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Psychiatry – Breaking the ICE – Introductions, Common Tasks and Emergencies for Trainees

Breaking the ICE Introductions, Common Tasks, Emergencies for Trainees

Specificaties
Paperback, 576 blz. | Engels
John Wiley & Sons | e druk, 2015
ISBN13: 9781118557266
Rubricering
John Wiley & Sons e druk, 2015 9781118557266
Verwachte levertijd ongeveer 9 werkdagen

Samenvatting

Psychiatry: Breaking the ICE contains everything psychiatry trainees need in order feel confident and competent in general adult inpatient and community placements.

A practical and reassuring guide to life as a psychiatrist, structured around the tasks expected both in day–to–day practice and in out–of–hours work
Key themes running throughout the book include ethical and legal issues, risk assessment and management, patient experience and safe prescribing
The authors are closely involved in the training, mentoring and supervision of core trainees, and know the real–world challenges faced by junior psychiatrists

Specificaties

ISBN13:9781118557266
Taal:Engels
Bindwijze:paperback
Aantal pagina's:576

Inhoudsopgave

Contributors, xi
<p>Foreword, xv</p>
<p>Acknowledgements, xvii</p>
<p>Abbreviations, xix</p>
<p>About the companion website, xxi</p>
<p>Part I: Introduction</p>
<p>1 Welcome, 3<br />Sarah Stringer</p>
<p>2 Mental health services overview, 5<br />Christina Barras, Rory Conn, Laurine Hanna, Abigail G Crutchlow, and Juliet Hurn</p>
<p>3 Your team, 9<br />Christina Barras, Rory Conn, Laurine Hanna, and Abigail G Crutchlow</p>
<p>4 Your role, 13<br />Christina Barras, Rory Conn, Laurine Hanna, and Abigail G Crutchlow</p>
<p>5 Getting started, 16<br />Mujtaba Husain, Christina Barras, Rory Conn, and Laurine Hanna</p>
<p>6 Safety and verbal de–escalation, 19<br />Sarah Stringer</p>
<p>7 Boundaries, time management and burnout, 25<br />Sarah Stringer, Christina Barras, Rory Conn, and Laurine Hanna</p>
<p>8 Psychiatric assessment, 31<br />Sarah Stringer, Mujtaba Husain, Penelope Brown, and Sean Cross</p>
<p>9 Management: General principles, 45<br />Sarah Stringer</p>
<p>10 Physical healthcare, 48<br />Katherine Beck, Stephanie Young, and Juliet Hurn</p>
<p>11 Medications, 53<br />Noreen Jakeman and Sarah Stringer</p>
<p>12 Psychological interventions, 65<br />Jane Bunclark, Natasha Liu–Thwaites, Cheryl Kipping, Juliet Hurn, and Sarah Stringer</p>
<p>13 Social interventions, 83<br />Christina Barras, Rory Conn, Laurine Hanna, Abigail G Crutchlow, Juliet Hurn, Rachel Thomasson, and Anna M Burnside</p>
<p>14 Handovers, 96<br />Rachel Thomasson</p>
<p>15 Mental health legislation, 97<br />Penelope Brown, Peter Hindley, and Anna M Burnside</p>
<p>16 Compliments, complaints and serious incidents, 107<br />Anna M Burnside and Sarah Stringer</p>
<p>17 Training in psychiatry, 110<br />Mujtaba Husain, Juliet Hurn, Rachel Thomasson, Christina Barras, Rory Conn, Laurine Hanna, and Sarah Stringer</p>
<p>Part II: Common tasks COMMUNITY MENTAL HEALTH TEAM (CMHT)</p>
<p>18 Outpatient clinics, 123<br />Christina Barras, Rory Conn, and Laurine Hanna</p>
<p>19 Care programme approach (CPA) meetings, 127<br />Abigail G Crutchlow, Christina Barras, Rory Conn, and Laurine Hanna</p>
<p>20 Home visits, 130<br />Laurine Hanna</p>
<p>21 Depression, 133<br />Rory Conn and Rachel Thomasson</p>
<p>22 Generalised anxiety disorder (GAD), 141<br />Laurine Hanna</p>
<p>23 First episode psychosis (FEP), 147<br />Christina Barras and Juliet Hurn</p>
<p>24 Psychosis longer term, 154<br />Stephanie Young</p>
<p>25 Bipolar affective disorder (BPAD), 159<br />Rory Conn and Juliet Hurn</p>
<p>26 Emotionally unstable personality disorder (EUPD), 165<br />Jane Bunclark and Juliet Hurn</p>
<p>27 Non–engagement or disengagement, 174<br />Rory Conn</p>
<p>28 Patients with forensic histories, 179<br />Penelope Brown</p>
<p>29 Pregnancy, 183<br />Anna M Burnside and Noreen Jakeman</p>
<p>30 Older adults, 189<br />Vivienne Mak and Sean Lubbe</p>
<p>31 Trauma and asylum, 196<br />Laurine Hanna and Juliet Hurn</p>
<p>32 Driving, 203<br />Christina Barras</p>
<p>33 Discharge, 208<br />Laurine Hanna</p>
<p>WARD</p>
<p>34 From admission to discharge, 212<br />Katherine Beck and Abigail G Crutchlow</p>
<p>35 Ward rounds, 221<br />Katherine Beck</p>
<p>36 Common side effect management, 225<br />Katherine Beck, Noreen Jakeman, and Sarah Stringer</p>
