title: Patient with borderline personality disorder and intellectual impairment. Case report.
abstract: The care of patients with behavioral problems presents many challenges to emergency unit staff. This case report describes the authors' experience caring for a patient with borderline personality disorder and intellectual impairment, whose frequent emergency unit (EU) visits were characterized by severe behavioral difficulties. The authors describe the use of an emergency care contract that helped improve the quality of the patient's required EU visits. Comments regarding the usefulness of functional health pattern assessment and nursing diagnoses in emergency nursing practice are also given.
authors.affiliation: Center for the Advancement of Nursing Practice, Beth Israel Hospital, Boston, MA 02215.
authors.forename: J C
authors.initials: JC
authors.lastname: Wandel
authors.forename: M R
authors.initials: MR
authors.lastname: Prince
mesh_terms: D001883:Borderline Personality Disorder / Q000150:complications / Q000451:nursing* / Q000523:psychology; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D008607:Intellectual Disability / Q000150:complications / Q000451:nursing* / Q000523:psychology; D008875:Middle Aged; D009730:Nursing Assessment; D010347:Patient Care Planning; D010358:Patient Participation