By Hoyle Leigh
This up to date source refines and expands on either the center innovations and the real-world perform of consultation-liaison psychiatry in scientific settings. New and revised chapters offer heritage and fundamentals and describe CL psychiatry techniques to coping with a big selection of universal stipulations, together with center disorder, dementia, anxiousness and depressive issues, alcohol and substance use difficulties, and persistent ache. along with the nice issues of perform in diverse persistent and acute care settings, particular sufferer populations similar to youngsters, elders, ob/gyn sufferers, and the immunocompromised are mentioned. the newest details and insights on pharmacology, interviewing, and moral and cultural concerns around out the book's hugely available coverage.
A sampling of themes within the Handbook:
- Basic foundations of prognosis, psychiatric analysis, and ultimate universal pathway syndromes.
- An integrative care version of psychiatry within the fundamental care setting.
- Patient character, character varieties and characteristics, and disorders.
- The continual sufferer and the palliative care setting.
- Trauma- and stressor-related disorders.
- Somatic signs and similar disorders.
The moment version of the Handbook of Consultation-Liaison Psychiatry ably follows its predecessor via featuring the varied country of the distinctiveness to augment the paintings of psychiatrists, scientific psychologists, and first care physicians.
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This up to date source refines and expands on either the center strategies and the real-world perform of consultation-liaison psychiatry in clinical settings. New and revised chapters offer heritage and fundamentals and describe CL psychiatry ways to dealing with a big selection of universal stipulations, together with center sickness, dementia, anxiousness and depressive problems, alcohol and substance use difficulties, and protracted soreness.
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Additional info for Handbook of Consultation-Liaison Psychiatry
From Mann 2002 4. Family history (a) Any psychiatric disorder, especially bipolar disorder, depression, schizophrenia? (b) Any suicide? 5. 4 Intoxication and Altered State of Consciousness Such states increase the impulsiveness and acting out behavior, and up to 50 % of successful suicides are intoxicated at the time of death (Moscicki 2001). 2 Determination of Underlying Condition On the basis of the evaluation of the above factors, the consultant should be able to determine tentatively the underlying condition(s) for the suicidal behavior/ideation.
Anxiety and certain central nervous system stimulants can cause this state. Normal degree of alertness. Clouding of consciousness: A state of reduced wakefulness in which periods of excitability and irritability often alternate with periods of drowsiness. Illusions, especially visual, may occur, and the patient is often startled. Mild to moderate toxic states, withdrawal states, and metabolic derangements can cause this. Confusional states: In addition to clouding of consciousness, there is consistent misinterpretation of stimuli and shortened attention span.
Of particular importance in the consultation-liaison setting is patients who had been dependent on alcohol who find themselves acutely hospitalized. , schizophrenia) mented upon ascertaining the alcohol history (see Chap. 20 on Substance Use Problems). 4 Immediate Management of Agitation Acute agitation is often a medical-psychiatric emergency requiring immediate treatment to reduce the potential for harm both to the patient and to the staff. An acutely agitated patient may need to be physically restrained.