IMPORTANCE Polymedication is frequent in nursing home (NH) residents. This increases the risk of potentially inappropriate drug prescribing (PIDP), which can lead to adverse drug events, such as falls and hospitalization. OBJECTIVE To identify PIDP in NH residents and to investigate subject-related and NH structural and organizational factors associated with PIDP. DESIGN Cross-sectional stu...

s: Articles should not include an abstract. References: Use reference format of The American Journal of Psychiatry(http://ajp.psychiatryonline.org/misc/Authors_Reviewers.dtl). Upcoming Issue Themes May 2011Section Theme: Exercise and Psychiatric DisordersGuest Section Editor: Corey Meyer, M.D.;[email protected] We invite residents who are interested in participating as Guest...

OBJECTIVES Although medically unexplained physical symptoms such as fatigue are frequently observed after exposure to trauma, the vast majority of health outcomes studies in trauma and disaster research relates to the psychological and psychiatric problems met by victims. The objectives of this study were to investigate the prevalence of (persistent) fatigue in the aftermath of a disaster and t...

In January 2010, Podiatry staff at Caulfield Hospital were approached to provide a wound round at Caulfield’s Aged Psychiatric care facility, Namara. Staff at the facility acknowledged an increasing prevalence of foot wounds and a concern was raised by senior staff that the nursing staff had limited wound management knowledge and that it was difficult to transfer the residents to other sites fo...

OBJECTIVE Clinical and neurobiological data suggest that psychiatric disorders, as traditionally defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM), are (1) more comorbid than expected by chance, (2) often share neurobiological signatures, and (3) reflect alterations across multiple brain systems that mediate particular mental processes. As such, emerging conceptualizati...

OBJECTIVE The European Association of Consultation-Liaison Psychiatry and Psychosomatics (EACLPP) has organized a workgroup to establish consensus on the contents and organization of training in consultation-liaison (C-L) for psychiatric and psychosomatic residents. METHODS Initially, a survey among experts has been conducted to assess the status quo of training in C-L in different European c...

The number of medications prescribed to nursing home residents exceeds that taken by patients in any other medical setting largely because of the wide variety and severity of chronic comorbid conditions [1]. On average, nursing home residents take 8.8 medications and about a third take >9 medications per day, which increases the chances of drug interactions and medication-related problems (MRPs...

OBJECTIVE To investigate the prevalence and characteristics of depressed patients living in a Japanese leprosarium who have been isolated by national law and are now becoming very elderly. METHODS We surveyed the prevalence of depressed patients living in the National Tamazenshouen Sanatorium, a major leprosarium in Japan. We also investigated the characteristics of patients who had suffered ...