The Shenandoah Valley Family Practice Residency offers comprehensive training to early-career family physicians, many of whom may wish to practice in rural settings with limited resources. To prepare residents for this kind of care, the Shenandoah Valley Family Practice Residency provides residents with more emergency psychiatry training than is typical for similar programs. When a patient with psychosis presents in the emergency room, he or she requires both medical and psychiatric stabilization. The first step is triage and clinical assessment, which determines whether the patient is in need of immediate medical attention. If no such care is needed, the team must determine if the patient can wait alone for further attention or if he or she needs supervision, a secluded waiting area, or to be placed in a secured room. The care team then moves on to stabilize the patient's psychiatric condition. Typically, the goal of this endeavor is to calm any agitation, reduce disruptive behaviors, and minimize threat of harm to the self or others. Medication, either intramuscular or oral, can help to speed this process, although many experts urge behavioral interventions to be a first course of action. The patient typically then receives a complete diagnostic workup, including thorough evaluation of first-onset psychiatric symptoms. All patients receive a psychiatric evaluation to determine whether the patient is safe for discharge or must be admitted into an inpatient facility or other treatment setting.
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AuthorOverseen by Dr. Frank Dennehy, Shenandoah Valley Family Practice Residency Program offers opportunities for students who are interested in family medicine. Archives
November 2021
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