Introduction: Aggression and violence in the workplace represent an ever-increasing psychosocial phenomenon and this can cause possible important repercussions for the entire treatment process. Objective: to evaluate the effectiveness of using de-escalation techniques in the management the psychiatric patient’s aggressive actions. Methods: To conduct the following review, a research question was outlined using the PIO methodology. Subsequently, a narrative review of the literature was conducted, through the use of the PubMed and EMBASE databases. Results: From the review of the international literature, only three studies met our inclusion criteria Selected studies show that mental health workers react differently to violence. Some relate to patients by generating positive solutions, while others manage patients with coercive measures. The effectiveness of the use of de-escalation techniques in the management of aggressive actions and that both staff and patients aspire to achieve non-confrontational and social relationships while interacting in violent and threatening situations can be seen. Conclusions: De-escalation is the most effective technique only after careful knowledge of the patient, his pathologies and any prodromal signs and symptoms that may indicate the onset of aggressive behavior. Furthermore, it is more complicated with subjects having a previous history of aggression. However, the absence of adequate staff training emerges, which can guarantee the correct implementation of the intervention and which can make nurses safer in the management of aggressive action and of the violent patient.
Il presente volume illustra i risultati delle ricerche esposte in occasione del seminario, I Giorni Dispari. Ripensare la prevenzione nei Disturbi del Comportamento Alimentare, inserito all'interno del progetto nazionale "Le Buone Pratiche di cura e la Prevenzione sociale nei Disturbi del Comportamento Alimentare" promosso dal Ministero della Salute e dalla Presidenza del Consiglio dei Ministri -Dipartimento della Gioventù.Il volume è a cura di Un sincero ringraziamento è rivolto allo staff del Dipartimento della Gioventù per il sostegno, la sensibilità e la disponibilità alla buona riuscita di questo progetto e all'Istituto Superiore di Sanità che ha offerto la sua collaborazione per la presente pubblicazione. * Dirigente Servizio "Gestione dei piani finanziati dall'Unione Europea, Politiche per lo sviluppo, la promozione sociale e il contrasto del disagio giovanile -Dipartimento della Gioventù -PCM; INDICE PRESENTAZIONE EMANUELA RAMPELLI La prevenzione dei Disturbi del Comportamento Alimentare: una campagna nazionale 7 INTRODUZIONI 13 TERESA DI FIANDRA Il Progetto "Le Buone Pratiche di cura e la Prevenzione nei Disturbi del Comportamento Alimentare" 15 LAURA DALLA RAGIONE I Disturbi del Comportamento Alimentare: un'epidemia della modernità 19 PAOLA BIANCHINI Lo stato dell'arte nella prevenzione in ambito DCA: quattro aree di intervento 31 1. GUADAGNARE SALUTE: LA PREVENZIONE GENERALE IN AMBITO DCA 35 PAOLO SANTONASTASO, TATIANA ZANETTI Prevenzione primaria dei Disturbi del Comportamento Alimentare: mito o realtà? 41 EMILIO FRANZONI ET AL. I Disturbi Alimentari nell'infanzia e preadolescenza: prevenzione primaria e secondaria 47 MARIA CRISTINA CAMPANINI Il medico di famiglia: un osservatorio privilegiato 55 2. COMUNICARE DENTRO E FUORI LA RETE: AREA MASS MEDIA 59 FABIOLA DE CLERQ "In FormAzione". Indicazioni in materia di comunicazione sociale sui Disturbi del Comportamento Alimentare e dell'Immagine corporea 69 STEFANO VICARI Il progetto Timshel: tu puoi 75 VALENTINA UGOLINI La "Rete" del cambiamento: l'approccio del Web Terapeuta nei DCA 81 SARA FARNETTI "C'era una volta la solita minestra". Miss Italia pedagogica? 87 3. L'ALTRA FACCIA DELLA MEDAGLIA: AREA SPORT 91 SECONDO FASSINO ET AL. Il corpo che danza la vita: un intervento di prevenzione 99 ELENA RIVA Corpi "da gara": la pratica dello sport in adolescenza fra benessere e rischio 109 PATRIZIA TODISCO Il gioco delle scatole cinesi nella prevenzione dei Disturbi dell'Alimentazione 119 4. EDUCARE ALLA LIBERTÀ: AREA SCUOLA 131 MASSIMO CUZZOLARO Intervento integrato di prevenzione primaria e secondaria dei Disturbi dell'Alimentazione e del peso corporeo in una popolazione scolastica adolescenziale 137 MARIA GRAZIA MARTINETTI ET AL. La Metodologia Life Skills Education come proposta d'intervento integrato 165 PAOLA BIANCHINI, CARLA M. MATTEUCCI Il senso della formazione e la formazione del senso: un progetto di formazione a Rieti 175 CARLA M. MATTEUCCI ET AL. Diventa ciò che sei: risultati della formazione multidisciplinare nelle scuole di Rieti 185 MASSIMO REC...
Introduction: The Münchausen Syndrome by Proxy (MsbP) is a condition in which the caring figure, usually the mother, causes or simulates a physical and psychological damage to her own child, in order to call upon herself the attentions of the people with whom she relates through the baby. This resulting psychological damage on the victims is devasting and it can even lead to death. From the Scientific Literature emerges the difficulty in diagnosing the Syndrome, therefore an adequate training of the healthcare personnel, is necessary. Purpose: To assess the level of knowledge of the Münchausen Syndrome by Proxy among professionals working in the Emergency Department. Material and methods: An observational and multicenter study was conducted in four hospitals located in the South of Italy. The tool used is the questionnaire of Hochhauser, was delivered in a sealed envelope to the Directors of the first Aid Operating Units and to the coordinators of the various departments and later distributed to the Medical and Nursing Staff. Results: The sample consists of 137 health professionals, which includes doctors and nurses Only 22.6% (n = 31) said they knew about the MSbP. 86.1% (n = 118) say they have never treated MSbP. 53.3% (n = 73) suspected or could now retrospectively suspect this syndrome. 41.6% (n = 57) found parents who exaggerated the child’s symptoms or attributed serious pathological meanings to modest symptomatological diseases. 93.4% (n = 128) asserted that training courses would be useful and necessary to deepen this syndrome. Conclusions: The results of the study indicate that only a minority of the analyzed professionals know the Münchausen Syndrome by proxy and only some of them would know how to manage and deal with such a situation. The need to increase professional training courses is highlighted on this issue, with the aim of improving the health professional’s awareness about the importance of recognition, diagnosis and treatment of this form of abuse.
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