Behavioral Emergencies Flashcards
1
Q
What is a Behavioral Emergency?
A
- when someone behaves in a way that is not within the social norm and can pose a risk to themselves or others
2
Q
What can cause a behavioral emergency?
A
- exacerbation of developmental disorders
- exacerbation of mental disorders/illnesses
- reaction to alcohol and other drug use
- stroke, lack of oxygenation, electrolyte imbalance, trauma, seizure
3
Q
Major Depressive Disorder
A
- can come in episodes that vary in length and intensity
- more common in women
- affects mood, cognition, behavior, somatic function
- symptoms cause significant distress or impairment in areas of functioning
4
Q
Specific Phobias
A
- severe overreaction to an inappropriate stimulus
- most common type of anxiety disorder
- most common in women and children
5
Q
Panic Disorder
A
- panic attack = anxiety attack
- tingly hands, SOB, nausea, impending doom
- get them to breath, focus on something else
- keep them warm
- need to be multiple attacks and fear of subsequent ones
6
Q
Generalized Anxiety Disorder
A
- more common in women
- similar symptoms as depression, often comorbid
- catastrophizing, discomfort with uncertainty and worry
7
Q
Social Anxiety Disorder
A
- AKA Social Phobia
- positive feedback situation
- anxiety, avoid situation, guilt, more anxiety, more avoidance
8
Q
Obsessive Compulsive Disorder
A
- strong presence in media
- obsessions or compulsions or both
- most common obsessions: violent, sexual, blasphemous, dirtiness
- most common compulsions: checking, cleaning, order, mental rituals
9
Q
Post Traumatic Stress Disorder
A
- symptoms usually lessen over time
- men, people in their twenties, extroverts, and people with histories of conduct problems have higher likelihoods of ptsd
- panic related to previous trauma
- flashbacks, anxiety, distorted view of reality, negative view of oneself and the world
10
Q
Bipolar Disorder
A
- Type 1: at least one manic episode
- Type 2: atleast one hypomanic episode, no manic episodes
- manic episodes: at least one week, most of the day, nearly everyday; very noticeable elevated and irritable mood; psychotic features
- hypomanic episode: at least 4 consecutive days; noticeably elevated mood, but not as severe as with mania; no psychotic features and no severe social or occupational impairment
11
Q
Schizophrenic Disorders
A
- positive symptoms - hallucinations, delusions
- negative symptoms - flat affect, apathy
- disorganized symptoms - disorganized speech, inappropriate affect, reparative movements or lack of movement
- hallucinations: auditory, visual, tactile, and then olfactory
- schizophreniform disorder = pre-schizophrenia
- schizoaffective disorder = schizophrenia + mood component
12
Q
Personality Disorders
A
- clustered into 3 groups
- Cluster A: paranoid, schizoid, schizotypal
- Cluster B: borderline, narcissistic, histrionic, antisocial
- Cluster C: obsessive compulsive, avoidant, dependent
- enduring pattern of behavior that deviates from social norms
13
Q
Eating Disorders
A
- Anorexia Nervosa: amenorrhea: cessation of menstruation; lanugo: a fine hair on the body
- Bulimia Nervosa: binge eating followed by behaviors such as purging
- Binge-Eating Disorder: bingeing with no purging
14
Q
When to Restrain
A
- when the patient poses a risk to themselves or the crew
- use reasonable force and nothing more
- tie to stretcher fram
- check cms every 5 minutes
- take mileage
- do not transport in prone or with handcuffs behind patients back
- if restraints are used, transport with PD
15
Q
Psychopharmacology
A
- some medications help, however many have a lot of side effects
- some people may opt to deal with illness over the side effects
