EVALUATING THE ROLE OF A PSYCHIATRIC CONSULTATION-LIAISON NURSE IN THE AUSTRALIAN GENERAL HOSPITAL

2002 ◽  
Vol 23 (1) ◽  
pp. 43-60 ◽  
Author(s):  
Brenda Happell ◽  
Julie Sharrock
1988 ◽  
Vol 33 (5) ◽  
pp. 375-378 ◽  
Author(s):  
François Sirois

One hundred consecutive cases of delirium seen in a psychiatric consultation service of a general hospital are discussed. Two thirds of the patients came from pneumology and cardiology since the hospital serves as a regional thoracic center. The frequency of delirium was 12.6% of consultations: three men were seen for every one woman; 80% of cases were over fifty years of age. The clinical aspects of delirium are studied according to DSM-HI criteria to evaluate: a) the frequency of the symptoms, b) the temporal course of the disorder, c) any clinical characteristic of delirium linked with potential etiological factors, d) the role of anxiety.


1974 ◽  
Vol 19 (5) ◽  
pp. 453-456 ◽  
Author(s):  
Diane Moreau ◽  
Pamela Kahn ◽  
Samarthji Lal

A psychiatric nurse on a psychiatric consultation service in a general hospital plays both a diagnostic and therapeutic role, and also provides a teaching service to nursing personnel in other departments. This paper focuses on these functions and how they apply in a specific psychiatric setting. The role of the psychiatric nurse also illustrates the use of para-medical staff in the delivery of psychiatric care. The addition of a psychiatric nurse as a regular member of a psychiatric consultation service in a general hospital is of value both for the consultation service and for the non-psychiatric nursing staff.


1969 ◽  
Vol 14 (3) ◽  
pp. 253-258
Author(s):  
Antoine Lepage ◽  
Georges Aird ◽  
Luis Briones ◽  
Henri-Paul Villard

The authors started a new psychiatric unit in a general hospital which had not benefited from psychiatric services before their arrival. They chose as their first target the consultation service, and in working with other physicians they were surprised that, on many occasions, they were not consulted about patients who needed their services but, instead, they were asked to see patients who did not need their services to a significant degree. They began then to question the reasons for the referrals and this paper is an attempt to describe the unconscious or hidden reasons that were not explicitly expressed in the consultation, be it verbal or written, but which motivated the referring physician to ask for the help of the psychiatrist. Briefly, it was discovered that the psychiatric consultation was asked for after a crisis had developed between the referring physician and his patient, and the paper examines the dynamic origins of the crisis, its development and its resolution. The authors feel that their findings might also be applied to patients in the outpatient department and they expand upon the role of the psychiatrist in the general hospital.


BMJ ◽  
1978 ◽  
Vol 1 (6121) ◽  
pp. 1197-1199 ◽  
Author(s):  
A A McLeod ◽  
D E Jewitt

1981 ◽  
Vol 26 (5) ◽  
pp. 334-336 ◽  
Author(s):  
Joel Sadavoy

This study examines treatment outcome in 52 psychogeriatric patients to help determine the role of the general hospital in psychiatric care of the elderly. The author reviewed the charts of all patients 65 years of age and over admitted to the psychiatric ward from 1974 to 1978. Approximately 80% of this group showed symptom remission. Treatment failures correlated closely with the presence of major organic brain syndrome. Despite an average age of 73.4 years and a high proportion of widowed patients only 10 patients needed new placements on discharge. The author discusses the reluctance of general hospitals to treat the psychogeriatric patient despite the high success rate, the merits of such an active treatment approach and the effect of short-term therapy programs on the treatment of this group.


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