Clinical Manual of Palliative Care Psychiatry

Clinical Manual of Palliative Care Psychiatry

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Overview

In recent years, palliative care has emerged as the leading model of person-centered care focused on preserving quality of life and alleviating distress for people and families experiencing serious and life-limiting medical illness. Alongside this development has come a growing recognition of the need for expertise in psychiatric diagnosis, psychopharmacology, and psychotherapy within the interdisciplinary team of specialists tasked with identifying and addressing the varied sources of suffering in patients with advanced medical illnesses. The Clinical Manual of Palliative Care Psychiatry was written to motivate and guide readers — whether mental health clinicians or palliative care providers — to deepen their understanding of the psychosocial dimensions of suffering for the benefit of seriously ill patients and the support of their families.

Great care has been exercised in the choice of topics and features: • Chapter content emphasizes practical aspects of assessment and management that are unique to the palliative care setting, ensuring that clinicians are equipped to address the most common challenges they are likely to face.• Each chapter ends with a list of supplemental materials — including key publications (e.g., "Fast Facts" from the Center to Advance Palliative Care) and links to relevant modules from the Education in Palliative and End-of-Life Care curriculum (e.g., EPEC for Oncology) — aimed at extending and enhancing reader knowledge of the topics covered.• The authors provide thorough coverage of medication use, including off-label applications, which are common in palliative care.• A wealth of tables and figures present clinically relevant information in a concise and easy-to-grasp manner.

Practical and brimming with essential information and useful techniques, the Clinical Manual of Palliative Care Psychiatry empowers both mental health clinicians and palliative care practitioners to more skillfully respond to psychosocial suffering in seriously ill and dying patients.

Product Details

ISBN-13: 9781585624768
Publisher: American Psychiatric Publishing, Incorporated
Publication date: 03/10/2016
Pages: 297
Product dimensions: 5.50(w) x 8.20(h) x 0.70(d)
Age Range: 18 Years

About the Author

Nathan Fairman, M.D., M.P.H., is Assistant Clinical Professor in the Department of Psychiatry and Behavioral Sciences at the University of California Davis School of Medicine in Sacramento, California.

Jeremy M. Hirst, M.D., is Associate Clinical Professor in the Department of Psychiatry, Associate Director of Palliative Care Psychiatry, and Associate Director of Patient and Family Support Services at the Moores Cancer Center, University of California San Diego School of Medicine, in La Jolla, California.

Scott A. Irwin, M.D., Ph.D., is Associate Professor of Psychiatry and Director of Supportive Care Services at the Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, in Los Angeles, California.

Table of Contents

ForewordIntroductionPART I: Background and ContextChapter 1. Palliative Care 101Chapter 2. Psychiatry in Palliative CarePART II: Core Clinical ApplicationsChapter 3. Depression Chapter 4. AnxietyChapter 5. Delirium PART III: Other Common Psychiatric ConditionsChapter 6. Dementia (Major Neurocognitive Disorder)Chapter 7. InsomniaChapter 8. Substance Use Disorders PART IV: InterventionsChapter 9. Psychotherapy Chapter 10. Pain Management and Psychopharmacology PART V: Pediatric PatientsChapter 11. Children and Adolescents Index

What People are Saying About This

Mary Helen Davis M.D.

Comprehensive! Concise! Practical! Packed with useful information. The guide I have been waiting for to assist psychiatric residents, psychosocial oncology teams and oncologists in the practice of primary palliative care. Added bonuses are the additional resources and tables at the back of each chapter. This manual is a must read for every clinician dealing with advanced illness and end of life issues.

(DFAPA, Integrative Psychiatry, Behavioral Oncology and Palliative Care Consultant, Associate Clinical Professor of Psychiatry at University of Louisville School of Medicine.)

James A. Bourgeois

With the imperative that psychiatry fully embrace its role among other medical specialties in the management of complex illness, the psychiatric literature is enhanced by timely publications which enhance models of multispeciality care. Drs. Fairman, Hirst, and Irwin have produced a tightly organized, succinct, pragmatic, and current clinical handbook on palliative care psychiatry that is an important contribution to the field. Effectively bridging the relevant areas of psychosomatic medicine and geriatric psychiatry, they show how the consultation psychiatrist is a critical member of the multispecialty and multidisciplinary teams treating patients in a palliative care model. Their chapters cover the critical areas of clinical palliative care psychiatry practice, with especially thoughtfully written chapters on delirium, dementia, insomnia, pain management, substance use disorders, sleep disorders, psychotherapy, and the palliative care of children. Their use of tables and figures to illustrate their approach to palliative care patients is especially well done. This book will be of great value to psychosomatic medicine and geriatric psychiatrists, but is equally highly recommended for the general psychiatrist and child and adolescent psychiatrist who will need to care for critically and terminally ill patients as well.

