Editorial EDITOR Claire Picton Consultant in emergency care nursing at the Hillingdon Hospital, Middlesex MANAGING EDITOR Nick Lipley Tel: +44 (0)20 8872 3166 Email: [email protected] EDITORIAL ADVISORY BOARD Jim Bethel Senior lecturer and nurse practitioner in emergency care, University of Wolverhampton Hannah Bryant Resuscitation officer, Queen Elizabeth Hospital, Birmingham Jennifer Critchley Urgent care centre emergency nurse practitioner, Benalla, and senior lecturer, University of Melbourne, Victoria, Australia Shelley Cummings Senior sister A&E, Royal Surrey County Hospital Rachel Lyons Assistant clinical professor of nursing, Rutgers University, Newark NJ Lorna McInulty Senior lecturer in emergency and unscheduled care, University of Central Lancashire Mike Paynter Consultant nurse, Somerset Partnership NHS Foundation Trust Andrew Rideout Advanced nurse practitioner, emergency department, Dumfries and Galloway Royal Infirmary Linsey Sheerin Lead nurse in emergency care at Antrim Area Hospital, Northern Health and Social Care Trust

How do we manage mental health? Patients with mental health issues often present to emergency care settings, yet staff there may well lack the confidence to deal with them. Some of the challenges faced by professionals caring for people with mental health problems are examined by Debbie Goode and colleagues from the University of Ulster in this issue of Emergency Nurse (page 32).

Acting assistant editor Jennifer Sprinks Tel: +44 (0)20 8872 3148 Email: [email protected] Production editor Duncan Tyler Tel: +44 (0)20 8872 3133 Email: [email protected] Administration manager Helen Hyland Email: [email protected] Administration assistant Sandra Lynch

Whether patients have physical, psychological or social needs, or combinations of all three, it is important to remember that holistic care is the gold standard.

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In my experience, patients with mental health problems are often left in emergency departments while beds are found for them in more appropriate units elsewhere. This process often delays commencement of therapeutic interventions.

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Even though such patients may be managed by registered nurses with mental health training undertaking enhanced observations, they may not receive the therapeutic interventions they require.

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Patients with mental health problems are often left in emergency departments while beds are found for them elsewhere

Claire Picton Editor

More than two years have passed since the NHS Future Forum published its ‘make every contact count’ recommendations in its report on the NHS. This report, which is available at tinyurl.com/lgj5u5a, urges healthcare staff to adopt creative and holistic approaches to help patients stay well. These approaches include: ensuring that the promotion of good health and avoidance of poor health are parts of the core business of the NHS, helping people sustain or improve their physical and mental health at every contact, and staying as healthy as possible so that staff can be role models for colleagues and patients. These activities are the responsibility of all staff, but more resources are needed if people with mental health problems are to receive the care they need and deserve. Have your say on this issue by emailing us at RCN Publishing or by joining the Linked In Emergency Nurse Network Group. Claire Picton is consultant in emergency care nursing at the Hillingdon Hospital, Middlesex

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How do we manage mental health?

Patients with mental health issues often present to emergency care settings, yet staff there may well lack the confidence to deal with them...
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