Psychogeriatric Care in the General Hospital*

1981 ◽  
Vol 26 (5) ◽  
pp. 334-336 ◽  
Author(s):  
Joel Sadavoy
Keyword(s):  
General Hospital ◽  
Psychiatric Care ◽  
Treatment Approach ◽  
The Elderly ◽  
Term Therapy ◽  
Psychiatric Ward ◽  
Short Term ◽  
General Hospitals ◽  
Organic Brain

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.

scholarly journals Coming in from the cold. From psychiatric to general hospital. The Irish experience

2006 ◽  
Vol 15 (2) ◽  
pp. 95-98
Author(s):  
Dermot Walsh
Keyword(s):  
Medical Care ◽  
General Hospital ◽  
Change Process ◽  
Mental Hospital ◽  
Psychiatric Care ◽  
System Of Care ◽  
Psychiatric Unit ◽  
General Hospitals ◽  
Hospital System ◽  
Self Sufficiency

AbstractThe metamorphosis from an extensive mental hospital system of care, rooted in a culture and tradition of self-sufficiency and isolation, to the concept and practise of delivery of psychiatric care in general hospitals is described. The obstacles, psychological and practical, to be overcome in this change process are outlined. The place of the general hospital psychiatric unit in psychiatric and general medical care is outlined. Relevant matters of design and management are briefly explored.

scholarly journals Sweden

2006 ◽  
Vol 3 (1) ◽  
pp. 9-12 ◽  
Author(s):  
Helena Silfverhielm ◽  
Claes Göran Stefansson
Keyword(s):  
Western Europe ◽  
Psychiatric Care ◽  
The Elderly ◽  
Living Standards ◽  
Chronic Mental Illness ◽  
High Productivity ◽  
The Public ◽  
Parliamentary Government ◽  
Good Living

With an area of 450 000 km2, Sweden is one of the largest countries in Western Europe. It is 1500 km from north to south. It has nearly 9 million inhabitants (20 per km2). It is a constitutional, hereditary monarchy with a parliamentary government. Sweden is highly dependent on international trade to maintain its high productivity and good living standards. Many public services are provided by Sweden's 289 municipalities and 21 county councils. Municipal responsibilities include schools, child care and care of the elderly, as well as social support for people with a chronic mental illness. The county councils are mainly responsible for healthcare, including psychiatric care, and public transport at the regional level. Sweden is characterised by an even distribution of incomes and wealth. This is partly a result of the comparatively large role of the public sector.

Ability of the Comprehensive Geriatric Assessment to Predict Frailty in Older People Diagnosed with Cancer in a General Hospital

2012 ◽  
Vol 08 (02) ◽  
pp. 85 ◽  
Author(s):  
Maria José Molina-Garrido ◽  
Carmen Guillén-Ponce ◽  
◽  
Keyword(s):  
General Hospital ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Daily Living ◽  
Demographic Data ◽  
Main Tool ◽  
The Elderly ◽  
Bivariate Analysis ◽  
Bivariate Logistic Regression

The field of oncogeriatrics considers the comprehensive geriatric assessment (CGA) as the main tool for distinguishing between patients who are frail and those who are not frail. The aim of our study was to determine the role of the CGA in predicting the risk of frailty in elderly patients. This prospective study was conducted at the Cancer in the Elderly Unit of the Medical Oncology Department at the Virgen de la Luz General Hospital in Cuenca, Spain. Demographic data and information about the CGA were collected. Using a bivariate logistic regression analysis, these factors were analysed and the factors that are associated with the risk of frailty were determined, as measured by the Barber questionnaire (BQ). We included 262 patients in the study with a mean age of 79 years (range 70–93 years). Seventy-four percent of the patients (n=194) had a risk of frailty as measured by the BQ. In the bivariate analysis, only age (odds ratio [OR] 1.064, 95 % confidence interval [CI] 1.000–1.133, p=0.051), being divorced, widowed or single (OR 0.450, 95 % CI 0.216–0.937, p=0.033) and being dependent in instrumental activities of daily living (IADL) (OR 3.003, 95 % CI 1.181–7.638, p=0.021) were associated with a higher risk of frailty. The risk of being frail in an elderly patient with cancer is higher in patients dependent in IADL and in patients who are not married. Age is another risk factor for frailty.

