapport,nonjudgmental attitude and alliance
“I don’t have an attitude!”THE IMPORTANCE OF SYMPTOM MANAGEMENT• Anxiety drives many problematic behavioral symptoms• Anxiety Agitation Aggression• Symptom management reduces anxiety, acting out, need forrestraints and enhances cooperation of patient and family• Avoid the attitudes and behaviors that increase patientanxiety and frustration …don’t REACT:R: restrictE: escalateA: avoidC: coerceT: threaten
Page 5: “What’s YOUR problem?”Common
Page 8 and 9: Borderline Personality DisorderEmot
Page 10 and 11: “Who needs sleep????”Bipolar Di
Page 12 and 13: Emotions:Bipolar Disorder• Euphor
Page 14 and 15: “I think that doctor is from the
Page 16 and 17: Psychosis/SchizophreniaEmotions:•
Page 18 and 19: “I really think my kids would be
Page 20 and 21: DepressionEmotions:• Affect can b
Page 22 and 23: “I’m pretty sure I’m having a
Page 24 and 25: Anxiety/Anxiety DisordersEmotions:
Page 26 and 27: Assessing Suicidal RiskVariations i
Page 28 and 29: Assessing Suicidal RiskSpecific Str
Page 30 and 31: Special PopulationsAdolescents:•
Page 32 and 33: Special PopulationsSubstance Abuser
Page 34 and 35: The Therapeutic RelationshipEstabli
Page 36 and 37: The Therapeutic RelationshipAnd wha
Page 38: And finally…References: Gilbert,

Psychiatric Crash Cart Presentation - Sutter Medical Center

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