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Anxiety.

E E Kercher1

  • 1Department of Medicine, University of California, Los Angeles.

Emergency Medicine Clinics of North America
|February 1, 1991
PubMed
Summary

Effective management of anxious patients in emergency settings involves rapid assessment, active listening, and ruling out organic causes. Prioritizing patient comfort and involving family ensures better outcomes and discharge planning.

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Area of Science:

  • Emergency Medicine
  • Psychiatry
  • Psychology

Background:

  • Anxious patients present unique challenges in emergency departments.
  • General principles for psychiatric emergencies are applicable to anxious patients.

Purpose of the Study:

  • To outline effective strategies for managing anxious patients in emergency settings.
  • To emphasize the importance of rapid assessment, communication, and holistic care.

Main Methods:

  • Rapid patient contact and initial assessment of appearance, consciousness, tension, and mood.
  • Expedited communication to reduce patient tension.
  • Thorough physical examination to rule out organic causes of anxiety.
  • Active listening and creating a supportive interview environment.
  • Allowing time for patient evaluation and potential self-resolution.
  • Engaging family and assessing social support for discharge planning.

Main Results:

  • Prompt intervention reduces patient tension and anxiety.
  • Ruling out organic etiologies is crucial.
  • Active listening and a non-judgmental approach foster patient comfort.
  • Family involvement and social support assessment aid in disposition.

Conclusions:

  • A structured approach combining rapid assessment, empathetic communication, and thorough evaluation is key to managing anxious patients.
  • Addressing both the patient's immediate distress and their social support system is vital for effective emergency care and successful discharge.

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