Top Ten Tips Palliative Care Clinicians Should Know About the Physical Manifestations of Psychiatric Illness and Treatment.

IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Journal of palliative medicine Pub Date : 2024-11-01 Epub Date: 2024-05-09 DOI:10.1089/jpm.2024.0131
Gregg A Robbins-Welty, Daniel Shalev, Paul A Riordan, Paul Noufi, Jason A Webb, Keri O Brenner, William E Rosa, Danielle Chammas
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引用次数: 0

Abstract

Addressing the psychiatric aspects of serious illness in palliative care (PC) is crucial to both care delivery and outcomes. Psychiatric comorbidities are common among patients with PC needs and can significantly impact their total burden of symptomatic distress, overall quality of life, functional independence, and healthcare utilization. Yet, these aspects of care are often deferred to mental health consultant teams in the context of busy PC services and often limited human resources. To provide comprehensive and person-centered care, PC clinicians must understand the interplay between medical conditions and psychiatric presentations within a biopsychosocial framework to respond empathically, efficiently, and effectively. This article is the first of a two-part series developed in collaboration with a group of psychiatric-palliative care specialists. This article explores ten common physical manifestations of psychiatric illness and treatment among patients facing serious illnesses. The second article will provide pragmatic tips PC clinicians should know about the psychiatric manifestations of nonpsychiatric serious illness and treatment. Combined, these two articles support a holistic approach that PC clinicians can use to prioritize and integrate both mental and emotional well-being throughout the continuum of serious illness.

姑息关怀临床医生应了解的关于精神疾病生理表现和治疗的十大提示。
在姑息关怀(PC)中解决重症患者的精神问题对于关怀服务的提供和结果都至关重要。在有姑息关怀需求的患者中,精神科合并症很常见,而且会对其症状困扰的总负担、整体生活质量、功能独立性和医疗保健利用率产生重大影响。然而,在 PC 服务繁忙、人力资源有限的情况下,这些方面的护理工作往往被推迟到心理健康顾问团队进行。为了提供全面的、以人为本的护理,PC 临床医生必须在生物-心理-社会框架内了解医疗条件和精神疾病表现之间的相互作用,从而以感同身受的方式做出高效、有效的反应。本文是与一组精神科姑息治疗专家合作撰写的两部分系列文章中的第一篇。本文探讨了精神疾病的十种常见生理表现,以及面临重症的患者的治疗方法。第二篇文章将提供 PC 临床医生应该了解的关于非精神科重症的精神科表现和治疗的实用技巧。综合这两篇文章,PC 临床医生可以采用一种整体方法,在重症疾病的整个过程中优先考虑并整合心理和情感健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of palliative medicine
Journal of palliative medicine 医学-卫生保健
CiteScore
3.90
自引率
10.70%
发文量
345
审稿时长
2 months
期刊介绍: Journal of Palliative Medicine is the premier peer-reviewed journal covering medical, psychosocial, policy, and legal issues in end-of-life care and relief of suffering for patients with intractable pain. The Journal presents essential information for professionals in hospice/palliative medicine, focusing on improving quality of life for patients and their families, and the latest developments in drug and non-drug treatments. The companion biweekly eNewsletter, Briefings in Palliative Medicine, delivers the latest breaking news and information to keep clinicians and health care providers continuously updated.
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