scholarly journals Is routine physical examination of psychiatric in-patients really necessary?

1996 ◽  
Vol 20 (4) ◽  
pp. 218-220 ◽  
Author(s):  
Ian Porter
Keyword(s):  
Mental Illness ◽  
Physical Examination ◽  
Case Studies ◽  
Medical Condition ◽  
Somatic Complaints ◽  
Psychiatric Unit ◽  
Physical Disorders ◽  
Intracranial Lesions ◽  
Routine Physical Examination ◽  
Psychiatric Conditions

Although there are some well recognised physical disorders such as intracranial lesions that can present with mental illness, many psychiatric conditions do not appear to be associated with underlying somatic complaints. However, a number of recent studies have shown that there are often high rates of concurrent medical conditions among acute psychiatric in-patients that were previously undiagnosed or unsuspected. The author illustrates this point by presenting two case studies in which a significant medical condition was only identified after physical examination on a psychiatric unit.

scholarly journals The fretful child with swollen appendage: Mitten the Insidious

2020 ◽  
Vol 4 (1) ◽  
pp. 31-33
Author(s):  
M.A. Shafiq ◽  
K. Anwar ◽  
Tan J.A.
Keyword(s):  
Early Detection ◽  
Young Children ◽  
Physical Examination ◽  
Effective Treatment ◽  
Medical Condition ◽  
Healthcare Providers ◽  
Good Outcome ◽  
Routine Physical Examination ◽  
Attention Failure ◽  
Timely Referral

Hair tourniquet syndrome is a rare medical condition involving a tightly constricting strand of hair or thread-like material strangulating a part of the bodily appendage, such as the fingers and toes, which prompts for urgent attention. Failure to recognize early and respond to worsening symptoms may lead to serious complications. Few cases have been reported as this condition affects primarily young children. Our aim for this topic is to increase awareness of hair tourniquet syndrome to healthcare providers. Proper exposure during routine physical examination for early detection, and timely referral for effective treatment. Here we report a case of hair tourniquet syndrome of the toe that was released surgically with a good outcome. Keywords: Hair tourniquet syndrome, bodily appendage, children.  

What Is a Routine Physical Examination?

1953 ◽  
Vol 53 (3) ◽  
pp. 320
Author(s):  
Arthur N. Jay
Keyword(s):  
Physical Examination ◽  
Routine Physical Examination

scholarly journals Using Health Concept Surveying to Elicit Usable Evidence: Case Studies of a Novel Evaluation Methodology (Preprint)

2021 ◽  
Author(s):  
Alex Mariakakis ◽  
Ravi Karkar ◽  
Shwetak N Patel ◽  
Julie A Kientz ◽  
James Fogarty ◽  
...  
Keyword(s):  
Case Studies ◽  
Medical Condition ◽  
Early Stage ◽  
Health Belief ◽  
Wait Time ◽  
Health Behavior Change ◽  
Survey Instrument ◽  
Evaluation Methodology ◽  
Extrinsic Factors ◽  
Health Concept

BACKGROUND Developers, designers, and researchers use rapid prototyping methods to project the adoption and acceptability of their health intervention technology (HIT) before the technology becomes mature enough to be deployed. Although these methods are useful for gathering feedback that advances the development of HITs, they rarely provide usable evidence that can contribute to our broader understanding of HITs. OBJECTIVE In this research, we aim to develop and demonstrate a variation of vignette testing that supports developers and designers in evaluating early-stage HIT designs while generating usable evidence for the broader research community. METHODS We proposed a method called <i>health concept surveying</i> for untangling the causal relationships that people develop around conceptual HITs. In health concept surveying, investigators gather reactions to design concepts through a scenario-based survey instrument. As the investigator manipulates characteristics related to their HIT, the survey instrument also measures proximal cognitive factors according to a health behavior change model to project how HIT design decisions may affect the adoption and acceptability of an HIT. Responses to the survey instrument were analyzed using path analysis to untangle the causal effects of these factors on the outcome variables. RESULTS We demonstrated health concept surveying in 3 case studies of sensor-based health-screening apps. Our first study (N=54) showed that a wait time incentive could influence more people to go see a dermatologist after a positive test for skin cancer. Our second study (N=54), evaluating a similar application design, showed that although visual explanations of algorithmic decisions could increase participant trust in negative test results, the trust would not have been enough to affect people’s decision-making. Our third study (N=263) showed that people might prioritize test specificity or sensitivity depending on the nature of the medical condition. CONCLUSIONS Beyond the findings from our 3 case studies, our research uses the framing of the Health Belief Model to elicit and understand the intrinsic and extrinsic factors that may affect the adoption and acceptability of an HIT without having to build a working prototype. We have made our survey instrument publicly available so that others can leverage it for their own investigations.

