scholarly journals Psychiatric patients and their medical care

1992 ◽  
Vol 16 (2) ◽  
pp. 88-90
Author(s):  
Sunny Collings ◽  
Sara Myers
Keyword(s):  
Medical Care ◽  
Psychiatric Patients ◽  
Psychological Problem ◽  
Referral And Consultation ◽  
Medical Attention ◽  
Physical Medicine ◽  
Physical Problems ◽  
State Of Affairs ◽  
Psychiatric Problems ◽  
Physical Morbidity

Informal discussions between psychiatric trainees reveal frequent difficulties and frustrations in providing adequate medical care to psychiatric patients. Our writing this article was prompted by the death of a patient who had been referred to casualty with behavioural and physical problems, and who, once labelled as a ‘psychiatric patient, did not receive the medical attention he required. Other trainees will have their own similar examples, at best resulting in only inconvenience to the junior doctor. This may seem surprising given the knowledge that people with psychiatric problems suffer increased physical morbidity. We were all taught as medical students that a physical presentation may mask a psychological problem and vice versa, and that both problems may co-exist. However, this knowledge does not always impinge on hospital clinical practice. From the viewpoint of junior psychiatrists, cross-specialty referral and consultation, and the provision of adequate medical care to our patients can be difficult. In this discussion, we will deal briefly with the contribution of ‘physical’ medicine to this state of affairs and then turn in more detail to the influence of psychiatry. Recommendations for improvement are made.

Physical Illness in Psychiatric Patients

1968 ◽  
Vol 114 (516) ◽  
pp. 1365-1369 ◽  
Author(s):  
G. P. Maguire ◽  
K. L. Granville-Grossman
Keyword(s):  
Catchment Area ◽  
Psychiatric Illness ◽  
Psychiatric Patients ◽  
Physical Illness ◽  
The Other ◽  
Factors Affecting ◽  
Mental Disturbance ◽  
High Incidence ◽  
Psychiatric Problems ◽  
Physical Morbidity

The practice of psychiatry overlaps appreciably that of the other branches of Medicine. A high incidence of psychiatric illness has been found in out-patients attending medical and surgical clinics (Shepherd, Davies and Culpan, 1960; and Davies, 1964), and among in-patients in general medical and surgical wards (Meyer and Mendelson, 1960; Fleminger and Mallett, 1962; Eilenberg, 1965; Granville-Grossman, 1967). Other studies have shown an appreciable incidence of physical illness in out-patients attending psychiatric clinics (Davies, 1965), in psychiatric in-patients in a teaching hospital (Marshall, 1949; and Herridge, 1960), and in patients with mental disturbance attending general practitioners (Shepherd, Cooper, Brown and Kalton, 1964, 1966). The extent to which ordinary psychiatric in-patient practice involves dealing with non-psychiatric problems does not appear to have been extensively studied, although Davies, D. W. (1964) has indicated the presence of considerable physical morbidity within a psychiatric hospital population. We here describe an investigation into the incidence of physical morbidity among in-patients admitted to a general hospital psychiatric unit with a total responsibility to a catchment area population of 90,000, and into some of the factors affecting this incidence.

scholarly journals General medical care of long-stay psychiatric patients: a pilot study

1992 ◽  
Vol 16 (6) ◽  
pp. 332-334
Author(s):  
Danny Allen ◽  
Sally Pugh-Williams
Keyword(s):  
Health Care ◽  
General Practice ◽  
General Practitioner ◽  
Pilot Study ◽  
Medical Care ◽  
Psychiatric Patients ◽  
The Elderly ◽  
General Medical Care ◽  
Psychiatric Units ◽  
Physical Morbidity

Studies have shown that significant physical morbidity exist within psychiatric units (Honig et al, 1989), yet general medical care is often left in the hands of psychiatrists who may not always be the most appropriate people to deliver it (Colenda et al, 1988). The new general practice contract places certain obligations on the general practitioner (GP) with regard to his or her patients, especially the elderly, yet these provisions do not extend to many of our patients. Our study looks at four areas of health care and examines how they are delivered to long-stay patients in a district pyschiatric unit with no GP input.

