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Doody's Review ServiceReviewer: Nancy Schell, MD (Rush University Medical Center)
Description: This is a succinct, practical book that aids evaluation and treatment of patients who are delirious, demoralized, contemplating suicide, or refusing medical advice.
Purpose: The main purpose is to help adult primary physicians to understand, differentiate, and deal with the above situations. The author also wishes to demonstrate that the patient's experience of illness may be the most important factor in his/her treatment.
Audience: The stated audience is adult primary care physicians, although this book is extremely useful for students and residents of general medicine, as well as psychiatry.
Features: It is composed of separate chapters on delirium, demoralization, suicidal thinking, and competence to refuse medical treatment. In each, clinical assessment with key differentiating points and case histories clearly delineates how to identify and manage these problems. Current references are provided at the end of each chapter. Tables and illustrations complement the text.
Assessment: This is a sorely needed volume. It is small enough for ease of use, yet thorough and explanatory. It should be of enormous value to the student, resident, and practicing physician and is highly recommended.