Rapid change in status: the case of William
NLM Title Abbreviation
Issues Ment Health Nurs
Issues in Mental Health Nursing
In most geropsychiatric inpatient settings, the focus of care is reduction, management, or alleviation of psychiatric signs and symptoms through a combination of behavioral and pharmacologic interventions. However, unidentified or evolving medical conditions among frail older patients may precipitate rapid and unanticipated changes in status. The case of "William" illustrates how prompt adjustments in nursing care, collaboration within and between the geropsychiatric unit and other hospital services, and close working relationships with family may facilitate unexpected end-of-life decisions and promote quality of care.
Aged, Aged, 80 and over, Alzheimer Disease/complications/nursing, Comorbidity, Disorders of Excessive Somnolence/etiology, Frail Elderly, Geriatric Assessment, Geriatric Nursing/organization & administration, Geriatric Psychiatry/organization & administration, Heart Diseases/etiology, Hospitalization, Humans, Male, Mental Disorders/etiology, Nursing Assessment, Nursing Diagnosis, Outcome Assessment (Health Care), Patient Care Planning, Psychiatric Nursing/organization & administration, Terminal Care/organization & administration
Published Article/Book Citation
Issues in Mental Health Nursing, 26:1 (2005) pp.91-99.