Manual of Psychiatric Care for the Medically Ill / Edition 1

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Overview

Manual of Psychiatric Care for the Medically Ill delivers a practical approach to accurate psychiatric diagnosis and treatment in the medical-surgical setting. The editors have updated the literature reviews of their widely used 1996 American Psychiatric Publishing publication A Case Approach to Medical-Psychiatric Practice and have added easy-to-use summaries, Web resources, checklists, flowcharts, and worksheets-all designed to facilitate and teach the process of psychiatric consultation. The appended study guide makes this book even more valuable as an educational tool.

Intended as a companion guide to comprehensive textbooks in psychosomatic medicine, this concise volume combines medication updates with "how-to" strategies for the psychiatric treatment of patients with cardiovascular, hepatic, renal, and pulmonary disease; gastrointestinal symptoms; delirium; HIV; hepatitis C; steroid-induced psychiatric syndromes; and organ transplantation. A special feature is the comprehensive chapter on the treatment of psychiatric illness in pregnancy. Each chapter summarizes the literature, emphasizing diagnostic and treatment considerations for patients with psychiatric symptoms and medical illnesses.

Representing the work of 24 contributors, this useful, highly informative volume features • Checklists, flowcharts, and worksheets that can be photocopied and brought to the patient's bedside for use during the clinical consultation. These templates help focus the information-gathering process, organize the data, and generate important documentation.• Standardized assessment instruments and questionnaires, such as the Michigan Alcohol Screening Test, Delirium Rating Scale-Revised-98, and HIV Dementia Scale, which assist in consultation and evaluation.• Summaries and charts of differential diagnoses to assist psychiatric consultation to medical patients, including Web addresses to access the latest information on a particular condition or treatment.• A study guide in case-question-answer format for selected chapters.

This volume also includes a "how-to" chapter on assessing decisional capacity, complete with a worksheet for gathering information and documenting informed consent. It also features practical reviews of psychotherapeutic issues, such as a primer for what to do when patients ask about spiritual issues. Concluding chapters present short, practical guides on addressing general psychological issues occurring in medical patients.

This proven manual — already being used to teach residents the core curriculum in Consultation-Liaison Psychiatry and On-Call Preparedness at Bellevue Hospital in New York City — will be welcomed by general psychiatrists, consultation-liaison and psychosomatic medicine fellows, residents, and medical students everywhere.

American Psychiatric Publishing

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Editorial Reviews

From The Critics
Reviewer: Joseph Beck, MD (Rush University Medical Center)
Description: This large, spiral-bound manual for the psychiatric care of the medically ill allows easy access to its chapters, appendixes, and tables.
Purpose: The authors state that they wished to publish a clear and succinct manual for dealing with comorbid illness. There is a need for this, according to the authors, because the speed with which modern-day healthcare care delivery must be carried out. These are worthy objectives and the authors have attempted to accomplish this to the best of their ability. However, most of these difficult patients will not leave the hospital in an expedient fashion despite these efforts.
Audience: The book is written for psychiatric residents and practitioners. The book would be uniquely suited for consultation/liaison fellows and psychiatrists and those who are dual trained in medicine and psychiatry. Inpatient hospitalists and psychiatrists would also benefit and sections of this book should be required reading for any participant in a combined med/psych unit capacity.
Features: The book is divided into sections based on specific comorbid diagnoses. Each chapter starts with patient examples. The manual is clear, succinct, and very readable. It will mostly be referred to on a chapter basis and not read as a whole. It contains a plethora of appendixes (such as important drug interactions) and worksheets that will enable physicians to communicate in a superior fashion with both colleagues and staff. It is heavy on inpatient difficulties, and could use more information about medical disease symptom recognition in the psychiatric outpatient.
Assessment: This is an extremely useful book, especially for inpatient consultation. I will definitely use it as a resource.
British Journal of Psychiatry
This is a good book.... You can find your way around. The logical structure, with largely predictable and systematic coverage of different systems, is an advantage both for psychiatrists with limited medical knowledge and for physicians with little mental health experience.
Journal of Clinical Psychiatry
The Wyszynskis have done it again! The Manual of Psychiatric Care for the Medically Ill is a practical, concise, case-based approach to the medicine-psychiatry interface-a fitting update to their highly regarded 1996 manual A Case Approach to Medical-Psychiatric Practice.
Doody's Review Service
Reviewer: Joseph Beck, MD (Rush University Medical Center)
Description: This large, spiral-bound manual for the psychiatric care of the medically ill allows easy access to its chapters, appendixes, and tables.
Purpose: The authors state that they wished to publish a clear and succinct manual for dealing with comorbid illness. There is a need for this, according to the authors, because the speed with which modern-day healthcare care delivery must be carried out. These are worthy objectives and the authors have attempted to accomplish this to the best of their ability. However, most of these difficult patients will not leave the hospital in an expedient fashion despite these efforts.
Audience: The book is written for psychiatric residents and practitioners. The book would be uniquely suited for consultation/liaison fellows and psychiatrists and those who are dual trained in medicine and psychiatry. Inpatient hospitalists and psychiatrists would also benefit and sections of this book should be required reading for any participant in a combined med/psych unit capacity.
Features: The book is divided into sections based on specific comorbid diagnoses. Each chapter starts with patient examples. The manual is clear, succinct, and very readable. It will mostly be referred to on a chapter basis and not read as a whole. It contains a plethora of appendixes (such as important drug interactions) and worksheets that will enable physicians to communicate in a superior fashion with both colleagues and staff. It is heavy on inpatient difficulties, and could use more information about medical disease symptom recognition in the psychiatric outpatient.
Assessment: This is an extremely useful book, especially for inpatient consultation. I will definitely use it as a resource.

