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The trust’s emergency department psychiatry service in Oxfordshire offers support to people who arrive at A&E departments in Oxford and Banbury.
Technology Assisted Psychiatry (TAP) enables speedier consultation and support for patients thanks to video conferencing between the A&E and psychiatrists.
Over half of older hospital inpatients have co-existing cognitive impairment but the majority do not have a preadmission diagnosis of dementia [1]. Delirium (acute confusional state) is highly prevalent, affecting around one-fifth of acute medical admissions and reaching rates of over 40% in the oldest old [2, 3]. Delirium, perhaps even more than dementia, is associated with high care needs and poor outcomes [4, 5], but is often poorly recognised by staff who are more focussed on physical aspects of illness, or may not be trained in the care of complex older patients [6, 7].. To read the full article, log in using your MPFT NHS OpenAthens details.
The City of Wolverhampton has much higher rates of accident and emergency (emergency department) attendance and hospital admission for alcohol-related harm than in neighbouring health authorities and double the national death rate from alcohol-related liver disease. Recovery Near You, the local addiction service, in partnership with The Royal Wolverhampton NHS Trust, initiated a nurse-led drug and alcohol liaison team to address these health issues. To read the full article, log in using your NHS OpenAthens details.
Psychological Services Vol. 15, Iss. 3, (Aug 2018): 270-278.
Emergency department (ED) clinicians routinely decide the disposition of patients with suicidal ideation, with potential consequences for patient safety, liability, and system costs and resources. An expert consensus panel recently created a 6-item decision support tool for patients with passive or active suicidal ideation.. To read the full article, log in using your NHS OpenAthens details.
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The authors report on a pilot study of an inpatient intervention for suicidal adolescents, As Safe as Possible (ASAP), supported by a smartphone app (BRITE) to reduce suicide attempts following hospital discharge.. Login at top right hand side of page using your MPFT NHS OpenAthens for full text. SSOTP (legacy account)- Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Suicidal self-poisoning is a medical emergency but it is also a psychiatric one. Yet before a psychiatrist can be engaged it is often necessary for a physician or paediatrician to set the scene. Young people who have just taken a massive risk with their lives are in a turmoil of rage, fear, grief and shame. Though some will be keen to talk, others may be harder to reach. ‘The fact that young people who have self-harmed arrive at A&E feeling like ‘rubbish’ may predispose them to perceive staff attitudes and behaviours as hostile and punitive, even when staff do not intend them as such.’1 An attentive and careful medical assessment conveys that the problem is taken seriously by the hospital, for which patients will often in time be grateful.. To read the full article, log in using your NHS OpenAthens details.
We are in the process of developing a standardised treatment and management plan for people with confusion in hospital. (By confusion we mean people with dementia, delirium, or unspecified cognitive impairment.)
We describe the way psychiatric issues are addressed by inpatient medical teams through analysis of discussions of patients with behavioral health concerns and examination of teams’ subsequent consultation practices.
Delirium is an acute clinical emergency that requires prompt clinical intervention. A predisposing factor for delirium is dementia, and delirium may highlight the vulnerability of a patient to developing dementia. However, delirium also occurs during an acute illness in patients diagnosed with dementia; this is classified as delirium superimposed on dementia. This complex interplay of both dementia syndromes and the condition of delirium has been extensively studied. However, delirium continues to be under-recognised in the acute setting, which impacts negatively on patient outcomes.
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This article highlights the vulnerability of people with dementia in the acute hospital setting, where they are more likely to experience clinical incidents such as falls, contract infections and be prescribed neuroleptic drugs. This patient group has a significantly longer length of hospital stay and higher mortality rate following discharge compared with those without dementia.
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Hospitals fail to recognise dementia in a third of patients who have already had the condition diagnosed if they are admitted to hospital for a different reason, a UK study has found.
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Delirium is a common and serious complication of hospitalisation in older adults. It can lead to prolonged hospital stay, institutionalisation, and even death. However, it often remains unrecognised or is not managed adequately. The aim of this study was to evaluate the effects of an educational intervention for nursing staff on three aspects of clinical practice concerning delirium in older hospitalised patients: the frequency and correctness of screening for delirium using the 13-item Delirium Observation Screening score (DOS), and the frequency of geriatric consultations requested for older patients. The a priori expectations were that there would be an increase in all three of these outcomes.
The article offers advice on how nurses and other care providers can support the families and family relationships of a hospitalized dementia patient. It discusses the need for effective, clear communication with family members, especially those acting as informal carers. The author goes on to explain how such communication can increase family involvement in a patient's care and treatment.
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Ballarat Health Services in partnership with Alzheimer’s Australia and consumers developed the DCHP program that reduces harm using a:
— validated screening tool >65 yrs
— nine key communication strategies for all who engage with the patient
— bedside Cognitive Impairment Identifier to alert staff as to their responsibilities to the patient