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Author (up) Hamer, H.P.; McCallin, A. openurl 
  Title Cardiac pain or panic disorder? Managing uncertainty in the emergency department Type Journal Article
  Year 2006 Publication Nursing & Health Sciences Abbreviated Journal  
  Volume 8 Issue 4 Pages 224-230  
  Keywords Emergency nursing; Clinical assessment; Diagnosis  
  Abstract This paper presents research findings from a New Zealand study that explored emergency nurses' differentiation of non-cardiac chest pain from panic disorder and raised significant issues in the nursing assessment and management of such clients. The data were gathered from focus group interviews and were analysed thematically. Three themes, prioritising time, managing uncertainty and ambiguity, and the life-threatening lens, were identified. The findings confirm that a panic disorder is not always diagnosed when biomedical assessment is used in isolation from a psychosocial assessment. Emergency nurses are pivotal in reversing the cycle of repeat presenters with non-cardiac chest pain. Recommendations for assessing and managing this complex condition are presented.  
  Call Number NRSNZNO @ research @ Serial 689  
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