The Socializing Role of Psychiatric Ward Personnel

1954 ◽  
Vol 54 (1) ◽  
pp. 53 ◽  
Author(s):  
Francoise R. Morimoto
1981 ◽  
Vol 26 (5) ◽  
pp. 334-336 ◽  
Author(s):  
Joel Sadavoy

This study examines treatment outcome in 52 psychogeriatric patients to help determine the role of the general hospital in psychiatric care of the elderly. The author reviewed the charts of all patients 65 years of age and over admitted to the psychiatric ward from 1974 to 1978. Approximately 80% of this group showed symptom remission. Treatment failures correlated closely with the presence of major organic brain syndrome. Despite an average age of 73.4 years and a high proportion of widowed patients only 10 patients needed new placements on discharge. The author discusses the reluctance of general hospitals to treat the psychogeriatric patient despite the high success rate, the merits of such an active treatment approach and the effect of short-term therapy programs on the treatment of this group.


1992 ◽  
Vol 9 (1) ◽  
pp. 17-23
Author(s):  
Colin Gray ◽  
Douglas Chisholm ◽  
Patricia Smith ◽  
Madeline Brown ◽  
Christina McKay

AbstractThe concept of the child psychiatric unit is considered. The character, capacities and activities of one unit are described and some features of the admissions over its first 21 years are discussed in relation to the findings of other studies. Among the factors considered are the patients' presenting diagnoses, their sex, their physical health and their length of stay in the Unit. Some possible future directions for the Unit are discussed, and the pattern of work over the two decades covered by the study is related to current and future requirements. It is suggested that for several categories of disorder, a child psychiatric unit offers unique advantages in both assessment and treatment.


2013 ◽  
pp. 93-98
Author(s):  
Lucio Brugioni ◽  
Paola Magnani ◽  
Eleonora Berti ◽  
Cristina Gozzi ◽  
Francesca De Niederhausern ◽  
...  

AIM OF THE STUDY The aim of this work was to evaluate the epidemiology of suicidal attempts by ingestion of drugs in our area. MATERIALS AND METHODS This is a retrospective study considering all patients admitted to the hospital between January 2004 and December 2006 for suicidal attempts using drugs. RESULTS A total of 111 patients were seen in our Department in the evaluated period. The large majority of patients were women (75%). Suicidal attempt was more common in individuals aged 31 to 40 years. The more common drugs used were: BDZ (28%), anti-depressive (21%), anti-psychotics (10%) and anti-epileptics (8%). A gastric washout was performed in 65.8% of all patients admitted to the hospital. The most used antidote was flumazenil. Alterations of laboratory exams were seen only in a small percentage of the cases. In the majority of cases, suicide was at the first attempt. 71% of patients were followed by psychiatrist and were taking daily psychiatric pharmacologic therapy; 5% had a history of previous admission to the hospital in a psychiatric ward; only 24% had no a history of a prior mental illness. 43% of patients were admitted to a psychiatric ward after intensive treatment in our department. Self-discharging was not usual (10%), and only few patients were restrained against their will (3%). CONCLUSIONS Our study has identified some risk factors for a suicidal attempt. Family doctors should have a stronger control of their patients with mental illness especially during the first period of treatment. In future it should be very helpful to create an informatic network connecting all departments involved in the care of these patients. Moreover, it is crucial to increase the role of family doctors in the care of psychiatric patients after their hospitalization.


1954 ◽  
Vol 114 (6) ◽  
pp. 458-459
Author(s):  
George W. Baier ◽  
Robert A. Solow

2020 ◽  
Vol 180 ◽  
pp. 108800 ◽  
Author(s):  
Andrea Aguglia ◽  
Gianluca Serafini ◽  
Andrea Escelsior ◽  
Mario Amore ◽  
Giuseppe Maina

Suicidologi ◽  
2015 ◽  
Vol 18 (2) ◽  
Author(s):  
Kari Gjelstad ◽  
Kim Larsen

