Psychiatric Crash Cart Presentation - Sutter Medical Center

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DepressionEmotions:• Affect can be flat, sad, tearful• Overwhelmed, anxious, scared, guilty, sad, insecure,hopeless• May be angry at someone, usually don’t take it out onus• Can easily shut down if they perceive negativity fromstaff
DepressionSpecific Strategies:• Ask what they need from ER visit, explain options e.g.connect with services• Assess extent of depression to avoid excessive restrictions• Be kind, explain what is happening; give reassurance thatyou want to help them• Offer food, warmth, comfort; may need to ask more thanonce• Ask about stressors, supports, therapists, allow family/friends ifpatient wants them• Ask about SI (vague thoughts vs. plan with intent, can helppinpoint how far the depression has progressed)
Page 2 and 3: Objectives• Recognize the importa
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 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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