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Management challenges in patients with comorbid COVID-19 associated delirium and serious mental illness - A case series.
Syed, Saba; Couse, Michael; Ojha, Rashi.
  • Syed S; David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
  • Couse M; Department of Psychiatry, Olive View-UCLA Medical Center, Sylmar, CA, USA.
  • Ojha R; Psychiatry Residency Program, Olive-View UCLA Medical Center, Sylmar, CA, USA.
Int J Psychiatry Med ; 56(4): 255-265, 2021 07.
Article in English | MEDLINE | ID: covidwho-1058157
ABSTRACT

BACKGROUND:

There is still a lot unknown about the novel Coronavirus Disease 19 (COVID-19) and its effects in humans. This pandemic has posed several challenging clinical situations to healthcare providers.

OBJECTIVE:

We hope to highlight the distinctive challenges that COVID-19 presents in patients with serious mental illness and what steps primary medical teams can take to co-manage these patients with the psychiatry consultants.

METHODS:

We present a retrospective chart review of four patients who were on psychotropic polypharmacy and admitted to our hospital from the same long-term psychiatric facility with COVID-19 delirium and other associated medical complications.

RESULTS:

We illustrate how the primary medical teams and psychiatrists collaborated in clinical diagnosis, treatment, and management.

CONCLUSIONS:

Patients with serious mental illness and COVID-19 infection require active collaboration between primary medical teams and psychiatrists for diagnostic clarification, reduction of psychotropic polypharmacy to avoid adverse effects and drug-drug interactions, prevention of psychiatric decompensation, and active management of agitation while balancing staff and patient safety concerns.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Psychotic Disorders / Schizophrenia / Bipolar Disorder / Delirium / COVID-19 Type of study: Case report / Observational study / Prognostic study Topics: Long Covid Limits: Female / Humans / Male / Middle aged Language: English Journal: Int J Psychiatry Med Year: 2021 Document Type: Article Affiliation country: 0091217420985979

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Psychotic Disorders / Schizophrenia / Bipolar Disorder / Delirium / COVID-19 Type of study: Case report / Observational study / Prognostic study Topics: Long Covid Limits: Female / Humans / Male / Middle aged Language: English Journal: Int J Psychiatry Med Year: 2021 Document Type: Article Affiliation country: 0091217420985979