Subject(s)
Phrenology/history , History, 19th Century , History, 20th Century , Humans , United StatesABSTRACT
Two hundred public psychiatric hospitals were surveyed regarding their management of inpatients with serious medical problems. Of the 102 hospitals responding, 98 had a formal arrangement with a medical facility for transfer and treatment. Fifty of the respondents felt they regularly had difficulty in receiving acceptable information from the receiving hospital, and 37 perceived that their patients regularly received less than optimal care. There was a significant direct correlation between difficulty obtaining information and the perception of suboptimal care. Seventy-nine hospitals had developed a referral form for the transfer of information to the receiving facility. The results point to an important area of discontinuity in the care of the seriously mentally ill.
Subject(s)
Acute Disease/therapy , Emergency Service, Hospital , Hospitals, Psychiatric , Interprofessional Relations , Mental Disorders/therapy , Patient Admission , Patient Transfer , Quality Assurance, Health Care , Attitude of Health Personnel , Continuity of Patient Care , Data Collection , Forms and Records Control , Hospitals, Public , Humans , Medical Record Linkage , Pilot ProjectsABSTRACT
The authors conducted a series of two hour training programs in twenty five nursing facilities involving 479 CNAs. The focus was on how to deal with resident aggression. In the process of presenting 42 programs, we were impressed by the CNAs. In fact, the CNAs taught us about themselves, their work and their lives. This paper shares what the CNAs taught us.