Emergencies in Psychiatry
1st Edition
Published on 15. May 2008
362 pages
978-0-19-154621-1 (ISBN)
Description
Emergencies in Psychiatry provides a practical and problem-orientated accessible guide for those who have to deal with psychiatric emergencies. This book contains guidance on how to assess and manage these emergencies and how to manoeuvre successfully though the practical difficulties that may arise, whilst also avoiding medical, psychiatric, and legal pitfalls. A variety of specific emergencies and emergencies in different settings are covered, such as aggression and violence, victims of abuse, emergencies related to drug addiction, people with learning disabilities, and emergencies in old age psychiatry and primary care.
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Basant K. Puri | Ian Treasaden
Emergencies in Psychiatry
Book
05/2008
Oxford University Press
€30.99
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Content
- Intro
- Contents
- 1 The assessment of psychiatric emergencies
- Emergency referrals
- Telephone referrals
- Interview arrangements
- Sources of information
- Major emergencies
- The interview process
- Mental state examination
- Mini-Mental State Examination (MMSE)
- Physical examination
- Investigations
- Telepsychiatry
- 2 The management of psychiatric and medical emergencies
- Emergency interventions
- Delirium
- General dystonic reactions
- Oculogyric crisis
- Neuroleptic malignant syndrome
- Poisoning
- Resuscitation
- Wernicke's encephalopathy
- Acute severe asthma
- Diabetic ketoacidosis and other diabetic emergencies
- Notifiable diseases
- Needlestick injuries
- Human bite wounds
- 3 Psychiatric symptoms and syndromes presenting as emergencies
- Acute psychoses
- Endocrinopathies
- Disorders presenting with anxiety and panic
- Depressive and dysphoric symptomatology
- Catatonic patients
- 4 Aggression and violence
- Schizophrenia and violence
- Warning signs
- Terminology
- Checklist to aid assessment and management
- Risk of violence among psychiatric inpatients
- Assessment
- Risk factors for violence have been recently usefully summarized
- Management
- Summary of management of aggression and violence
- Safety in outpatient settings
- Safety in the community
- Burns
- 5 Victims of abuse, violence, and disaster
- Non-accidental injury of children
- Consequences for adult functioning of childhood sexual abuse
- Child abduction
- Spouse abuse (replaces term wife-battering)/intimate partner violence
- Elder abuse
- Morbid jealousy (Othello syndrome)
- Erotomania (de Clérambault's syndrome)
- Stalking
- Rape and sexual assault of women
- Rape and sexual assault of men
- Post-traumatic stress disorder
- Acute stress reaction
- Adjustment disorder
- 6 Homelessness, loneliness, and isolation
- Prevalence and factors associated with homelessness
- Housing and mental health
- Loneliness
- Psychiatric disorders in homeless people
- Management of homelessness
- Legal framework of management
- 7 Deliberate self-harm and suicide
- Deliberate self-harm
- Risk factors for suicide have been recently usefully summarized
- Assessment of suicidal intent and risk of repetition
- Management/prognosis/prevention of non-fatal deliberate self-harm
- Association of suicide with psychiatric disorders
- Association of suicide with physical disorders
- Association with psychiatric hospitalization
- Association with general practice consultation
- National Confidential Enquiry into Suicide and Homicide in the UK
- Association with antidepressant therapy
- Referral pathways
- Assessment and management
- Discharge
- Emergency assessment of capacity
- 8 Alcohol misuse and dependence
- Units of alcohol
- Levels of consumption
- Alcohol-related disabilities
- Alcohol dependence
- Assessment
- Acute intoxication
- Alcohol withdrawal
- 9 Other psychoactive substance misuse
- Misuse of Drugs Act 1971
- Opioids
- Management of opiate withdrawal
- Cannabinoids
- Sedatives and hypnotics
- Cocaine
- Amphetamine and related substances
- Caffeine
- Hallucinogens
- Volatile solvents
- History-taking relevant to substance abuse
- On examination
- Referral to specialist substance misuse services
- Investigations
- Referral to medical services
