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Biomedical subjects

L R Pelletier

Publications and source records attributed to L R Pelletier.

15 recordsLinked to original sources

A retrospective cohort study of falls in a psychiatric inpatient setting.

Several factors increase the psychiatric inpatient's risk of falling, including side effects of medications and mental disorders that decrease awareness of environmental hazards. In this study, rates of falling were determined for a cohort of 4,156 psychiatric inpatients over 34 months. A total of 494 falls occurred among 376 patients. Thirty-five percent of the patients who fell required medical or nursing intervention. Forty-eight percent of the falls occurred in the over-60 age group. When other results were adjusted for age, neither gender nor diagnosis was found to increase the risk of falling, except for depressed patients under 20 years old, who were at less risk, and psychotic patients in their 60s, who were at greater risk. The authors discuss the costs of falls and preventive efforts instituted in their setting.

Accidental Falls

Contraband: the hidden risk.

In a 28-month retrospective study of contraband possession in an inpatient psychiatric setting, 54 incidents of contraband confiscation were identified. Incidents were analyzed according to day and shift of occurrence, nature of contraband, patient diagnoses and characteristics, and patient outcome of contraband possession. Study findings stress the importance of clearly stated contraband policies and procedures, especially in light of patient and staff rights and responsibilities.

Drug and Narcotic Control

Psychiatric home care.

Overall, psychiatric home care fills a gap in the mental health continuum of care. This health care delivery system integrates the skill of the psychiatrist with the specialized skill, knowledge, and abilities of the psychiatric nurse. Nurses bring with them a complete armamentarium with which to effectively monitor and change dysfunctional behavior. Through teamwork, clients receive coordinated services aimed at keeping them active and functional in their most treasured and familiar environment, their home.

Adult

Interpersonal communications task group.

Primary nurses can use their theoretical, pragmatic and creative efforts by being involved in groups such as the one mentioned in this article. For those unfamiliar with group work, course and seminars are available through colleges, universities and inservice departments of major hospitals. Even with this knowledge base, adequate supervision by a clinical expert is essential in providing this type of care to patients. Taking on a leadership role, the nurse becomes accountable for presenting effective interpersonal techniques with the hope that the patient would adapt and integrate such skills when he returns to the outside community.

Communication