Peg, my clinical leader informed me that there was an emergency, a potentially violent patient in the ER. The same patient tried to strangulate Peg during his last psych hospitalization on our locked psych unit. According to her, he had a particular aversion to white, blond females. She gathered three of us to go to ER. As is customary, we took our restraints box. In the elevator, Peg explained that we knew the patient as he had been with us two or three times before with the same presentation of hypomania, but this time he seemed worse. The patient, Richard Barton, had bipolar disorder. He would stop taking his meds at home and become hypo maniac, slowly become hostile and then full-blown violent. During his last hospital stay, he tried to attack Peg so she was apprehensive that he would be worse this time…..
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