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Related Concept Videos

Hospitals-I01:28

Hospitals-I

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Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
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Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
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Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
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Specialized Care Centers and Settings-I01:30

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Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
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Inpatient psychiatry unit devoted to COVID-19 patients.

Nahla Mahgoub1, Smita Agarkar1, Michael Radosta2

  • 1Clinical Associate Professor of Psychiatry, Weill Cornell Medicine/Gracie Square Hospital, 420 E. 76th Street, New York, NY 10021, United States of America.

Comprehensive Psychiatry
|March 22, 2021
PubMed
Summary

This study details strategies for managing psychiatric patients with COVID-19 in an inpatient setting. It addresses challenges like treatment refusal and compliance, focusing on protocol reform and technology to ensure acute mental health care.

Keywords:
COVID-19 pandemicCOVID-19 psychiatric unitPsychiatric patients with COVID-19

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Area of Science:

  • Psychiatry
  • Infectious Disease Management
  • Healthcare Operations

Background:

  • The COVID-19 pandemic created significant challenges for mental health care delivery.
  • Inpatient psychiatric units faced unique difficulties in managing patients with COVID-19, particularly concerning virus transmission.
  • Gracie Square Hospital established a dedicated unit for psychiatric patients with COVID-19.

Purpose of the Study:

  • To describe the strategies employed by Gracie Square Hospital to manage the challenges of treating psychiatric patients with COVID-19.
  • To outline methods for mitigating virus transmission within an inpatient psychiatric setting.
  • To ensure the provision of acute psychiatric treatment during the pandemic.

Main Methods:

  • Reformation of existing protocols for patient care and safety.
  • Expansion of technology integration for treatment and monitoring.
  • Development of a supportive platform for staff well-being.
  • Standardization of clinical practices for COVID-19 positive psychiatric patients.

Main Results:

  • Successfully managed challenges including treatment refusal and compliance issues related to psychosis and agitation.
  • Implemented new protocols and technological solutions to address transmission risks.
  • Supported staff psychological well-being during a high-stress period.
  • Provided continuous acute psychiatric care to COVID-19 patients.

Conclusions:

  • Effective management of psychiatric patients with COVID-19 requires adaptive strategies, including protocol reform and technological integration.
  • Addressing staff well-being is crucial for sustained care delivery in infectious disease crises.
  • Dedicated units and standardized practices are essential for safely treating this vulnerable population.