3. An emergency is defined as an unforeseen
combination of circumstances which calls for
an immediate action.
Medical emergency is defined as medical
condition which endangers life that causes
great suffering to the individual
Psychiatric emergency is a condition where in
the patient has disturbances of thought,affect
and psychomotor activities leading to a threat
to his existences or threat to the peoples in
the environment.
4. Psychiatric emergencies are condition in
which there is alteration in behavior, emotion
or thought, presenting in an acute form in
need of immediate action and care.
Psychiatric emergencies do not mean that
patients are suffering from only psychiatric
disorders, they may present due to medical
condition, or condition unrelated to medical
fields like pandemic, disaster, panic, violence
etc………
5. • Conditions in which there is alteration in
behaviors, emotion or thought, presenting in an
acute form, in need of immediate attention and
care.
• Any condition/ situation making the patient &
relatives to seek immediate treatment.
• Disharmony between subject and environment.
• Sudden disorganization in personality which
affects the socio- occupational functioning.
6.
7. As the world faces a stressful time with the rise
of the Coronavirus pandemic, the message for all
of us is clear—stay at home to avoid the spread
of the virus.
Social distancing is a privilege. It means you live
in a house good enough to practice it.
Hand washing is a privilege too. It means you
have access to clean running water.
Hand sanitizers are a privilege. It means you have
money to buy them.
Lockdowns are a privilege. It means you can
afford to be at home.
8. In our country many of the people are
employed in low-income, unstable jobs—the
segment of the working population that is
becoming the first to lose their jobs due to
the pandemic.
Left to face increased financial burdens, they
are becoming more fearful in not knowing
where their next income will come from. They
are even on the verge of thinking if their
families will be able to survive this epic crisis.
9. With the loss of their livelihoods, they
are unable to pay for basic
necessities including rent, utilities, and food.
Schools were often providers of meals for
children, now leaving these children at risk of
facing hunger with schools closed. With fears
of hunger, homelessness, and certain
hopelessness on the rise for this already
vulnerable population, they need us now
more than ever.
10. As the coronavirus (COVID-19) pandemic sweeps
across the world, it is causing widespread
concern, fear and stress,Suicide,Violence etc all
of which are natural and normal reactions to the
changing and uncertain situation that everyone
finds themselves in.
Regarding older people and also those with
underlying health conditions, having been
identified as more vulnerable to COVID-19, and
to be told that you are very vulnerable, can be
extremely frightening and very fear-inducing..
11. The psychological impacts for these
populations can include anxiety and feeling
stressed or angry. Its impacts can be
particularly difficult for older people who may
be experiencing cognitive decline or
dementia.
And some older people may already be
socially isolated and experiencing loneliness
which can worsen mental health that leads to
suicide.
12. “A psychiatric emergency is defined as an
unforeseen combination of circumstances
which calls for an immediate action.”
Any condition or situation making the patient
and relatives to seek immediate treatment.
13. • To safeguard the life of patient and relatives.
• To bring down the anxiety of family members
and neighbors .
• To enhance emotional security of others in the
environment.
14. Common psychiatric emergencies
Suicide or deliberate self harm
violence or excitement
Fear and anxiety including panic
Stupor or catatonic syndrome
Depression
Hysterical attack
15. Organic psychiatric emergency.
Delirium
Epilepsy or status epileptics
Acute drug induced extra pyramidal
syndrome
Drug toxicity
16. As the corona virus pandemic rapidly sweeps
across the world, it is inducing a considerable
degree of fear, worry and concern in the
population at large and among certain groups
in particular, such as older adults, care
providers and people with underlying health
conditions.
In public mental health terms, the main
psychological impact to date is elevated rates
of stress or anxiety.
17. And also widely seen violence and aggressive
behavior both in adult and older age because
of many of the above mentioned reason.
New measures and impacts are introduced –
especially quarantine and its effects on many
people’s usual activities, routines or
livelihoods – levels of loneliness, depression,
harmful alcohol and drug use, and self-harm
or suicidal behavior are also expected to rise.
18.
19. Fear, worry, and stress are normal responses
to perceived or real threats, and at times
when we are faced with uncertainty or the
unknown. So it is normal and understandable
that people are experiencing fear in the
context of the COVID-19 pandemic.
20. Fear and worry about your own health and
the health of your loved ones, your financial
situation or job, or loss of support services
Changes in sleep or eating patterns.
Difficulty sleeping or concentrating.
Worsening of chronic health problems.
Worsening of mental health conditions.
Increased use of tobacco, and/or alcohol and
other substances.
21.
22.
23.
24. The corona virus disease 2019 (COVID-19)
pandemic may be stressful for people.
Fear and anxiety about a new disease and
what could happen can be overwhelming and
cause strong emotions in adults and children.
Public health actions, such as social
distancing, can make people feel isolated and
lonely and can increase stress and anxiety.
25. Know what to do if you are sick contact a health
professional before you start any self-treatment for
COVID-19.
Know where and how to get treatment and other
support services and resources, including
counseling or therapy .
Take care of your emotional health will help you
think clearly and react to the urgent needs to
protect yourself and your family.
Take breaks from watching, reading, or listening to
news stories, including those on social media.
Hearing about the pandemic repeatedly can be
upsetting.
26. Take care of your body.
◦ Get plenty of sleep, Exercise regularly, Try to eat
healthy well balanced diet, Avoid excessive alcohol
and drug use.
Make time to unwind. Try to do some other activities
you enjoy.
Connect with others. Talk with people you trust
about your concerns and how you are feeling.
Connect with your community- or faith-based
organizations. While social distancing measures are
in place, consider connecting online, through social
media, or by phone or mail.
27.
28. Violence is physical aggression by one person
on another
In the case of COVID-19, isolation, restricted
movement and stay-at-home measures to
contain the spread of the infection.
The chances of women and their children
being exposed to violence is dramatically
increased, as family members spend more
time in close contact and household stress
intensifies, also have to cope with potential
economic or job losses.
29. Do’s
Do protect yourself
Unarm the patient
Keep the door open
Keep others near you
Do restraint if necessary
Assert authority
Show concern, establish
rapport, and assure the
patient
Don’ts
Do not keep potential
weapon near the patient
Do not sit with back to
patient
Do not wear neck tie or
jewellery
Do not keep any
provocative person in the
room
do not sit close to the
patient
Do not confront
30. Health care facilities should updated the
referral pathways of services available locally
to include information on psychosocial
support and counseling services.
Health care providers need to be aware of the
risk of increased violence during this time,
Humanitarian response organizations need to
include services subjected to violence in
COVID-19 response plans and gather data on
reported cases of violence.
31. Handle with the utmost of tact and speech so that
wellbeing of other patients is not affected.
Act in a calm and coordinate manner to prevent
other clients from getting anxious.
Shift the client as early as possible to a room where
they can be safe guarded against injury.
Ensure that all other clients are reassured and the
routine activities proceed normally.
Psychiatric emergencies overlap medical emergencies
and staff should be familiar with the management of
both.
