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This is a descriptive retrospective study of geriatric medical consultation to a psychogeriatric unit in a general teaching hospital over a two-year period. Ninety-eight discharges were studied to assess patient demographics, medications and discharge status. 39.8 per cent of patients on the unit were seen in consultation by geriatric medicine. Males were more likely to require consultation. Length of stay was longer for those seen in consultation. Primary affective disorder was the most common psychiatric diagnosis in the patients studied. Management of pre-existing neurologic and cardiac disease were the predominant reasons for consultation. The supportive environment of this medical liaison model on a psychogeriatric unit provides an excellent teaching environment for both geriatric medical and psychiatric trainees.
With rapid ageing of the world's population, psychiatry of old age has become a crucial discipline. This succinct guide to the scope and practice of the psychiatry of old age provides an up-to-date summary of existing knowledge, best practice and future challenges for the specialty, from a global perspective. From definitions and demography to epidemiology, aetiology, and principles of assessment, diagnosis and management, each chapter is sharp, clear and practical, enhanced by tables and diagrams for quick assimilation and reference on the ward or in the clinic. As well as the main psychiatric conditions encountered in old age, coverage also includes legal and ethical issues, and the neglected topic of alcohol and drug abuse in the elderly. Written by leading clinicians, teachers and researchers and offering a much-needed international focus, this compact guide is essential reading for practising psychiatrists and geriatricians, as well as trainees, nurses and medical students.