(O.D., M.D., Clinical Professor and Vice Chair, Clinical Affairs, Department of Psychiatry/Langley Porter Psychiatric Institute, University of California, San Francisco)

Holly Yang

Well-referenced, easy-to-use, and clinically practical, the Clinical Manual of Palliative Care Psychiatry skillfully addresses some of the most challenging aspects of palliative medicine. This book should be in every hospice and palliative medicine physician's library, as well as every psychiatrist who cares for this important patient population. Drs. Fairman, Hirst, and Irwin are leading experts in palliative psychiatry, and I am thrilled that they have shared their wisdom with us to the benefit of all our patients.

(M.D., MSHPEd HMDC FAAHPM FACP, Scripps Health, San Diego, California)

Robert Arnold

This is a clearly written and evidence-based book on psychiatry in palliative care. Reading this book will go a long way to helping specialist palliative care clinicians feel comfortable dealing with psychiatric illnesses. A must read!

(M.D., Leo H. Criep, Chair in Patient Care, Chief Medical Officer, UPMC Palliative and Supportive Institute, University of Pittsburgh)

Senior Fellow to Worldwide Hospice Palliative Care Dr. Stephen R. Connor

Psychiatry is a very valuable but underutilized resource in oncology, palliative care, geriatrics, and long-term care. The frequency of serious psychological concerns is quite high in those with advanced illness and this book is a unique resource that addresses all aspects of suffering and effective treatment. This comprehensive resource on how psychiatry can enhance palliative care should be required reading for all professionals working with the seriously ill and dying.

Jon A. Levenson

Drs. Fairman, Hirst, and Irwin's new book, Clinical Manual of Palliative Care Psychiatry, is a critically important contribution to this evolving specialty known as palliative care psychiatry. The eleven chapters are comprehensive yet concise with excellent tables; several chapters are devoted to specific psychiatric complications which practitioners regularly encounter in their clinical work with patients with life-limiting illnesses. Consultation-liaison psychiatry services will find this volume essential for both trainees and senior clinicians who are caring for patients at the end of life.

(M.D., Associate Professor of Psychiatry Columbia University Medical Center, Attending Psychiatrist, Division of Consultation-Liaison Psychiatry, Director, Undergraduate Med Education)

Mary Helen Davis MD

Comprehensive! Concise! Practical! Packed with useful information. The guide I have been waiting for to assist psychiatric residents, psychosocial oncology teams and oncologists in the practice of primary palliative care. Added bonuses are the additional resources and tables at the back of each chapter. This manual is a must read for every clinician dealing with advanced illness and end of life issues.

Thomas B. Strouse

The Clinical Manual of Palliative Care Psychiatry is a concise and clearly written handbook that will be useful to both psychiatric physicians, advanced practice nurses, and other professionals working at the bedside of patients with serious illness. Intuitively organized, its brief and helpful chapters provide the newcomer with critical overviews, and the more experienced clinician with a framework to be sure he/she has hit all the marks. Fairman, Hirst, and Irwin have done a commendable job of condensing the most up-to-date evidence into a pocket-type guide that should inform and improve clinical care for years to come.

(MD, FAPM, DFAPA, Maddie Katz Professor of Palliative Care Research and Education, Vice-Chair for Clinical Affairs, UCLA David Geffen School of Medicine Department of Psychiatry)

Dr. Stephen R. Connor

Psychiatry is a very valuable but underutilized resource in oncology, palliative care, geriatrics, and long-term care. The frequency of serious psychological concerns is quite high in those with advanced illness and this book is a unique resource that addresses all aspects of suffering and effective treatment. This comprehensive resource on how psychiatry can enhance palliative care should be required reading for all professionals working with the seriously ill and dying.

(Senior Fellow to Worldwide Hospice Palliative Care Alliance)

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Clinical Manual of Palliative Care Psychiatry 1 out of 5 based on 0 ratings. 1 reviews.
Anonymous More than 1 year ago
One of the authors of this book, Dr Nathaniel Fairman, is a psychiatrist associated with the Comprehensive Cancer Center at UC Davis in California. His behavior as a practicing psychiatrist and his treatment towards patients facing serious illnesses is questionable. He diagnosed a young female thyroid cancer patient with, cognitive distortions and an eating disorder when she expressed concerns about a visible post-surgical neck scar and post-operative weight gain. Because of Dr Fairman's actions, this woman transferred her care to the Stanford Cancer Center where her medical team reassured her that her concerns were normal, common, and typical of patients facing a thyroid removal surgery. She ceased care with UC Davis, became a patient of Stanford, and sought counseling to cope with Dr. Fairman's assertions/actions towards her. Dr. Fairman contributed to this young woman's distress and compounded the trauma of a cancer diagnosis with an unsubstantiated mental health diagnosis. Proceed with caution when reading this book as one of the authors, Dr. Nathaniel Fairman, exhibits unethical behavior in his daily medical practice.