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Related Experiment Videos

Psychogeriatric emergencies

G J Kennedy1, R Lowinger

  • 1Albert Einstein College of Medicine.

Clinics in Geriatric Medicine
|August 1, 1993
PubMed
Summary
This summary is machine-generated.

Geriatric medicine clinicians can identify mental health emergencies in older adults. Early identification of conditions like elder abuse and anxiety is crucial for preventing crises and improving seniors

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Area of Science:

  • Geriatric Medicine
  • Psychiatry
  • Public Health

Background:

  • Clinicians specializing in geriatric medicine are trained to identify contributors to life-threatening mental states in older adults.
  • Established clinical protocols exist for assessing changes in mental status, focusing on less common causes and treatment complications.
  • Increasing societal pressures, including economic distress and demographic shifts, are linked to rising rates of late-life suicide and elder abuse.

Purpose of the Study:

  • To highlight the importance of psychiatric consultation in managing complex mental health issues in older adults.
  • To emphasize the challenges in identifying preventable emergencies such as unsuspected suicidality, elder abuse, and unrecognized anxiety disorders.
  • To explore the potential impact of community outreach programs on emergency care costs and seniors' quality of life.

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Main Methods:

  • Review of clinical practices in geriatric medicine for assessing mental status changes.
  • Discussion of scenarios necessitating psychiatric consultation, including suspected major mental disorders, suicidal/assaultive ideation, and family/patient conflict.
  • Analysis of factors hindering emergency department physicians from recognizing less obvious psychiatric emergencies.

Main Results:

  • Psychiatric consultation is beneficial for suspected major mental disorders, suicidal/assaultive ideas, and resolving treatment decision conflicts.
  • Preventable emergencies arising from unsuspected suicidality, elder abuse, or anxiety disorders present a significant clinical challenge.
  • The pressures of emergency department practice and complex patient pathology can impede the recognition of these critical conditions.

Conclusions:

  • While clinicians are trained to identify mental health contributors in older adults, subtle emergencies remain challenging.
  • The rising incidence of late-life suicide and elder abuse necessitates proactive strategies.
  • The effectiveness of community outreach in mitigating emergency care costs and enhancing seniors' quality of life requires further investigation.