The Curbsiders Internal Medicine Podcast #446 Psychiatry Primer for the Hospitalist
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Jul 1, 2024 Join Dr. Aaron Gluth from Emory University as he discusses managing co-morbid psychiatry conditions on the wards. Topics include multidisciplinary team roles, agitation management, capacity issues, mortality gap, and transitions of care. Learn about lab workup, imaging considerations, and treating agitation in hospitalized patients with psychiatric conditions.
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Essential History Gathering
- Establish baseline psychiatric history, including diagnoses, hospitalizations, and medications.
- Get collateral information from family or friends, especially for disorganized patients.
Hospitalist's Role in History
- Hospitalists must gather this information, even with a psych consult team, to determine the consult's necessity.
- It also improves communication with the psych team and contributes to overall patient safety.
Cultural Sensitivity
- Be mindful of cultural differences and clarify the meaning of the patient's words.
- Use medical interpreters when necessary and ask about cultural experiences to avoid misdiagnosis.