Treatment of Severe Psychiatric Illness in a Day Hospital

1989 ◽  
Vol 154 (3) ◽  
pp. 341-347 ◽  
Author(s):  
Francis Creed ◽  
Philip Anthony ◽  
Ken Godbert ◽  
Peter Huxley
Keyword(s):  
Psychiatric Illness ◽  
Psychiatric Symptoms ◽  
Day Treatment ◽  
Psychiatric Patients ◽  
Patient Admission ◽  
Random Allocation ◽  
Day Hospital ◽  
One Year ◽  
Seriously Ill Patients ◽  
Seriously Ill

Severity of psychiatric illness was assessed using standardised clinical and social measures in 69 in-patients and 41 day patients admitted consecutively from the community. Day and in-patients differed little in terms of psychiatric symptoms and social disability, especially if compulsory admissions were excluded. Protection of self or others was a common reason for in-patient admission given by clinicians, who were otherwise prepared to treat seriously ill patients in the day hospital. Very few of the day patients had to be transferred to the in-patient facility, and at three months and one year the two groups showed similar improvements. It is concluded that day treatment is feasible for some seriously ill psychiatric patients, but a random-allocation study is required to assess more completely the efficacy of day treatment, and define the characteristics of those who require in-patient admission.

scholarly journals Patients’ subjective initial response and the outcome of inpatient and day hospital treatment

2011 ◽  
Vol 26 (7) ◽  
pp. 408-413 ◽  
Author(s):  
S. Priebe ◽  
K. Barnicot ◽  
R. McCabe ◽  
A. Kiejna ◽  
P. Nawka ◽  
...  
Keyword(s):  
Psychiatric Treatment ◽  
Day Treatment ◽  
Psychiatric Patients ◽  
Complex Interventions ◽  
Initial Response ◽  
Hospital Treatment ◽  
Day Hospital ◽  
Social Disability ◽  
One Year ◽  
Acute Psychiatric Treatment

AbstractObjectiveThis study aimed to establish whether psychiatric patients’ subjective initial response (SIR) to hospital and day hospital treatment predicts outcomes over a one-year follow-up period.MethodWe analysed data from 765 patients who were randomised to acute psychiatric treatment in a hospital or day hospital. SIR was assessed on day 3 after admission. Outcomes were psychiatric symptom levels and social disability at discharge, and at 3 and 12 months after discharge.ResultsAfter controlling for socio-demographic and clinical characteristics, a more positive SIR was significantly associated with lower symptom levels at discharge and 3 months after discharge and lower social disability at 3 months and 12 months after discharge.ConclusionSIR can predict outcomes of complex interventions over a one-year period. Patients’ initial views of acute hospital and day treatment should be elicited and considered as important.

scholarly journals NURSES’ PERCEPTIONS ON THE READMISSION OF PSYCHIATRIC PATIENTS ONE YEAR AFTER DISCHARGE

2016 ◽  
Vol 16 (1) ◽  
pp. 89-102 ◽  
Author(s):  
T. Nxasana ◽  
G. Thupayagale-Tshweneagae
Keyword(s):  
Family Support ◽  
Psychiatric Illness ◽  
Psychiatric Patients ◽  
Cultural Interpretation ◽  
Factors Associated ◽  
Nurses Perceptions ◽  
One Year ◽  
The Many ◽  
The Impact ◽  
Depth Interviews

A qualitative study using in-depth interviews with 10 nurses working with psychiatric patients was conducted in 2012. The purpose of this study was to investigate the nurses’ perceptions on the readmission of psychiatric patients within one year of discharge from Prince Mshiyeni Memorial Hospital. Tesch’s method of data analysis was used to identify the nurses’ perceptions on the readmissions of psychiatric patients one year after discharge. The results of this study affirmed the reasons known in literature about factors associated with re-admissions, which include lack of family support, poor adherence to medications and substance and alcohol use. However, a unique finding of the study was the cultural interpretation of psychiatric illness that led to poor compliance. The study concluded that cultural interpretation of mental illness is among the many causes of readmission of psychiatric patients and may be an overarching factor. The study recommends that a study be done on exploring the cultural interpretations of psychiatric illness and the impact of those interpretations on the readmission of psychiatric patients.

