Table of Contents Table of Contents
Previous Page  162 / 812 Next Page
Information
Show Menu
Previous Page 162 / 812 Next Page
Page Background

S158

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348

Introduction

Psychiatry has seen significant progress in recent

decades due to scientific advances. However, beyond genes, neu-

rotransmitters and neurocircuits, there is a truly human dimension

that escapes all the science. The choices each one makes, even

if biologically mediated, and the consequences, even if mediated

through individual vulnerabilities, dictate an outcome. That out-

comemay be a biopsychosocially ill individual. Healthprofessionals

trained and up-to-date on the latest research are confronted with

challenges that far outweigh what they expected and know what

to do with, defying the humanity of even the most humane.

Objective

To reflect upon a clinical case of human misery.

Aims

To promote growth at a professional and personal level

through the process of treating challenging patients.

Methods

Presentation of a clinical case.

Results

A homeless person with a history of and current drug

use, prostitution, untreated HIV-AIDS, hepatitis B and C, untreated

Mycobacterium lentiflavum

pulmonary infection, bleeding rectal

prolapse, prolonged psychotic manic episode and a very difficult

personality has trouble finding and ultimately rejects help from

medical professionals and ends up involuntarily admitted to a psy-

chiatric inpatient unit.

Conclusions

Many unsolvable or only partially solvable puzzles

end up under psychiatric care. The complexity of human nature

escapes all scientific advances. We can put many pieces together

but the whole often remains a challenge, a challenge of our values,

our motivation, creativity and resilience.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.241

EW124

The prevalence of aggressive

behaviors among patients with

psychiatric disorders: A case study

analysis from Jordan

A. Hamdan-Mansour

University of Jordan, Faculty of Nursing-community health Nursing,

Amman, Jordan

The study examined the prevalence behavior among patients

with psychiatric disorders in psychiatric hospitals in Jordan. Case

study analysis was employed through using a non-experimental

descriptive survey design. Data were collected through using a

modified overt aggression scale and additional information was

obtained through a self-designed questionnaire containing socio-

demographic and psychiatric illness variables. A total of 203

subjects satisfied the inclusion. The prevalence of aggression in this

study was 23.6%. This is inconsistent with previous studies done

elsewhere. The findings of this study showed that patients, prior

admission, had higher frequencies of aggression than after being

admitted and used the same forms of aggression prior to and after

admission while reports after admission were less. Also it showed

that beating and swearing were reported highly and a considerable

number of patients were still attempting to self-harm and commit-

ting suicide by hanging themselves. The results are useful in raising

the awareness of mental health nurses care providers and recom-

mended that mental health nurses care should be equipped with

necessary skills in managing aggressive behaviors among patients

with psychiatric disorders

( Table 1 ).

Table 1

Aggression among patients admitted to psychiatric care

units in Jordan (

n

= 203).

Variable

Prior admission

Post-admission

n

%

n

%

Aggression against

Himself

34

16.7

12

5.9

Father

26

12.6

2

1.0

Mother

39

19.2

4

2.0

Wife

21

10.3

2

1.0

Children

16

7.9

1

0.5

Relatives

44

21.7

2

1.0

Others

84

41.4

5

2.5

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.242

EW125

Agitation in the patient with dual

pathology

L. Hernández Plaza

1 ,

, M. García Navarro

2

, E. Delgado Parada

1

,

E. Ochoa Mangado

1

, E. Salvador Vadillo

1

, S. Molins Pascual

1

1

Hospital Ramon y Cajal, Psiquiatría, Madrid, Spain

2

Complejo hospitalario de Cáceres, Psiquiatría, Caceres, Spain

Corresponding author.

Introduction

The consumption of toxic substances often causes

agitation, which makes more difficult the pharmacological man-

agement of the symptoms.

Objective

About one case, a searchwas performed of the different

therapeutic options in the agitation takes place in the context of

intoxication.

Methods

Thirty-five-year-old male patient diagnosed of dual

pathology under treatment since 2003 in our outpatient. The

patient shows paranoid schizophrenia disorder due to alcohol,

cannabis and cocaine use disorder, summing up different pharma-

cological treatments with no remission. Whilst the examination

is taking place the patient is under alcohol and cannabis effects.

His physical and verbal behaviour are aggressive showing psy-

chotic instability. The therapeutic team administers loxapine to its

patient.

Results

The inhaled loxapine turned out to be a good alternative

in the case given.

Conclusion

Handling agitation when toxics are involved is com-

plex. The new formulation of inhaled loxapine helps to control

agitation quickly and it might be a feasible option for this kind of

patients.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.243

EW126

Comparing gaze related anxiety in

adult subjects with autism spectrum

disorder (ASD) or social anxiety

disorder (SAD)

A. Jouni

1 ,

, A. Amestoy

1 , 2

, M. Bouvard

1 , 2

1

Centre hospitalier Charles-Perrens, centre ressource autisme,

Bordeaux, France

2

CNRS, INCIA UMR 5287, Bordeaux, France

Corresponding author.

Social anxiety is frequently reported by individuals with ASD. If

atypical eye gaze in ASD can not be fully explained by emotional