Predictors of discharge destination for 234 patients admitted to a combined geriatric medicine/old age psychiatry unit

2008 ◽  
Vol 23 (9) ◽  
pp. 903-908 ◽  
Author(s):  
Arlene J. Astell ◽  
Stella A. Clark ◽  
Nicholas T. Hartley
Keyword(s):  
Old Age ◽  
Geriatric Medicine ◽  
Discharge Destination ◽  
Old Age Psychiatry

scholarly journals Physical illness associated with depression in the elderly in community based and hospital patients

1992 ◽  
Vol 16 (10) ◽  
pp. 612-613
Author(s):  
Stephen Dover ◽  
Christopher McWilliam
Keyword(s):  
Old Age ◽  
Psychiatric Illness ◽  
Geriatric Medicine ◽  
The Elderly ◽  
Physical Illness ◽  
Community Based ◽  
Senior Registrar ◽  
Hospital Patients ◽  
Old Age Psychiatry ◽  
Registrar Training

The co-existence of physical and psychiatric illness in so much of the elderly population poses diagnostic and therapeutic problems for psychiatrists, geriatricians and general practitioners alike, with the presence of physical illness strongly influencing and sometimes limiting the options for treatment of the psychiatric illness. Recognition of this has resulted in the Section of Old Age Psychiatry of the Royal College of Psychiatrists recommending that senior registrar training in old age psychiatry should include a one month attachment to an approved geriatric medicine unit.

scholarly journals Old age psychiatry and geriatric medicine admissions and elderly suicide rates in England

2010 ◽  
Vol 22 (3) ◽  
pp. 502-504 ◽  
Author(s):  
Ajit Shah
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
General Practitioner ◽  
Old Age ◽  
Geriatric Medicine ◽  
Healthcare Services ◽  
Suicide Rates ◽  
Old Age Psychiatry ◽  
Elderly Suicide ◽  
Almost All

Almost all elderly suicide victims have mental illness, and up to 90% have depression (Shah and De, 1998). A significant number of elderly suicide victims in Western countries consult their general practitioner or psychiatrist or contact mental health services between one week and six months prior to the suicide (Catell, 1988; Conwell et al., 1990; 1991; Catell and Jolley, 1995; Vassilas and Morgan, 1993; 1994). This offers an opportunity for identification and treatment of the mental illness. Thus, the availability of appropriate healthcare services may be an important factor associated with elderly suicide rates.

Acute inpatient admissions in a community oriented old age psychiatry service

1997 ◽  
Vol 14 (1) ◽  
pp. 4-7 ◽  
Author(s):  
Aideen Freyne ◽  
Margo Wrigley
Keyword(s):  
Psychiatric Disorder ◽  
Old Age ◽  
Chart Review ◽  
Service Providers ◽  
Retrospective Chart Review ◽  
Admission Criteria ◽  
Service Utilisation ◽  
Discharge Destination ◽  
Appropriate Use ◽  
Old Age Psychiatry

AbstractObjective: This study reviewed all inpatient admissions in a community oriented old age psychiatry service with the aim of assessing the appropriateness of admission criteria, obtaining a profile of those admitted, and providing information about service utilisation.Method: A retrospective chart review of all first inpatient admissions from 1989-1993 was carried out. Information concerning sociodemographic and clinical variables, and outcome measures in terms of discharge destination, was obtained.Results: There were 205 first admissions in the study period. There were 37 patients (18%) admitted on an involuntary basis. One per cent of admissions were not assessed at home prior to admission. Six patients had no formal psychiatric disorder, of the remainder 53% had an organic, and 47% a functional psychiatric disorder. Of those admitted 68% were discharged to their original destination. Patients with dementia were more likely to be discharged to nursing homes. Other discharge destinations were also used.Conclusions: The policy of initial domiciliary assessment of all referrals prior to admission is feasible in the majority of cases. Defined admission criteria clarify reasons for admission, and ensures appropriate use of beds. The range of discharge destinations highlights the need for maintaining close ongoing links with other service providers.

scholarly journals Psychiatry and the geriatric syndromes – creating constructive interfaces

