A Pilot Study of the Psychiatric Consultation Service in a General Hospital Setting

1964 ◽  
Vol 9 (1) ◽  
pp. 19-27 ◽  
Author(s):  
A. Martin Marcus
Keyword(s):  
Pilot Study ◽  
General Hospital ◽  
Hospital Setting ◽  
Psychiatric Consultation ◽  
Consultation Service

The Attitudes of Emergency Staff Toward Attempted Suicide Patients

Crisis ◽  
2009 ◽  
Vol 30 (3) ◽  
pp. 161-165 ◽  
Author(s):  
Jaana Suokas ◽  
Kirsi Suominen ◽  
Jouko Lönnqvist
Keyword(s):  
Emergency Room ◽  
General Hospital ◽  
Attempted Suicide ◽  
Indirect Evidence ◽  
Psychiatric Consultation ◽  
Consultation Service ◽  
Negative Attitudes ◽  
Before And After ◽  
Hospital Emergency Room ◽  
Attitudes Toward Suicide

Background: The staff in the emergency room of general hospitals are under heavy work pressure and seem to reveal negative attitudes toward suicide attempters. From earlier studies there is indirect evidence that the attitudes of staff who have the opportunity to consult a psychiatrist are less negative. Aims: The study compare the attitudes of emergency room staff in a general hospital toward patients who had attempted suicide before and after establishment of a psychiatric consultation service. Methods: Attitudes were measured on the Understanding Suicidal Patients (USP) Scale. A total of 100 participants returned the questionnaire. Results: General understanding and willingness to nurse patients who attempted suicide did not increase. Conclusion: The results suggest that providing a psychiatric consultation service did not significantly affect attitudes among general hospital emergency room staff toward attempted suicide patients during its first year of operation, but in general, the emergency room staff was content with the opportunity for psychiatric consultation.

Delirium: 100 Cases

1988 ◽  
Vol 33 (5) ◽  
pp. 375-378 ◽  
Author(s):  
François Sirois
Keyword(s):  
General Hospital ◽  
Clinical Aspects ◽  
Psychiatric Consultation ◽  
Consultation Service ◽  
Etiological Factors ◽  
Temporal Course ◽  
Clinical Characteristic

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.

The Nurse as a Psychiatric Consultation Team Member

1971 ◽  
Vol 2 (2) ◽  
pp. 108-115 ◽  
Author(s):  
David Barton ◽  
Margaret T. Kelso
Keyword(s):  
General Hospital ◽  
Hospital Setting ◽  
Psychological Adaptation ◽  
Psychological Aspects ◽  
Self Awareness ◽  
Psychiatric Consultation ◽  
Consultation Process ◽  
Therapeutic Milieu ◽  
Care Givers ◽  
Consultation Team

A better understanding of the psychological aspects of illness and hospitalization necessitates increased attention to the patient's interpersonal transactions with care-givers in the general hospital setting. Ward nurses are key individuals in these transactions; they can play an important part in facilitating the patient's psychological adaptation in response to the stress of illness. To bring the nurse-patient relationship into the scope of the consultation process, the University of Virginia psychiatric consultation team includes a nurse as a member. As a participant observer in the general hospital milieu, the “consultation team nurse” is able to aid ward nurses in facilitating patients' psychological adaptations through reinforcing the therapeutic relationships and intervening in situations where antitherapeutic emotional responses to patients have developed. Her activities also include the gathering of information from ward nurses for diagnostic purposes, the giving of direct psychiatric care where appropriate, and the provision of perspective for the team from the viewpoint of the nurse. Her presence and activities encourage closer scrutiny of nurse-patient transactions, allowing insights into patients' interpersonal responses at times of stress, providing a self-awareness for care-givers, and enabling the consultation team to investigate and better understand the psychological aspects of nursing care. This approach serves to aid in the development of a psychologically therapeutic milieu in the general hospital.

