Aggressive behaviour on acute psychiatric wards: prevalence.

‘Our data suggest that the majority of intense incidents on the ward had been directed at staff members, but that small number of incidents against additional patients led to greater physical damage’ says lead researcher Chloe Foster, who’s based at the Institute of Psychiatry in London now. ‘Staff were much more likely to speak to the perpetrator when the victim was another patient and seclusion was used in 25 per cent of cases. ‘However, when the victim of the aggression was a worker, the seclusion rate increased to 36 per cent.’ Physical abuse accounted for a 6th of the 145 incidents involving staff, with verbal abuse accounting for the rest. Staff were commonly hit or pushed by the patient’s hands, with one getting attacked with warm water. In eight percent of incidents staff were required or hurt treatment.Potentially helpful consequences of central sleep apnoea in these patients could be that it rests respiratory muscle tissues, and modulates excessive sympathetic nervous system activity, and simply by diminishing this effect ASV might be detrimental for sufferers with heart failure. Although SERVE-HF did not meet its primary endpoint, it had been a well-designed and executed research, concluded Professor Cowie, and because of it we now understand that ASV therapy is definitely contraindicated in this subset of persistent heart failure patients.