scholarly journals Promoting Self-Care Management Among Persons With Serious Mental Illness and HIV

2011 ◽  
Vol 23 (6) ◽  
pp. 421-427 ◽  
Author(s):  
Nancy P. Hanrahan ◽  
Donna Rolin-Kenny ◽  
June Roman ◽  
Aparna Kumar ◽  
Linda Aiken ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Mental Illness ◽  
Nursing Students ◽  
Case Studies ◽  
Serious Mental Illness ◽  
Care Management ◽  
Self Care ◽  
Public Health Nurses ◽  
Management Approach

People with a serious mental illness (SMI) along with HIV have complex health conditions. This population also has high rates of poverty, difficulty in sustaining regular housing, and limited supportive networks. Typically, the combination of psychotropic and HIV medication regimens is complicated, changes frequently, and requires coordination among multiple providers. Furthermore, fragmented and divided primary health care and mental health care systems present substantial barriers for these individuals and for the public health nurses who care for them. In this article, we present “real world” case studies of individuals with SMI and HIV and the self-care management strategies used by nurses to address medication and treatment management, build interpersonal skills, and develop sustainable health networks. The case studies can be used for quality improvement discussions among practicing public health nurses and for instructing nursing students in a self-care management approach.

Regular medication use by active scuba divers with a declared comorbid medical condition and victims of scuba and snorkelling-related fatalities

2021 ◽  
Vol 51 (3) ◽  
pp. 264-270
Author(s):  
Simone E Taylor ◽  
◽  
David McD Taylor ◽  
Daisy Pisasale ◽  
Kyle Booth ◽  
...  
Keyword(s):  
Medical Condition ◽  
Medication Use ◽  
Psychotropic Medications ◽  
Asia Pacific ◽  
Psychological Conditions ◽  
Scuba Divers ◽  
Australian State ◽  
Psychiatric Conditions ◽  
Medical Examinations ◽  
Comorbid Medical Condition

Introduction: The aim of this study was to describe the nature of regular medications taken by active comorbid scuba divers (having a declared medical comorbidity) and scuba divers and snorkellers who died following a diving incident. Methods: We undertook a retrospective, observational study from July to October, 2020. Data on 268 active comorbid divers were obtained through a 2013 survey of Divers Alert Network Asia-Pacific members. Data on 126 deceased scuba divers and 175 deceased snorkellers were obtained predominantly from 2001–2013 reports to Australian State Coronial Services. Results: The active comorbid divers were significantly older, less likely to be male, and more likely to be taking one or more medications than the two deceased subject groups (P < 0.001). Cardiovascular, endocrine and psychotropic medications accounted for 53.4%, 9.9% and 6.4% of all medications taken, respectively. Almost one tenth of the deceased divers took at least one psychotropic medication, a proportion significantly greater than the other groups (P = 0.01). Conclusions: Medication use among active comorbid divers is common which likely reflects their declared medical condition. Nevertheless, they appear to be diving relatively safely, often with conditions once thought to be absolute contradictions to scuba diving. The deceased divers took significantly more psychotropic medications. It is possible that their underlying psychological/psychiatric conditions rendered them more at risk of a diving incident. Increased vigilance for psychological conditions may need to be considered during diving medical examinations.

Case 11.10

2014 ◽  
pp. 546-546
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Physical Examination ◽  
Cystic Lesion ◽  
Pelvic Mass ◽  
Asymptomatic Woman ◽  
Weighted Image ◽  
Routine Physical Examination ◽  
T2 Weighted Images

57-year-old asymptomatic woman with a pelvic mass palpated during routine physical examination Axial fat-suppressed FSE T2-weighted images (Figure 11.10.1) reveal a large cystic lesion in the pelvis, with a partial septation anteriorly. Coronal FSE T2-weighted image (Figure 11.10.2) shows similar findings. An axial FSE T1-weighted image (...

scholarly journals Bibliotherapy for Mental Health

2017 ◽  
Vol 2 (2) ◽  
pp. 67
Author(s):  
Jennifer Yontz-Orlando
Keyword(s):  
Mental Health ◽  
United States ◽  
Mental Illness ◽  
Medical Condition ◽  
Action Plan ◽  
The United States ◽  
World Health ◽  
Group Setting ◽  
Health Crisis ◽  
The Uk

