医疗服务中的老年评估单元：老年精神科医生的作用。

Geriatric evaluation unit of a medical service: role of a geropsychiatrist.

作者信息

Cheah K C, Baldridge J A, Beard O W

出版信息

J Gerontol. 1979 Jan;34(1):41-5. doi: 10.1093/geronj/34.1.41.

DOI:10.1093/geronj/34.1.41

Abstract

Psychiatric evaluation as a part of the complete geriatric workup was done on 143 consecutive patients transferred to a Medical Geriatric Evaluation Unit. The patients' age ranged from 48 to 94 years. The findings were: free of psychiatric problems--19.1%; organic brain syndrome--58.8%; dysphoria-depression--36.8%; paranoid--3.7%; alcohol abuse--8.1%; marital maladjustment 18.3% (of marrieds). The Geropsychiatrist diagnoses, participates in psychiatric management, consults, and supervises psychiatric evaluation by other team members. He is an esential member of the Geriatric team since proper recognition and treatment of psychiatric problems is necessary to complete treatment and to make optimum disposition.

摘要

对转至老年医学评估单元的143例连续患者进行了作为完整老年病检查一部分的精神病学评估。患者年龄在48岁至94岁之间。评估结果如下：无精神问题——19.1%；器质性脑综合征——58.8%；烦躁-抑郁——36.8%；偏执——3.7%；酒精滥用——8.1%；婚姻失调（已婚患者中）——18.3%。老年精神科医生进行诊断、参与精神科管理、提供咨询并监督其他团队成员进行的精神病学评估。他是老年医学团队的重要成员，因为正确识别和治疗精神问题对于完成治疗和做出最佳处置是必要的。