Audit of care programming in an acute psychiatric admission ward for the elderly

1996 ◽  
Vol 11 (2) ◽  
pp. 109-118 ◽  
Author(s):  
John Riordan ◽  
Darren Mockler
Keyword(s):  
The Elderly ◽  
Psychiatric Admission ◽  
Admission Ward ◽  
Care Programming

Setting up a Ward-Based Group Therapy Programme for Psychiatric Inpatients

1988 ◽  
Vol 51 (1) ◽  
pp. 22-24 ◽  
Author(s):  
Keith Miller ◽  
Debby Matthews
Keyword(s):  
Group Therapy ◽  
Occupational Therapists ◽  
Psychiatric Inpatients ◽  
Psychiatric Admission ◽  
Planning Phase ◽  
Admission Ward ◽  
Therapy Intervention ◽  
Therapy Programme ◽  
Made In

This article describes the steps involved in planning and running a group therapy intervention on an acute psychiatric admission ward. A model of group therapy based on the work of Yalom was adopted as the basis for a series of planning meetings, during which the viability of the intervention in the authors' particular setting was assessed. Following the planning phase, the group ran successfully and an example of a typical session's structure is discussed in some detail in the second part of this article. Some comments about the role of occupational therapists within psychiatry are made in the light of the authors' experience.

The use of a Contract Admission Procedure on an Acute Psychiatric Admission Ward

1980 ◽  
Vol 136 (5) ◽  
pp. 463-468 ◽  
Author(s):  
D. A. G. Cook ◽  
I. Skeldon
Keyword(s):  
Length Of Stay ◽  
Admission Rate ◽  
Hospital Service ◽  
Day Hospital ◽  
Similar Group ◽  
Psychiatric Admission ◽  
Admission Ward

SummaryThe patients discharged from a 24 bed acute psychiatric admission ward over a six-month period after the introduction of a contract admission procedure were compared with a similar group, discharged over the identical six-month period of the preceding year, before the use of the new procedure. The length of stay in hospital was found to be reduced, but preliminary studies suggest that the re-admission rate is not significantly altered. There was no evidence to suggest that shortening the length of stay in hospital increased the likelihood of relapse, nor were increased demands made on the day hospital service.

scholarly journals Acute inpatient psychiatry in England: an old problem and a new priority

2006 ◽  
Vol 15 (2) ◽  
pp. 91-94 ◽  
Author(s):  
Paul Lelliott
Keyword(s):  
Community Care ◽  
Leisure Activities ◽  
International Standards ◽  
Psychiatric Admission ◽  
Admission Ward ◽  
Acute Psychiatric Wards ◽  
Underlying Causes ◽  
The Uk ◽  
Psychiatric Beds ◽  
Bed Numbers

AbstractWith the development of community care, the number of National Health Service psychiatric beds in England has been reduced to between one-fifth and one-quarter of those provided in the mid-1950s. Psychiatric bed numbers are close to the irreducible minimum if they have not already reached it. The problems facing today's acute psychiatric admission wards include: poor design, maintenance and ambience; a lack of therapeutic and leisure activities for patients leading to inactivity and boredom; frequent incidents of aggression and low-level violence and problems with staffing. It is suggested that there are a number of underlying causes: First, there has been failure to plan inpatient services, or to define their role, as attention has focused on new developments in community care. Second, the reduction in bed numbers has led to a change in the casemix of inpatients with a concentration on admission wards of a more challenging group of patients. Third, admission ward environments are permeable to the adverse effects of local street life, including drug taking. After years of neglect, acute inpatient psychiatric services in England are now high on the UK Government agenda. The paper lists a number of national initiatives designed to improve their quality and safety. A recent review of qualitative research suggests that acute psychiatric wards in other countries face similar problems to those reported in England. It is suggested that there might be a need for joint action which might take the form either of international research about acute inpatient care or the development of international standards and a common quality improvement system.

scholarly journals New long-stay patients in a psychiatric admission ward setting

2005 ◽  
Vol 29 (12) ◽  
pp. 452-454 ◽  
Author(s):  
Colin Cowan ◽  
Philippa Walker
Keyword(s):  
Patient Care ◽  
Descriptive Study ◽  
Case Note ◽  
Living Alone ◽  
Clinical Implications ◽  
Retrospective Case ◽  
Psychiatric Admission ◽  
Admission Ward ◽  
Early Readmission ◽  
Case Note Review

Aims and MethodThis is a descriptive study of the admissions of new long-stay patients and their outcome in a district with minimal access to longer-stay in-patient beds. Cases were identified through an ongoing in-patient census and information was gathered by retrospective case-note review.ResultsThirty-nine new long-stay admissions were identified. High rates of living alone, early readmission following previous discharge and use of the Mental Health Act 1983 were noted. The 39 admissions occupied 12% of the unit's capacity. Four patients returned to a family residence but 27 went into residential or in-patient care. Of those discharged to settings not providing patient care, 48% were readmitted in the year after discharge.Clinical ImplicationsNew long-stay admissions continue to absorb a high proportion of the bed resources of an in-patient unit for their numbers and these patients are at risk of unsuccessful discharge.