The Lithium Toxic Patient in the Medical Hospital: Diagnostic and Management Dilemmas

1993 ◽  
Vol 23 (1) ◽  
pp. 55-62 ◽  
Author(s):  
Dilip Ramchandani ◽  
Barbara A. Schindler
Keyword(s):  
Risk Factors ◽  
General Hospital ◽  
Clinical Picture ◽  
Hospital Setting ◽  
Signs And Symptoms ◽  
Lithium Toxicity ◽  
Psychiatric Consultation ◽  
Diagnostic Skills ◽  
Increased Risk ◽  
Toxic Reactions

Objective: Patients with lithium toxicity can pose difficulties in diagnosis and management in the general hospital setting. The authors examined patients who were referred to the Psychiatric Consultation-Liaison Service with suspicion of lithium overdose to delineate and characterize medical and psychiatric risk factors for toxicity and to follow the course and resolution of their toxicity. Method: The authors reviewed the charts of patients with lithium levels >1.5 mEq/L who were admitted consecutively to a general hospital over an 18-month period. Results: Of twelve patients, eight were found to have developed lithium toxicity due to incidental and iatrogenic factors. These patients presented with a variety of confusing signs and symptoms. Hypothyroidism and coexisting organic illness contributed to the lack of clarity in their clinical picture. Conclusion: The widening scope of indication for lithium therapy leads to increased risk of toxic reactions which challenge the diagnostic skills of the consulting psychiatrist in a general hospital setting.

Role of a Nurse on a Psychiatric Consultation Service

1974 ◽  
Vol 19 (5) ◽  
pp. 453-456 ◽  
Author(s):  
Diane Moreau ◽  
Pamela Kahn ◽  
Samarthji Lal
Keyword(s):  
General Hospital ◽  
Nursing Staff ◽  
Medical Staff ◽  
Psychiatric Care ◽  
Psychiatric Nursing ◽  
Psychiatric Nurse ◽  
Psychiatric Consultation ◽  
Consultation Service ◽  
Psychiatric Setting

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.

De La Genèse De La Consulation Psychiatrique à L'Hôpital Général

1969 ◽  
Vol 14 (3) ◽  
pp. 253-258
Author(s):  
Antoine Lepage ◽  
Georges Aird ◽  
Luis Briones ◽  
Henri-Paul Villard
Keyword(s):  
General Hospital ◽  
Significant Degree ◽  
Psychiatric Services ◽  
Outpatient Department ◽  
Psychiatric Consultation ◽  
Psychiatric Unit ◽  
Consultation Service ◽  
The Unconscious

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.

Prevalence of Psychiatric Diagnoses and Psychiatric Consultation Service Utilization on Inpatient Medical Units

2021 ◽  
pp. 107839032110055
Author(s):  
Bianca Reis ◽  
Jenny Hsin-Chun Tsai
Keyword(s):  
Health Care ◽  
Psychiatric Disorders ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Adult Patients ◽  
Psychiatric Diagnoses ◽  
Psychiatric Consultation ◽  
Consultation Service ◽  
Icd 10 ◽  
Delivery Models

OBJECTIVE This practice improvement project sought to determine the prevalence of psychiatric diagnoses among patients admitted to a community hospital’s inpatient medical units and which diagnoses were serviced by the hospital’s psychiatric consultation service. METHOD Electronic medical record data on adult patients of five medical units admitted with a psychiatric condition between October 1, 2019, and December 31, 2019, were used. Psychiatric ICD-10 ( International Classification of Diseases, 10th Revision) codes and diagnosis names extracted were categorized into seven major diagnostic groups. A total of 687 adult patients with 82 psychiatric ICD-10 codes were analyzed using descriptive statistics. RESULTS Substance-related and addictive disorders were the most prevalent psychiatric diagnoses. Ninety-six percent ( n = 658) of patients residing on medical floors with psychiatric disorders were hospitalized for a principal medical problem. Seventy-three cases received psychiatric consultations during their stay. Sixty percent ( n = 44) of those cases had psychiatric disorders from two or more diagnostic categories. CONCLUSIONS Multidisciplinary, team-based health care delivery models that include a psychiatric nurse can provide an effective approach to treat patients in community hospitals with multiple psychiatric and medical comorbidities. Hospitals could take a significant role in providing substance use disorder treatment and equipping medical nurses with training to competently care for patients with psychiatric disorders on medical units. Further research into the prevalence and impact of patients with co-occurring and multiple psychiatric diagnoses in community hospitals is needed to implement effective health care delivery models and provide appropriate treatment options in the community.

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