Which steps would be the most helpful

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Reference no: EM133846176

Problem

A 32-year-old woman with systemic lupus erythematosus develops a full-blown manic episode resulting in a police escort to the local emergency department on a mental health hold due to her causing a disturbance at a local shopping mall. Prior to this incident, she had been in remission from her lupus and is on a treatment regimen that has included steroids for the last few months. There are no psychiatric beds open within 100 miles, so the patient will remain under observation in the emergency department in the hopes that a bed will open up nearer to her home. Her spouse arrives and does not want her to be transferred to a psychiatric unit, and a psychiatric consultation is requested by the emergency medicine physician to aid in disposition decisions. The patient's spouse reports that she has no prior psychiatric history and does not use alcohol or drugs. He reluctantly reports that they have a 14-year-old boy with bipolar disorder and that his spouse has distant relatives who were institutionalized many years ago. Get the instant assignment help. In order to determine whether the patient's needs would be served best by transfer to a distant psychiatric unit or to the local hospital on a medical unit, which steps would be the most helpful?

Reference no: EM133846176

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