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Oxford Textbook of Inpatient Psychiatry最新文献

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Electroconvulsive therapy 电休克疗法
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/med/9780198794257.003.0014
E. Sidhom, D. Welchew
{"title":"Electroconvulsive therapy","authors":"E. Sidhom, D. Welchew","doi":"10.1093/med/9780198794257.003.0014","DOIUrl":"https://doi.org/10.1093/med/9780198794257.003.0014","url":null,"abstract":"In an acute inpatient environment, clinicians are often faced with patients experiencing mental illness to an extent that is life-threatening, whether this is through absolute loss of the will to eat and drink, through the intense impulse towards suicide, or through the sheer exhaustion of severe mania. It is essential to have the ability to bring these symptoms under control in a way that is rapid, effective, and humane, and electroconvulsive therapy (ECT) provides this. Despite enormous advances in the safe delivery, regulation, and efficacy of ECT over the last 70 years, and its ability to bring patients from stupor to recovery over (on average) just 6–12 treatments, it remains a stigmatized and stigmatizing treatment in the public eye. This chapter outlines the history of ECT, and explains how it can be safely prescribed and monitored, and who will be most likely to benefit.","PeriodicalId":121860,"journal":{"name":"Oxford Textbook of Inpatient Psychiatry","volume":"48 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133587764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
International perspectives on inpatient mental health care 关于住院精神卫生保健的国际观点
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198794257.003.0003
A. Molodynski
{"title":"International perspectives on inpatient mental health care","authors":"A. Molodynski","doi":"10.1093/MED/9780198794257.003.0003","DOIUrl":"https://doi.org/10.1093/MED/9780198794257.003.0003","url":null,"abstract":"Inpatient care varies enormously, both between countries and regions and within them. These variations are most stark when based on economic factors, but stigma, prevailing societal attitudes, and the role of the family also play a significant part in the amount and quality of mental health care overall. This chapter begins by outlining global economic factors and their impact on provision. It then focuses on the concept of a whole systems approach, looking briefly at the evidence base for different components of services generally seen in high-income group countries. Alternative suggestions to ‘high-income group’ models are discussed as the evidence internationally emanates almost exclusively from a small number of wealthy westernized countries. The chapter ends with a section looking at several internationally important themes in inpatient care and outlining examples of differences between countries in challenges and in solutions to what is one of the longest standing issues in mental health care: how to provide humane, effective inpatient care to those who need it (and not to those who do not).","PeriodicalId":121860,"journal":{"name":"Oxford Textbook of Inpatient Psychiatry","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134382650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Modern matron, ward manager, consultant nurse 现代护士长，病房经理，咨询护士
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198794257.003.0007
C. Attard, C. Canning, Rose Warne
{"title":"Modern matron, ward manager, consultant nurse","authors":"C. Attard, C. Canning, Rose Warne","doi":"10.1093/MED/9780198794257.003.0007","DOIUrl":"https://doi.org/10.1093/MED/9780198794257.003.0007","url":null,"abstract":"Nursing leadership focuses on three nursing roles that have particular significance for the smooth management, quality of care, quality improvement, and well-being of patients and staff on a ward. The three roles of ward manager, modern matron, and nurse consultant are discussed and the challenges these roles pose are explored in this chapter. Nursing leadership is identified as a significant factor in developing a positive culture in the inpatient environments and aspects of effective leadership are suggested along with ways to successfully manage, lead, and inspire a team in these roles. The roles of ward manager, modern matron, and NC play an important part in developing a positive culture within the inpatient setting, transforming the care provided as well as the image of inpatient nursing.","PeriodicalId":121860,"journal":{"name":"Oxford Textbook of Inpatient Psychiatry","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116738210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diversity in inpatient care 住院治疗的多样性
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198794257.003.0030
M. Mbayiwa
{"title":"Diversity in inpatient care","authors":"M. Mbayiwa","doi":"10.1093/MED/9780198794257.003.0030","DOIUrl":"https://doi.org/10.1093/MED/9780198794257.003.0030","url":null,"abstract":"Diversity in inpatient care is important for a number of reasons. This chapter discusses the protected characteristics of race, disability, gender reassignment, age, religion or belief, sex, and sexual orientation, and how the way in which they are approached impacts the assessment and treatment of patients within an inpatient setting. It also highlights the importance of challenging and addressing these issues, and suggests some points of best practice. Diversity is a complex issue and organizations are required to improve their services for patients and staff that fit the protected characteristics. Services and professionals must continue working towards inclusivity and promotion of diversity.","PeriodicalId":121860,"journal":{"name":"Oxford Textbook of Inpatient Psychiatry","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128707201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Initial assessment, ward rounds, the discharge process 初步评估，查房，出院流程
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198794257.003.0010
A. Barrera
{"title":"Initial assessment, ward rounds, the discharge process","authors":"A. Barrera","doi":"10.1093/MED/9780198794257.003.0010","DOIUrl":"https://doi.org/10.1093/MED/9780198794257.003.0010","url":null,"abstract":"Hospital admission to an acute psychiatric unit can be a challenging and at times distressing experience for patients, relatives, and friends. This chapter outlines the main multidisciplinary clinical tasks that must be carried out from admission to discharge, with a view to provide care that promotes dignity, autonomy, as well as a sense of hope for patients and all those involved. Taking as context the frameworks and standards provided by a several bodies, the chapter follows a chronological order starting and ending with a close look at the community mental health teams with which inpatient units must closely work for the benefit of patients and their families and friends.","PeriodicalId":121860,"journal":{"name":"Oxford Textbook of Inpatient Psychiatry","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127030108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nursing observations of patients on inpatient wards 住院病人的护理观察
