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Biomedical subjects

A Stoudemire

Publications and source records attributed to A Stoudemire.

At least 55 records · Page 3Linked to original sources
PubMed1989

Nursing staff development and facility design for medical-psychiatry units.

Successful operation of a medical-psychiatry unit requires special considerations in nursing staff development and facility design. This article will discuss in detail issues related to the selection, training, and development of a medical-psychiatry unit nursing staff. Organizational details regarding establishing schedules and staffing patterns are examined in detail. Additional areas reviewed are special adaptations in the architectural and physical facility design as well as the medications, equipment, and supplies needed to provide optimal medical and nursing care to the medical-psychiatric patient population. The essential diagnostic and clinical services that should be available for patients on a medical psychiatry unit are also defined.

Combined Modality Therapy↗
PubMed1989

Reinstitution of neuroleptic treatment with molindone in a patient with a history of neuroleptic malignant syndrome.

The decision to reinstitute neuroleptic treatment in patients with a history of neuroleptic treatment is fraught with hazards. A case is reported in which neuroleptic treatment was successfully reintroduced with molindone after previous bouts of neuroleptic malignant syndrome (NMS) with trifluoperazine and thioridazine. Molindone may represent an alternative neuroleptic to consider in patients with a history of NMS, although all neuroleptics including clozapine and molindone may potentially precipitate this syndrome.

Adolescent↗
PubMed1989

Clozapine treatment of psychosis in Parkinson's disease.

Treating psychosis in patients with Parkinson's disease (PD) is one of the more difficult problems in clinical psychiatry. In this case report, a patient with PD and psychosis was treated with the novel neuroleptic clozapine and sustained improvement in both behavior and PD symptoms.

Clozapine↗
PubMed1989

Successful use of clozapine in a patient with a history of neuroleptic malignant syndrome.

Reinstitution of antipsychotic medication is problematic in patients with a history of neuroleptic malignant syndrome (NMS). In this case, a patient with a history of probable neuroleptic malignant syndrome caused by administration, as single agents, of haloperidol, molindone, and lithium was later treated successfully with the novel antipsychotic clozapine. The propensity of various antipsychotic agents to cause NMS is discussed.

Activities of Daily Living↗
PubMed1989

Neuropsychological and biomedical assessment of depression-dementia syndromes.

Evaluating the clinical significance of cognitive dysfunction in patients who exhibit signs of both depression and dementia is one of the more formidable challenges in psychiatry. This article reviews cognitive dysfunction associated with depression, the concept of "pseudodementia," and the syndromal phenomenology of coexisting depression and Alzheimer's-type dementia. The state of the art in neuropsychologic, electroencephalographic, metabolic, and neuroradiographic techniques for evaluating dementia and depression syndromes will be discussed, as will implications for the treatment of such patients.

Aged↗
PubMed1988

Use of cyclic antidepressants in patients with cardiac conduction disturbances.

Cyclic antidepressants can produce cardiac complications in patients with certain types of cardiac conduction abnormalities. Most cyclic antidepressants have a quinidinelike effect on the heart, which, in combination with Type I antiarrhythmic agents such as quinidine, disopyramide and procainamide, may induce heart block and potentially lethal arrhythmias in susceptible individuals. Patients with known cardiovascular disease warrant careful evaluation before tricyclic therapy is initiated. Guidelines are presented for identifying high-risk patients and for using cyclic antidepressants in patients with cardiac conduction abnormalities.

Antidepressive Agents↗
PubMed1988

Psychogenic fugue states: a review.

In this paper we review psychologic theories on the development of fugue states, as well as organic causes of the disorder and the history of its diagnostic classification from DSM-I through DSM-III-R. We believe the diagnostic criterion that requires the patient to assume a new identity as part of the overall psychogenic fugue state should be reevaluated, since change of identity is not a consistent aspect of the syndrome as described in the psychiatric literature.

Dissociative Disorders↗
PubMed1988

Guidelines for legal and financial counseling of Alzheimer's disease patients and their families.

As soon as there is reasonable evidence for the diagnosis of Alzheimer's disease (primary progressive degenerative dementia), the physician should urge legal and financial counseling of the patient and the family in planning for the patient's long-term care. The general purposes and the process of such counseling are described as a guide for physicians who care for these patients and their families. The issues of informed consent, competency, powers of attorney, guardianship, inter vivos trusts, wills, and living wills are discussed. Timely planning eases the burden on the family and assists the physician in the patient's care during the later stages of the disorder.

Alzheimer Disease↗
PubMed1987

Psychogenic/idiopathic pain syndromes.

The concept of psychogenic pain is discussed and reviewed from multiple theoretical perspectives. The validity of psychogenic pain disorder as a clinical diagnosis is also examined, as are regional pain syndromes such as psychogenic abdominal, facial, pelvic, chest, and headache pain. The term "psychogenic pain" is considered to have limited clinical or diagnostic usefulness and the preferred term "idiopathic pain syndrome" used in DSM-III-R is advocated.

Abdomen↗
PubMed1987

Evaluation and treatment of paranoid syndromes in the elderly: a review.

Paranoid symptoms in the elderly patient may be a manifestation of medical, neurologic, psychiatric, or medication-induced illness. Because of the potential for multiple interacting factors between underlying organicity and psychiatric illness precise assessment of the etiology of the patient's psychotic behavior may be difficult. This article reviews the medical and neurologic illnesses often associated with paranoia in the elderly as well as the psychiatric differential diagnosis. Psychotic depression, late-onset schizophrenia, and delusional/paranoid disorders are examined, as are their treatments. Revisions in the nosology of late-onset psychosis as they are affected by revisions in DSM-III-R are also discussed.

Aged↗
PubMed1987

Major depression and physical illness. Special considerations in diagnosis and biologic treatment.

Major depression is a painful and debilitating condition that often occurs in association with severe physical illness. Accurate diagnosis is problematic because sadness is a frequent "normal" reaction to physical illness and because many other symptoms of depression, such as anorexia and fatigue, can also be caused by the physical illnesses themselves. We review the clinical research that helps to clarify these diagnostic issues and present guidelines for the diagnosis and biologic treatment of patients with concomitant major depression and physical illness.

Antidepressive Agents, Tricyclic↗
PubMed1986

The economic burden of depression.

This article provides estimates of direct treatment costs and indirect costs from lost productivity associated with the morbidity and mortality of depression. Data are based on epidemiologic estimates of the prevalence of major depressive illness and on the number of suicides assumed to be secondary to depression. The number of hospitalizations, hospital days, physician and mental health provider visits, home/nursing home costs, and pharmaceutical costs are estimated. The direct and indirect costs are estimated to be approximately $16.3 billion per year. These economic figures provide a lower-bound estimate of the full economic burden of major depression and further emphasize the need for timely recognition and treatment to potentially minimize the negative impact of the illness on society.

Absenteeism↗