Planlegging av bygging og innredning av psykiatriske akuttavdelinger er en prosess som fordrer et blikk for arkitekturens rolle i å påvirke menneskelig adferd og samspill, og bevissthet om viktigheten av arkitektur og innredning i det selvmordsforebyggende arbeidet. En psykiatrisk avdeling skal ha høy grad av sikkerhet mot mulighet for villet egenskade og selvmord, samtidig som den skal gi gode rammer for terapeutisk arbeid og ivareta pasientenes privatliv og integritet på best mulig måte. Artikkelen beskriver erfaringer fra planleggingen av nytt Østfoldsykehus, og gir eksempler på de prosesser og avveininger som legger grunnlag for utforming av bygg og lokaler, samt for valg av materialer og utstyr i en psykiatrisk avdeling. The planning of the construction and furnishing of acute psychiatric wards demands a keen eye for the role of architecture in influencing human behaviour and interaction, and an awareness of the importance of architecture and fixtures in suicide prevention. A psychiatric ward needs a high standard of security to prevent deliberate self-harm and suicide. At the same time, the ward should provide a good location for therapeutic work, and respect the patients' integrity and need for privacy. The paper describes experiences from the planning of a new hospital in Østfold county, and presents examples from the process of cooperation between builder, architects and psychiatric personnel in the construction and furnishing of the psychiatric ward at a new hospital. The paper focuses on the design of the building and facilities as well as choice of materials, fixtures and furniture.


2021 ◽  
Vol 14 (3) ◽  
pp. e240059
Author(s):  
Kim Maria Frances Porter ◽  
Iain Parry Hargreaves ◽  
Stephen De Souza ◽  
Rebecca Goddard

We report the cases of two patients who developed worsening behavioural and psychological symptoms of dementia (BPSD), coinciding with starting the factor Xa inhibitor direct oral anticoagulant medications apixaban and rivaroxaban, respectively. Both patients required detaining under the Mental Health Act. Their symptoms improved significantly, within 2 weeks, on switching to alternative anticoagulant therapies and they were both discharged from the acute psychiatric ward. Front-line staff should partake in postmarketing surveillance of medications, completing the Medicines and Healthcare products Regulatory Agency yellow cards for example (UK). There is increasing evidence for an aetiological role of cerebral mitochondrial dysfunction in neuropsychiatric disorders. Development of a rating scale of drugs that are potentially less toxic to cerebral mitochondria could inform national prescribing guidelines and enable safer treatments to be offered to older people, reducing the likely hood of them experiencing apparent BPSD.


2003 ◽  
Vol 11 (2) ◽  
pp. 199-203 ◽  
Author(s):  
Sharon Lawn ◽  
Rene Pols

Objective: The aims of the present paper are to describe the experiences of patients and staff regarding smoking and violence in locked inpatient settings, and to stimulate debate about the role of nicotine withdrawal in contributing to those experiences. Method: Interviews were performed with 24 patients and 26 staff attached to a stand-alone psychiatric hospital. Participant observation of the inpatient setting was performed over a 6-month period. Data were triangulated and thematically analysed using the grounded theory method, ethnographic method, and descriptive and inferential statistics. Results: Staff used cigarettes to clinically manage patients’ symptoms and behaviour. A combative environment existed between patients and staff, fuelled by staff controlling the supply of cigarettes to patients. Physical structures separating staff and patients heightened this problem. Nicotine withdrawal appeared to be misattributed for signs of impending violence or illness relapse. No nicotine replacement therapy was given to patients and no staff acknowledged patients’ nicotine withdrawal other than to ensure the continued supply of cigarettes to patients. Conclusions: In locked psychiatric settings, staff appear to use cigarettes to clinically manage patients and to avoid violence by patients. No clear clinical strategies for addressing nicotine withdrawal within psychiatric locked settings appear to exist.


2020 ◽  
Vol 47 ◽  
pp. 101837
Author(s):  
Teruyuki Matsuoka ◽  
Shogo Taniguchi ◽  
Ayu Imai ◽  
Hiroshi Fujimoto ◽  
Jin Narumoto

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