Psych Pts are Found throughout the hospital. 5 quick tips... - page 3

Do psych patients scare you? You scare them more. That’s been my experience both in and out of inpatient psychiatry. Reality is patients with psychiatric disorders appear on any unit. Nursing... Read More

  1. by   EAPALEY
    Take care of yourself. From a psych nursing instructor.
  2. by   la_chica_suerte85
    Quote from Farawyn
    No, it's perfect. Because mental illness is a disease, and people forget that.
    It drives me up the wall when family members say, "I just don't get being depressed. Like, just stop being depressed." Ugh....like, I don't get it, just stop having cancer already!!!!!!
  3. by   casper1
    I frequently see that when psych are admitted to medical and surgical floors their psych meds are not always ordered. Whether providers are worried that medications may interact with pain meds or that they may mask a medical condition are possible reasons for not administering. Pt are under stress from there physical conditions and without their medication their mental condition quickly detereates. Unfortunately putting both patient and staff at risk .
  4. by   TXMedPsych
    Great point.
  5. by   WinterLilac
    Quote from la_chica_suerte85
    It drives me up the wall when family members say, "I just don't get being depressed. Like, just stop being depressed." Ugh....like, I don't get it, just stop having cancer already!!!!!!
    I had a similar conversation with my mum when I was explaining what anhedonia is. She replied "you can just make yourself enjoy something" and couldn't get her head around the fact that some people just can't 'make themself enjoy something', it's a symptom of an illness. I said to her "okay, imagine if you accidentally cut yourself with this knife will you be able to just 'make yourself' not feel pain?" I gave up trying to explain, it gets too frustrating!
  6. by   SarahMaria
    Quote from Farawyn
    Why not? Not being facetious, I am genuine in asking.
    I'm not afraid of my patients because I am there to help them. I have a healthy respect for what they are capable of, but being afraid gives these patients power, so you cannot show weakness. They feed off of it, and use it to manipulate.

    At first, I was afraid of these patients, but I was able to realize that they are people too. Yes, they committed severe crimes, but these crimes do not define who they are as people. It's important not to judge.
  7. by   WorldTraveler50
    I wouln't consider myself a so called psych patient , but more of a curious patient who was young and dumb and wanted to try to drink a toxic liquid just to see what would happen and sure enough, I was having symptoms of a stroke and friends rushed me to the ER. Had I not gone, I would not be here talking as I could've died of Acute Renal Failure.I told the ER doctor what i did. I had to swallow charcoal and was in ICU and had acute renal failure on was on Dialysis.

    In no way I was violent as proof been shown and I got to have regular trays and utensils. I did have 1:1 and they were all very nice. I even used the bathroom alone. The psychiatrist saw that I was no longer a threat to myself after talking to me and did not have a 72 hour psych hold.

    I do know 1:1 has to be done for hospital risk management but what's the sitter to watch if it was toxic chemical Ingestion? It's unlikely I have a gallon of cleaning fluids in my hospital room. If a patient didn't attempt with a sharp object, what makes them think they're gonna hurt themselves with sharp objects if the attempt was poison ingestion? Honestly, what is their for the sitter to watch for?

    If the patient attempted suicide by jumping from window, than obviously, they gotta be watched so they don't jump from the hospital room window.

    By the way, is that why the window only comes out an inch? so suicidal patients don't jump out?


    If a patient overdoses and is recovering, does the nurse check the patients tounge so he or she isn't hoarding pills or hiding prescription bottles?

    Not all psych patients are just "psych' patients. Many normal people just hit rock bottom..

    Perhaps that patient went through a divorce, lost a loved one, etc

    Suicide is not a mental illness. Depression is and a depressed patient is not just a psych patient, they are a depressed patient! A patient who is sad is in no way violent.

    Schitzophrenics can go violent if u press the wrong buttons.
  8. by   PewpSmith
    First sentence was:
    Patients with psychiatric disorders are found throughout the hospital.

