[mommatrauma]

I am all for religious freedom...I am even all for psych patients having their breakdowns...but what bothers me is people that uneccesarily tie up valuable resources in the ED that could possibly have been better utilized helping someone that really needed them...just my thought

[PsychRN03]

Originally Posted by tvccrn

She...pysch nature.

Are you sure?

EDIT: And so you don't think I'm being sarcastic, or a complete idiot, or a jerk, I'm asking you are you sure she is the one who requires the psych eval? Or rather, are you sure she is the only one?

[PsychRN03]

Originally Posted by JessicaGmz

Sounds to me like someone was in a desperate crave for attention and nothing else.

Correctomundo...So the 64,000 dollar question is...Who is craving the attention?

[hollyster]

Originally Posted by lblockrn

this Is What They Make Rapid Sequence Intubation For!!!!!

Amen!!!!!!!!

[Hodge]

Well, I am not to surpised......after all, we live in a society that elected a political party that calls "global warming" bunk science yet believes in creationism and a literal interpretation of the bible......

[Dixielee]

I read stories like this and am convinced that I need ER to keep me from getting bored. I guess that will never happen in ER. I had another "first" in ER last night. It seems like the longer I am a nurse, the more "Firsts" I see. I had a man get drunk and fall head first into a Giant Saguaro Cactus. After some Dilaudid and Xylocaine jelly to the head, we were able to remove the spines from his scalp. Of course, he said the ETOH had nothing to do with him falling into a 40 foot tall cactus, head first.....yep, nothing at all!

[debRN0417]

Originally Posted by psychrn03

Correctomundo...So the 64,000 dollar question is...Who is craving the attention?

hummmmm...I wonder if someone was caught doing something they shouldn't have been and were using this as a "plea bargin".... you know...."the devil made me do it"...lol

[tvccrn]

Originally Posted by psychrn03

Are you sure?

EDIT: And so you don't think I'm being sarcastic, or a complete idiot, or a jerk, I'm asking you are you sure she is the one who requires the psych eval? Or rather, are you sure she is the only one?

No, I don't think she's the only one. But, to go along with something like that makes me believe she is missing something so much in her life, be whatever it may, that she acts this way to gain attention.

And upon reading your post,my first thought was "hhmm, maybe she's ISN'T the only one there who has a need." So, no I didn't think you were being sarcastic, merely looking at it from another POV. We should all do that for occasionally.

[BabyRN2Be]

Originally Posted by 2ndCareerRN

I am over in Spokane, also a transplanted okie (lawton). there are supposed to be some catfish over here, will try finding out soon.

bob

WOW! There's A LOT of transplanted Okies reading this. You all probably did the wise move, leave Oklahoma when you got the chance.

(Sorry to offend those who LOOOOVVVVEEE Oklahma. Makes me worrid about nursing jobs when I eventually graduate from here. I''m sorry if I"ve offended anyone)

OK, time to go to bed because I'm tired of retyping all my sentences 4 times.
Night everyone.. I'm 'bout to fall askeep@

[Thunderwolf]

An approach that was not tried, from what I've read thus far, was no one separated the patient from the husband and pastor (sort of pulling the patient aside) and telling her that every medical finding was negative in a matter of fact, respectful tone...even if she presented as unresponsive. Laying it out up front and honestly to her may have cued her in that the staff find her in good "physical" health. Next, it may have been helpful to acknowledge to her that she obviously dealing with something that is distressing to her to where she had to either shut down totally or to be needing others (such as her husband and pastor) to become distraught over her. The issue that needed presented to her, again matter of factly and with dignity, was to acknowledge that she needs help, but in a more productive way. I would even have tried contracting with her, even if she presented as unresponsive, because she was still listening. I would have presented her "an out" sort of speak, such as..."when your husband and pastor return back in the room, think about what I said, after about 15 minutes, open your eyes and say you feel a little better and would possibly agreeable to an outpatient follow up when the ED doc recommends it (to sort out the problems)" I used to use this approach quite often when I used to worked in mental health and detox. Often, it was a good approach. Open, honest, confidential with the patient, and reminding the patient that he/she can make better choices to get one's needs met. If the patient declines to respond to the invitation, I would present it to her again before being admitted inpatient. Then, psych should have been notified of her admission. Admitting her as a change of LOC may have not been helpful (she didn't need neuro checks on a medical floor), sort of circumventing the true need of treatment, possibly delaying it further.