The liaison psychiatrist and the outpatient hemodialysis unit. Part II: Clinical psychiatric-liaison issues.

Abstract

A brief review of the literature is presented followed by a discussion of three main groups of liaison problems on a dialysis service: patient non-compliance, inter-staff disputes, and patient-staff emotional involvements. Clinical vignettes are used to illustrate the discussion and suggested guidelines for intervention are offered . Basic principles underlying a "liaison stance" are outlined.