دورية أكاديمية
How are agitated patients dealt with in internal medicine departments?
| العنوان: | How are agitated patients dealt with in internal medicine departments? |
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| المؤلفون: | Ferraz-Gonçalves JA; Faculdade de Medicina da Universidade do Porto, Porto, Portugal., Silva AS; Serviço de Medicina Interna, Unidade Local de Saúde Gaia e Espinho, Vila Nova de Gaia, Portugal., Reis JS; Serviço de Oncologia Médica, Unidade Local de Saúde São João, Porto, Portugal., Assis JG; Serviço de Medicina Interna, Unidade Local de Saúde de Trás-os-Montes e Alto Douro, Vila Real, Portugal., Matos MI; Serviço de Medicina Interna, Unidade Local de Saúde São João, Porto, Portugal., Matias P; Serviço de Medicina Interna, Unidade Local de Saúde São João, Porto, Portugal., Alves S; Serviço de Medicina Interna, Unidade Local de Saúde Nordeste, Bragança, Portugal. |
| المصدر: | Porto biomedical journal [Porto Biomed J] 2024 Jul 11; Vol. 9 (4), pp. 260. Date of Electronic Publication: 2024 Jul 11 (Print Publication: 2024). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wolters Kluwer Country of Publication: United States NLM ID: 101707479 Publication Model: eCollection Cited Medium: Internet ISSN: 2444-8672 (Electronic) Linking ISSN: 24448664 NLM ISO Abbreviation: Porto Biomed J Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: 2018- : [Philadelphia, PA] : Wolters Kluwer Original Publication: [Barcelona] : Elsevier España, S.L.U., [2016]-[2017] |
| مستخلص: | Background: Studies on agitation in internal medicine departments are scarce, especially regarding how doctors and nurses act in these situations. The objective of this study was to clarify how agitation is dealt with in these departments. Methods: This prospective observational study was performed in the internal medicine departments of four Portuguese hospitals. The researchers at each hospital contacted the nursing team that identifies patients who were agitated in the previous shifts. The researcher reviewed these patients' files, recording the research protocol's parameters. Results: During the study period, 331 patients were observed; 177 (54%) were female, and the median age was 80 years (19-99). Episodes of agitation occurred in 69 patients (21%); of them, 44 (64%) were female, and the median age was 84 years (31-98). In the first episode of agitation, the doctor on duty was called in 49 times (71%). These doctors prescribed a new medication for the crisis in 30 cases (43%). After the crisis, the assistant doctor recorded the episode in the patient file in 41 cases (59%). According to the medical notes, after the acute phase, in only 21 patients (30%), there was an attempt to clarify the cause of agitation. The prescription after the crisis was regular medication in 32 cases (46%), rescue medication in 27 (39%), and physical restraint in 9 (13%), isolated or in various combinations. Conclusion: This study suggests that there is room to improve how agitated patients are managed in internal medicine departments. (Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of PBJ-Associação Porto Biomedical/Porto Biomedical Society.) |
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| فهرسة مساهمة: | Keywords: agitation; agitation assessment; agitation control; physical restraints; verbal de-escalation |
| تواريخ الأحداث: | Date Created: 20240712 Latest Revision: 20240714 |
| رمز التحديث: | 20240714 |
| مُعرف محوري في PubMed: | PMC11236411 |
| DOI: | 10.1097/j.pbj.0000000000000260 |
| PMID: | 38993951 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2444-8672 |
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| DOI: | 10.1097/j.pbj.0000000000000260 |