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Results for “Dangerous Behavior”

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At least 1,513 records · Page 84Linked to original sources
PubMed1994

Still a long way to go.

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Commitment of Persons with Psychiatric Disorders↗
PubMed1994

The homicidal patient: when a plan of care violates standards of care.

1. The nursing care of an extraordinarily dangerous patient may necessitate implementing a treatment plan that should never be used under normal circumstances. 2. The subject whose case is described in this article presented management problems that required a plan violating accepted standards of care. 3. Although ultimately successful, the plan's restrictive mode (and the stress of coping with this patient) wearied nursing staff members and caused divisions among the staff and multidisciplinary team.

Adult↗
PubMed1995

Linking hospital and community.

A thorough crisis evaluation requires understanding of the client's premorbid personality, support systems, previous episodes of decompensation, past treatments, and the interaction of a precipitant with a particular personality structure. The key to a successful treatment model is the proper treatment of the client in his or her community. Thus, the development of adequate linkages within the system to support this effort becomes imperative. By utilizing problem-solving approaches and anticipatory planning, the Psychiatric Emergency Service is instrumental in achieving maximum positive outcomes through contact with the patient and multiple systems.

Adult↗
PubMed1995

Constant observation: implications for nursing practice.

1. Constant observation is an increased level of observation and supervision in which continuous one-to-one monitoring techniques are utilized to assure the safety and well-being of an individual patient or others in the patient care environment. 2. Individuals who provide constant observation vary widely among health care facilities; but ultimately are the responsibility of the registered nurse. There are many areas that must be addressed by institutions when considering the use or implementation of constant observation. These include: measuring the associated costs, risk management, role development, orientation of employees, and performance evaluation. 3. The changing health care environment and public concern over the quality of health care and risk management require nursing administrators to consider risk-benefit and cost-benefit analyses related to constant observation. There is continued need for protocol and policy development, as well as for guidelines and orientation of staff regarding constant observation.

Cost-Benefit Analysis↗
PubMed2006

Can high-risk offenders be reliably identified? A follow-up study on dangerous offenders in Switzerland released from prison for legal reasons.

After the recent introduction of preventive detention in Germany, the Swiss national council has passed a similar law. In both these countries, as well as other nations, there is a controversial debate on post-sentence preventive detention of offenders who are found to be very dangerous during enforcement of sentence. Empirical results as to if and how far post-sentence preventive detention is sensible and appropriate are lacking, due to the scarcity of such cases and the need for systematic observation and long survey periods. In all cases used in the present study, a very high dangerousness was assessed during enforcement of sentence, but release had to be granted for legal reasons. With a total of nine cases (all registered from 1997 to 2005), these high-risk offenders represented a small and narrowly defined group, ie 2% of all violent and sex offenders administered by the Canton of Zurich. They also differ from the main population regarding socio-demographics and psychiatric and criminological aspects. It was possible to evaluate the progress of eight of the released offenders in a follow-up study. All eight offenders re-offended with grave violent and sex offences, seven within a year of their release, causing a total of twenty-four victims. The present study supports the supposition that at least some categories of very dangerous offenders can be reliably detected. It also supports the notion that systematic risk assessment during enforcement of sentence, using all obtainable information, can help prevent serious violent and sex offences. Furthermore, the results also illustrate the necessity of post-sentence preventive detention of a small number of high-risk offenders as an important measure for the protection of potential victims.

Antisocial Personality Disorder↗
PubMed2006

[Ethical deliberation: from case study to responsible citizenship].

This article wants to be a contribution reflecting on the theme of applied ethics aiming at nourishing professional and interdisciplinary practices. The authors examine the process of ethical deliberation which has four major ends : the development of reflective and ethical competences of professionals, the elaboration by professionals, of an ethical reflective structure facilitating professional praxis, orientation and quick coordination of action ; implementation of a structure of collective deliberation useful in the orientation of difficult decisions and future actions. Finally, this process also has an objective of evaluation and appears relevant in the apprenticeship drawn from experiences of each participant.

Adult↗
PubMed1987

Difficult people.

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Dangerous Behavior↗
PubMed1990

Epidemiology of deliberate self-poisoning: trends in hospital attendances.

A number of reports have suggested that the incidence of deliberate self-harm has been declining since the late 1970s. Most of these findings have emerged from studies of hospital inpatients, but a large proportion of patients are sent home directly from Accident and Emergency Departments. This study, based in the Nottingham Accident and Emergency Department, looked at attendances for deliberate self-poisoning over four separate years in the period between 1981 and 1988. The findings show a slight reduction over time in the number of attendances and overall rates, with age-specific rates holding steady for the younger age-group (15-34 years), but diminishing as age increases. It is argued that age-specific trends, based on inpatient statistics, could be distorted by Accident and Emergency discharges. It is recommended that future epidemiological studies of deliberate self-harm include patients who progress no further than the Accident and Emergency Department.

Age Factors↗