Manejo do paciente com transtornos relacionados ao uso de substância psicoativa na emergência psiquiátrica

Amaral, Ronaldo; Malbergier, André; Andrade, Arthur Guerra de

doi:10.1590/s1516-44462010000600007

Cited by 28 publications

(22 citation statements)

References 33 publications

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“…and the necessary stabilization of the patient (Del-Ben, Rufino, Azevedo-Marques, & Menezes, 2010), assisting in the reduction of risks to themselves or others, adjusting their pharmacological treatment (Amaral, Malbergier, & Andrade, 2010) and providing tests and additional examinations, sometimes required by the construction of differential diagnosis or clarification of clinical questions (Cardoso & Galera, 2011).…”

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confidence: 99%

Psychiatric Crisis Management in the Emergency Care Hospital Network

Dimenstein

Gruska

Leite

2015

Paidéia (Ribeirão Preto)

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Since psychiatric crisis treatment is crucial in mental health care, this study aimed to characterize the psychiatric crisis in the hospital emergency services of Natal/RN. Semi-structured interviews were conducted with 33 professionals employed in four local public hospitals. The results revealed the absence of adequate beds for psychiatric conditions, scarcity of psychiatric drugs, lack of clarity regarding diagnostic criteria, treatment based on chemical restraint and inpatient care as a priority strategy. Furthermore, there is fragmentation of the work processes with physician centrality in the management of crisis, disarticulation between hospitals and other services of the psychosocial care network and systematic referrals to psychiatric hospital. We conclude that the configuration of the local hospital network does not present satisfactory responsiveness to psychiatric crisis situations and its clinical and institutional weaknesses reflect the process of psychiatric reform in the region.

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confidence: 99%

Psychiatric Crisis Management in the Emergency Care Hospital Network

Dimenstein

Gruska

Leite

2015

Paidéia (Ribeirão Preto)

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“…Amaral et al found that 28% of all patients in medical emergency units had substance use disorders, but less than half of the patients with alcohol-related problems were identified [12]. …”

Section: Discussionmentioning

confidence: 99%

Substance Abusers in an Acute Psychiatric Facility: A Diagnostic and Logistic Challenge

Berg

Restan

2013

ISRN Psychiatry

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Acute resident psychiatric facilities in Norway usually get their patients after referral from a medical doctor. Acute psychiatric wards are the only places accepting persons in need of emergency hospitalisation when emergency units in somatic hospitals do not accept the patient. Resident patients at one random chosen day were scrutinized in an acute psychiatric facility with 36 beds serving a catchment area of 165 000. Twenty-five patients were resident in the facility at that particular day. Eight of 25 resident patients (32.0%) in the acute wards were referred for a substance-induced psychosis (SIP). Another patient may also have had a SIP, but the differential diagnostic work was not finished. A main primary diagnosis of substance use was given in the medical reports in only 12.9% of patients during the last year. Given that the chosen day was representative of the year, a majority of patients with substance abuse problems were given other diagnoses. There seems to be a reluctance to declare the primary reason for an acute stay in a third of resident stays. Lack of specialized emergency detoxification facilities may have contributed to the results.

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“…Bulgular uyuşukluk, koordinasyon güçlüğü, düşünmede zorlanma, hafıza zayıflığı, konuşmada ve anlamada güçlük, yanlış algılama, seksüel ve agresif dürtülerin disinbisyonu, emosyonel labilitedir. Uyuşukluk birkaç saatte geçse de motor becerilerdeki, yargılamadaki ve duygudurumdaki bozulma 12 ila 24 saat devam edebilir (29).…”

Section: Benzodiazepinler Entoksikasyonunclassified

“…Barbutiratlar güvenlik indeksi düşük ilaçlar olduklarından son yıllarda daha az tercih edilmektedirler. Bunun yerine ya hastayı kullandığı benzodiazepini günlük dozundan %10 azaltarak kesmek ya da eğer hasta kısa etkili benzodiazepin kullanıyorsa bunun yerine uzun etkili benzodiazepine geçmek ve daha sonra bu yeni ilacın dozunu azaltarak sonlandırmak önerilebilir (29).…”

Section: Yoksunlukunclassified

Approaches to Substance Abusers in an Emergency Setting

Şengül¹,

Serinken²,

Büber³

et al. 2013

JAEM

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Substance dependency is a serious problem that should be taken into consideration in an emergency service. Patients with substance dependence are seen by emergency services in many different clinical situations. Studies show that emergency service personnel are faced with substance-dependents most frequently. For this reason, substance dependency is a very important topic for emergency service personnel. A number of approaches have been reported regarding substance dependency treatment in the literature. The aim of this article is to review research about the management of substance dependency in an emergency service. (JAEM 2013; 12: 215-9)

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Manejo do paciente com transtornos relacionados ao uso de substância psicoativa na emergência psiquiátrica

Cited by 28 publications

References 33 publications

Psychiatric Crisis Management in the Emergency Care Hospital Network

Psychiatric Crisis Management in the Emergency Care Hospital Network

Substance Abusers in an Acute Psychiatric Facility: A Diagnostic and Logistic Challenge

Approaches to Substance Abusers in an Emergency Setting

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