The role of an old age psychiatry consultation liaison nurse

Abstract

Objective. To assess and describe service changes when a psychiatric consultation liaison nursing service is introduced. Design. Prospective collection of basic service data before and after implementation of the service change. Setting. A newly established comprehensive old age psychiatry service. Patients. People on medical and surgical wards aged over 65 years referred for psychiatric assessment. Outcome measures. Numbers of referrals made and patients seen, details of psychiatric diagnoses made and follow‐up offered before and after the change in the service. Results. Within 6 months there was an increase in liaison referrals to the service. The proportion of people offered follow‐up showed little change and delay before assessment decreased substantially with the PCLN service. Conclusions. A psychiatric consultation liaison nursing (PCLN) service was successfully initiated. Numerous difficulties were encountered but this is a useful model for old age psychiatry services to consider researching and developing further. © 1998 John Wiley & Sons, Ltd.

Geriatric psychiatry consultations in a Turkish university hospital

“…Adjustment disorder with depressed mood was the leading diagnosis in our elderly consultation patients. Adjustment disorder is one of the leading diagnoses during consultations in a general medical setting (Strain et al, 1991) and has been reported in 6-26% of elderly consultation patients (Collinson and Benbow, 1998;Grossberg et al, 1990). In our sample, adjustment disorders account for 31.3% of patients, which is higher than expected from the literature.…”

Comparison of liaison psychiatry service models for older patients

“…However, the relatively small proprtion of referred patients requiring follow-up by old-age CMHT services suggests that most problems are specific to the inpatient context, and that this service for older patients is best provided by a dedicated hospital-based liaison team, working closely with CMHT colleagues. Through early recognition and treatment of mental illness among older patients on medical wards, the liaison psychiatry service can help their rehabilitation and improve their prognosis (Collinson & Benbow, 1998), thus shortening their stay in hospital (Strain et al, 1991). We have now developed a ward-based protocol to assist the older adult physicians in early identification of capacity issues, which, if unanticipated, might delay discharge significantly.…”

Advanced Nursing Roles for People With Cognitive Impairment and Their Relatives in Acute Care Hospitals: A Systematic Review

“…Coaching and guidance activities with health care professionals were described in 24 interventions. These interventions focused on providing education and guidance to various groups, including nurses (Babine et al 2013;Bilski et al 2024;Bradway et al 2012;Cody et al 2021;Colella 2017;Collinson and Benbow 1998;Davies et al 2008;Francisco et al 2022;Goldberg et al 2013;Inouye et al 1999Inouye et al , 2000;;Kratz et al 2015;Lacko et al 2000;Lieow et al 2019;Naylor et al 2014Naylor et al , 2016;;Sheth et al 2014;Travers et al 2018aTravers et al , 2018b;;Wanich et al 1992;Yevchak et al 2017), physicians (Babine et al 2013;Cody et al 2021;Kratz 2008), nursing assistants (Babine et al 2013), physical therapists (Babine et al 2013), occupational therapists (Babine et al 2013;Cody et al 2021), social workers (Babine et al 2013), Advanced Practice Nurses (Lieow et al 2019), ward champions (Travers et al 2018a(Travers et al , 2018b) ) and volunteers (Sinvani et al 2018). Five interventions did not specify professional groups receiving educational interventions (Baldwin et al 2004;Burgess and Page 2003;Hughes 2008;Schindel Martin et al 2016;Vidán et al 2009).…”

“…Nurses in advanced roles provided consultations for nurses and other health care professionals as outlined in eleven of the included interventions. They were called upon to assess patients (Babine et al 2013;Collinson and Benbow 1998;Hughes 2008;Monaghan et al 2023;Zaubler et al 2013) and develop individualised care plans (Monaghan et al 2023). Consultations included advice on managing conditions such as delirium, dementia, behavioural changes, anxiety, depression and psychotic symptoms (Babine et al 2013;Burgess and Page 2003;Hughes 2008;Inouye et al 1999Inouye et al , 2000;;Lacko et al 2000;Milisen et al 2001;Monaghan et al 2023;Sheth et al 2014).…”

“…Nurses in advanced roles worked within interprofessional teams (Bradway et al 2012;Cole et al 1994;Hughes 2008;Inouye et al 1999Inouye et al , 2000;;Naylor et al 2014Naylor et al , 2016) ) to develop and maintain policies (Babine et al 2013), as well as streamline patient care (Bradway et al 2012;Naylor et al 2014Naylor et al , 2016)). They helped strengthen connections between individual professionals (e.g., nurses and social workers) (Wanich et al 1992) and entire departments within the hospital (Cody et al 2021;Collinson and Benbow 1998;Goldberg et al 2013).…”