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Oxford Textbook of Inpatient Psychiatry最新文献

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Autoimmune-related psychosis Autoimmune-related精神病
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198794257.003.0018
B. Lennox
{"title":"Autoimmune-related psychosis","authors":"B. Lennox","doi":"10.1093/MED/9780198794257.003.0018","DOIUrl":"https://doi.org/10.1093/MED/9780198794257.003.0018","url":null,"abstract":"Autoimmune encephalitis is a neuropsychiatric disorder. While it is generally managed by neurologists, many of the presenting symptoms and most of the challenges in management are psychiatric. The description of psychiatric symptoms as part of the presenting symptoms of encephalitis dates back to the first descriptions of the disorder. The more recent discovery of autoimmune causes of encephalitis has particular relevance for psychiatry: there is significant overlap between the initial presentation of encephalitis with other core psychiatric disorders such as depression and psychosis. The particular challenge for inpatient psychiatry is to screen and detect these disorders early. The current evidence indicates that the rapid detection and delivery of immunotherapy, rather than the use of psychiatric treatments, is associated with better long-term outcomes for patients. Conversely, the risks of not detecting encephalitis are of long-term disability, or even death in a proportion of patients. This chapter describes the evolution in understanding of autoimmune encephalitis, the characteristics associated with particular antibodies, and the investigations and management of patients with autoimmune encephalitis from a psychiatric perspective.","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":"126623995","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 the risk of suicide 自杀风险的评估和管理
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198794257.003.0023
S. Mclaughlin, G. Bonner, C. Attard
{"title":"Assessment and management of the risk of suicide","authors":"S. Mclaughlin, G. Bonner, C. Attard","doi":"10.1093/MED/9780198794257.003.0023","DOIUrl":"https://doi.org/10.1093/MED/9780198794257.003.0023","url":null,"abstract":"Assessment and management of suicide risk within the inpatient setting can be particularly challenging for staff where a range of factors impact the decision-making process. Using an authentic, compassionate approach towards understanding risks with service users is important to support meaningful collaborative risk assessment, and involving carers wherever possible is recommended. Reflective peer review can be a helpful way to consider decision-making and enhance clinical skills, as well as providing valuable support to staff. Post-incident support can be equally important for staff and service users and the culture in which risk assessment is undertaken needs to be one of encouragement and positive learning across the team and the organization.","PeriodicalId":121860,"journal":{"name":"Oxford Textbook of Inpatient Psychiatry","volume":"123 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":"114211420","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
Rehabilitation wards 康复病房
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/med/9780198794257.003.0019
K. Dauncey, J. Patterson
{"title":"Rehabilitation wards","authors":"K. Dauncey, J. Patterson","doi":"10.1093/med/9780198794257.003.0019","DOIUrl":"https://doi.org/10.1093/med/9780198794257.003.0019","url":null,"abstract":"This chapter describes, from the authors’ own experience and practice, the workings of a modern rehabilitation ward in an English hospital. It includes some of the authors’ guiding principles, and how some aspects of rehabilitation practice are necessarily different from those in an acute ward. The components, skills, and interventions provided by the team are considered, along with ways in which the care and treatment can be evaluated. A rehabilitation ward is part of a wide range and network of provision for people with severe mental illness and the authors believe that all mental health services in the UK should have rehabilitation provision as a core requirement at district level.","PeriodicalId":121860,"journal":{"name":"Oxford Textbook of Inpatient Psychiatry","volume":"9 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":"124038701","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
Acute inpatient care in older adults 老年人的急性住院护理
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198794257.003.0034
B. Murray
{"title":"Acute inpatient care in older adults","authors":"B. Murray","doi":"10.1093/MED/9780198794257.003.0034","DOIUrl":"https://doi.org/10.1093/MED/9780198794257.003.0034","url":null,"abstract":"Provision of specialist mental health services for older adults (previously referred to as ‘psychogeriatrics’) is recommended by the World Health Organization. In the UK, this extends to specialist wards for older inpatients with mental health problems. This chapter explores the rationale and provision of specialist older adult mental health beds in the UK and the different types of service offered. Beyond the macro level, it aims to provide a handbook for anyone wishing to set up such a ward from scratch: it explores what a ward designed with older adults in mind would look like (design) and what resources and staffing are necessary. The needs specific to this demographic of the population are explored, including issues such as physical health, frailty, and the most common mental health conditions one might encounter on such as ward (dementia, late-life depression, and late-life psychosis).","PeriodicalId":121860,"journal":{"name":"Oxford Textbook of Inpatient Psychiatry","volume":"84 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":"122651252","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
Occupational therapy: values, evidence, and interventions 职业治疗:价值、证据和干预
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198794257.003.0008
J. Gibbons, Lara Freeman
{"title":"Occupational therapy: values, evidence, and interventions","authors":"J. Gibbons, Lara Freeman","doi":"10.1093/MED/9780198794257.003.0008","DOIUrl":"https://doi.org/10.1093/MED/9780198794257.003.0008","url":null,"abstract":"This chapter describes the role of the occupational therapist on the psychiatric inpatient unit. They are highly valued members of the multidisciplinary team who have a unique role to play in ensuring the patients are enabled to function at their optimum level. The philosophy and models of occupational therapy practice are discussed along with specific occupational therapy interventions including personal activities of daily living, leisure, productivity, and functional mobility. Finally, there is a note on the role of the occupational therapist in discharge planning and a clinical vignette illustrating how an occupational therapist might provide a specific therapeutic input on the ward.","PeriodicalId":121860,"journal":{"name":"Oxford Textbook of Inpatient Psychiatry","volume":"430 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":"116003371","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