    But what I read was this:
    Physicians with psychiatric disorders are found throughout the hospital

    I need sleep
    Last edit by PewpSmith on Apr 4, '16 : Reason: Spelling FlubUp
  9. by   wolf9653
    Are you a nurse?
    Experience dictates like many other people, mentally ill people can be pretty good liars. And might say something was an accident that wasn't. Drinking toxic chemicals intentionally is not a sign of clear headed thinking at the moment, for whatever the reason. When there's risk involved it's better to be safe than sorry. I realize you feel it was undignified for you to have suicide watch, but not having someone on suicide watch that should be is even worse. A person may exhibit no overt tendencies towards self harm, or harming others, and turn on a dime. You, like many people seem to have a stigma about psych. It is unfortunate and prejudices people unfairly. For nurses, it's a patient specialty, regarding the specific skill set the tending nurse needs to specialize in, not a judgement, like a cardiac, orthopedic or pulmonary patient. What is a suicide sitter to watch for? there are many ways of harming ones selves, which I won't go into, besides poison and sharp objects.It's also possible other symptoms will emerge that will yield towards a better diagnosis. A person attempting suicide may not be drawn to a singular MO. The wrist slasher today may be a window jumper tomorrow, there's no way of knowing.And going 1:1 is definately risk management. The doctors don't want to risk your life, and the nurses don't want to risk your life, it's not just an administrator thing. Why windows only open an Inch? I've never been told, many office buildings are the same way. Probably so people don't jump, fall or throw things, or leave them wide open and flood the place when it rains. No psych patients are just psych patients, no cardiac patients are just cardiac patients, no patients are 'just' patients. They are all people like you, or me , or may friends, or my family. And they might very well be on any given day.Suicide isn't a mental illness, it is a determination made by a county coroner. It is however often a symptom of a mental illness, and not necessarily depression. And yes, depressives can be violent. And a depressed person does deserve to be treated by a nurse and unit specialized to their needs. Not to, would be akin to putting a postpartum mother on an orthopedic unit.It can be done, but it isn't the best thing for the patient.Depression can sometimes be situational, which can be of limited duration. But sometimes it is not and is more biochemically rooted, and is not a symptom of response to a particular life circumstance. I think you might be a little angry. Given the substance ingestion as well, you might find it helpful to open up to someone. I wish you well.
    Quote from WorldTraveler50
    I wouldn't consider myself a so called psych patient , but more of a curious patient who was young and dumb and wanted to try to drink a toxic liquid just to see what would happen and sure enough, I was having symptoms of a stroke and friends rushed me to the ER. Had I not gone, I would not be here talking as I could've died of Acute Renal Failure.I told the ER doctor what i did. I had to swallow charcoal and was in ICU and had acute renal failure on was on Dialysis.

    In no way I was violent as proof been shown and I got to have regular trays and utensils. I did have 1:1 and they were all very nice. I even used the bathroom alone. The psychiatrist saw that I was no longer a threat to myself after talking to me and did not have a 72 hour psych hold.

    I do know 1:1 has to be done for hospital risk management but what's the sitter to watch if it was toxic chemical Ingestion? It's unlikely I have a gallon of cleaning fluids in my hospital room. If a patient didn't attempt with a sharp object, what makes them think they're gonna hurt themselves with sharp objects if the attempt was poison ingestion? Honestly, what is their for the sitter to watch for?

    If the patient attempted suicide by jumping from window, than obviously, they gotta be watched so they don't jump from the hospital room window.

    By the way, is that why the window only comes out an inch? so suicidal patients don't jump out?


    If a patient overdoses and is recovering, does the nurse check the patients tounge so he or she isn't hoarding pills or hiding prescription bottles?

    Not all psych patients are just "psych' patients. Many normal people just hit rock bottom..

    Perhaps that patient went through a divorce, lost a loved one, etc

    Suicide is not a mental illness. Depression is and a depressed patient is not just a psych patient, they are a depressed patient! A patient who is sad is in no way violent.

