title: The impact of medical issues in inpatient geriatric psychiatry.
abstract: At an advanced age, serious medical and psychiatric illnesses frequently coalesce. Often, the need for admission to inpatient geriatric psychiatric care arises from coexisting medical problems. While cognitive and behavioral interventions are important, the complexity of physical comorbidities usually becomes the focus of hospitalization and requires intensive medical treatments. This paper describes adaptations made in one metropolitan geriatric psychiatry unit in order to better treat complex patients who experience both medical and psychiatric illness. The need for all members of the interdisciplinary team to expand their practice and the importance of complementary approaches of psychiatry and medicine are emphasized.
authors.affiliation: Johnston R. Bowman Health Center, Rush University Medical Center, Chicago, Illinois, USA. b.inventor@comcast.net
authors.forename: Ben Remor E
authors.initials: BR
authors.lastname: Inventor
authors.forename: John
authors.initials: J
authors.lastname: Henricks
authors.forename: Leslie
authors.initials: L
authors.lastname: Rodman
authors.forename: Joel
authors.initials: J
authors.lastname: Imel
authors.forename: Lance
authors.initials: L
authors.lastname: Holemon
authors.forename: Fernando
authors.initials: F
authors.lastname: Hernandez
mesh_terms: D000368:Aged; D000465:Algorithms; D015897:Comorbidity; D003266:Continuity of Patient Care / Q000458:organization & administration; D003663:Decision Trees; D016330:Frail Elderly; D015577:Geriatric Assessment; D005851:Geriatric Nursing / Q000458:organization & administration*; D005852:Geriatric Psychiatry / Q000458:organization & administration*; D006301:Health Services Needs and Demand; D006760:Hospitalization; D006801:Humans; D007388:Internal Medicine / Q000458:organization & administration; D001523:Mental Disorders / Q000150:complications / Q000628:therapy; D009730:Nursing Assessment; D009788:Occupational Therapy / Q000458:organization & administration; D009936:Organizational Innovation; D010348:Patient Care Team / Q000458:organization & administration*; D010351:Patient Discharge; D010353:Patient Education as Topic; D011568:Psychiatric Nursing / Q000458:organization & administration*; D012149:Restraint, Physical; D017751:Safety Management / Q000458:organization & administration; D012949:Social Work, Psychiatric / Q000458:organization & administration