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At least 469 records · Page 26Linked to original sources
PubMed1978

Management of disturbed patients: an alternative to the use of mechanical restraints.

This article briefly outlines some of the causes for violence and describes step by step guidelines to the management of disturbed behaviour in psychiatric patients including how the episode of violence can be dealt with by using a well planned approach, the effective use of medication in the management of acute crises and the actual physical handling of the patient. Recommendations are made regarding the need for the proper education of staff of all disciplines about the causes, prevention and management of such behaviour. The need for a well planned hospital wide policy as well as a treatment plan for each patient which contains contingencies for the management of those who are potentially violent is discussed with emphasis on the need for a thorough discussion following such episodes. The dangers and abuses of mechanical restraints are outlined.

Amobarbital↗
PubMed1965

Diagnosis and treatment of delirium.

Delirium is not a clinical entity but a symptom-complex of manifold etiology. Its presence signifies acute cerebral insufficiency and often represents a medical and/or psychiatric emergency.Though some forms of delirium have distinctive features, the fundamental phenomena are common to all, with clouding of consciousness the sine qua non. The condition has two major components: (1) the basic "acute brain syndrome" and (2) associated release phenomena.Clinicians must first make the vital differentiation between delirium and "functional" mental disorder, then proceed with the elucidation of the underlying diagnosis and the concurrent organization of symptomatic and etiologic treatment.Proper treatment combines management of the acute brain syndrome with general and specific procedures for control of the underlying condition. Dealing with the symptom-complex itself involves the principles and practice of sedation, hydration, and nutrition, nursing care and supportive measures. Provided the basic organic condition is treatable, the prognosis today is usually good.

Chlordiazepoxide↗