    Schitzophrenics can go violent if u press the wrong buttons.
  10. by   WorldTraveler50
    Quote from wolf9653
    Are you a nurse?
    Experience dictates like many other people, mentally ill people can be pretty good liars. And might say something was an accident that wasn't. Drinking toxic chemicals intentionally is not a sign of clear headed thinking at the moment, for whatever the reason. When there's risk involved it's better to be safe than sorry. I realize you feel it was undignified for you to have suicide watch, but not having someone on suicide watch that should be is even worse. A person may exhibit no overt tendencies towards self harm, or harming others, and turn on a dime. You, like many people seem to have a stigma about psych. It is unfortunate and prejudices people unfairly. For nurses, it's a patient specialty, regarding the specific skill set the tending nurse needs to specialize in, not a judgement, like a cardiac, orthopedic or pulmonary patient. What is a suicide sitter to watch for? there are many ways of harming ones selves, which I won't go into, besides poison and sharp objects.It's also possible other symptoms will emerge that will yield towards a better diagnosis. A person attempting suicide may not be drawn to a singular MO. The wrist slasher today may be a window jumper tomorrow, there's no way of knowing.And going 1:1 is definately risk management. The doctors don't want to risk your life, and the nurses don't want to risk your life, it's not just an administrator thing. Why windows only open an Inch? I've never been told, many office buildings are the same way. Probably so people don't jump, fall or throw things, or leave them wide open and flood the place when it rains. No psych patients are just psych patients, no cardiac patients are just cardiac patients, no patients are 'just' patients. They are all people like you, or me , or may friends, or my family. And they might very well be on any given day.Suicide isn't a mental illness, it is a determination made by a county coroner. It is however often a symptom of a mental illness, and not necessarily depression. And yes, depressives can be violent. And a depressed person does deserve to be treated by a nurse and unit specialized to their needs. Not to, would be akin to putting a postpartum mother on an orthopedic unit.It can be done, but it isn't the best thing for the patient.Depression can sometimes be situational, which can be of limited duration. But sometimes it is not and is more biochemically rooted, and is not a symptom of response to a particular life circumstance. I think you might be a little angry. Given the substance ingestion as well, you might find it helpful to open up to someone. I wish you well.
    Wolf9653,

    I appreciate your response. I'm not angry at all. This was 10 years ago and after a bad car accident, it made my brain chemistry change and became depressed. I agree that one day a cutter, the next day a jumper. I was just trying to understand about the sharp objects because for amyone that is suicidal, sharp objects are painful and just cause scares, but some do it to relieve pain. I certainly wouldn't want to mutilate my skin! Now I understand about the window. For example in Las Vegas, hotels windows do not open for that reason, gamblers losing to much money!

    Its good to have a sitter regardless of what was done. Because of what I did, sure I had to be watched and they saw I was a good patient that made a bad deadly decision. Of course I didn't have to go for a psych evaluation as they saw i was better.


    I just feel bad that I made the hospital do so much work to get me better. The main thing was getting my creatinine level down as I almost had to be on dialysis for life.

    Are you familiar with Ethylene Glycol Poisoning?
    Last edit by WorldTraveler50 on Apr 5, '16
  11. by   wolf9653
    If I were in a hospital as a patient for any reason, I'd feel that much better to have a sitter, a private duty nurse would be better, but a sitter is still pretty good. lol.At least if anything happened I ccould get help faster, lol.
    Quote from WorldTraveler50
    Wolf9653,

    I appreciate your response. I'm not angry at all. This was 10 years ago and after a bad car accident, it made my brain chemistry change and became depressed. I agree that one day a cutter, the next day a jumper. I was just trying to understand about the sharp objects because for amyone that is suicidal, sharp objects are painful and just cause scares, but some do it to relieve pain. I certainly wouldn't want to mutilate my skin! Now I understand about the window. For example in Las Vegas, hotels windows do not open for that reason, gamblers losing to much money!

    Its good to have a sitter regardless of what was done. Because of what I did, sure I had to be watched and they saw I was a good patient that made a bad deadly decision. Of course I didn't have to go for a psych evaluation as they saw i was better.


    I just feel bad that I made the hospital do so much work to get me better. The main thing was getting my creatinine level down as I almost had to be on dialysis for life.

    Are you familiar with Ethylene Glycol Poisoning?
  12. by   Farawyn
    Quote from WorldTraveler50

    I just feel bad that I made the hospital do so much work to get me better. The main thing was getting my creatinine level down as I almost had to be on dialysis for life.

    Are you familiar with Ethylene Glycol Poisoning?
    I am. Unfortunately.
  13. by   ReadyToListen
    Quote from Farawyn
    No, it's perfect. Because mental illness is a disease, and people forget that.
    There needs to be a LOVE button for this. Here... <3

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