Psychogeriatric emergencies

Gary J. Kennedy, R. Lowinger

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Through training and orientation, clinicians specializing in geriatric medicine are well-equipped to identify the various contributors to life- threatening mental states and associated conditions of older adults. The clinical drill to sort out factors contributing to a change in mental status is well-known and only the less frequently encountered causes and complications of treatment are considered in the previous paragraphs. In situations where a major mental disorder or suicidal or assaultive ideas are suspected, psychiatric consultation will be helpful. When treatment decisions (e.g., acceptance of hospital admission or diagnostic procedures) are difficult to resolve because of distress or conflict in the patient or family, a psychiatric consultation should also be considered. The more challenging task lies in the area of preventable emergencies, those that arise as a result of unsuspected suicidality, elder abuse or an unrecognized anxiety disorder. The pressures of ED practice and the complexity of pathology seen in the clinic work against keeping the physician alert to these possibilities. However, the present economic distress and demographic shifts in American society are unlikely to slow the increase in late life suicide and abuse. The extent to which more aggressive efforts at community outreach might offset the costs of emergency care as well as our seniors' quality of life remain to be demonstrated.

Original languageEnglish (US)
Pages (from-to)641-653
Number of pages13
JournalClinics in Geriatric Medicine
Volume9
Issue number3
StatePublished - 1993

Fingerprint

Geriatric Psychiatry
Emergencies
Referral and Consultation
Elder Abuse
Community-Institutional Relations
Advance Directives
Mandrillus
Emergency Medical Services
Anxiety Disorders
Mental Disorders
Geriatrics
Suicide
Psychiatry
Economics
Quality of Life
Medicine
Demography
Pathology
Physicians
Pressure

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Psychogeriatric emergencies. / Kennedy, Gary J.; Lowinger, R.

In: Clinics in Geriatric Medicine, Vol. 9, No. 3, 1993, p. 641-653.

Research output: Contribution to journalArticle

Kennedy, GJ & Lowinger, R 1993, 'Psychogeriatric emergencies', Clinics in Geriatric Medicine, vol. 9, no. 3, pp. 641-653.
Kennedy, Gary J. ; Lowinger, R. / Psychogeriatric emergencies. In: Clinics in Geriatric Medicine. 1993 ; Vol. 9, No. 3. pp. 641-653.
@article{c4e8008252d14d2591a424ba908ee63b,
title = "Psychogeriatric emergencies",
abstract = "Through training and orientation, clinicians specializing in geriatric medicine are well-equipped to identify the various contributors to life- threatening mental states and associated conditions of older adults. The clinical drill to sort out factors contributing to a change in mental status is well-known and only the less frequently encountered causes and complications of treatment are considered in the previous paragraphs. In situations where a major mental disorder or suicidal or assaultive ideas are suspected, psychiatric consultation will be helpful. When treatment decisions (e.g., acceptance of hospital admission or diagnostic procedures) are difficult to resolve because of distress or conflict in the patient or family, a psychiatric consultation should also be considered. The more challenging task lies in the area of preventable emergencies, those that arise as a result of unsuspected suicidality, elder abuse or an unrecognized anxiety disorder. The pressures of ED practice and the complexity of pathology seen in the clinic work against keeping the physician alert to these possibilities. However, the present economic distress and demographic shifts in American society are unlikely to slow the increase in late life suicide and abuse. The extent to which more aggressive efforts at community outreach might offset the costs of emergency care as well as our seniors' quality of life remain to be demonstrated.",
author = "Kennedy, {Gary J.} and R. Lowinger",
year = "1993",
language = "English (US)",
volume = "9",
pages = "641--653",
journal = "Clinics in Geriatric Medicine",
issn = "0749-0690",
publisher = "W.B. Saunders Ltd",
number = "3",

}

TY - JOUR

T1 - Psychogeriatric emergencies

AU - Kennedy, Gary J.

AU - Lowinger, R.

PY - 1993

Y1 - 1993

N2 - Through training and orientation, clinicians specializing in geriatric medicine are well-equipped to identify the various contributors to life- threatening mental states and associated conditions of older adults. The clinical drill to sort out factors contributing to a change in mental status is well-known and only the less frequently encountered causes and complications of treatment are considered in the previous paragraphs. In situations where a major mental disorder or suicidal or assaultive ideas are suspected, psychiatric consultation will be helpful. When treatment decisions (e.g., acceptance of hospital admission or diagnostic procedures) are difficult to resolve because of distress or conflict in the patient or family, a psychiatric consultation should also be considered. The more challenging task lies in the area of preventable emergencies, those that arise as a result of unsuspected suicidality, elder abuse or an unrecognized anxiety disorder. The pressures of ED practice and the complexity of pathology seen in the clinic work against keeping the physician alert to these possibilities. However, the present economic distress and demographic shifts in American society are unlikely to slow the increase in late life suicide and abuse. The extent to which more aggressive efforts at community outreach might offset the costs of emergency care as well as our seniors' quality of life remain to be demonstrated.

AB - Through training and orientation, clinicians specializing in geriatric medicine are well-equipped to identify the various contributors to life- threatening mental states and associated conditions of older adults. The clinical drill to sort out factors contributing to a change in mental status is well-known and only the less frequently encountered causes and complications of treatment are considered in the previous paragraphs. In situations where a major mental disorder or suicidal or assaultive ideas are suspected, psychiatric consultation will be helpful. When treatment decisions (e.g., acceptance of hospital admission or diagnostic procedures) are difficult to resolve because of distress or conflict in the patient or family, a psychiatric consultation should also be considered. The more challenging task lies in the area of preventable emergencies, those that arise as a result of unsuspected suicidality, elder abuse or an unrecognized anxiety disorder. The pressures of ED practice and the complexity of pathology seen in the clinic work against keeping the physician alert to these possibilities. However, the present economic distress and demographic shifts in American society are unlikely to slow the increase in late life suicide and abuse. The extent to which more aggressive efforts at community outreach might offset the costs of emergency care as well as our seniors' quality of life remain to be demonstrated.

UR - http://www.scopus.com/inward/record.url?scp=0027228156&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027228156&partnerID=8YFLogxK

M3 - Article

C2 - 8374862

AN - SCOPUS:0027228156

VL - 9

SP - 641

EP - 653

JO - Clinics in Geriatric Medicine

JF - Clinics in Geriatric Medicine

SN - 0749-0690

IS - 3

ER -