Innovation and modification of criteria for prevention of venous thromboembolism in psychiatric patients

2011 ◽  
Vol 26 (S2) ◽  
pp. 1435-1435
Author(s):  
R. Malý ◽  
J. Masopust ◽  
D. Kalnická ◽  
K. Konupĉíková ◽  
J. Bažant ◽  
...  
Keyword(s):  
Venous Thromboembolism ◽  
Psychiatric Patients ◽  
Physical Restraint ◽  
Compression Stockings ◽  
Psychiatric Admission ◽  
Physical Exercises ◽  
Admission Ward ◽  
Naturalistic Setting ◽  
Risk Patients ◽  
Reduced Mobility

Venous thromboembolism (VTE) may represent a serious complication in the treatment of hospitalized psychiatric patients with a reduced movement. Immobilization due to a physical restraint, pharmacotherapy with antipsychotics and/or benzodiazepines, a total reduction of mobility, obesity, and dehydration may participate in etiopathogenesis of VTE. We prospectively followed individuals with a reduced mobility hospitalized at an acute psychiatric admission ward. Forty-four patients (women N = 9) with a reduced locomotion for eight hours at least presented the study sample. VTE prevention in the naturalistic setting was compared to the our previously published guidelines for VTE control in every case. The observed VTE prevention was found to be in accordance with the published guidelines in 55% of cases (N = 24). Low molecular weight heparin (LMWH) was applied to 25% of immobilized patients (N = 11), according to their grade of VTE risk. After the analysis we adjusted the VTE prevention algorithm based on our clinical experience, knowledge on the observed cases, and new literary evidence. The new version of recommended procedures (physical exercises of lower extremities, sufficient hydratation, graduated compression stockings and administration of LMWH in high risk patients) is more simple, and makes the decision on VTE prevention in hospitalized psychiatric patients easier.

scholarly journals The Status of Ageism in Caring for Elderly Patients From Nurses’ Perspective

2020 ◽  
Vol 6 (4) ◽  
pp. 289-296
Author(s):  
Mohammad Ali Hosseini ◽  
◽  
Saeid Mehri ◽  
Masoud Fallahi-Khoshknab ◽  
Farahnaz Mohammadi-Shahbelaghi ◽  
...  
Keyword(s):  
Older Adults ◽  
Elderly Patients ◽  
Work Experience ◽  
Pearson Correlation ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Admission Ward ◽  
The Status ◽  
Post Hoc

Background: As the number of elderly people referred to hospitals increases, so does the number of discrimination reports in the care of the elderly, compared with younger people. This study aimed to investigate the status of ageism in caring for elderly patients from nurses’ perspective. Methods: It was a descriptive cross-sectional study that was conducted in three selected hospitals of Ardabil province, Iran, in 2019. A total of 482 nurses were recruited by convenience sampling. The data were collected using a demographics questionnaire and the Ageism Scale in Hospital Care and analyzed using descriptive (frequency, percentage, mean, and standard deviation) and inferential statistics (the Pearson correlation coefficient, independent t-test, one-way ANOVA, and Scheffe post hoc test) in SPSS V. 20. Results: The mean age of the participants was 33 years. Most nurses showed moderate ageism when providing care to older adults. The level of ageism was significantly associated with age (P=0.002), gender (P=0.001), work experience (P=0.032), and the ward in which the nurses worked (P=0.001) Conclusion: The findings revealed that the study hospitals suffered ageism. Also, the level of ageism was associated with the age, gender, admission ward, and work experience of the nurses. Thus, it is suggested to consider appropriate interventions to prevent ageism, when designing and planning care for older adults.

Virtue rewarded: Reinforcement and punishment in an acute psychiatric admission ward

1990 ◽  
Vol 21 (4) ◽  
pp. 257-262 ◽  
Author(s):  
Sandro Positano ◽  
Donald A. Sandford ◽  
Rob.H. Elzinga ◽  
Jack E. James
Keyword(s):  
Psychiatric Admission ◽  
Admission Ward

Cell surface changes during aging of human bladder epithelium examined by lectin probes and SEM

1990 ◽  
Vol 48 (3) ◽  
pp. 966-967
Author(s):  
J. Jacob ◽  
M.F.M. Ismail
Keyword(s):  
The Elderly ◽  
Ultrastructural Changes ◽  
Pokeweed Mitogen ◽  
Asymmetric Structure ◽  
Luminal Surface ◽  
Bladder Epithelium ◽  
Aldehyde Groups ◽  
Cell Surface Changes ◽  
Phosphate Buffered Saline ◽  
Surface Changes

Ultrastructural changes have been shown to occur in the urinary bladder epithelium (urothelium) during the life span of humans. With increasing age, the luminal surface becomes more flexible and develops simple microvilli-like processes. Furthermore, the specialised asymmetric structure of the luminal plasma membrane is relatively more prominent in the young than in the elderly. The nature of the changes at the luminal surface is now explored by lectin-mediated adsorption visualised by scanning electron microscopy (SEM).Samples of young adult (21-31 y old) and elderly (58-82 y old) urothelia were fixed in buffered 2% glutaraldehyde for 10 m and washed with phosphate buffered saline (PBS) containing Ca++ and Mg++ at room temperature. They were incubated overnight at 4°C in 0.1 M ammonium chloride in PBS to block any remaining aldehyde groups. The samples were then allowed to stand in PBS at 37°C for 2 h before incubation at 37°C for 30 m with lectins. The lectins used were concanavalin A (Con A), wheat germ agglutinin (WGA), phytohaemagglutinin (PHA) and pokeweed mitogen (PWM) at a concentration of 500 mg/ml in PBS at pH 7.A.

The effect of dental geriatric curricula on attitudes toward the elderly

1988 ◽  
Vol 52 (9) ◽  
pp. 516-518 ◽  
Author(s):  
J Mann ◽  
TJ Bomberg ◽  
JM Holtzman ◽  
DB Berkey
Keyword(s):  
The Elderly
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