Title

Rapid change in status: the case of William

Document Type

Article

Peer Reviewed

1

Publication Date

1-1-2005

NLM Title Abbreviation

Issues Ment Health Nurs

Journal/Book/Conference Title

Issues in Mental Health Nursing

PubMed ID

15842108

Abstract

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.

Keywords

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.

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URL

https://ir.uiowa.edu/nursing_pubs/1254