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Journal Article

Citation

Wand T. Int. J. Ment. Health Nurs. 2004; 13(2): 135-139.

Copyright

(Copyright © 2004, Australian College of Mental Health Nurses Inc., Publisher John Wiley and Sons)

DOI

10.1111/j.1440-0979.2004.00315.x

PMID

15318908

Abstract

This paper explores issues that relate to the management of deliberate self-harm in the emergency department (ED) from a New South Wales perspective. A scenario that is typical to the ED is presented to illustrate the dilemma that nurses face and the implications for clinical practice. Confusion and concern regarding the treatment and detention of this type of patient in the ED can often result in the inappropriate use of the Mental Health Act. It is preferable for clinicians to be aware of the treatment options they have under duty of care rather than relying on the unfounded reassurance provided by scheduling a patient under the Mental Health Act. Communication and negotiation skills are highlighted as attributes that clinicians must develop and enhance to effectively manage difficult presentations to the ED.


Language: en

Keywords

Commitment of Mentally Ill; Drug Overdose; Emergency Nursing; Emergency Service, Hospital; Emergency Services, Psychiatric; Female; Humans; Mental Competency; Mental Health; Middle Aged; Moral Obligations; New South Wales; Nurse's Role; Nursing Staff, Hospital; Patient Advocacy; Self-Injurious Behavior; Suicide, Attempted

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