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Brooke Harbor Health System

PMHNP Clinical Learning Environment

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Clinical setting · BH-GER

Geriatric Psychiatry / Older Adult Behavioral Health

Psychiatric care that distinguishes mood, anxiety, psychosis, substance use, delirium, and neurocognitive change while accounting for medical illness, medications, function, caregiving, and goals of care.

Care setting overview

Geriatric Psychiatry / Older Adult Behavioral Health

BH-GER

Psychiatric care that distinguishes mood, anxiety, psychosis, substance use, delirium, and neurocognitive change while accounting for medical illness, medications, function, caregiving, and goals of care.

Care model
Age-attuned outpatient and collaborative psychiatric care
Typical pace
Longitudinal visits with collateral review, medication reconciliation, and rapid reassessment after acute change
Population
Older adults, including people living with cognitive impairment, medical complexity, frailty, or changing support needs

Common presentations

  • Late-life depression, anxiety, grief, sleep disturbance, and loneliness
  • Cognitive or behavioral change, psychosis, agitation, and caregiver concern
  • Polypharmacy, falls, medication sensitivity, substance use, and psychiatric symptoms during medical illness

PMHNP priorities

  • Establish baseline cognition, function, and timeline of change
  • Review medications, sensory needs, medical contributors, supports, and safety
  • Balance symptom relief with fall, anticholinergic, metabolic, cardiovascular, and cognitive risks

Care team

PMHNPs, geriatric psychiatrists, primary care and geriatric clinicians, neurologists, pharmacists, nurses, social workers, therapists, rehabilitation clinicians, and caregivers

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