title: Beyond acting out: managing pediatric psychiatric emergencies in the emergency department.
abstract: Managing pediatric psychiatric emergencies can be a challenge for any emergency nurse. Young patients may have extreme anxiety about being in the emergency department and may act out as a result. Overwhelmed parents can hinder the assessment process and, in some cases, cause further escalation of their children. Understanding the common diagnoses for different age groups enables the nurse to use management strategies that are appropriate and effective. Establishing rapport, recognizing anxiety, setting effective limits, and facilitating cooperation with these patients and their parents are priorities for the emergency nurse.
authors.affiliation: Cheshire Medical Center, Keene, NH 03431, USA. Sgilbert10@msn.com
authors.forename: Sara Barr
authors.initials: SB
authors.lastname: Gilbert
mesh_terms: D000184:Acting Out; D000293:Adolescent; D057179:Advanced Practice Nursing / Q000379:methods*; D001007:Anxiety / Q000175:diagnosis / Q000451:nursing / Q000523:psychology*; D002648:Child; D002652:Child Behavior / Q000523:psychology; D004632:Emergency Medical Services / Q000379:methods*; D016529:Emergency Nursing / Q000379:methods; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000451:nursing / Q000523:psychology*; D016728:Self-Injurious Behavior / Q000175:diagnosis / Q000451:nursing / Q000523:psychology*