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首页> 外文期刊>Journal of Nursing Education and Practice >When mental health and medicine collide: Maintaining safety in the emergency department
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When mental health and medicine collide: Maintaining safety in the emergency department

机译：当精神健康与药物相冲突时：维护急诊室的安全

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Mental health patients seeking care through emergency departments (ED) create different challenges for nurses than their medical counterparts. Understanding the special needs of psychiatric populations requires nurses to identify recurring characteristics, subgroups, and demographics. Psychiatric patients share similar traits that hinder their access to health care despite the distribution of mental illness across age, race, gender, and ethnic barriers. Similarities among psychiatric patients include impaired thought processes, tendency to withdraw from social interaction, and shame related to the stigma of mental illness. Psychiatric patients using emergency departments for primary care compound their vulnerable status by circumventing patient-provider relationships that develop when establishing routine practice and familiarity with a primary care physician. This article illustrates how nurses in the American health care system, specifically those in emergency specialties, can respond to environmental challenges while caring for mental health patients. Strategic planning allows ED teams to prepare for an influx of mental health patients and maintain safety as they serve this vulnerable population.
机译：通过急诊科（ED）寻求护理的心理健康患者与护士相比，给护士带来了不同的挑战。了解精神病患者的特殊需求，需要护士确定反复出现的特征，亚组和人口统计学。尽管精神疾病在年龄，种族，性别和种族障碍中分布，但精神病患者具有相似的特征，这阻碍了他们获得医疗服务。精神病患者之间的相似之处包括思维过程受损，倾向于退出社交互动以及与精神病耻辱有关的耻辱感。使用急诊科进行初级保健的精神病患者通过规避在建立常规实践和熟悉初级保健医生时发展的患者与提供者之间的关系，加剧了他们的脆弱状态。本文说明了美国医疗保健系统中的护士，尤其是急诊领域的护士，如何在照顾精神健康患者的同时应对环境挑战。通过战略规划，急诊团队可以为大量精神卫生患者做好准备，并在为弱势人群服务时保持安全。

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