scholarly journals The Medical Emergency Team

1995 ◽  
Vol 23 (2) ◽  
pp. 183-186 ◽  
Author(s):  
A. Lee ◽  
G. Bishop ◽  
K. M. Hillman ◽  
K. Daffurn
Keyword(s):  
Cardiopulmonary Arrest ◽  
Medical Emergency Team ◽  
Medical Emergency ◽  
Emergency Team ◽  
Patients At Risk ◽  
Medical Emergencies ◽  
One Year ◽  
Seriously Ill Patients ◽  
Team Interventions ◽  
Seriously Ill

The concept of a Medical Emergency Team was developed in order to rapidly identify and manage seriously ill patients at risk of cardiopulmonary arrest and other high-risk conditions. The aim of this study was to describe the utilization and outcome of Medical Emergency Team interventions over a one-year period at a teaching hospital in South Western Sydney. Data was collected prospectively using a standardized form. Cardiopulmonary resuscitation occurred in 148/522 (28%) calls. Alerting the team using the specific condition criteria occurred in 253/522 (48%) calls and on physiological/pathological abnormality criteria in 121/522 (23%) calls. Survival rate to hospital discharge following cardiopulmonary arrest was low (29%), compared with other medical emergencies (76%).

Living goals: Prepare to die.

2017 ◽  
Vol 35 (31_suppl) ◽  
pp. 157-157
Author(s):  
Zankhana Mehta ◽  
Susan Smith ◽  
Jane Henrichs ◽  
Andrea Berger ◽  
Loreen Comstock ◽  
...  
Keyword(s):  
Palliative Medicine ◽  
Timely Manner ◽  
Median Length ◽  
Serious Illness ◽  
Home Based ◽  
Hospice Patients ◽  
One Year ◽  
Seriously Ill Patients ◽  
Surprise Question ◽  
Seriously Ill

157 Background: Living Goals (LGs), a home-based program, is a collaboration between Geisinger Health Plan, Geisinger Home care and Hospice and Palliative Medicine. Program investigated an early intervention in those with serious illness and transition to hospice in a timely manner during FY 2015- 2017. Methods: LGs visits were led by a registered nurse after referral from physicians based on the surprise question (it would not be a surprise if this patient died within one year). Nurse facilitated end-of-life discussions and provided resources available for supportive care. LGs visits were free up to 10 visits to each patient. Results: 94 patients were enrolled in LGs from 128 referrals.59 (63%) patients transitioned to hospice and 41 (69%) were transitioned within first month of LGs visit averaging 1.4 visits. 59 patients enrolled in hospice. The median length of time between LG Start of care (SOC) and Hospice SOC is 9 days (IQR: 3-73).57 LGs patients discharged from hospice had a median length of stay (LOS) of 39 days (IQR: 10-85). For the subset of patients in FY 2015 (n = 13) median LOS was 26 days (IQR: 10-57)), in FY 2016 (n = 26) the median LOS was 27 days (IQR: 7-73), in FY 2017 (n = 18) the median LOS is 66 days (IQR: 28-144). In FY 2014, 513 hospice patients were discharged before initiation of LGs and the median LOS was 19 days (IQR: 6-61). As of now, there is a significantly longer stay for LG patients than FY 2014 hospice patients (p = 0.0130). Conclusions: This innovative home based program, appears to have a great potential in the future for delivering ongoing hospice and palliative needs to seriously ill patients.

