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Biomedical subjects

D Ramchandani

Publications and source records attributed to D Ramchandani.

31 records · Page 2Linked to original sources
PubMedDate not supplied

Neurobehavior rounds. Their role in promoting psychiatric liaison in a neurology inpatient unit.

A joint neurobehavior conference was established utilizing the models of Lipowski's Montreal conference and Geschwind's aphasia and neurobehavior rounds at the Boston VA Hospital in 1991. The authors report on the usefulness of this conference in promoting the goals of psychiatric consultation and liaison on a neurology inpatient unit, specifically on patient care, education, and collegiality. The value of the multidisciplinary approach in solving complex neuropsychiatric problems is also discussed.

Adult↗
PubMedDate not supplied

Evaluation of pseudoseizures. A psychiatric perspective.

Two subgroups of patients with psychogenic pseudoseizures were identified among 20 neurology patients referred for consultation to rule out pseudoseizures. Patients with pseudo complex partial seizures were found to have primarily dissociative symptoms with guilt-laden bereavement as an important precursor. Patients with pseudo grand mal type seizures appeared to have developed their illness in the context of longstanding personality traits. Diagnostic and prognostic implications of these findings are discussed.

Adult↗
PubMedDate not supplied

Constant observation in a medical-surgical setting. The role of consultation-liaison psychiatry.

Constant observation (CO) is commonly used in general hospital settings to protect patients who are at risk for harming themselves or others. The role of consultation-liaison psychiatry in the implementation of this procedure is often assumed, but has not been well studied. The authors report the findings of a 6-month study of the use of CO in a general hospital and discuss its implications for quality of care and, possibly, cost-effectiveness.

Adult↗
PubMedDate not supplied

The chronically mentally ill on a general hospital consultation-liaison service. Their needs and management.

The consultation-liaison (C-L) psychiatrist often sees chronic mentally ill patients when they are admitted to the medical-surgical services of the general hospital. Little research has been directed to the special needs and concerns of these patients in the general hospital. This area has become more relevant now that many of these patients are no longer cared for in the safety of the state hospital setting, often making baseline medical histories inaccessible. They have an overall higher mortality rate than the general population, cannot give adequate histories, and their psychotic illness can mask an underlying medical illness. In this preliminary investigation of the problems of this special population, the authors examined the issues concerning nursing needs, length of hospital stay, medical diagnosis, and possible complicating problems encountered during these patients' hospital stays in the setting of an urban university hospital. The authors discuss the implications of the role of the C-L psychiatrist in addressing their patients' acute problems.

Adult↗
PubMedDate not supplied

What, why, and how of consultation-liaison psychiatry. An analysis of the consultation process in the 1990s at five urban teaching hospitals.

There is controversy about the role and function of a consultation-liaison (C-L) psychiatrist, as reflected in the ongoing debate about what to call ourselves. To clarify the essential elements of our function, the authors analyzed the process and content of the entire consultation experience from the time of initial consultation to the time of discharge in 50 patients across 5 urban teaching hospitals. The common components of the C-L process, in this pilot study, were identified to be facilitative, consensus-seeking, and interpretative. Implications of these findings for the C-L psychiatrist's role in the general hospital are discussed.

Hospitals, Teaching↗
PubMedDate not supplied

Competency evaluations on the consultation-liaison service. Some overt and covert aspects.

Competency assessments are a growing function of the consultation-liaison (C-L) psychiatrist. Such consultation requests often mask a variety of psychosocial issues that are a source of frustration to the referring physician responding to the pressures of the changing health care delivery system in the acute care setting. This study identifies the issues and the outcome of psychiatric consultation in these patients. The implications of this burgeoning role for the C-L psychiatrist are also explored.

Adult↗