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Biomedical subjects

L M Palmateer

Publications and source records attributed to L M Palmateer.

3 recordsLinked to original sources
PubMed1985

Assessment of cognitive deficit in geriatric patients. A study of physician behavior.

A crucial factor in promoting a vigorous quality of life in the aging population is assessment and treatment of cognitive deficits. A very high percentage of delirium and at least 20% of dementia is eminently treatable. This study of patients over 65 years of age admitted to a university general hospital reveals that 79% of cognitive deficits were missed by the examining physicians. Furthermore, in 394 examinations of 165 patients, only four mental status examinations were recorded. A clear-cut cognitive deficit on admission was predictive of later acute episodes of confusion. The global techniques of evaluation deserve remediable action by medical schools and hospital training programs if the medical care of the elderly is to be improved.

Aged↗
PubMed1982

Consultation and liaison implications of awakening paralyzed during surgery: a syndrome of traumatic neurosis.

The traumatic neurotic syndrome that occurs upon awakening paralyzed during surgery is a clinical problem unique to the medical setting. It presents the liaison nurse with potential problems in assessment. Given the patient's hesitancy to discuss the experience, the existence of this syndrome always should be considered when evaluating a highly anxious post-operative patient. Beyond the problems of patient assessment, this syndrome can represent a complex consultation-liaison problem, especially with a staff unfamiliar with its existence. A review of the concepts of consultation-liaison work often identifies problematic areas (such as interdisciplinary cooperation and educational needs) that the consultant should cover. The case presentation and discussion illustrated the process of applying consultation liaison principles to a complex clinical problem unique to the medical setting--the traumatic neurotic syndrome that occurs as a result of awakening paralyzed during surgery.

Adult↗