Non-medical prescribing considerations in emergency mental health services
Journal of Prescribing Practice
; 4(7):312-316, 2022.
Article
in English
| CINAHL | ID: covidwho-1934646
ABSTRACT
The emergency mental health practitioner's job involves providing immediate care to patients who are suffering a mental health crisis. Independent nurse prescribing supports this service through timely access to pharmacological and non-pharmacological measures or cognitive behavioural strategies. This case study involves a service user diagnosed with bipolar type II disorder who presents with suicidal ideation, and outlines the prescribing options available for short-term crises and long-term risk management. There is a complex balance of appraising physical and mental health including capacity, assessment of risk of self-harm and harm to others, and working in consultation to optimise adherence and concordance. The authors highlight the importance of using a person-centred approach, which includes family, carers and their wider support network, to develop a therapeutic relationship which promotes positive outcomes. This is further supported by utilising the most recent and up-to-date policy, guidelines and legislation, including local and national policies.
Emergency Service; Mental Health; Prescriptive Authority; Prescribing Patterns; Bipolar Disorder -- Diagnosis; Suicidal Ideation -- Risk Factors; Risk Assessment; Crisis Intervention -- Methods; Bipolar Disorder -- Drug Therapy; Adult; Female; Lamotrigine -- Administration and Dosage; Seizures -- Prevention and Control; Lamotrigine -- Blood; Drug Monitoring; Referral and Consultation; COVID-19 Pandemic; Medication Management; Lorazepam -- Administration and Dosage; Treatment Outcomes; After Care
Full text:
Available
Collection:
Databases of international organizations
Database:
CINAHL
Language:
English
Journal:
Journal of Prescribing Practice
Year:
2022
Document Type:
Article
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