应急部门的年轻人自我伤害的管理和导航国家指南的挑战
Naashoma Pereira Carvalho1, Kim Pierson2, Hadi Shaker-Naeeni2
1North Central London Higher Training Programme, London, UK.
BJPsych bulletin
|June 5, 2023
概括
管理年轻人的自我伤害至关重要,因为它
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 紧急医疗 紧急医疗
背景情况:
- 自杀是英国年轻人死亡的主要原因.
- 大约50%的青少年完成的自杀行为涉及到自伤的历史.
- 对于在急诊室自我伤害的年轻人进行有效的管理是必不可少的.
研究的目的:
- 讨论应用2004年国家卫生和护理卓越研究所 (NICE) 针对自我伤害的年轻人指导的挑战.
- 探索当前实践和即将到来的2022年NICE指南的影响.
主要方法:
- 这是一个讨论临床实践和指导方针的社论.
- 它审查了现有的国家卫生和护理卓越研究所 (NICE) 指南 (2004年和2022年).
- 它考虑了医疗保健专业人员面临的实际挑战.
主要成果:
- 2004年NICE指南建议在16岁以下的自我伤害者入院过夜.
- 这一建议在"冬季压力"或床位短缺期间存在困难.
- 导航这些指南需要平衡政策与现实世界的临床需求.
结论:
- 对自我伤害的年轻人进行强有力的管理至关重要.
- 当前的做法在遵守既定准则方面面临挑战.
- 2022年NICE指南可能为未来的管理策略提供了更好的前景.
相关概念视频
Self-Help Support Groups
60
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
60
Ethical Dilemmas I
963
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
963
Ethical Dilemmas II
1.2K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.2K
Acute Coronary Syndrome IV: Interprofessional Care
13
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
13
Guidelines and Strategies for Safe Computer Charting
841
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
841
Cardiopulmonary Resuscitation III: AED Use
42
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
42