Responses to External Emotions or their Transitions at Central to Peripheral Nervous System Levels: A Methodological Contribution to Mental Health

2020 ◽  
Vol 16 (2) ◽  
pp. 138-152
Author(s):  
Bingren Zhang ◽  
Chu Wang ◽  
Chanchan Shen ◽  
Wei Wang
Keyword(s):  
Healthy Volunteers ◽  
Psychiatric Patients ◽  
Event Related Potentials ◽  
Emotional Stimuli ◽  
Non Invasive ◽  
Related Potentials ◽  
Different Populations ◽  
Invasive Techniques ◽  
Psychiatric Problems ◽  
Different Levels

Background: Responses to external emotional-stimuli or their transitions might help to elucidate the scientific background and assist the clinical management of psychiatric problems, but pure emotional-materials and their utilization at different levels of neurophysiological processing are few. Objective: We aimed to describe the responses at central and peripheral levels in healthy volunteers and psychiatric patients when facing external emotions and their transitions. Methods: Using pictures and sounds with pure emotions of Disgust, Erotica, Fear, Happiness, Neutral, and Sadness or their transitions as stimuli, we have developed a series of non-invasive techniques, i.e., the event-related potentials, functional magnetic resonance imaging, excitatory and inhibitory brainstem reflexes, and polygraph, to assess different levels of neurophysiological responses in different populations. Results: Sample outcomes on various conditions were specific and distinguishable at cortical to peripheral levels in bipolar I and II disorder patients compared to healthy volunteers. Conclusions: Methodologically, designs with these pure emotions and their transitions are applicable, and results per se are specifically interpretable in patients with emotion-related problems.

KAMEDO Report No. 87: Bomb Attack in Finnish Shopping Center, 2002

2007 ◽  
Vol 22 (1) ◽  
pp. 86-88 ◽  
Author(s):  
Edward Deverell ◽  
Per Örtenwall ◽  
Ola Almgren ◽  
Louis Riddez
Keyword(s):  
Terrorist Attacks ◽  
Medical Attention ◽  
Shopping Center ◽  
Main Hospital ◽  
Bomb Attack ◽  
Psychiatric Problems

AbstractThe detonation of a bomb in a shopping center in Vantaa, Finland, took place on 11 October 2002. Seven people died as a result and > 160 people required medical attention. Because the rescue teams were inadequately trained to respond to terrorist attacks, the event was handled according to protocol. A number of problems arose, including: people from different rescue agencies were difficult to distinguish from each other; there was inadequate communication between the incident site and the main hospital; relatives of victims were not kept informed; and psychiatric problems in the wake of the disaster were not addressed sufficiently.

An Analysis of the Perception of Psoriasis Symptoms and the Impact on Willingness to Seek Medical Attention

2020 ◽  
Vol 5 (3) ◽  
pp. 109-113
Author(s):  
Jeremy K. Bray ◽  
Steven R. Feldman
Keyword(s):  
Medical Care ◽  
Analysis Of Variance ◽  
Daily Life ◽  
Severe Psoriasis ◽  
Mechanical Turk ◽  
Amazon Mechanical Turk ◽  
Medical Attention ◽  
Medical Visit ◽  
Daily Lives ◽  
The Impact

Background: Most people with psoriasis do not have a medical visit for psoriasis within a given year. Objective: To assess individuals’ perceptions of the impact of psoriasis symptoms and how this impact affects willingness to seek medical attention. Methods: A total of 302 subjects with self-reported psoriasis were recruited through Amazon Mechanical Turk and surveyed via Qualtrics to assess the impact of psoriasis on their daily lives and willingness to seek medical care. Comparisons were made between subjects presented with either an image of mild psoriasis or severe psoriasis. Outcome measures were evaluated on a 10-point Likert scale and compared using 1-way analysis of variance and 2-group t tests. Results: In the mild and severe psoriasis groups, those who rated the impact on their daily life ≥8 (1-10 scale) reported a greater willingness to seek medical attention for their psoriasis ( M = 9.1, SD = 1.5) compared to those who rated the impact between 6 and 7 ( M = 7.5, SD = 1.9, P < .01) and between 1 and 5 ( M = 6.4, SD = 2.4, P < .01). Those who rated the impact between 6 and 7 ( M = 7.5, SD = 1.9) reported a greater willingness to seek medical attention compared to those who rated the impact between 1 and 5 ( M = 6.4, SD = 2.4, P < .01). Conclusion: Patients with psoriasis may not visit a dermatologist in part due to not viewing their symptoms as severe enough to seek medical attention.

