The Surgeon as a Humanist Medicine is the most humane of the sciences and the most scientific of the humanities. Cardiac surgery today provides a most natural confluence for the high technology of medicine and the humanistic values traditional in the practice of medicine. The cardiac surgeon must, of necessity, be knowledgeable in physiology and cardio logy, and must also possess consummate surgical technical skill. The attainment of these skills over long years of training leads many of these surgeons to believe or per ceive this long struggle as an apotheosis of their position in life, rather than as an education in bringing the latest scientific advances to the care of patients. The problem lies not only with the cardiac surgeon; it is also contributed to by the patients' perception of heart surgery, heart disease, and the mystery of the science and physiology involved. The patient with heart disease expecting surgery may, for the first time, be facing the finiteness of his existence. The low risk of cardiac surgery to day not withstanding, the coronary surgery patients, most likely a type A personality, is faced with a perceived threat to his invulnerability, his self-image, his family, his independence, his control of situations, and his very existence.
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Verlagsort
Verlagsgruppe
Zielgruppe
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Gewicht
ISBN-13
978-3-540-11621-9 (9783540116219)
DOI
10.1007/978-3-642-68610-8
Schweitzer Klassifikation
Session I Incidence and Description of Neurological and Psychiatric Complications Following Cardiac Surgery.- Early and Late Neurological Complications After Prosthetic Heart Valve Replacement.- Visual Disturbances After Open-Heart Surgery.- Psychotic Reactions in Patients After Open-Heart Surgery.- Incidence of Psychiatric and Neurological Complications After Cardiac Surgery - Retrospective Versus Prospective Studies.- Sociopsychological Factors in Cardiac Surgery.- Psychiatric Complications Following Open-Heart Surgery : A Prospective Study.- Discussion of Session I (Summary).- Session II Postoperative Neuropsychiatric Syndromes: Identification and Assessment.- The Psychopathology and Cognitive Disorder Syndrome (PCD) in Open-Heart Surgery Patients.- Brief Psychiatric Inventory for Assessment of Psychopathological Disorders After Open-Heart Surgery.- Hamburg Rating Scale for Psychic Disturbances - HRPD.- Relationship Between Psychopathological Syndromes Before and After Open-Heart Surgery.- Discussion of Session II (Summary).- Session III Organic Findings in Patients with Postoperative Neuropsychiatric Complications.- The Relative Importance of Psychic and Somatic Risk Factors for Postoperative Dysfunctions After Open-Heart Surgery - Preliminary Results.- Early Psychic Disturbances After Open-Heart Surgery and Their Relationship to the Postoperative Clinical Course.- Computerized Electroencephalogram in Open-Heart Surgery: Prediction of Postoperative Psychical Complications.- Discussion of Session III (Summary).- Session IV Clinical Approaches to the Psychological Care of the Patient Undergoing Cardiac Surgery.- Psychological Effects of Preoperative Doctor-Patient Communications.- Reactions to Illness: The Acute Phase The Interplay of Environmental Factors The Intensive Care Unit.- The Control of Anxiety by Hypnosis and Anxiolytics in Open-Heart Surgery.- Consultation-Liaison in Intensive Care Units.- Rehabilitation Following Open-Heart Surgery - From a Surgeon's Point of View.- Characteristics of Postoperative Patient Education Programs For Open-Heart Surgery Patients in the United States.- Model of an Integrated Psychotherapeutic Approach to the Heart Surgery Patient.- Discussion of Session IV (Summary).- Session V Neuropsychological Considerations in the Care and Treatment of Children Undergoing Cardiac Surgery.- Cardiac Surgery in Infancy Using Profound Hypothermia and Circulatory Arrest: Late Developmental Progress.- Psychiatric Complications in Children After Open-Heart Surgery.- Comparison of Personality and Social Development After Heart Surgery Using Profound Hypothermia, Normothermia Perfusion, and Cardioplegia in Children.- Chronic "Life-Threatening" Illness in Childhood and Adolescence: Developmental, Cognitive and Psychotherapeutic Considerations in the Care of Children Facing Open-Heart Surgery -Selected Israeli Experience.- Discussion of Session V (Summary).- Session VI Postsurgical Adaptation: Issues and Experience.- Recovery After Major Heart Surgery: Medical, Psychological, and Work Outcomes.- Psychosocial Situation of the Open-Heart Surgery Patient One Year After Operation.- Relationship Between Preoperative Coping Styles, Immediate Postoperative Reactions and Some Aspects of the Psychosocial Situation of Open-Heart Surgery Patients One Year After the Operation.- Psychological and Behavioral Responses Following Coronary Artery Bypass Surgery.- Effects of Environmental Stress upon the Long-term Outcome of Open-Heart Surgery: A Five-Year Follow-up Study.- Discussion of Session VI (Summary).- Session VII General Psychological Issues.- Achievement Motivation After Chronic Disease.- The Fantasy of Resurrection and Rebirth in Cardiac Surgery Patients.- Psychodynamic Considerations and Findings About Patient Adjustment to Heart Operations.- Patients' Fear of Cardiosurgery and Its Significance for the Pre-and Postoperative State.- Discussion of Session VII (Summary).- Session VIII Influence of Surgical Technique on Postoperative Neuropsychiatric Complications.- Intracranial Hemorrhage and Hematoma Following Open-Heart Surgery.- Focal Neurological Lesions and Diffuse Organic Brain Damage in Open-Heart Surgery Patients. Postoperative Thrombocytosis and Platelet Aggregation - A Possible Aetiological Factor in the Causation of Organic Brain Dysfunction.- Comparison of Psychometric Findings Following Use of Bubble and Membrane Oxygenator.- Prevention of Postoperative Psychic and Neurological Disturbances After Open-Heart Surgery Using Prostacyclin: A Clinical Study.- The Effects of Prostacylin on Reducing Cerebral Damage Following Open-Heart Surgery.- Improved Cerebral Protection During Open-Heart Surgery. A Psychometric Investigation on 339 Patients.- Microembolization Due to Microbubbles Released from the Oxygenator.- Effect of Pulsatile Flow and Arterial Line Filtration on Cerebral Cellular Damage During Open-Heart Surgery.- Discussion of Session VIII (Summary).- Final Panel Discussion.- The International Study: A Course for the Future.- In Memoriam: Professor Robin D. Becker.
