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Mental Health


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#1 scubanurse

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Posted 24 January 2013 - 09:40 PM

You respond to a medical office building for a female patient who is combative/emotional.  Upon arrival with PD you find a 27YOF in an OBGYN office in the corner of an exam room visibly upset.  Doctor reports she did not receive bad news today or anything that could explain what happened.  Doctor was going to perform the pelvic when the female patient "freaked out" and would not let anyone touch her.  Staff there tried to calm her down but she appears to be in a state and unable to communicate.  (OBGYN is a male and has been her physician for 9 years).

 

 

This isn't as much of a skills call as a psych call and understanding what could be going on with this patient and how you handle it.

 

What is going on with the patient?

How do you approach the situation?

Should they be transported?


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#2 Arctickat

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Posted 24 January 2013 - 10:12 PM

Hopefully my partner is female....if not, I'm calling for one.


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#3 scubanurse

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Posted 24 January 2013 - 10:14 PM

And if no female is available other than staff?  Would you stay on scene for what is shaping up to be a very long call?


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#4 Arctickat

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Posted 24 January 2013 - 10:17 PM

Perhaps others don't have the luxury, but I do, and i'll spend all day with her if she needs me.  However, if she refuses service, I'll leave.  Kind of a sexist organisation though...no female medics?  Really?


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#5 scubanurse

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Posted 24 January 2013 - 10:20 PM

they could be tied up on other calls...can't always get what you want/need.

 

That's a great luxury.  This ties back to a previous issue though, can this patient be deemed competent to refuse service?  How can you assess what's going on to assess her competency.

 

You can ask the physician any question you would like and see her medical history if you think it might help you communicate with her.

 

What mental processes are going on do you think to cause her to react this way to a simple pelvic?


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