Oxford Textbook of Inpatient Psychiatry最新文献

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Mental Health Legislation 精神健康法例
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198794257.003.0002
Julie Chalmers
{"title":"Mental Health Legislation","authors":"Julie Chalmers","doi":"10.1093/MED/9780198794257.003.0002","DOIUrl":"https://doi.org/10.1093/MED/9780198794257.003.0002","url":null,"abstract":"This chapter gives an overview of the mental health legislation of England and Wales as it applies to inpatient psychiatric wards, discusses some key concepts such as capacity and deprivation of liberty, and highlights the principles underpinning the Human Rights Act 1998, the Mental Capacity Act 2005, and the Mental Health Act 1983. The use of legislation at the point of admission and in the provision of treatment particularly in the absence of consent will be considered. The safeguards protecting the patient detained under the Mental Health Act will be highlighted and the use of community treatment orders on leaving hospital will be briefly touched upon. Finally, governance of the use of the Mental Health Act and some future challenges to the basis of legislation will be discussed.","PeriodicalId":121860,"journal":{"name":"Oxford Textbook of Inpatient Psychiatry","volume":"120 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":"122991479","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
Working with relatives and friends 和亲戚朋友一起工作
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198794257.003.0026
N. Moone
{"title":"Working with relatives and friends","authors":"N. Moone","doi":"10.1093/MED/9780198794257.003.0026","DOIUrl":"https://doi.org/10.1093/MED/9780198794257.003.0026","url":null,"abstract":"Working with relatives and carers on inpatient wards demands careful consideration and reflection on how best to adapt practice to meet their needs, working in partnership as stipulated by national policy and practice guidelines. Making all staff ‘carer aware’ means having a systematic approach to building on carers’ strengths and addressing their needs. The role of mental health practitioners in an acute inpatient ward requires a specific set of skills and values when working alongside carers and consideration of the impact that the caring role has had. Attention to best practice, guidance, and protocols go some way to addressing the need to be carer inclusive.","PeriodicalId":121860,"journal":{"name":"Oxford Textbook of Inpatient Psychiatry","volume":"55 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120897893","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
Daily ward process in inpatient mental health care 住院精神卫生护理的日常病房流程
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198794257.003.0021
Katalin Walsby, C. Attard
{"title":"Daily ward process in inpatient mental health care","authors":"Katalin Walsby, C. Attard","doi":"10.1093/MED/9780198794257.003.0021","DOIUrl":"https://doi.org/10.1093/MED/9780198794257.003.0021","url":null,"abstract":"This chapter describes regular daily processes within the inpatient mental health ward that form the backbone of the ward’s functioning and underpin the ability of wards to provide therapeutic and safe environments. Precisely because acute inpatient wards can be unpredictable, with changing circumstances generating unremitting challenges to patients, carers, and staff, these daily processes, such as handover, medication, and mealtimes, are crucial to help create a sense of structure as well as safe clinical care. These processes must be followed if inpatient psychiatric wards are going to be able to provide an environment that allows the development of enabling and therapeutic relationships for patients, carers, and staff themselves.","PeriodicalId":121860,"journal":{"name":"Oxford Textbook of Inpatient Psychiatry","volume":"12 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":"133610760","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
Advocacy 宣传
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/med/9780198794257.003.0031
Georga Godwin
{"title":"Advocacy","authors":"Georga Godwin","doi":"10.1093/med/9780198794257.003.0031","DOIUrl":"https://doi.org/10.1093/med/9780198794257.003.0031","url":null,"abstract":"This chapter takes as its starting point the lack of control felt by psychiatric patients who are detained against their will and who are forcibly medicated. It examines the principles inherent in the tension between inpatient psychiatry and mental health jurisprudence, including the European Convention on Human Rights and the Mental Health Act 1983 as amended by the Mental Health Act 2007. It explains by what methods those deprived of their liberty in psychiatric settings can challenge their detention. Finally, it outlines the roles of psychiatrists, lawyers, and non-legal advocates in ensuring that patients’ human rights are upheld. It is written for practising psychiatrists who are involved in the detention and treatment of patients.","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":"130875485","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
Adverse reactions to medication 药物不良反应
Oxford Textbook of Inpatient Psychiatry Pub Date : 2019-05-01 DOI: 10.1093/MED/9780198794257.003.0012
T. Bajorek, J. Hafferty
{"title":"Adverse reactions to medication","authors":"T. Bajorek, J. Hafferty","doi":"10.1093/MED/9780198794257.003.0012","DOIUrl":"https://doi.org/10.1093/MED/9780198794257.003.0012","url":null,"abstract":"Adverse reactions to medication represent a major issue in inpatient psychiatry. This chapter systematically explores the most relevant, concerning, and problematic adverse effects routinely encountered in an inpatient setting. It describes the typical presentation, pathophysiology, incidence, and practical management of these problems. Extrapyramidal side effects including acute dystonia, drug-induced parkinsonism, akathisia, and tardive dyskinesia are considered before the chapter explores the rare but potentially life-threatening condition of neuroleptic malignant syndrome. Other adverse effects common to antipsychotics that are described include hyperprolactinaemia and psychotropic-induced arrhythmias including QTc prolongation. Sexual dysfunction is an under-recognized and undertreated adverse effect common to several classes of psychotropic medication and is also considered. Focusing on antidepressants, the chapter reviews the frequently encountered issue of hyponatraemia as well as serotonin syndrome and selective serotonin reuptake inhibitor-induced bleeding risk. Finally, the chapter addresses perinatal considerations for psychotropic drugs.","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":"130203688","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
Post-incident debriefing, team formulation and staff support 事件发生后的汇报、团队组建和员工支持
Oxford Textbook of Inpatient Psychiatry Pub Date : 1900-01-01 DOI: 10.1093/med/9780198794257.003.0025
Claudia Kustner
{"title":"Post-incident debriefing, team formulation and staff support","authors":"Claudia Kustner","doi":"10.1093/med/9780198794257.003.0025","DOIUrl":"https://doi.org/10.1093/med/9780198794257.003.0025","url":null,"abstract":"Acute inpatient mental health wards are characterized by constant change. The creation and maintenance of facilitated talking spaces for teams to reflect with each other is integral for both staff and service user well-being on these wards. There is a growing evidence base that supports the client-centred philosophy and principles of trauma-informed care whereby service users’ strengths are highlighted over pathology and skills building over symptom reduction. A systemic team formulation model is proposed as a useful, trauma-informed, staff support intervention that could be used on the wards, as it offers numerous intra- and interpersonal benefits for teams that engage in the process of shared formulations. A case example illustrating the methodology of systemic team formulation is explored. In addition, post-incident debriefing is also a necessary form of staff support, as a way of mitigating the negative emotional impact of serious untoward incidents and restrictive practices on staff.","PeriodicalId":121860,"journal":{"name":"Oxford Textbook of Inpatient Psychiatry","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123569227","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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