scholarly journals Psychiatric Referral Pattern in a General Hospital

2018 ◽  
Vol 1 (1) ◽  
pp. 28-30
Author(s):  
Leepa Vaidya ◽  
Rajan Sharma
Keyword(s):  
General Hospital ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
Psychiatric Morbidity ◽  
Regional Hospital ◽  
Referral Pattern ◽  
Psychiatric Consultation ◽  
Psychiatric Referral ◽  
Western Regional ◽  
One Year

Background: The referral rates of psychiatric patients in Nepal are very low, considering the higher rates of psychiatric morbidity in patients who attend various departments of a general hospital. Studying the pattern of psychiatric referrals may facilitate the management of the mentally ill in a comprehensive and holistic manner. Materials and methods: The study was conducted at Western Regional Hospital (WRH) over the period of one year. The patients referred from different departments were assessed by the consultant psychiatrists. Result: A total of 816 patients were referred for psychiatric consultation out of which majority was from department of medicine and the most common reason for referral was anxiety disorder. Conclusion: Multi-disciplinary interaction is beneficial to identify the psychiatric morbidity in the patients who attend general hospital.

Psychiatric Referrals from Medical and Surgical Wards

1962 ◽  
Vol 108 (453) ◽  
pp. 183-190 ◽  
Author(s):  
J. J. Fleminger ◽  
B. L. Mallett
Keyword(s):  
General Hospital ◽  
Psychiatric Patients ◽  
Psychiatric Service ◽  
Psychiatric Morbidity ◽  
Laboratory Facilities ◽  
Routine Work ◽  
Medical Wards ◽  
Set Up ◽  
One Year ◽  
Clinical Conditions

The practice of psychiatry in general hospitals is increasing and some of the problems it raises have been widely discussed. Many administrative questions have received close attention (Bennett et al., 1956; Smith, 1961) and the advantage to psychiatric patients of having readily available medical, surgical and laboratory facilities has been clearly seen (Gillies, 1959). It has been shown, too, that patients with mental illness can be admitted to beds in medical wards and be treated there successfully (Brook and Stafford-Clark, 1961). On the other hand, much less attention has been given to the psychiatric requirements of the general hospital itself, and there is very little information about the use that physicians, surgeons and specialists are likely to make of a psychiatric service for their own in-patients. Studies of psychiatric morbidity among general ward patients (Mittelmann et al., 1945; Zwerling et al., 1955) are of great interest, but they tend to shed an artificial light on the problems of practical needs and probable demands. Shepherd, Davies and Culpan (1960) have provided the most useful report so far, on the incidence of psychiatric referrals by physicians and surgeons and the clinical conditions encountered. This was the result of a one-year work-study specially set up for the purpose of investigating these questions at a general hospital in London. However, there appears to have been no account of findings based on the routine work of a hospital where a psychiatric unit has been well established.

scholarly journals Pattern of psychiatric morbidity among referred inpatients in a tertiary care hospital of Bangladesh

2020 ◽  
Vol 31 (2) ◽  
pp. 38-42
Author(s):  
Nasim Jahan ◽  
Mohammad Muntasir Maruf ◽  
Sharmin Kauser ◽  
Mekhala Sarkar ◽  
Md Masud Rana Sarker ◽  
...  
Keyword(s):  
General Hospital ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
Care Hospital ◽  
Psychiatric Consultation ◽  
Liaison Psychiatry ◽  
Major Depressive ◽  
Consultation Liaison Psychiatry ◽  
The Mean ◽  
Inpatient Units

There is a dearth of studies related to consultation-liaison psychiatry in Bangladesh. The psychiatric referral rates in this country are very low, considering the higher rates of psychiatric morbidity in patients who attend various departments of a general hospital. This was a descriptive study consisting of all the cases referred for psychiatric consultation from inpatient units of various departments of BIRDEM General Hospital, Dhaka from July 2017 to June 2018. Patients of any age and of either gender were included. A total of 673 patients (1.97% of total admission) were referred from different departments of the hospital for psychiatric consultation within the study period. Majority of the respondents were female. The mean age of the respondents was 59.47 (±1.98) years. Among the referred, Generalized anxiety disorder (GAD) was the diagnosis in 24.96%, followed by Major depressive disorder (MDD) in 9.95% cases. Referral from the department of Medicine and allied was 92.86 %, followed by department of Surgery and allied (6.38%) & department of Obstetrics and Gynaecology (0.74%). Frequency of referral was the lowest in the months of November to January. There is a need to encourage multi-disciplinary interaction in the management of patients who attend general hospitals, so as to better identify the psychiatric morbidity. Bang J Psychiatry December 2017; 31(2): 38-42

Psychiatric intensive care after two years

1989 ◽  
Vol 13 (8) ◽  
pp. 421-422 ◽  
Author(s):  
J. M. O'Dwyer ◽  
B. S. Mann
Keyword(s):  
Mental Health ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
General Hospital ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
District General Hospital ◽  
Descriptive Study ◽  
Psychiatric Unit ◽  
Health Authorities