2017 ◽  
Vol 41 (2) ◽  
pp. 71-75 ◽  
Author(s):  
Simon Thacker ◽  
Mike Skelton ◽  
Rowan Harwood
Keyword(s):  
Integrated Care ◽  
Elderly People ◽  
Old Age ◽  
Continuity Of Care ◽  
Frail Elderly ◽  
Geriatric Medicine ◽  
Geriatric Syndromes ◽  
Coordinated Care ◽  
Frail Elderly People ◽  
Old Age Psychiatry

SummaryIntegrating mental and physical healthcare is difficult to achieve because of professional and organisational barriers. Psychiatrists recognise the problems resulting from fragmentation of services and want continuity of care for patients, but commissioning and service structures perpetuate these problems. One way forward may be to follow the syndromic model employed by geriatricians as a means of avoiding over-emphasis on diagnosis above the pragmatics of implementing multi-component, coordinated care. Commissioners need to be made aware of the overlap and complementarity of skills possessed by old age psychiatry and geriatric medicine to create joint services for people vulnerable to dementia and delirium. A re-forged alliance between the two specialties will be necessary to turn integrated care for frail, elderly people from rhetoric into reality.

scholarly journals Psychogeriatric training for senior registrars in geriatric medicine

1992 ◽  
Vol 16 (2) ◽  
pp. 78-79 ◽  
Author(s):  
Duncan R. Forsyth
Keyword(s):  
Old Age ◽  
Royal College ◽  
Geriatric Medicine ◽  
Working Party ◽  
Senior Registrar ◽  
Old Age Psychiatry

Since the late 1960s the number of psychiatrists choosing to specialise in old age psychiatry has increased dramatically (Wattis, 1988) and in 1989 the Royal College of Psychiatrists recognised the specialty's status. Recent recommendations of the Royal Colleges of Physicians and Psychiatrists (Report of a Joint Working Party of the Royal Colleges, 1989) have considerable implications for the continued development of cooperation between psychogeriatricians and geriatricians and for senior registrar (SR) training in both specialties. This study attempts to describe the availability of and attitudes towards training in psychogeriatrics (PG) of geriatric SRs.

Topical issues in old age psychiatry

2005 ◽  
Vol 22 (3) ◽  
pp. 103-106 ◽  
Author(s):  
Sharon Foley ◽  
Aideen Freyne
Keyword(s):  
Old Age ◽  
Geriatric Medicine ◽  
Medical Science ◽  
The Elderly ◽  
Demographic Shift ◽  
Republic Of Ireland ◽  
Demographic Projections ◽  
Old Age Psychiatry ◽  
Ultimate Outcome ◽  
The Republic

AbstractWith advancements in medical science over past decades, our aging population has increased substantially. Census studies in 2001 showed that 429,100 of the population of the Republic of Ireland were aged 65yrs and older, making up 11.2% of the overall population. While the overall population of the Republic is expected to remain stable over the next ten years, the demographic projections for the elderly population is for significant growth: numbers of over 65yrs are expected to increase by nearly 108,000 people between 1996 - 2011, comprising over 14.1% of the overall population. In particular, our communities will contain a much higher proportion of octogenarians and nonagenarians: at present 21% of our over 65's are 80 yrs or older; by 2011, it is projected that this number will increase to 25%. In tandem, the prevalence of dementia will increase.In 2000, it was estimated that 31,000 people suffered with dementia in the Republic of Ireland, and this figure is expected to increase by 5000 cases per year between 2001-2011. The ultimate outcome of this demographic shift, will be higher demands on medical services for older people, especially geriatric medicine and old age psychiatry. This paper will focus on two particular aspects of management which will increasingly impact on the work of old age psychiatrists – medicolegal issues and management issues in dementia.

scholarly journals Old age psychiatry and geriatric medicine: Shared challenges, shared solutions?

2017 ◽  
Vol 210 (2) ◽  
pp. 91-93 ◽  
Author(s):  
James Fisher ◽  
Andrew Teodorczuk
Keyword(s):  
Patient Care ◽  
Old Age ◽  
Geriatric Medicine ◽  
Improve Patient Care ◽  
Old Age Psychiatry ◽  
The Common ◽  
Improve Patient

SummaryThe co-occurrence of physical and mental ill health means there is considerable overlap between the patients that geriatric medicine and old age psychiatry serve. In this editorial we detail similarities between the specialisms, highlight the common challenges facing them and argue that closer alignment holds the potential to improve patient care.

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