Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
  1. Home
  2. Search

Refine search

Refine search

Access:
Content type:
Publication date:
Apply   From and To filters
Subject: Show more
Journals Show more
Publishers: Show more
Societies Show more
Series: Show more
Collections: Show more

Actions for selected content:

Select all | Deselect all
  • View selected items
  • Export citations
  • Download PDF (zip)
  • Save to Kindle
  • Save to Dropbox
  • Save to Google Drive

Save Search

You can save your searches here and later view and run them again in "My saved searches".

Please provide a title, maximum of 40 characters.
Cancel
×

11 results

The Diagnosis and Management of Agitation
  • Edited by Scott L. Zeller, Kimberly D. Nordstrom, Michael P. Wilson
  • Published online:
    09 March 2017
    Print publication:
    15 February 2017
  • A common symptom of psychiatric and medical disorders, agitation often appears in a variety of medical environments. This practical guide explores the origins of the condition and the differing approaches and treatments available. The biology of agitation is discussed, followed by specific chapters on substance abuse, medical causes, personality disorders, and treatment in pediatrics and the elderly. Treatment options including psychiatric work-ups, medical work-ups, psychopharmacology, de-escalation, and calming techniques are provided. The complexities of legal issues, patients' rights, and prehospital settings are also addressed, providing physicians, nurses, and mental health workers with a comprehensive resource in providing safe, focused, and effective treatment.

  • Managing the Acutely Agitated and Psychotic Patient

  • Kimberly Nordstrom, Michael H. Allen
  • Journal:
    CNS Spectrums / Volume 12 / Issue S17 / 2007
    Published online by Cambridge University Press:
    07 November 2014, pp. 5-11

  • Agitation can present as an emergency in the course of numerous psychiatric conditions including intoxication, schizophrenia, bipolar disorder, and delirium. This article reviews relevant literature regarding the definition, etiology, measurement, and management of episodic agitation and pays particular attention to intramuscular treatments. The impact of changes in methodology between the era of first- and second-generation antipsychotics, the implications of those changes for external validity of studies of second-generation studies, and the recent evolution of expert consensus are discussed.

  • Chapter 27 - Treatment ofpsychiatric illness in the emergency department

  • from Section 4. - Treatment of the psychiatric patient
  • Edited by Leslie S. Zun
  • Edited in association with Lara G. Chepenik, Mary Nan S. Mallory
  • Book:
    Behavioral Emergencies for the Emergency Physician
    Published online:
    05 April 2013
    Print publication:
    21 March 2013, pp 197-205

  • Summary

    In a busy emergency department (ED), agitation requires immediate attention and intervention. This chapter addresses methods of verbal de-escalation for the patient who is agitated, but still in control, or who can regain control without the need for restraints or medication, but who, without some verbal intervention, could escalate into full-blown agitation and behavioral dyscontrol. Verbal de-escalation takes no more than five or ten minutes. The best treatment for agitation is to prevent it, or prevent it from escalating. This chapter addresses techniques of verbal de-escalation that the emergency physician can quickly learn and implement as an alternative to seclusion and restraint. Ultimately, verbal de-escalation improves staff morale and patient adherence, because it uses a non-coercive, patient-centered approach. Verbal de-escalation takes no more than five to ten minutes and enhances the doctor-patient relationship, while seclusion and restraint require more staff and takes more time to implement.