Psychiatric consultation in a teaching nursing home.
The first 60 psychiatric consultations provided to a university-affiliated teaching nursing home are reviewed. All patients seen had a diagnosable mental disorder, and over 40% suffered from major affective illness. Consultation resulted in a critical change in diagnosis and management in more than one-third of patients. The authors discuss the benefits and drawbacks of psychiatric consultation for nursing home patients, staff physicians, and the psychiatrists themselves.
Goldman
L S
LS
Consultation-Liasion Service, University of Illinois College of Medicine, Chicago.
Klugman
A
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002641:Chicago; D003704:Dementia / Q000628:therapy; D005260:Female; D005852:Geriatric Psychiatry / Q000193:education*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D009735:Nursing Homes; D012017:Referral and Consultation