Showing papers in "Psychiatric medicine in 1987"

Abnormal illness behaviour.

Abstract: Historical Background and the Classification of Abnormal Illness Behaviour. Illness Behaviour. Abnormal Illness Behaviour: Definition. Cultural Issues and Abnormal Illness Behaviour. Assessment of Abnormal Illness Behaviour. General Principles in the Practical Management of AIB. A Theoretical Orientation. Controversial Presentations of AIB. Approaches to Treatment. Syndrome-Related Treatment Approaches. The Measurement of Illness Behaviour. Abnormal Illness Behaviour: "A Dangerous Idea." References. Index.

Stress on personnel working in a critical care unit.

Abstract: This article has examined individual and overall stresses on personnel working in a critical care unit. Burnout behaviors have been identified and discussed. Strategies have been outlined for identifying, adapting and alleviating stress, that have application not only to critical care units but to hospital settings in general.

Psychiatric factors in the management of long-term hyperalimentation patients.

Abstract: Most patients receiving chronic IVH therapy adjust well, not only to their treatment, but also to their underlying illness. Depression, organic mental syndromes, and encapsulated delusions occur with sufficient frequency to educate staff, patients, and families as to their possible occurrence. Discussing their possible development before they appear reduces anxiety and makes the patient feel less alien. Advance knowledge makes management easier and permits families to discuss problems before they become major sources of conflict. Multidisciplinary hyperalimentation teams of medical, surgical, and psychiatric physicians, psychiatric and specially trained TPN nurses, social workers, pharmacists and dietitians are useful in providing a comprehensive program for long-term hyperalimentation patients. The elements of a TPN program should include: 1) medical services available 24 hours a day; 2) a comprehensive educational program for staff, patients, and family members; 3) psychiatric support on both a routine and an as-needed basis; 4) patient participation in treatment planning; 5) easy access to needed supplies; and 6) and assistance with financial planning.

The psychological impact of ambulatory peritoneal dialysis on adults and children.

Abstract: The most common medical complication causing patient and spouse reaction remains peritonitis. Psychological difficulties include different levels of problems with body image distortion and major role reversal issues with resulting significant marital discord, especially in our diabetic patients. Contrary to patients on maintenance hemodialysis and IPD, no patients were noted to become pathologically depressed although adjustment problems manifested as depression were seen. The increasing role of technology in treatment means that greater attention should be paid to how patients relate psychologically to the application of what can seem to be overpowering or even fearsome technical means. Appropriate evaluation and selection of candidates for CAPD can enable these chronically ill persons to better control and adapt to the critically necessary procedure of dialysis. In the words of a 55-year-old gentleman on CAPD for three years: "It is unbelievable how much freer and fitter I feel since being on CAPD. I have had several holidays and can drive 200 miles on my own without difficulty. The main advantage to me is that CAPD has restored my independence. I feel well enough to enjoy life--the best criterion for judging any treatment."

Psychological factors affecting children's response to medical procedures: a guideline for clinicians.

Abstract: The effects of major technologic interventions on children are acknowledged and a focus is made on the less extensive diagnostic interventions. Selected aspects of childhood development are reviewed to examine the possible effects a diagnostic procedure might have on a child. The authors conclude that the possible psychological effects of a diagnostic procedure should be considered by the physician ordering the test.