scholarly journals How I treat CLL up front

Blood ◽  
2010 ◽  
Vol 115 (2) ◽  
pp. 187-197 ◽  
Author(s):  
John G. Gribben
Keyword(s):  
High Risk ◽  
Treatment Approach ◽  
The Elderly ◽  
Lymphocytic Leukemia ◽  
Watch And Wait ◽  
First Line ◽  
The Past ◽  
Risk Patients ◽  
Underlying Pathophysiology

AbstractAlthough chronic lymphocytic leukemia (CLL) remains incurable, over the past decade there have been major advances in understanding the pathophysiology of CLL and in the treatment of this disease. This has led to greatly increased response rates and durations of response but not yet improved survival. Advances in the use of prognostic factors that identify patients at high risk for progression have led us to the question whether there is still a role for a “watch and wait” approach in asymptomatic high-risk patients or whether they should be treated earlier in their disease course. Questions remain, including, what is the optimal first-line treatment and its timing and is there any role of maintenance therapy or stem cell transplantation in this disease? CLL is a disease of the elderly and not all patients are eligible for aggressive up-front chemoimmunotherapy regimens, so what is the optimal treatment approach for more frail elderly patients? It is highly likely that our treatment approaches will continue to evolve as the results of ongoing clinical trials are released and that further improvements in the outcome of this disease will result from identification of therapies that target the underlying pathophysiology of CLL.

Intentional poisoning among elderly people—residents of a large urban agglomeration in Poland

2016 ◽  
Vol 35 (12) ◽  
pp. 1328-1336 ◽  
Author(s):  
Anna Piekarska-Wijatkowska ◽  
Katarzyna Kobza-Sindlewska ◽  
Anna Rogaczewska ◽  
Radosław Zajdel ◽  
Anna Krakowiak
Keyword(s):  
Elderly People ◽  
Medical Records ◽  
Psychiatric Care ◽  
The Elderly ◽  
Toxic Agent ◽  
Common Cause ◽  
Family Doctors ◽  
Care For The Elderly ◽  
Significant Health

Poisoning is considered a significant health problem among elderly people in Poland. This report refers to patients treated for poisonings at the Toxicology Unit, Lodz, Poland, during the period 2008–2012. The data to be analyzed were obtained from medical records of elderly people. A group of 1167 patients aged 60+ was selected. The number of intentional poisonings in the group of patients was 417, which accounted for 35.7% of all poisonings among the elderly people. Patients attempting intentional poisonings included 301 (72.2%) women and 116 (27.8%) men. The most common cause of intentional poisonings were drugs—96.6% ( n = 403). Benzodiazepines (46.9%) dominated among the intentional poisoning by drugs. During the analyzed 5 years, 80.3% ( n = 335) were suicidal poisonings and 19.7% ( n = 82) were demonstrative poisonings. Cardiovascular disease, which was diagnosed among 53.5% of the patients, was the most common physical illness. In conclusion, drugs are the most frequent type of the toxic agent responsible for poisoning cases among the elderly people. In this situation, the role of family doctors is very important: they should prescribe medicines in amounts not greater than absolutely necessary and maybe more often recommend psychiatric care for the elderly patients.

scholarly journals PATIENT TRUST THROUGH THE ROLE OF MEDICAL STAFF OF GOVERNMENT-OWNED REGIONAL GENERAL HOSPITALS

TRIKONOMIKA ◽  
2019 ◽  
Keyword(s):  
Patient Satisfaction ◽  
General Hospital ◽  
Medical Staff ◽  
Quantitative Research ◽  
Positive Influence ◽  
Sem Analysis ◽  
Patient Trust ◽  
General Hospitals ◽  
Increase Patient Satisfaction

Government-owned regional general hospitals are not the only hospitals in a region. Competition with private and foreign hospitals requires government-owned hospitals toimprove. The question is whether the role of medical staff is able to increase patient satisfaction and trust. This quantitative research was conducted in M. Sani Regional General Hospital in Tanjung Balai Karimun Regency, Riau Islands Province. The data were collected using questionnaires from 100 patients or families of inpatients totaling and taken using accidental sampling. The data were analyzed quantitatively using SEM analysis tools. The results showed that the variables of responsiveness and motivation given by the medical staff to patients had a significant and positive influence on patient satisfaction and had an impact on patient trust in the services provided by the hospital.

