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.

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.

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.

scholarly journals Caspase-14—From Biomolecular Basics to Clinical Approach. A Review of Available Data

2021 ◽  
Vol 22 (11) ◽  
pp. 5575
Author(s):  
Agnieszka Markiewicz ◽  
Dawid Sigorski ◽  
Mateusz Markiewicz ◽  
Agnieszka Owczarczyk-Saczonek ◽  
Waldemar Placek
Keyword(s):  
Cell Death ◽  
Physiological Role ◽  
Skin Barrier ◽  
Clinical Aspects ◽  
Clinical Approach ◽  
Search Term ◽  
Caspase Family ◽  
Skin Conditions ◽  
Theoretical Science

Caspase-14 is a unique member of the caspase family—a family of molecules participating in apoptosis. However, it does not affect this process but regulates another form of programmed cell death—cornification, which is characteristic of the epidermis. Therefore, it plays a crucial role in the formation of the skin barrier. The cell death cycle has been a subject of interest for researchers for decades, so a lot of research has been done to expand the understanding of caspase-14, its role in cell homeostasis and processes affecting its expression and activation. Conversely, it is also an interesting target for clinical researchers searching for its role in the physiology of healthy individuals and its pathophysiology in particular diseases. A summary was done in 2008 by Denecker et al., concentrating mostly on the biotechnological aspects of the molecule and its physiological role. However, a lot of new data have been reported, and some more practical and clinical research has been conducted since then. The majority of studies tackled the issue of clinical data presenting the role of caspase in the etiopathology of many diseases such as retinal dysfunctions, multiple malignancies, and skin conditions. This review summarizes the available knowledge on the molecular and, more interestingly, the clinical aspects of caspase-14. It also presents how theoretical science may pave the way for medical research. Methods: The authors analyzed publications available on PubMed until 21 March 2021, using the search term “caspase 14”.

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.

scholarly journals Role of 24-hour ambulatory electrocardiographic monitoring in a general hospital.

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