The United States is facing an epidemic of mental illness, affecting nearly 60 million Americans annually (http://www.nami.org/ ). The World Health Organization describes mental health as “a long neglected problem” and has established an action plan for 2013-2020 (http://www.who.int/mental_health/action_plan_2013/en/). One way to combat mental illness is through bibliotherapy, which is the use of written materials including fiction, nonfiction, and poetry to support emotional and psychiatric healing.Bibliotherapy has been in existence since ancient times, but began in earnest in the United States in the 1850’s during the “Great Awakening.” At that time, mental illness began to be seen as a medical condition rather than a supernatural phenomenon. Since then, due to the changing nature of our institutions, interest in bibliotherapy waned until the 1950’s when there was a slight resurgence in its practice. However, in the last 20 years, bibliotherapy has gained a stronghold in the United Kingdom. To relieve the stress of an overcrowded mental health system, public policy in the UK has supported the use of bibliotherapy in a variety of its institutions. There are many ways to conduct bibliotherapy, but studies show that when the process is interactive, such as in a support group setting, the results are better. Also, bibliotherapy can be conducted by many sorts of professionals, including doctors, therapists, social workers, teachers, and librarians. Studies also show that when the bibliotherapists are trained in the best practices of bibliotherapy, results improve. Bibliotherapy is an effective, low-cost alternative for people in need of therapeutic assistance. The UK model should be studied and implemented in the United States and in other nations to help solve the mental health crisis.

scholarly journals Patients with stroke and psychiatric comorbidities have lower carotid revascularization rates

Neurology ◽  
2019 ◽  
Vol 92 (22) ◽  
pp. e2514-e2521 ◽  
Author(s):  
Diana M. Bongiorno ◽  
Gail L. Daumit ◽  
Rebecca F. Gottesman ◽  
Roland Faigle
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Carotid Stenosis ◽  
Substance Use Disorders ◽  
Psychiatric Comorbidity ◽  
Cross Sectional ◽  
Psychiatric Comorbidities ◽  
Lower Odds ◽  
Carotid Revascularization ◽  
Psychiatric Conditions

ObjectiveWe investigated whether mental illness is associated with lower rates of carotid endarterectomy (CEA)/carotid artery stenting (CAS) after stroke due to carotid stenosis.MethodsIn this retrospective cross-sectional study, ischemic stroke cases due to carotid stenosis were identified in the 2007–2014 Nationwide (National) Inpatient Sample. Psychiatric conditions were identified by secondary ICD-9-CM diagnosis codes for schizophrenia/psychoses, bipolar disorder, depression, anxiety, or substance use disorders. Using logistic regression, we tested the association between psychiatric conditions and CEA/CAS, controlling for demographic, clinical, and hospital factors.ResultsAmong 37,474 included stroke cases, 6,922 (18.5%) had a psychiatric comorbidity. The presence of any psychiatric condition was associated with lower odds of CEA/CAS (adjusted odds ratio [OR] 0.84, 95% confidence interval [CI] 0.78–0.90). Schizophrenia/psychoses (OR 0.72, 95% CI 0.55–0.93), depression (OR 0.83, 95% CI 0.75–0.91), and substance use disorders (OR 0.73, 95% CI 0.65–0.83) were each associated with lower odds of CEA/CAS. The association of mental illness and CEA/CAS was dose-dependent: compared to patients without mental illness, patients with multiple psychiatric comorbidities (OR 0.74, 95% CI 0.62–0.87) had lower odds of CEA/CAS than those with only one psychiatric comorbidity (OR 0.86, 95% CI 0.79–0.92; p value for trend <0.001).ConclusionThe odds of carotid revascularization after stroke is lower in patients with mental illness, particularly those with schizophrenia/psychoses, depression, substance use disorders, and multiple psychiatric diagnoses.

Comorbidity of Physical Disorders Among Patients With Severe Mental Illness With and Without Substance Use Disorders: A Systematic Review and Meta-Analysis

2019 ◽  
Vol 15 (3) ◽  
pp. 192-206 ◽  
Author(s):  
Ifeoma N. Onyeka ◽  
Margrethe Collier Høegh ◽  
Eldbjørg Marie Nåheim Eien ◽  
Bright I. Nwaru ◽  
Ingrid Melle
Keyword(s):  
Systematic Review ◽  
Mental Illness ◽  
Substance Use ◽  
Severe Mental Illness ◽  
Substance Use Disorders ◽  
Meta Analysis ◽  
Physical Disorders

Psychiatric conditions in patients presenting with Takotsubo syndrome: A systematic review and synthesis of case studies

2020 ◽  
Vol 65 ◽  
pp. 54-63
Author(s):  
Allison J. Carroll ◽  
Jack Goergen ◽  
Q. Eileen Wafford ◽  
James D. Flaherty ◽  
Kathleen L. Grady ◽  
...  
Keyword(s):  
Systematic Review ◽  
Case Studies ◽  
Takotsubo Syndrome ◽  
Psychiatric Conditions
Sign in / Sign up

Export Citation Format

Share Document