Le Benevolat: Un Lien Entre Des Personnes Agees et la Communaute

1983 ◽  
Vol 2 (1) ◽  
pp. 59-70 ◽  
Author(s):  
Lucie Martin ◽  
Margaret C. Kiely
Keyword(s):  
Social Isolation ◽  
Intervention Group ◽  
Senior Citizen ◽  
The Elderly ◽  
Control Group ◽  
Short Term ◽  
Experimental Intervention ◽  
Group 2 ◽  
Experimental Group

This study examines the various solutions for loneliness and social isolation with the elderly who live outside of an institution. The sample consisted of senior citizens and volunteers who were randomly selected from a community day centre. Specifically, the study examines the effects of the relationship on the volunteer, the senior citizen and on their interactive process. The volunteers were divided into two intervention groups. One control intervention group played the role of the “friendly visitor” which consisted of visiting the senior citizen of their residence and interacting in an informal manner. The other group, the experimental intervention group consisted of volunteers who served as a “short-term link” between the elderly and the possible social community resources available to them. The volunteers motivational levels were examined as a function of which group they belonged to. The degree of loneliness and social isolation for the elderly were examined as a function of what kind of intervention they received. The results appear to demonstrate that the volunteers in the control group have 1) a higher degree of egocentrism and activity than the experimental group; 2) a lower level of altruism than the experimental group. For the elderly, the results seem to indicate that the degree of loneliness and social isolation substantially decreased when the elderly are visited by the volunteer belonged to the experimental intervention group. From these results, one can readily ascertain that the helping relationship of the short-term link nature lead to a more successful type of intervention for the elderly sample in this study. Implications and the importance of the role of the community psychologist are discussed as a function of the differences and similarities between the volunteers and the elderly respectively.

scholarly journals The reform of psychiatric care in Greece: 1983-1989

1992 ◽  
Vol 7 (6) ◽  
pp. 251-257 ◽  
Author(s):  
D Sarantidis ◽  
V Kladouchos ◽  
J Tripodianakis ◽  
R Giel ◽  
P Munk-Jorgensen
Keyword(s):  
Mental Health ◽  
Catchment Area ◽  
Psychiatric Care ◽  
Psychiatric Hospitals ◽  
General Hospitals ◽  
Health Delivery ◽  
Psychiatric Units ◽  
Health Delivery System ◽  
Quantitative Changes

SummaryWe have attempted to evaluate quantitative changes in the mental health delivery system in Greece, dictated by a fiveyear program to reform psychiatric care. By the end of the program, a number of psychiatric units in general hospitals, as well as community mental health centres, had been created, while the number of beds in psychiatric hospitals have been significantly reduced. Mental health services have become more accessible to the population, and served more patients. However, not all the objectives of the program have been met. Only about half of the initially proposed number of beds in the psychiatric units in general hospitals have been actually developed. The catchment area, a basic pre-requisite of the program, has not been put into effect. Finally, the noticeable trend towards a restriction of the role of psychiatric hospitals did not coincide with the development of adequate new services.

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.

scholarly journals Is locating acute wards in the general hospital an essential element in psychiatric reform? The UK experience

2010 ◽  
Vol 19 (4) ◽  
pp. 282-286 ◽  
Author(s):  
Jonathan Totman ◽  
Farhana Mann ◽  
Sonia Johnson
Keyword(s):  
General Hospital ◽  
Open Space ◽  
Mental Health Problems ◽  
Medical Profession ◽  
Community Integration ◽  
Essential Element ◽  
Psychiatric Ward ◽  
General Hospitals ◽  
Psychiatric Reform ◽  
The Uk

AbstractLocating psychiatric wards in general hospitals has long been seen in many countries as a key element in the reform of services to promote community integration of the mentally ill. In the UK, however, this is no longer a policy priority, and the recent trend has been towards small freestanding inpatient units, located either within the communities they serve, or on general hospital sites, but separate from the main building. Whether locating the psychiatric wards in the general hospital is essential to psychiatric reform has been little discussed, and we can find no relevant evidence.Perceived strengths of general hospital psychiatric wards are in normalisation of mental health problems, accessibility to local communities, better availability of physical health care resources, and integration of psychiatry with the rest of the medical profession, which may faclilitate recruitment. However, difficulties seem to have been encountered in establishing well-designed psychiatric wards with access to open space in general hospitals. Also, physical proximity may not be enough to achieve the desired reduction in stigma, and complaints from the general hospital may sometimes result in undue restrictions on psychiatric ward patients. There are strong arguments both for and against locating psychiatric wards in general hospitals: an empirical evidence base would be helpful to inform important decisions about the best setting for wards.Declaration of Interest: None.

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