3 Stars from Doody
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Product Details

  • ISBN-13: 9781585621187
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 10/28/2004
  • Format: Spiral Bound
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 416
  • Product dimensions: 8.50 (w) x 11.00 (h) x 1.25 (d)

Meet the Author

Antoinette Ambrosino Wyszynski, M.D., is a graduate of New York University School of Medicine in New York City. She completed her residency in psychiatry at Bellevue-N.Y.U. Medical Centers, and was a Fellow at Memorial Sloan-Kettering Cancer Center. She divides her time between treating medically ill outpatients suffering psychiatric disorders and teaching psychosomatic medicine in the N.Y.U.-Bellevue residency program. Dr. Wyszynski is also on the Faculty of The Psychoanalytic Institute at N.Y.U. Medical Center.

Bernard Wyszynski, M.D., is a graduate of the University of Pennsylvania School of Medicine. He completed his residencies in neurology and in psychiatry at Mt. Sinai Hospital in New York City. He is currently Inpatient Director and Unit Chief, Inpatient Psychiatry, at Montefiore Hospital and Medical Center, Bronx, New York. He teaches neuropsychiatry to medical students and psychiatric residents at Albert Einstein College of Medicine.

They are co-authors of A Case Approach to Medical-Psychiatric Practice (APPI, 1996)

American Psychiatric Publishing

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Table of Contents

Contributors. Preface. Acknowledgments. Dedication. The delirious patient. The patient with hepatic disease, alcohol dependence, and altered mental status. The patient with cardiovascular disease. The patient with kidney disease. The patient with pulmonary disease. The patient with GI symptoms and psychiatric distress. The obstetrics patient. The patient using steroids. The HIV-infected patient. The patient with hepatitis C. A primer on solid organ transplant psychiatry. Assessing decisional capacity and informed consent in medical patients: a short, practical guide. Psychological issues in medical patients: autonomy, fatalism, and adaptation to illness. When patients ask about the spiritual: a primer. The seriously ill patient: physician factors in the doctor-patient relationship: a short, practical guide. Epilogue: the physician as comforter. Appendix 1: American Psychiatric Association Guidelines for Assessing the Delirious Patient. Appendix 2: Worksheet for Organizing Medical Chart Information: The Initial Psychiatric Consultation. Appendix 3: Decision Tree for Psychiatric Differential Diagnosis of Medically Ill Patients. Appendix 4: "Vindictive MADS": Differential Diagnosis of Mental Status Changes. Appendix 5: Treating Dementia-Related Behavioral Problems in the Medical Setting. Appendix 6: A Guide to Herbal Supplements in the Medical Setting. Appendix 7: Worksheet for Diagnosing and Comparing Serotonin Syndrome and Neuroleptic Malignant Syndrome. Appendix 8: Delirium Rating Scale — Revised—98. Appendix 9: The Confusion Assessment Method (CAM) Instrument. Appendix 10: Memorial Delirium Assessment Scale (MDAS). Appendix 11: Risk Factors for Torsades de Pointes. Appendix 12: Guidelines for Adult Psychotropic Dosing in Renal Failure. Appendix 13: Commonly Used Drugs With Sedative-Hypnotic Properties. Appendix 14: Electroconvulsive Therapy in Medical Illness: Practice Guidelines of the American Psychiatric Association. Appendix 15: Diagnosing Depression in the Medically Ill. Appendix 16: Screening Worksheet for Bipolar Spectrum Disorders. Appendix 17: Neuropsychiatric Effects of Electrolyte and Acid-Base Imbalance. Appendix 18: Worksheet for Monitoring Patients Receiving Atypical Antipsychotics. Appendix 19: Case Vignettes and Study Guide. Index.

American Psychiatric Publishing

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