INTERVENE EARLY, INTERVENE QUICKLY, NO DISTRESS: STANDARDIZED, EVIDENCE-BASED MANAGEMENT APPROACHES TO PEDIATRIC AGITATION IN HOSPITAL-BASED SETTINGS
| Autor: | Alba Pergjika, Vera Feuer |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Clinical Perspectives 4
business.industry Aggression Psychological intervention Evidence-based management Multimodal therapy Emergency department Emotional dysregulation medicine.disease Psychiatry and Mental health Distress Developmental and Educational Psychology Medicine Emergency psychiatry Medical emergency medicine.symptom business |
| Zdroj: | Journal of the American Academy of Child and Adolescent Psychiatry |
| ISSN: | 1527-5418 0890-8567 |
| Popis: | Objectives: Exacerbated by the COVID-19 pandemic, there is increasing severity of emotional dysregulation and agitation among youth presenting across hospital systems. Proactive identification and timely implementation of evidence-based, nonpharmacologic, and etiologically based pharmacologic interventions are essential to address these challenges. In this Symposium, we review how different hospitals are approaching the development and implementation of standardized approaches to the evaluation and management of pediatric agitation. Methods: Ruth Gerson, MD, will review national consensus practice guidelines (Baby BETA guidelines), supported by the American Association for Emergency Psychiatry, for the evaluation and treatment of youth at risk for or exhibiting agitation/aggression in the emergency setting. Nasuh Malas, MD, MPH, will discuss the system’s issues with the application of agitation/aggression interventions across the health system at C.S. Mott Children's Hospital. Alba Pergjika, MD, will present data on the implementation of agitation pathways at Lurie Children’s Hospital of Chicago. Ema Saito, MD, will review evidence-based as-needed (PRN) use to manage agitation in the pediatric population and will present data on PRN use in an acute-care adolescent inpatient unit at the Zucker Hillside Hospital in New York. Vera Feuer, MD, will discuss agitation management in special populations and pandemic-related care delivery modifications. Results: We will describe the only existing national consensus guidelines for pediatric agitation management in emergency settings and the diverse applications of these principles in clear models across different hospital settings. Dr. Malas will present systems data relevant to the development of systemic work in the management of agitation in the hospital setting. Dr. Pergjika will present data on the impact of a standardized pharmacological response to agitation in the emergency department (ED). Dr. Saito will present data on PRN inpatient psychiatry medication use. Conclusions: Pediatric agitation is common and highly problematic, and it results in significant distress for patients, families, and providers. Feasible and sustainable expert consensus guidelines for the management of agitation in the ED can be beneficial for hospital systems, and they require a multimodal approach for implementation. TREAT, AGG, ADOL |
| Databáze: | OpenAIRE |
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