Social Deprivation Amongst Short Stay Psychiatric Patients

1980 ◽  
Vol 136 (1) ◽  
pp. 46-52 ◽  
Author(s):  
Lorna Ebringer ◽  
J. R. W. Christie-Brown
Keyword(s):  
Social Deprivation ◽  
Psychiatric Patients ◽  
Living Alone ◽  
Day Hospital ◽  
Short Stay ◽  
Two Samples ◽  
One Year ◽  
Community Supports

SummaryTwo samples of newly admitted psychiatric patients were examined. Of 558 patients admitted during one year, 76 (13.7 per cent) came in from transitory accommodation or no fixed abode; of 456 patients discharged 131 (28.7 per cent) either changed address during their stay in hospital or left without known accommodation. Of 102 patients in the wards and day hospital on one day, 29 (28.4 per cent) came in from transitory accommodation or no fixed abode, 66 (64.7 per cent) were unemployed, 51 (50 per cent) were living alone. Of the 74 inpatients 30 (40.5 per cent) were homeless and 27 (36.5 per cent) had no visitors. These results indicate that many patients have lost their community supports by the time they reach hospital.

Changes in Cognitive Functioning in Elderly Psychiatric Patients

1977 ◽  
Vol 130 (6) ◽  
pp. 605-608 ◽  
Author(s):  
Antonia Whitehead
Keyword(s):  
Cognitive Functioning ◽  
Psychiatric Patients ◽  
Patient Admission ◽  
Psychometric Measures ◽  
One Year ◽  
Very High

SummaryElderly psychiatric patients who were in contact with the hospital one year after in-patient admission were retested on a number of clinical and psychometric measures first done soon after admission. In general, changes were small; and for several measures very high correlations existed between the scores gained on the two occasions. When those patients with uncomplicated chronic brain syndromes were considered separately, increasing impairment was demonstrable.

Quality of life in chronically mentally ill patients in day treatment

1990 ◽  
Vol 20 (3) ◽  
pp. 703-710 ◽  
Author(s):  
Anthony J. Levitt ◽  
T. P. Hogan ◽  
Catherine M. Bucosky
Keyword(s):  
Quality Of Life ◽  
Mentally Ill ◽  
Social Life ◽  
Psychiatric Illness ◽  
Day Treatment ◽  
Psychiatric Patients ◽  
Assessment Instrument ◽  
Clinical Benefits ◽  
Chronic Psychiatric Patients

SynopsisA structured assessment instrument, the Quality of Life Interview, was used to explain the quality of life of seventy patients with chronic psychiatric illness attending a day treatment programme. The interview was found to have acceptable psychometric properties. Factors that best predicted the quality of life of these patients included the number of re-admissions in the last year, frequency of family contacts, satisfaction with social life, psychiatric health and adult education. The theoretical implications and potential clinical benefits of these findings for chronic psychiatric patients are discussed.

Vitamin B12Deficiency and Psychiatric Illness

1967 ◽  
Vol 113 (496) ◽  
pp. 252-256 ◽  
Author(s):  
R. Shulman
Keyword(s):  
Causal Relationship ◽  
Psychiatric Illness ◽  
Psychiatric Symptoms ◽  
Psychiatric Patients ◽  
Critical Evaluation ◽  
Pernicious Anaemia ◽  
Neurological Symptoms ◽  
Vitamin B ◽  
Mental Symptoms

Many psychiatric symptoms have been described in pernicious anaemia, including depression, manic excitement, paranoid states, confusional episodes, and dementia. Although vitamin B12deficiency is known to produce neurological symptoms there is much less certainty about its role in producing mental symptoms. Despite this uncertainty, it has been asserted that carrying out vitamin B12assays on psychiatric patients will enable doctors to cure for good severe disabling disease which otherwise may end in chronicity (Edwinet al., 1966). Routine examinations to exclude pernicious anaemia have been advocated for all psychiatric patients (Strachan and Henderson, 1965; Hunter and Matthews, 1965). A prudent preliminary is a critical evaluation of the causal relationship between vitamin B12deficiency and individual psychiatric syndromes.

Principles of care for seriously ill patients in palliative office

2020 ◽  
pp. 15-18
Author(s):  
Nina Tishchenko
Keyword(s):  
Palliative Care ◽  
The State ◽  
State Budget ◽  
Oncological Patients ◽  
Seriously Ill Patients ◽  
Seriously Ill

The article reflects the importance and importance of the work of nurses of the Department of Palliative Care for Oncological Patients of the State Budget Health Establishment «Samara Regional Clinical Oncological Clinic». Important stages and features of care when dealing with seriously ill patients.

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