Psychiatric disorders impacting critical illness.
An astounding 30% to 50% of older patients who are hospitalized for a medical condition also have a psychiatric disorder. The intent of this article is to prepare acute care nurses to meet the mental health needs of older adults with a critical illness and prevent untoward sequelae of medical events. The authors discuss the importance of baseline assessment data, issues related to informed consent, manifestations of common psychiatric disorders that may be seen in older adults in the acute care setting, as well as strategies to improve patient outcomes.
Division of Acute, Critical and Long-Term Care, University of Michigan School of Nursing, 400 North Ingalls Building, Ann Arbor, MI 48109, USA. Electronic address: lstruble@umich.edu.
Laura M
LM
Struble
Division of Acute, Critical and Long-Term Care, University of Michigan School of Nursing, 400 North Ingalls Building, Ann Arbor, MI 48109, USA.
Barbara J
BJ
Sullivan
University of Michigan Hospitals and Health System, University of Michigan School of Nursing, 400 North Ingalls Building, Ann Arbor, MI 48109, USA.
Laurie S
LS
Hartman
D000368:Aged; D000369:Aged, 80 and over; D001569:Benzodiazepines / Q000627:therapeutic use; D001714:Bipolar Disorder / Q000453:epidemiology; D015897:Comorbidity; D064648:Critical Care Nursing; D016638:Critical Illness / Q000453:epidemiology*; D003704:Dementia / Q000451:nursing / Q000523:psychology; D003863:Depression / Q000453:epidemiology; D015577:Geriatric Assessment; D005851:Geriatric Nursing; D006760:Hospitalization; D006801:Humans; D007258:Informed Consent; D001523:Mental Disorders / Q000453:epidemiology* / Q000628:therapy*; D019964:Mood Disorders / Q000453:epidemiology; D013313:Stress Disorders, Post-Traumatic / Q000451:nursing / Q000523:psychology; D013405:Suicide / Q000706:statistics & numerical data
D001569:Benzodiazepines
Critical care; Medical illness; Older adults; Psychiatric disorders