The following is a descriptive study of Willoughby Ward, a psychiatric intensive care unit, opened in Parkside Hospital, Macclesfield, in July 1986. It provides a moderately secure facility for the treatment of psychiatric patients within both Crewe and Macclesfield Health Authorities. The unit has 15 beds, of which two are funded and used by Crewe area, where, unlike Macclesfield, the psychiatric unit is located in the district general hospital. Managed as a locked ward, the patients are admitted under the provisions of the Mental Health Act 1983. As well as being mentally ill as defined in the Act, the patients were disturbed to a degree as to be unmanageable in open conditions.

scholarly journals Management of Head Injury by General Surgeons in a General Hospital

1970 ◽  
Vol 1 (1) ◽  
pp. 19-22
Author(s):  
P Ghimire ◽  
N Yogi ◽  
GB Acharya
Keyword(s):  
Head Injury ◽  
Glasgow Coma Scale ◽  
General Hospital ◽  
Regional Hospital ◽  
General Surgeon ◽  
Coma Scale ◽  
High Dependency ◽  
General Surgeons ◽  
Western Regional ◽  
Dedicated Team

Background: Head injury is one of the common causes of surgical admission in Western Regional Hospital, Pokhara, Nepal. With no neurosurgeons available, most of the cases are managed effectively with adequately trained general surgeons. The aim of the study is to study the epidemiology, incidence and pattern of head injury and their outcome in a setting of a general hospital where they were managed by general surgeons. Methods: This is a prospective analytical study of 1847 head injury patients. The study defines the patterns of head injury, their management by general surgeons and outcome in surgery ward, Western Regional Hospital, Pokhara for about five years (1999 to 2003). Results: Head injury comprised 15.5% (1847) of total admissions (11901) in surgery ward. Out of those, 80.5% (1487) were mild, 10.4% (192) moderate and 9% (168) severe head injury cases, based on Glasgow coma scale. Majority of cases (42.1%) were young adults between 21-40 years. 70% (1294) of cases were male and 30% (553) were female. 7.5% (138) cases were associated with skull fractures. Most of the cases showed good recovery. Only 2% required surgery; 3.7% were referred; 2.8% died and 0.8% left against advice. Conclusion: Most of the cases of head injury can be managed by general surgeon in a General Hospital provided basic facilities like high dependency unit, Intensive care unit and a dedicated team are available. Keywords: Glasgow Coma Scale; head injury; traumatic brain injury DOI: http://dx.doi.org/10.3126/njms.v1i1.5791   Nepal Journal of Medical Sciences. 2012; 1(1): 19-22

scholarly journals Utilization and referral pattern at Sidamo Regional Hospital: A one-year prospective registration study in 1985/86

2019 ◽  
Author(s):  
Bernt Lindtjorn
Keyword(s):  
Catchment Area ◽  
Regional Hospital ◽  
The Other ◽  
Southern Ethiopia ◽  
Referral Pattern ◽  
Local Hospital ◽  
Primary Health ◽  
Patient Groups ◽  
One Year ◽  
Hospital Use

Hospitals can serve as important complement to Primary Health Care. Periodic reviews of hospital functions are therefore needed. We have reviewed hospital use and referral pattern at a regional hospital in southern Ethiopia. 85 % of admitted patients were from the region, and 2/3 from the local province. The effect of proximity on hospital use is shown but varied for the different patient groups. Patients from the local province were less often referred than patients from the remote provinces. The hospital functions mainly as a local hospital for the Sidamo Province and less as a referral hospital for the other parts of the region. The very large functional catchment area may worsen the local population's access to the hospital.

The Frequency of Psychiatric Disorders among Patients Attending Semi-Urban and Rural General Out-Patient Clinics in Kenya

1983 ◽  
Vol 142 (4) ◽  
pp. 379-383 ◽  
Author(s):  
M. Dhadphale ◽  
R. H. Ellison ◽  
L. Griffin
Keyword(s):  
General Hospital ◽  
Urban Area ◽  
Prevalence Rate ◽  
Psychiatric Symptoms ◽  
Psychiatric Patients ◽  
Psychiatric Morbidity ◽  
Anxiety And Depression ◽  
Diagnostic Categories ◽  
Somatic Illness ◽  
Demographic Features

SummaryThe prevalence of psychiatric morbidity (PM) was studied among general hospital out-patients in a rural and in a semi-urban area of Kenya. There were no significant differences in the demographic features of psychiatric patients from the two areas, so the results were pooled: this gave a PM prevalence rate of 29 per cent among 388 patients. Anxiety and depression were the most frequent diagnostic categories. Alcoholism was more common in the rural than in the semi-urban area. There was no sex difference in the prevalence of PM and possible reasons for this, which is in contrast to western findings, are discussed.Psychiatric symptoms could be readily elicited when present. Patients showing them had been ill longer than non-PM patients.The study suggests that clinic staff not psychiatrically trained should be able to identify and treat psychiatric morbidity, even when it is presented as somatic illness.

