Geriatric Psychiatry Versus General Psychiatry  Inpatient Treatment of the Elderly

Yazgan, Izzet Cagri; Greenwald, Blaine S.; Kremen, Neil; Strach, Joan; Kramer-Ginsberg, Elisse

doi:10.1176/appi.ajp.161.2.352

Cited by 25 publications

(22 citation statements)

References 10 publications

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“…We must bear in mind that dementia and delirium patients in the intensive care unit with constant nursing care can rapidly rip out the intravenous infusion, nasogastric probe, urinary catheter and the like. In such acute situations, a psychiatrist should try to communicate with bolesnikom na njegovoj razini ohrabrivajući pacijenta i pokušati ga orijentirati u prostoru, vremenu i prema drugim osobama (16,17).…”

Section: Clinical Evaluationmentioning

confidence: 99%

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Dementia and Psychiatric Emergencies in the Elderly Population

et al. 2019

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S obzirom na kontinuirano povećanje broja starijih osoba u ukupnoj populaciji u Hrvatskoj, za očekivati je da će se broj starijih osoba s akutnim psihičkim smetnjama koje zahtijevaju hitno zbrinjavanje sve više povećavati. Najčešći psihički poremećaji kod starijih osoba su: depresivni poremećaji, kognitivni poremećaji, demencija, poremećaji vezani uz uzimanje alkohola, poremećaji vezani uz druga zdravstvena stanja i lijekovima izazvani poremećaji.Gerijatrijski bolesnici bi u pravilu prvo trebali biti pregledani od strane stručnjaka somatske medicine (internista, neurologa, kirurga) prije nego što se upućuju u hitnu psihijatrijsku službu, kako bi se ustanovilo da su primarne smetnje iz psihijatrijske domene. Izražena depresija, suicidalnost, agitacija, sklonosti lutanju i ostalim rizičnim ponašanjima kod kuće, izražena anksioznost i smanjena sposobnost brige o sebi, glavni su razlozi hospitalizacije kod ovih bolesnika./ Related to the fact of the continuous increase in the number of elderly people in the total population of Croatia, it can be expected that the number of elderly people with acute psychiatric disorders that require emergency care will increase. The most common psychiatric disorders found in the elderly are depressive disorders, cognitive disorders, dementia, alcoholrelated disorders, disorders related to other health conditions and drug-induced disorders. Geriatric patients should, generally speaking, first be reviewed by a psychosomatic medical specialist (internist, neurologist, surgeon) before they are sent to psychiatric emergency services in order to establish that the primary complaint is connected with the psychiatric domain. Pronounced depression, suicidality, agitation, wandering tendencies and other home-based risk behaviours, with anxiousness and reduced self-care ability, are the main reasons for hospitalization. ADRESA ZA DOPISIVANJE / CORRESPONDENCE:Doc. dr. sc. Miroslav Herceg, dr. med. Klinika za psihijatriju Vrapče

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Section: Clinical Evaluationmentioning

confidence: 99%

“…Važne su nam detaljne informacije o prijašnjim psihijatrijskim liječenjima, somatskim, kirurškim i drugim liječenjima, naročito ozljedama. Također treba obratiti pozornost na eventualno a demented patient at his level by encouraging the patient and trying to orient him in space, time and in relation with other people (16,17).…”

Section: Clinical Evaluationunclassified

Dementia and Psychiatric Emergencies in the Elderly Population

et al. 2019

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“…Subspecialties such as geriatric psychiatry have been established in recognition of the distinct needs of older patients. Some studies have found that specialized care for elderly patients offer clinical advantages 1,2 . At the same time, psychiatric problems have been reported in elderly patients hospitalized in psychiatric units, much as has been noted in younger patients 3 …”

Section: Introductionmentioning

confidence: 99%

Features of elderly patients admitted to a general hospital psychiatric unit

et al. 2006

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“…Dabei liegen Hinweise vor, dass psychia− trische Abteilungen allgemeinmedizinischen Ab− teilungen überlegen sind [14] und in der Gruppe der demenziellen Störungen eine zusätzliche Subspezialisierung in gerontopsychiatrischen Spezialeinheiten für die Patienten gewinnbrin− gend ist [15,16] In der GP−Gruppe wurden während einer antidepressiven Thera− pie sehr viel häufiger Laborwerte bestimmt als in der AP−Gruppe (t < 0,05, df = 73). Trizyklische Antidepressiva wurden in der AP− Gruppe signifikant häufiger verabreicht als in der GP−Gruppe (t < 0,01, df = 73).…”

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“…Besonders hervorzuheben ist, dass ein signifikant höherer Prozentsatz der in der GP behandelten Patienten eine umfassende somatische Untersuchung sowie Antidepressiva der neueren Generation erhielt. Andere neuere Studien kommen zu ähnlichen Ergebnissen [15,16]. Die fehlenden Unterschiede bei anderen Variablen könnten in der stationsübergreifenden Organisation der Behandlungssitua− tion begründet sein.…”

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