Psychiatric intensive care 精神科重症监护
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198794257.003.0035
Ashley Rule
{"title":"Psychiatric intensive care","authors":"Ashley Rule","doi":"10.1093/MED/9780198794257.003.0035","DOIUrl":"https://doi.org/10.1093/MED/9780198794257.003.0035","url":null,"abstract":"A psychiatric intensive care unit (PICU) represents the frontline of acute psychiatric services, and the purpose of a PICU is to provide safe and effective care to the most challenging patients in the acute psychiatric population. PICU psychiatry concerns the management of acute psychiatric illness, usually of a manic and/or psychotic nature, associated with behavioural disturbance. Such disturbance often involves violence and aggression towards others. The basic principles of PICU psychiatry involve the provision of a less stimulating, safe environment for the patient; consideration of physical, procedural, and relational security; and the possible use of restrictive practices such as seclusion/isolation, restraint, and rapid tranquilization.","PeriodicalId":121860,"journal":{"name":"Oxford Textbook of Inpatient Psychiatry","volume":"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":"114638303","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
Prevention and management of violence and aggression 预防和管理暴力和侵略
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198794257.003.0015
A. Price, D. Price
{"title":"Prevention and management of violence and aggression","authors":"A. Price, D. Price","doi":"10.1093/MED/9780198794257.003.0015","DOIUrl":"https://doi.org/10.1093/MED/9780198794257.003.0015","url":null,"abstract":"The prevention and management of violence and aggression (PMVA) in mental health inpatient settings raises a number of issues for staff involved in this type of intervention. The aim of this chapter is to outline some of the issues pertinent to staff and review historical and current influences for physical restraint. It discusses the physical risks that may be posed by a restraint, including prone restraint concerns, and reviews the public health model in relation to care planning around the management of disturbed behaviour—looking at the use of primary, secondary, and tertiary level interventions. In addition, the chapter discusses risk assessment and the decision-making process involved in a restraint. Finally, before considering the future directions of PMVA, legislation relevant to restraint is reviewed within the UK setting.","PeriodicalId":121860,"journal":{"name":"Oxford Textbook of Inpatient Psychiatry","volume":"74 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":"129106846","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: 1
Accreditation of inpatient mental health services 对住院精神卫生服务的认可
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198794257.003.0027
R. Chaplin
{"title":"Accreditation of inpatient mental health services","authors":"R. Chaplin","doi":"10.1093/MED/9780198794257.003.0027","DOIUrl":"https://doi.org/10.1093/MED/9780198794257.003.0027","url":null,"abstract":"This chapter outlines how a programme of accreditation can help improve the standards of care on inpatient units by describing the Accreditation for Inpatient Mental Health Services (AIMS). The development of and need for accreditation are outlined with evidence of how accreditation adds value to the process of audit. There is a discussion of how data obtained from national audits of inpatient care and accreditation have been used to describe the quality of inpatient mental health services. There follows a report of the local use of the accreditation programme for an acute mental health inpatient ward for men in Oxford. Finally, some key standards are provided in order to describe what a high-quality inpatient unit may look like.","PeriodicalId":121860,"journal":{"name":"Oxford Textbook of Inpatient Psychiatry","volume":"55 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":"133486244","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: 1
Interventions for specific conditions 针对特定情况的干预措施
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198794257.003.0029
I. Barkataki, L. Ross
{"title":"Interventions for specific conditions","authors":"I. Barkataki, L. Ross","doi":"10.1093/MED/9780198794257.003.0029","DOIUrl":"https://doi.org/10.1093/MED/9780198794257.003.0029","url":null,"abstract":"This chapter focuses on specific psychological interventions for disorders and conditions that commonly present within an inpatient environment. Three main psychological orientations (cognitive behavioural therapy, psychodynamic psychotherapy, and systemic therapy) are defined, along with their strengths and applicability for inpatient work. The importance of adapting psychological approaches in this setting is considered. Psychological theory, supporting evidence base, and specific techniques for mood disorders (including depression, bipolar affective disorder, and anxiety); psychotic disorders; and personality disorders are outlined in greater detail. The practical considerations of short-term and acute working, including the importance of staff support, in the delivery of effective psychological treatment on the ward are discussed.","PeriodicalId":121860,"journal":{"name":"Oxford Textbook of Inpatient Psychiatry","volume":"3 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":"134118834","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
Staff burnout and staff turnover on inpatient wards 住院病房的员工倦怠和员工流失率
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198794257.003.0032
H. Robson, C. Attard
{"title":"Staff burnout and staff turnover on inpatient wards","authors":"H. Robson, C. Attard","doi":"10.1093/MED/9780198794257.003.0032","DOIUrl":"https://doi.org/10.1093/MED/9780198794257.003.0032","url":null,"abstract":"This chapter examines a range of personal, organizational, and contextual causes of occupational stress affecting inpatient mental health nurses, and offers a range of potential interventions which may help to reduce stress and burnout, and improve staff retention. It examines the consequences of burnout, its effects on patient care, and the situational factors which contribute to stress. It goes on to explore supportive factors which reduce burnout in nurses and to outline interventions and potential organizational responses which could improve the resilience of the workforce and support retention of staff and high standards of care.","PeriodicalId":121860,"journal":{"name":"Oxford Textbook of Inpatient Psychiatry","volume":"19 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":"124803633","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: 1
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