RESUMEN

The authors found that 85% of 74 patients supported by Medicaid in two skilled nursing facilities had significant psychiatric disorders in addition to serious multiple medical illnesses. Almost two-thirds of the psychiatric disturbances had not been diagnosed. Although staff were more concerned with the psychosocial than the physical aspects of patients' problems in more than half of the cases, they often had difficulty recognizing the legitimacy of psychological complaints and relating to patients with psychological disturbances. Staff were not clear about the orders for psychotropic medications that were prescribed for more than half of the patients. The authors point out that more psychiatric consultation is needed to ensure appropriate and effective care for psychiatric patients in such facilities.

Asunto(s)

Anciano , Trastornos Mentales/epidemiología , Casas de Salud , Alcoholismo/epidemiología , Actitud del Personal de Salud , Demencia/epidemiología , Depresión/epidemiología , Errores Diagnósticos , Femenino , Humanos , Masculino , Registros Médicos , Escala del Estado Mental , Trastornos Paranoides/epidemiología , Relaciones Profesional-Paciente , Psicotrópicos/uso terapéutico , Calidad de la Atención de Salud , Esquizofrenia/epidemiología , Estados Unidos

RESUMEN

Two glass filters for the sensitometric exposure of daylight films are described. The filters are each made of four glass color filters. The thickness of the four glasses is chosen to match two types of relative energy distributions of sensitometric daylight with a tungsten lamp operated at 2850 degrees K. The differences of the relative spectral transmittance of the glass filter sets compared with corresponding two chamber solution Davis-Gibson filters are so small that no essential changes of the characteristic curves of several black and white and color films have been observed in a group of experiments.