Mental Health Improvement Through Physical Therapy: Polish Perspective

2016 ◽  
Vol 33 (S1) ◽  
pp. S487-S488
Author(s):  
A.R. Szczegielniak ◽  
J. Szczegielniak
Keyword(s):  
Mental Health ◽  
Media Coverage ◽  
Physical Therapists ◽  
Psychiatric Patients ◽  
Well Being ◽  
Health Improvement ◽  
Physical Medicine ◽  
Anxiety Management ◽  
Care Workers ◽  
Competing Interest

Among people suffering from mental conditions increased prevalence of diabetes, cardiovascular disease, hypertension and respiratory disease is observed, with considerably higher levels of morbidity and mortality. Still, mental conditions are neglected and not treated equally to other medical states in Poland. It is commonly believed that psychiatric patients are violent and unpredictable, even though they are more likely to be a victim of violence themselves. This attitude, reinforced by media coverage and observed also among health care workers, results in unwillingness to have any relations with mental patients due to fear of them being aggressive. Connection between physical well-being and mental health is well known. Physical therapists have necessary knowledge and skills to support development of individual independence, anxiety management and lifestyle control in order to keep patients healthier. It can be done by specially designed treatment programmes consisting of exercises, manual techniques and physical medicine procedures. Lack of understanding of this valuable connection results in insufficient emphasis on the presence of physiotherapist in the multidisciplinary therapeutic team on psychiatric wards nationwide. The study focuses on summary of the current situation in Poland and starts discussion on possible areas of improvements.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Skin Manifestations of Outpatient Adverse Drug Events in the United States: A National Analysis

2013 ◽  
Vol 17 (4) ◽  
pp. 269-275 ◽  
Author(s):  
Peter Koelblinger ◽  
Tushar S. Dabade ◽  
Cheryl J. Gustafson ◽  
Scott A. Davis ◽  
Brad A. Yentzer ◽  
...  
Keyword(s):  
United States ◽  
Medical Care ◽  
Antimicrobial Agents ◽  
Adverse Drug Events ◽  
The United States ◽  
Medical Attention ◽  
Skin Reactions ◽  
Care Survey ◽  
National Analysis ◽  
Ambulatory Medical Care

Background: Cutaneous reactions to drugs are among the most common clinical manifestations of adverse drug events (ADEs); however, data on outpatient cutaneous adverse drug events (CADEs) are limited. Purpose: To provide national estimates of outpatient CADEs and determine their most frequent causes. Methods: Outpatient CADEs recorded in the National Ambulatory Medical Care Survey (NAMCS) and the National Hospital Ambulatory Medical Care Survey (NHAMCS) between 1995 and 2005 were analyzed. The national incidence of outpatient CADEs in those seeking medical attention in the United States was estimated, and the common medication classes implicated with CADEs were identified. Results: There were a mean annual total of 635,982 CADE-related visits, resulting in an annual incidence of 2.26 CADEs per 1,000 persons. Patients took an average of 2.2 medications in addition to the one causing the CADE. The incidence of CADEs increased with age, with a peak in the age group from 70 to 79 years. The medications most frequently causing a CADE were antimicrobial agents. Dermatitis and urticaria were the two main types of skin reactions reported. Conclusions: CADEs occur less frequently in outpatients than in inpatients and result in few hospital admissions. Physicians must be particularly cognizant of the occurrence of CADEs when prescribing antimicrobial agents.

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