- 10 Emergencies related to psychotropic drug actions
- Acute dystonia
- Clozapine
- Serotonin syndrome
- Hyponatraemia and antidepressants
- Monoamine oxidase inhibitors (MAOIs)
- Lithium toxicity
- Paradoxical reactions to benzodiazepines
- 11 Psychiatric emergencies in accident and emergency departments
- Munchausen syndrome (hospital addiction syndrome)
- Medically unexplained symptoms
- 12 Psychiatric emergencies in general hospital medical wards
- Epidemiology
- Prevention
- Common emergencies in psychiatry in general hospital wards
- Acute organic mental disorder/acute confusional states/delirium
- Memory disturbance
- Mood disorder
- Psychiatric aspects of neurology
- Psychiatric aspects of epilepsy
- Huntington's disease (chorea)
- Cerebral tumours
- Parkinsonism
- Multiple sclerosis
- Neurosyphilis
- HIV/AIDS
- Meningitis, encephalitis, and subarachnoid haemorrhages
- Psychological reactions to neurological symptoms
- Interaction between psychiatric and physical illness
- Dissociative and conversion disorders
- Hypochondriacal disorder (health anxiety disorder)
- Somatization disorder
- Medically unexplained symptoms
- Factors influencing response to physical illness
- Management
- Body dysmorphic disorder and other associated concepts
- The uncooperative patient
- Assessment
- Problem of patients taking leave against medical advice before assessment or treatment is complete
- 13 Psychiatric emergencies in surgical, radiotherapy, oncology, and terminally ill patients
- Psychological consequences of surgery
- Management of the dying
- Bereavement
- Atypical (abnormal) complicated grief
- 14 Psychiatric emergencies in obstetrics and gynaecology
- Perinatal psychiatry
- Post-partum maternity 'blues'
- Postnatal puerperal depression
- Puerperal psychosis
- Role of psychiatric trainee in initial assessment of a puerperal woman
- Other potentially urgent situations relating to pregnancy and childbirth
- Specialist issues to be considered
- 15 Psychiatric emergencies in children and adolescents
- Assessment
- Children Act 1989
- Safety issues
- Self-harm
- Child abuse
- Other psychiatric emergencies
- 16 Psychiatric emergencies in people with learning disabilities
- Presentation
- Common medical problems
- Other potential problems
- Management
- 17 Emergencies in old-age psychiatry
- Presentation of psychiatric disorders
- Accident and emergency departments
- Medication
- Discharge from accident and emergency departments
- General management issues in old-age psychiatry
- Driving
- 18 Emergencies in psychiatry in primary care
- Epidemiology
- Range of cases seen in primary care compared to psychiatric practice
- Neurotic and stress-related disorders
- Safety considerations
- 19 Assertive outreach, crisis resolution and intensive home treatment teams, and early intervention services
- Assertive outreach
- Crisis resolution and intensive home treatment teams
- Early intervention services
- 20 Mental health legislation relevant to emergencies in psychiatry
- Mental Health Act 1983 (England and Wales)
- Definition of categories of mental disorder recognized in the Mental Health Act 1983
- Orders under the Mental Health Act 1983
- Mental Health Review Tribunals (MHRT)
- Mental Health Act Commission (MHAC) (Section 121)
- Court of Protection (Section 94)
- Patients' rights under Mental Health Act 1983
- Consent to treatment
- Detention under the Mental Health Act on a general medical or surgical ward
- Changes to Mental Health Act 1983 introduced by Mental Health Act 2006
- Mental Capacity Act 2005
- Assessment of capacity under the Mental Capacity Act 2005
- Provisions of Mental Capacity Act 2005
- Mental Capacity Act 2005
- Code of practice for Mental Capacity Act 2005
- 21 Difficult patients and difficult situations
- Psychodynamic aspects of the management of psychiatric emergencies
- Managing difficult patients
- Understanding the psychodynamics of being mentally disordered
- Particular situations of difficulty
- 22 Emergencies in forensic psychiatry
- Police and court liaison
- Psychiatric expert evidence for court
- Problem areas in police/court liasion and reporting
- Prison psychiatry
- Index
- A
- B
- C
- D
- E
- F
- G
- H
- I
- J
- K
- L
- M
- N
- O
- P
- Q
- R
- S
- T
- U
- V
- W
- Z
