Exorcism in the ER......NOT - page 8

Had a pt come in the other night, female about 40 y/o. She was brought in by her husband and her pastor. She was dragged from the car by them and placed in a wheelchair, and was then intercepted and... Read More

  1. by   kadokin
    Quote from talaxandra
    I'm very comfortable with respecting the belief systems of different cultures, I just don't think that this qualifies.
    After all, the Catholic church itself is very reluctant to claim that people are possessed, or to perform exorcisms. So much so that I doubt you could get a priest to perform an exorcism on a newly-presenting patient with altered LOC FI.
    And if there was a pastor there I'm don't get why (given that he clearly favoured the exorcism concept) he didn't call in a favour with the archdiocese and skip a hospital admit altogether. After all, if you don't think there's a medical problem why would you present to a medical centre?
    Given that the patient recovered without an exorcism (or, from the sounds of it, any other curative treatment), I think that heaping scorn upon the idea of stanic possession, at least int his case, isn't exactly unwarranted. Positing conversion disorder or attention-seeking behaviour seem pretty accurate as well
    Yeah, really, why didn't the pastor call the priest BEFORE the EXPENSIVE trip to the ER? And, couldn't the ER staff have called the pastoral care dep't. to see if they could assess the situation and call in a priest if necessary(tongue in cheek) BEFORE the pt is admitted to an inpatient unit (read: more unnecessary expense). I'm curious, was the pt insured? Who picked up the bill for this fiasco? I work in an inpatient psych unit in a community hospital and I am afraid this would have been one admitted to our service if not deferred previously. Or maybe, talk of a psych admission would have been the "cure" she needed and she would have walked out of the ER. It's sad that this stuff happens as much as it does, and there are still people who actually NEED medical care and can't get it due to lack of funds. What a world we're living in!
  2. by   kadokin
    Quote from eldernurse
    I had a 14 year old boy in the ED chanting, "I am the devil!". We had his mother and the guards following him around, to the bathroom ect. Every time he passed one of us he did his little chant. On one particular pass when the guards weren't too close, I whispered "Nothing a good spanking wouldn't cure!"
    He didn't give us one bit more trouble (at least in the ED).
    Ya know . . . Even though I feel your assessment and intervention were spot on, you really put yourself at risk for a lawsuit IMHO, especially considering this child's mother brought him to the ER rather than consulting clergy or using your intervention at home. If I'm not mistaken, assault is defined as the threat of harm. Not PC, just practical.
  3. by   kadokin
    Quote from LBLOCKRN
    THIS IS WHAT THEY MAKE RAPID SEQUENCE INTUBATION FOR!!!!!
    Would that be legal considering there was no medical reason for it, same question for the poster who suggested a soap suds enema. Is this battery?
  4. by   kadokin
    Quote from Deaconess
    As a Pentecostal Christian myself, I doubt this pastor and couple were part of any recognized Pentecostal denomination or sect. In fact, in some independent churches the pastors have little theological or other education.

    I have had some experience myself with "deliverance ministry" - praying with people to free them from spiritual oppression. I have seen people set free from depression, eating disorders, and addiction with the help of this ministry done by TRAINED and discerning individuals.

    This woman definitely sounds like an attention-seeker, more than someone who genuinely wants to be free from a spiritual bondage. Unfortunately, an inexperienced but well-meaning pastor can be taken in by such a woman and in turn enable her mal-adaptive behavior. I would guess that this pastor had no training in deliverance and no connection with any other churches (such as a denomination) if he was calling for a Catholic preist.

    Done properly, deliverance ministry is done with the COOPERATION of the person being ministered to. It is done in a way that preserves the dignity of the individual seeking help (which this case obviously did not), and does not encourage bizarre behaviour. Definitely not anything like out of The Exorcist or resembling this scenario.

    ITs unfortunate that this whole scenario wasted the ER's and hospital's resources, unless the woman got the psychiatric help that she needed in the first place. Somehow I suspect she did not and will be bothering another pastor and/or hospital (not to mention her husband).
    Thank you for this intelligently written perspective.
  5. by   kadokin
    Quote from falconboy
    i would have performed the mandatory 2 minute vigorous sternal rub, and gotten an order for a soap suds enama from the md stat!

    I'm a psych nurse becoming an ER nurse, i think the jobs coalesce well....
    anyway, i've had several "catatonic" schizophrenics on the ward that respond very well to the lenghtened sternal rub... up and walking a half hour later... it's a miracle.. hallelujuh brother....
    A word of caution: The truly catatonic are TRULY DANGEROUS when they come out of thier stupor. Psych RN here, been there, done that. Accepted practice is stat IM antipsychotic and be ready w/extra personnel when they snap out of it, because they are going to fight like the devil (sorry, couldn't resist) when the meds take effect. You've been warned.
  6. by   Granted Fal
    Quote from kadokin
    A word of caution: The truly catatonic are TRULY DANGEROUS when they come out of thier stupor. Psych RN here, been there, done that. Accepted practice is stat IM antipsychotic and be ready w/extra personnel when they snap out of it, because they are going to fight like the devil (sorry, couldn't resist) when the meds take effect. You've been warned.

    yeah, i've been in the psych field about 6 years now, and i've been swung at, scratched, hit, haymakers and all.... I've only ever gotten contact twice from a client, usually it can be avoided with the right attitude and with proper redirection..... however...
    the post was really just for kicks... although, the sternal rub thing really did happen... thanks for the feedback
  7. by   teeituptom
    Quote from kadokin
    Ya know . . . Even though I feel your assessment and intervention were spot on, you really put yourself at risk for a lawsuit IMHO, especially considering this child's mother brought him to the ER rather than consulting clergy or using your intervention at home. If I'm not mistaken, assault is defined as the threat of harm. Not PC, just practical.


    Actually it sounds as if the Mother needed a good spanking.

    thats why the have the Dx PPPS

    Pitifully Poor Parenting Syndrome

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