The psychiatric assessment of the medical patient

2020 ◽  
pp. 6447-6453
Author(s):  
Jane Walker ◽  
Roger Smyth ◽  
Michael Sharpe
Keyword(s):  
Psychiatric Illness ◽  
Clinical Signs ◽  
Medical Patient ◽  
Psychiatric Assessment ◽  
Medically Ill ◽  
Additional Information ◽  
Need For Treatment ◽  
Self Harm ◽  
Harm To Others ◽  
Medically Ill Patients

Medically ill patients often have psychiatric illness. Physicians can and should detect and diagnose these illnesses during their standard medical assessment. All that is required is knowledge of key questions to ask patients, awareness of the clinical signs that may be observed, and an appreciation of the value of additional information from relatives, other clinicians, and the medical record. The aims are to detect and diagnose psychiatric disorders; assess the risk of self-harm or harm to others; establish the need for treatment or referral for a psychiatric opinion; provide the basis for clear and effective communication with a psychiatrist; and to communicate to the patient that you are interested in all aspects of their suffering and thereby establish a clinically effective relationship with them.

Liaison psychiatry in old age practice

2002 ◽  
Vol 12 (1) ◽  
pp. 52-61 ◽  
Author(s):  
Sabina T Fahy ◽  
Brian A Lawlor
Keyword(s):  
General Hospital ◽  
Psychiatric Illness ◽  
Psychiatric Symptoms ◽  
Hospital Setting ◽  
Bad News ◽  
Liaison Psychiatry ◽  
Medically Ill ◽  
Hospital Patients ◽  
Consultation Liaison Psychiatry ◽  
Medically Ill Patients

Liaison psychiatry, a term that is sometimes used interchangeably with consultation-liaison psychiatry, refers to the interface between psychiatry and general hospital patients and specialists. It involves psychiatrists’ intervention in the care of medically ill patients who present with psychiatric symptoms whilst in a general hospital setting. It may also involve assessment of patients who have pre-existing psychiatric illness or those who develop psychiatric symptoms because of their medical or surgical illness (e.g. coping with bad news).

Analyzing Language in Suicide Notes and Legacy Tokens

Crisis ◽  
2016 ◽  
Vol 37 (2) ◽  
pp. 140-147 ◽  
Author(s):  
Michael J. Egnoto ◽  
Darrin J. Griffin
Keyword(s):  
Text Analysis ◽  
Low Cost ◽  
Computer Software ◽  
Student Writing ◽  
Computer Assisted ◽  
Automated Identification ◽  
Completed Suicide ◽  
Suicide Notes ◽  
Self Harm ◽  
Harm To Others

Abstract. Background: Identifying precursors that will aid in the discovery of individuals who may harm themselves or others has long been a focus of scholarly research. Aim: This work set out to determine if it is possible to use the legacy tokens of active shooters and notes left from individuals who completed suicide to uncover signals that foreshadow their behavior. Method: A total of 25 suicide notes and 21 legacy tokens were compared with a sample of over 20,000 student writings for a preliminary computer-assisted text analysis to determine what differences can be coded with existing computer software to better identify students who may commit self-harm or harm to others. Results: The results support that text analysis techniques with the Linguistic Inquiry and Word Count (LIWC) tool are effective for identifying suicidal or homicidal writings as distinct from each other and from a variety of student writings in an automated fashion. Conclusion: Findings indicate support for automated identification of writings that were associated with harm to self, harm to others, and various other student writing products. This work begins to uncover the viability or larger scale, low cost methods of automatic detection for individuals suffering from harmful ideation.

Review of Group Therapy for Medically Ill Patients.

1997 ◽  
Vol 42 (12) ◽  
pp. 1134-1134
Author(s):  
Brian A. Buford
Keyword(s):  
Group Therapy ◽  
Medically Ill ◽  
Medically Ill Patients

Hyponatraemia assessment and outcomes in acute medically ill patients

2013 ◽  
pp. 1-1
Author(s):  
Edward Jude ◽  
Anna Hughes ◽  
Omer Taha ◽  
Tony Tetlow
Keyword(s):  
Medically Ill ◽  
Medically Ill Patients

scholarly journals Reduction of Cardiovascular Mortality and Ischemic Events in Acute Medically Ill Patients

Circulation ◽  
2019 ◽  
Vol 139 (9) ◽  
pp. 1234-1236 ◽  
Author(s):  
Tarek Nafee ◽  
C. Michael Gibson ◽  
Megan K. Yee ◽  
Mathieu Kerneis ◽  
Yazan Daaboul ◽  
...  
Keyword(s):  
Cardiovascular Mortality ◽  
Medically Ill ◽  
Medically Ill Patients ◽  
Ischemic Events

Major Depressive Disorder in Hospitalized Medically Ill Patients: An Examination of Young and Elderly Male Veterans

1991 ◽  
Vol 39 (9) ◽  
pp. 881-890 ◽  
Author(s):  
Harold G. Koenig ◽  
Keith G. Meador ◽  
Frank Shelp ◽  
Veeraindar Goli ◽  
Harvey J. Cohen ◽  
...  
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Elderly Male ◽  
Major Depressive ◽  
Medically Ill ◽  
Male Veterans ◽  
Medically Ill Patients

Shortness of Breath on Exertion: Diagnostic Possibilities of Stress Echocardiography

Kardiologiia ◽  
2021 ◽  
Vol 61 (2) ◽  
pp. 62-68
Author(s):  
E. A. Karev ◽  
E. G. Malev ◽  
S. L. Verbilo ◽  
M. N. Prokudina
Keyword(s):  
Stress Echocardiography ◽  
Comprehensive Evaluation ◽  
Diastolic Pressure ◽  
Clinical Signs ◽  
Left Ventricular ◽  
Shortness Of Breath ◽  
Hyperventilation Syndrome ◽  
Additional Information ◽  
Diagnostic Capabilities ◽  
Response To Exercise

Aim      To determine diagnostic capabilities of the expanded protocol for stress echocardiography (stress-EchoCG) with comprehensive evaluation of clinical and echocardiographic indexes in differential diagnosis of dyspnea.Material and methods This study included 243 patients (123 women and 120 men) who were referred to outpatient stress-EchoCG during one calendar month. For 80 patients complaining about shortness of breath, the expanded stress-EchoCG protocol with treadmill exercise was performed. During the exercise, E / e’ and tricuspid regurgitation velocity were determined, and clinical features and possible nature of dyspnea were evaluated.Results Shortness of breath had an ischemic origin in 17.5 % of 80 patients; 13.8 % had criteria of elevated left ventricular end-diastolic pressure; 17.5 % of patients had clinical signs of bronco-pulmonary pathology; 5.0 % had moderate and severe mitral regurgitation; 20 % displayed signs of chronotropic insufficiency during exercise including on the background of beta-blocker therapy; 15.0 % of patients displayed a hypertensive response to exercise, which was associated with signs of chronotropic insufficiency in 50 % of them; and 1.3 % had signs of hyperventilation syndrome. In addition to diagnosis of transient ischemia, additional information about the nature of shortness of breath was obtained for 72.5 % of patients. Based on results of the test, objective causes for dyspnea were not identified for 10.0 % of patients.Conclusion      The expanded stress-EchoCG protocol with exercise allows obtaining information about the nature of dyspnea for most patients with shortness of breath of a non-ischemic origin. For this patient category, expanding the stress-EchoCG protocol does not increase duration of the study and is economically beneficial for diagnosis of chronic heart failure and other causes for shortness of breath.

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