'Ecstasy' psychosis and flashbacks
Ecstasy is the common name of methylenedioxymetamphetamine (MDMA), a hallucinogenic amphetamine. In low doses, it may instill a sense of well-being, aesthetic pleasure, and reduce social anxiety. In the three cases presented here, MDMA caused adverse psychological reactions in patients with no personal or family history of psychiatric disorder. In the first case, a 22-year-old man was seen after twice trying to jump into oncoming traffic. He had dislocated his shoulder and was uncooperative when interviewed. After the episode, he reported using ecstasy several times per week for a month. He had become paranoid, hostile, and eventually suicidal; recurrent episodes of paranoia and psychosis continued without further use of ecstasy. In the second case, a 22-year-old girl reported hallucinations and delusions after taking ecstasy twice, but they did not recur. In the third case, a 17-year-old girl experienced three months of flashbacks of anxiety and hallucinations and delusions after a single use of ecstasy. It appears that the side effects of MDMA resemble LSD more than other amphetamines. The most appropriate treatment may be similar to that which is recommended for adverse reactions to LSD, which includes prolonged hospitalization and neuroleptic medication. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: British Journal of Psychiatry
A conceptual model of Army nursing practice
A conceptual model of Army Nurse Corps practices was developed to include administration, research, and education. The pyramid styled model focused on levels of Army nursing clinical practices and training in combination with standard nursing procedures. The patient-care aspects of the pyramid allow flexibility within nursing practice levels and guidelines.
Publication Name: Nursing Management
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