عنوان

Verbal De-escalation of the Agitated Patient: Consensus Statement of the American Association for Emergency Psychiatry Project BETA De-escalation Workgroup

Number

LA55g994m6

.Language of Text, Soundtrack etc

انگلیسی

Title Proper

Verbal De-escalation of the Agitated Patient: Consensus Statement of the American Association for Emergency Psychiatry Project BETA De-escalation Workgroup

General Material Designation

[Article]

First Statement of Responsibility

Richmond, Janet S.; Berlin, Jon S.; Fishkind, Avrim B.; Holloman, Garland H.; Zeller, Scott L.; Wilson, Michael P.; Rifai, Muhamad Aly; Ng, Anthony T.

Text of Note

Agitation is an acute behavioral emergency requiring immediate intervention. Traditional methods of treating agitated patients, ie, routine restraints and involuntary medication, have been replaced with a much greater emphasis on a noncoercive approach. Experienced practitioners have found that if such interventions are undertaken with genuine commitment, successful outcomes can occur far more often than previously thought possible. In the new paradigm, a 3-step approach is used. First, the patient is verbally engaged; then a collaborative relationship is established; and, finally, the patient is verbally deescalated out of the agitated state. Verbal de-escalation is usually the key to engaging the patient and helping him become an active partner in his evaluation and treatment; although, we also recognize that in some cases nonverbal approaches, such as voluntary medication and environment planning, are also important. When working with an agitated patient, there are 4 main objectives: (1) ensure the safety of the patient, staff, and others in the area; (2) help the patient manage his emotions and distress and maintain or regain control of his behavior; (3) avoid the use of restraint when at all possible; and (4) avoid coercive interventions that escalate agitation. The authors detail the proper foundations for appropriate training for de-escalation and provide intervention guidelines, using the ''10 domains of deescalation.'' [West J Emerg Med. 2012;13(1):17-25.]

Date of Publication

2012

Title

Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health

Volume Number

13/1

Entry Element

Richmond, Janet S.; Berlin, Jon S.; Fishkind, Avrim B.; Holloman, Garland H.; Zeller, Scott L.; Wilson, Michael P.; Rifai, Muhamad Aly; Ng, Anthony T.

Electronic name

[Article]

275578

a

Y