Saturday, April 24, 2021
Sunday, September 13, 2020
Loss Of Function And Independence
Caring for patients with multiple long-term conditions, frailty, and functional or cognitive impairment is an increasing challenge for families and health and social services. These patients often present to the Emergency Department with a relatively minor functional decline, but one that renders the patient ‘off their legs’, ‘bedbound’ or ‘acopic’ (unable to cope).
Psychiatry: The Disturbed Patient
Mental state examination: ABCSMITH
The mental state examination is a structured way of collecting and presenting information about patients with psychiatric symptoms.
Appearance grooming/hygiene/dress/eye contact
Thought process content/possession/speed/flow
Toxicology: General Principles
Self-poisoning is the most common toxicological problem: serious adverse effects are rare with good basic supportive management. The difficulty of performing human toxicological research means that the evidence base is very limited. Expert advice on the management of poisoning is available through a system of national poisons information centres.