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198794257.003.0022
Rose Warne
{"title":"Nursing observations of patients on inpatient wards","authors":"Rose Warne","doi":"10.1093/MED/9780198794257.003.0022","DOIUrl":"https://doi.org/10.1093/MED/9780198794257.003.0022","url":null,"abstract":"This chapter examines the challenges that carrying out nursing observations of patients on inpatient wards pose to nursing staff and multidisciplinary teams. It is well recognized that nursing observations cause stress both for the nursing staff carrying them out as well as for the service user experiencing them. The chapter explores how nurses can engage service users in these interventions and also suggests approaches that nursing staff and teams could utilize to increase the therapeutic value of the time spent on observations and maximize opportunities for working collaboratively with the service user and their family. The importance of documentation, communication, and supervision is discussed and the impacts of gender and culture issues are identified.","PeriodicalId":121860,"journal":{"name":"Oxford Textbook of Inpatient Psychiatry","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121508271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physical health care 身体保健
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/med/9780198794257.003.0011
Frighi Pezzella Valeria., M. Toynbee
{"title":"Physical health care","authors":"Frighi Pezzella Valeria., M. Toynbee","doi":"10.1093/med/9780198794257.003.0011","DOIUrl":"https://doi.org/10.1093/med/9780198794257.003.0011","url":null,"abstract":"This chapter explores the impact of physical health comorbidities on morbidity and mortality in individuals with psychiatric illnesses. There is a significant and enduring disparity in the life expectancy of the general population and people with severe mental illness (SMI). The majority of this inequality is due to preventable physical illness, particularly cardiovascular disease, respiratory disorders, and diabetes mellitus. Risk factors for these disorders such as smoking, obesity, and lack of physical activity are disproportionately represented in SMI populations and some psychotropic medications also contribute. Physical ill health impacts negatively on mental health outcomes. Psychiatric inpatient admissions represent a unique opportunity to address many of these illnesses and risk factors. Physical health care is the business of all professionals involved in inpatient care.","PeriodicalId":121860,"journal":{"name":"Oxford Textbook of Inpatient Psychiatry","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121797388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical pharmacy: safe prescribing and monitoring 临床药学:安全处方与监测
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198794257.003.0020
S. Bhatti, Rachel L. Brown, O. Macdonald, D. White
{"title":"Clinical pharmacy: safe prescribing and monitoring","authors":"S. Bhatti, Rachel L. Brown, O. Macdonald, D. White","doi":"10.1093/MED/9780198794257.003.0020","DOIUrl":"https://doi.org/10.1093/MED/9780198794257.003.0020","url":null,"abstract":"The roles of the clinical pharmacists and medicines management technicians within the inpatient psychiatric setting are many and varied. This chapter explores some of these roles and examines how they enhance patient care and support the aims of mental health trusts and inpatient psychiatry. This is primarily achieved through effectively and efficiently managing medicines. The aim of the clinical pharmacy team is to promote high-quality, value-for-money care which is patient-centred and based upon improving patient outcomes. The chapter also discusses how pivotal papers and reports have shaped the services that pharmacy departments deliver to psychiatric inpatients.","PeriodicalId":121860,"journal":{"name":"Oxford Textbook of Inpatient Psychiatry","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131599879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment and management of vulnerable patients 易感病人的评估与管理
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198794257.003.0016
S. Behrman, Dorcas Dan-Cooke
{"title":"Assessment and management of vulnerable patients","authors":"S. Behrman, Dorcas Dan-Cooke","doi":"10.1093/MED/9780198794257.003.0016","DOIUrl":"https://doi.org/10.1093/MED/9780198794257.003.0016","url":null,"abstract":"Staff working on mental health wards are well accustomed to assessing and managing vulnerable patients. With the current organization of mental health care in the UK, where only 5.7% of patients in contact with mental health services received inpatient care in a year, only the most unwell and/or complex patients are seen on mental health wards. These patients may well have numerous vulnerabilities, which require assessment and management as part of the holistic treatment of the patient during their admission and for discharge planning. This chapter discusses who these particularly vulnerable patients are, examines what sort of vulnerabilities patients might experience, and suggests possible management strategies.","PeriodicalId":121860,"journal":{"name":"Oxford Textbook of Inpatient Psychiatry","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131658525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementation of the Safewards model on inpatient wards 在住院病房推行“安全病房”模式
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198794257.003.0024
C. Attard
{"title":"Implementation of the Safewards model on inpatient wards","authors":"C. Attard","doi":"10.1093/MED/9780198794257.003.0024","DOIUrl":"https://doi.org/10.1093/MED/9780198794257.003.0024","url":null,"abstract":"This chapter describes the development of the Safewards model for inpatient mental health wards, originally developed by Professor Len Bowers. There is an account of how the model was implemented locally by Berkshire Healthcare NHS Foundation Trust on their inpatient units for adults of working age and older adults and included in the prevention and management of violence and aggression training. It led to reduced conflict and ultimately reduced violence and aggression. The perceptions of patients on the impact of the Safewards project on their level of feeling safe are explored. Staff feedback and challenges encountered are also discussed.","PeriodicalId":121860,"journal":{"name":"Oxford Textbook of Inpatient Psychiatry","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114224497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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