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Biomedical subjects

M S Rapp

Publications and source records attributed to M S Rapp.

At least 19 recordsLinked to original sources
PubMed1992

The use of laboratory tests in a psychiatric hospital.

Little attention has been paid to the use of laboratory tests in psychiatric hospitals. This paper reviews studies of the use and abuse of laboratory tests in general medicine. It examines five different sets of test results performed over a three month period at a mid-sized psychiatric hospital. The paper concludes that, on the whole, the laboratory was used efficiently and effectively. However, some testing patterns need to be re-evaluated.

Clinical Laboratory Techniques↗
PubMed1992

Behavioural disturbances in the demented elderly: phenomenology, pharmacotherapy and behavioural management.

Behavioural disturbances in the demented elderly cause a significant amount of distress both to the patients and their caregivers. This article first summarizes the phenomenology associated with these disturbances. It then deals with the pharmacological methods of reducing these disturbances. Finally, it deals with some of the more recent advances in combining the insights of behavioural modification with those of neuropsychology in finding non pharmacological methods of reducing problematic behaviours. It is stressed that a combination of the two approaches is most likely to be required, and most likely to be successful, in the individual case.

Aged↗
PubMed1990

A sample argument.

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Drug Industry↗
PubMed1989

A psychiatric intensive care unit in a psychiatric hospital.

This paper describes the operation of a psychiatric intensive care unit in a provincial psychiatric hospital. Its introduction led to a decrease in staff and patient accidents, a decrease in constant observation and seclusion hours, and a decrease in the number of nursing hours lost to injuries at work. It had no effect on nursing absenteeism. The ICU was well liked by nursing staff who preferred to work in its more consistent and controlled environment. In addition, it was also felt that the ward environment in other parts of the hospital became more therapeutic. We therefore conclude that psychiatric ICU's are useful additions to psychiatric settings with important cost and patient care implications.

Adult↗
PubMed1987

Chemical restraint.

There are clinical and medico-legal implications to the forced administration of neuroleptic medication to actively resisting, aggressive psychiatric patients. However, there is little information on how frequently this occurs. This survey of its incidence on an acute admission ward demonstrates that "chemical restraint" as defined, is uncommon, considering the characteristics of this patient population. It is nearly always a response to threatened or actual violence towards others. The survey discovered, unexpectedly, that there were considerable differences in the actual measures used and in drug doses used during the event, between two wards of the same treatment unit. A prospective study might correlate the different patterns with degree of success, as well as address other questions, the resolution of which would lead to better quality of care.

Adult↗
PubMed1979

Re-examination of the clinical mental status examination.

The traditional "mental status examination", as taught in medical school, is critically reviewed. The disparity between what is practised and what is preached, is outlined. Specific tests alleged to give information about mental function are discussed, and their clinical utility is found to be debatable. It is concluded that the reliability and validity of the mental status examination would be well worth testing. Alternatively, more use should be made of standardized tests which are now in the hands of clinical psychologists.

Diagnosis, Differential↗
PubMed1978

Code of ethics.

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Canada↗