TY  - CHAP
M1  - Book, Section
TI  - Psychiatric Issues
A1  - Aguilar, Francis
A2  - Go, Ronaldo C.
PY  - 2022
T2  - Understanding Crisis in Critical Care
AB  - The  impact  of  disaster  and  crisis  events  encompass  all  aspects  of  a  patient’s  being.  The  physical  injuries  are  clear  and  obvious.  However,  the  new  or  underlying  mental  health  issues  that  arise  from  a  crisis  or  trauma  may  not  become  as  apparent  in  an  acute  situation.  This  is  applicable  not  only  for  the  patient  but  to  the  care  team  and  the  family  of  those  affected.  Pandemics  and  violent  traumas  are  obvious  precipitating  factors  for  mental  health  illnesses,  and  acute  changes  in  mental  health  and  behaviors  are  expected.  The  factors  involved  in  the  aforementioned  crisis  situations  that  perpetuate  the  mental  health  and  behavioral  comorbidities  become  the  challenge  clinically  moving  forward  in  a  patient’s  care.  Over  time,  many  of  the  memorable  and  devastating  world  events  have  highlighted  the  need  to  address  and  manage  psychiatric  comorbidities.  World  War  II,  mass  shootings,  natural  disasters,  and  global  pandemics  all  have  left  an  indelible  impression  on  the  mental  health  of  patients,  their  families,  the  medical  care  team,  and  the  hospital  system.  In  this  day  and  age  where  information  comes  fast  and  often,  the  recent  COVID-19  pandemic  has  further  emphasized  the  many  mental  health  issues  that  affect  the  community  during  times  of  an  ongoing  disaster.  The  media  coverage  from  the  disastrous  COVID-19  pandemic  has  highlighted  how  hospital  systems  around  the  world  have  been  overwhelmed.  Hospital  systems  are  struggling  with  not  only  addressing  how  to  contain  the  pandemic  but  also  the  difficulty  addressing  issues  such  as  Personal  Protective  Equipment  resources,  allowing  family  members  to  see  their  sick  loved  ones,  medical  staffing,  physical  space  to  handle  patient  volume,  and  the  degree  of  complexity  the  patient  themselves  present  with  during  this  pandemic.  All  of  these  issues  bring  about  stress  and  strain  to  all  those  involved,  which  in  turn  has  the  ability  to  precipitate  or  exacerbate  mental  health  comorbidities.  This  chapter  hopes  to  serve  as  a  conceptual  guide  for  the  evaluation,  management,  and  treatment  of  various  psychiatric  issues  that  arise  for  patients,  their  families,  and  the  medical  team  in  an  acute  critical  care  setting.  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/04/18
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=1184387786
ER  -