Abstract

MALLQUI, Pánfilo Arone. Initial nursing assessment in psychiatric emergencies: a systematic review. Vive Rev. Salud [online]. 2023, vol.6, n.18, pp.972-987.  Epub Sep 25, 2023. ISSN 2664-3243.  https://doi.org/10.33996/revistavive.v6i18.278.

A significant percentage of hospital emergencies are psychiatric; therefore, during daily clinical practice, the nursing staff must attend patients with mental symptoms and behavioral signs. In order to make decisions to deal with such emergencies, the nursing professional requires an adequate assessment to establish the real needs of the patient. Objective. To identify the instruments used by the nursing service for an effective initial assessment in psychiatric emergencies. Methodology. A systematic review was carried out using the Scopus and PubMed databases. The equation used was the Scopus database (mental AND health AND diagnosis AND psychiatric AND emergency) OR (instruments AND diagnosis AND psychiatric AND emergencies); in PubMed (initial AND assessment AND psychiatric AND patients AND emergency AND diagnosis); from the search method used, a total of 802 sources were obtained which went through a selection process leaving 22 publications for analysis. Conclusion. Interviews and questionnaires are an indispensable tool. They allow establishing a direct link with the patient, identifying their concerns, symptoms and specific needs, thus guaranteeing their physical and emotional well-being from the beginning of care. The use of measurement scales varies according to the patient's disease; the most commonly used classification system is the ICD-10 and clinical records on family and substance history, in addition to sociodemographic aspects, are the most used and allow visualizing the general profile of the psychiatric emergency patient.

Keywords : Nursing Care; Mental Disorders; Emergency Care; Nursing assessment; Psychiatric Emergencies.

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