scholarly journals Congenital anatomical malformation at birth in Western Regional Hospital, Pokhara, Nepal

2014 ◽  
Vol 1 (4) ◽  
pp. 37-40
Author(s):  
I Sharma ◽  
BT Rijal ◽  
SB Thapa ◽  
I Poudel
Keyword(s):  
Congenital Anomalies ◽  
Regional Hospital ◽  
Sense Organs ◽  
Medical Sciences ◽  
Anatomical Structures ◽  
Multiple Systems ◽  
Genitourinary Anomaly ◽  
Review Study ◽  
Western Regional ◽  
One Year

BACKGROUND: Congenital anomalies are any abnormality present at birth, either structural or functional, which may have been inherited genetically, acquired during gestation, or inflicted during parturition. There has not been much studies related to the congenital anomalies in Nepal. METHODOLOGY: One year hospital based review study was conducted to find out the incidence, magnitude of congenital malformation and to know the specific involvement of anatomical structures among babies born at Western Regional Hospital, Pokhara, Nepal. RESULTS: Of 10013 deliveries during the period of 1 year, total number of live birth was 98.82% (9895). Out of 9895 of total live births with any form of conginital anomolies was found amongst 0.42% (42) children, congenital anomalies were ranging from minor to major, single to multiple systems. Musculoskeletal anomalies accounted for the maximum of 57.1% followed by genitourinary anomaly 14.3%. Nervous system anomaly was seen in 11.9% and few cases of gastrointestinal system anomaly and anomalies of the sense organs. CONCLUSION: Incidence of congenital anatomical malformations at birth at Western Regional Hospital, Pokhara was found to be 0.42%. DOI: http://dx.doi.org/10.3126/jucms.v1i4.9572 Journal of Universal College of Medical Sciences (2013) Vol.1 No.04: 37-40

scholarly journals Study of Poisoning Cases Admitted in ICU of Western Regional Hospital

2020 ◽  
Vol 3 (2) ◽  
pp. 294-297
Author(s):  
Surya Bahadur Hamal Thakuri ◽  
Suresh Thapa ◽  
Madan Prasad Baral ◽  
Buddhi Sagar Lamichhane
Keyword(s):  
Tertiary Care ◽  
Acute Poisoning ◽  
Regional Hospital ◽  
Medical Emergency ◽  
Close Monitoring ◽  
Standard Management ◽  
Number Of Patients ◽  
Western Regional ◽  
Set Up ◽  
One Year

Introduction: Acute poisoning, irrespective of the etiology, is a medical emergency which requires prompt diagnosis and treatment. Such cases require ICU set up for better management. Central level hospitals in Nepal have ICU facilities to manage such cases. Materials and Methods: Current study is a retrospective type hospital based study conducted in Western Regional Hospital, Pokhara. Data collected from ICU department of Hospital in a period of one year from 2073 Ashad 16 to 2074 Ashad 16. It was analyzed and presented. Results: In this study it is observed that total 90 cases admitted in ICU department of WRH in a period of one year. Female patients outnumbered the male patients. Age group of 10-20 years is predominance in present study. Most of the patients were from Kaski district as the hospital belongs to Kaski district and one of the renowned tertiary care centers in the Gandaki province. Maximum number of patients consumed the OP compound. Outcome was better as out of 90 cases 80 were discharged and only 10 were died during the course of treatment. Conclusion: Early identification of the cause and type of poisoning, close monitoring and standard management, preferably in the ICU for at least a first few days, reduces the complication and improves the survival. The commonly available insecticides and rodenticides are the most common cause of acute poisoning.

Psychiatric Consultation in a General Hospital

1988 ◽  
Vol 33 (3) ◽  
pp. 224-230 ◽  
Author(s):  
Renato Y. Pablo ◽  
C.J. Lamarre
Keyword(s):  
General Hospital ◽  
Family Practice ◽  
Teaching Hospital ◽  
Psychiatric Diagnosis ◽  
Psychiatric Consultation ◽  
Medical Specialties ◽  
Large Teaching Hospital ◽  
Wide Range ◽  
One Year ◽  
Low Rate

The psychiatrist's role in the therapeutic management of a wide range of hospitalized persons is now recognized. This study investigated the extent and the pattern of consultations among the medical specialties (medicine, surgery, obstetrics/gynecology, family practice, pediatrics and psychiatry) in a large teaching hospital over a one year period. Among the specialties consultations were requested most often from within the same specialty; for example, medicine sought 64.4% consults from medicine. The proportion of patients with an associated psychiatric diagnosis in each of the specialties ranged from 2 to 21%. Psychiatric consultations on these patients ranged from 5 to 13 per hundred (medicine = 12, surgery = 8.9, family practice -13.2 and pediatrics = 5). Consultations rates reported in previous studies were also reviewed. Factors that may contribute to the generally low rate of psychiatric consultation and the implications for providing better care are then discussed.

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