title: Bridging the chasm: incorporating the medically compromised patient into psychiatric practice.
abstract: 1. In response to health care reform, psychiatric nursing has identified an expanded role that includes providing care to patients with complex health problems. 2. Conceptual changes of role responsibilities and time commitments to individual and milieu care are vital in supporting a change in the traditional psychiatric milieu. 3. Acknowledging and helping staff accept the unpredictability of certain medical conditions is key to success in providing quality integrated care to the medically compromised psychiatric patient.
authors.affiliation: Department of Psychiatry, Rush-Presbyterian St. Luke's Medical Center, Chicago, Illinois 60612, USA.
authors.forename: E
authors.initials: E
authors.lastname: Krch-Cole
authors.forename: P
authors.initials: P
authors.lastname: Lunch
authors.forename: J
authors.initials: J
authors.lastname: Hughes
authors.forename: D A
authors.initials: DA
authors.lastname: Nakanishi
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence; D004509:Education, Nursing, Continuing; D006801:Humans; D001523:Mental Disorders / Q000150:complications* / Q000451:nursing*; D008884:Milieu Therapy / Q000592:standards; D018579:Patient Selection; D018802:Patient-Centered Care / Q000458:organization & administration*; D011568:Psychiatric Nursing / Q000458:organization & administration*