Treatment of Psychiatric Emergencies in Children Versus Adults Essay
Consider a case where your adult client had a psychiatric emergency.(make one up)
Briefly describe the case you selected.
Explain how you would treat the client differently if he or she were a child or adolescent.
Explain any legal or ethical issues you would have to consider when working with a child or adolescent emergency case
Treatment of psychiatric emergencies
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Briefly describe the case you selected.
The case involves Peter (pseudonym), a 27-year-old Caucasian male who was brought into the emergency room following an attempted suicide with a drug overdose Treatment of Psychiatric Emergencies in Children Versus Adults Essay. He was found comatose in his bedroom of the home he shares with two friends. The friends report that he had come in early from work and went into his bedroom. He had been there for 45 minutes when his friends heard commotion in his bedroom and went in to find hum convulsing. A suicide note and an empty bottle of pills were on the bed beside him. His medical records reveals that he lived as a health child and adult, experiencing common ailments such as asthma, pneumonia and chickenpox. Over the last two years, he frequently complained of heartburn and episodes of pharyngitis and rashes, and an episode of venereal warts. In the last six months leading to the suicide attempt, Peter gained significant weight. His housemates indicate that the weight gain may have been caused by pleasure eating since he discovered his fiancée cheating on him, an event that may have precipitated the pleasure eating. There is evidence of substance, suicidal ideation and mental health issues in the client. He was diagnosed with depression and anxiety disorder four months ago. Xanax (anxiolytic) and Celexa (antidepressant) were prescribed to manage the disorder. The friend report that Peter was the ‘life of the party’ and ‘jokester’ prior to breaking up with his fiancée, but had become dull since the breakup Treatment of Psychiatric Emergencies in Children Versus Adults Essay.
Explain how you would treat the client differently if he or she were a child or adolescent.
Treatment for suicide among adults is similar for treatment among children and adolescents. In this case, the treatment would be presented s acute management of the suicidal behavior to include psychopharmacology and psychotherapies. The first step is to establish a relationship with the client and family or friends, while also establishing the importance of treatment Treatment of Psychiatric Emergencies in Children Versus Adults Essay. This is particularly important for children and adolescent clients since they would require consent from a parent or legal guardian for the treatment to proceed. This step is slightly different for adult clients since the client has the legal right to make treatment decisions (Sadock, B., Sadock, V. & Ruiz, 2014). Another significant detail is that for children and adolescent clients, discussion with the family would typically involve the case aspects being discussed with the therapist presenting the treatment options. On the other hand, treatment for adult clients involve the therapist collecting details about the case from the client’s family and friends, and not discussing the case details unless with the express permission from the client (American Nurses Association, 2014).
Explain any legal or ethical issues you would have to consider when working with a child or adolescent emergency case
There are ethical issues that must be considered when working with a child or an adolescent emergency case. The first issue is the therapeutic boundary with the therapist often challenged to refrain from engaging in actions that could confuse the boundaries. This is especially so when dealing with clients who find it difficult to express their impulses and longings in words. For instance, they could ask questions about how the therapist behaves as a parent. They could also challenge the boundaries by posing embarrassing and challenging questions (Smith, 2012). The second issue is client autonomy with regards to the client contributing to decisions based on objectivity and understanding. Including children and adolescents in decision making about treatment is respectful and strengthens the working alliance Treatment of Psychiatric Emergencies in Children Versus Adults Essay. The third issue is confidentiality, especially when the parents demand to know case details that the client expects to be kept confidential (Allen & Spitzer, 2015). The three ethical issues are common when working with child and adolescent clients.
References
Allen, K. & Spitzer, W. (2015). Social work practice in healthcare: advanced approaches and emerging trends. Thousand Oaks, CA: SAGE Publications.
American Nurses Association (2014). Psychiatric-mental health nursing: scope and standards of practice (2nded.). Washington, DC: Author.
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan &Sadock’s synopsis of psychiatry: behavioral sciences/clinical psychiatry (11thed.). Philadelphia, PA: Wolters Kluwer.
Smith, G. (2012). Psychological interventions in mental health nursing. Berkshire: Open University Press Treatment of Psychiatric Emergencies in Children Versus Adults Essay.