<p>37 Clozapine, 235<br />Stephanie Young and Noreen Jakeman</p>
<p>38 Self–discharge and section 5(2), 242<br />Abigail G Crutchlow</p>
<p>39 Seclusion reviews, 246<br />Katherine Beck</p>
<p>40 Alcohol misuse, 251<br />Lisa Conlan, Isabel McMullen, and Cheryl Kipping</p>
<p>41 Illicit drugs, 259<br />Isabel McMullen, Lisa Conlan, and Cheryl Kipping</p>
<p>42 Pregnant patients, 265<br />Anna M Burnside</p>
<p>43 Inpatients with forensic histories, 269<br />Penelope Brown</p>
<p>44 People with learning disabilities (LD), 274<br />Rory Sheehan</p>
<p>45 Emotionally unstable personality disorder (EUPD), 281<br />Jane Bunclark and Juliet Hurn</p>
<p>46 Older adults, 287<br />Vivienne Mak and Sean Lubbe</p>
<p>47 Electroconvulsive therapy (ECT), 293<br />Sean Lubbe and Vivienne Mak</p>
<p>48 Section 136 assessments, 298<br />Anna M Burnside</p>
<p>49 Tribunals, 303<br />Sarah Stringer</p>
<p>ON–CALL</p>
<p>50 Your first on–call shift, 307<br />Rachel Thomasson, Sean Cross, and Anna M Burnside</p>
<p>51 Self–harm, 318<br />Rachel Thomasson, Jane Bunclark, Sean Cross, Rory Conn, and Christina Barras</p>
<p>52 Self–harm in young people, 330<br />Peter Hindley and Matthew Fernando</p>
<p>53 First episode psychosis (FEP), 336<br />Rachel Thomasson</p>
<p>54 Mania, 341<br />Rachel Thomasson</p>
<p>55 Delirium, 345<br />Vivienne Mak, Sean Lubbe, and Sean Cross</p>
<p>56 Obsessive compulsive disorder (OCD), 353<br />Natasha Liu–Thwaites and Rachel Thomasson</p>
<p>57 Panic attacks, 357<br />Natasha Liu–Thwaites</p>
<p>58 Drug–seeking, 361<br />Isabel McMullen and Lisa Conlan</p>
<p>59 Learning disability (LD) and behavioural change, 365<br />Rory Sheehan</p>
<p>60 Social presentations, 369<br />Sean Cross and Rachel Thomasson</p>
<p>61 Medically unexplained symptoms, 374<br />John Moriarty</p>
<p>Part III: Emergencies</p>
<p>COMMUNITY MENTAL HEALTH TEAM (CMHT)</p>
<p>62 Acute relapse, 383<br />Laurine Hanna</p>
<p>63 Adult safeguarding, 388<br />Rory Conn, Vivienne Mak, and Sean Lubbe</p>
<p>WARD</p>
<p>64 Child protection concerns, 394<br />Peter Hindley, Juliet Hurn, and Sarah Stringer</p>
<p>65 Medical emergencies, 401<br />Katherine Beck and Abigail Steenstra</p>
<p>66 Opiate overdose, 405<br />Isabel McMullen and Lisa Conlan</p>
<p>67 Stiff, feverish patients, 408<br />Anna M Burnside</p>
<p>68 Catatonia, 414<br />Anna M Burnside</p>
<p>69 Lithium toxicity, 418<br />Noreen Jakeman and Katherine Beck</p>
<p>70 Alleged sexual assault, 422<br />Anna M Burnside, Sarah Stringer, and Penelope Brown</p>
<p>71 Self–harm on the ward, 428<br />Jane Bunclark and Abigail Steenstra</p>
<p>72 Hanging, 433<br />Anna M Burnside</p>
<p>73 Death, 436<br />Katherine Beck</p>
<p>ON–CALL</p>
<p>74 Aggression, 440<br />Abigail G Crutchlow, Christina Barras, Noreen Jakeman, Sean Lubbe, Vivienne Mak, Rachel Thomasson, and Abigail Steenstra</p>
<p>75 Challenging behaviour in children, 451<br />Peter Hindley and Matthew Fernando</p>
<p>76 Refusal of urgent treatment, 455<br />Vivienne Mak, Sean Cross, Sean Lubbe, and Rachel Thomasson</p>
<p>77 Delirium tremens, 461<br />Rachel Thomasson, Isabel McMullen, and Lisa Conlan</p>
<p>78 Puerperal psychosis, 466<br />Anna M Burnside</p>
<p>79 Eating disorders, 470<br />Christina Barras and Sean Cross</p>
<p>80 Threats of violence, 477<br />Penelope Brown and Rachel Thomasson</p>
<p>Appendices</p>
<p>Appendix A Investigations/Monitoring, 485</p>
<p>Juliet Hurn, Noreen Jakeman, Anna M Burnside, and Abigail Steenstra</p>
<p>Table A.1 Overview of physical health monitoring in Severe Mental Illness (SMI), 485</p>
<p>Table A.2 Delirium investigations, 486</p>
<p>Table A.3 First episode psychosis investigations, 487</p>
<p>Table A.4 Baseline checks before starting psychotropics, 488</p>
<p>Table A.5 Ongoing monitoring – antipsychotics, 489</p>
<p>Table A.6 Ongoing monitoring – mood stabilisers, 490</p>
<p>Table A.7 Rapid tranquilisation (RT) cautions and contraindications, 490</p>
<p>Table A.8 Monitoring after RT, 491</p>
<p>Appendix B Medications, 492<br />Noreen Jakeman and Sarah Stringer</p>
<p>Table B.1.1 Oral antipsychotics approximate relative side effects, 492</p>
<p>Table B.1.2 Depot antipsychotics approximate relative side effects, 493</p>
<p>Table B.2 Common oral antipsychotics key information, 494</p>
<p>Table B.3 Common depot antipsychotics key information, 496</p>
<p>Table B.4 Selective Serotonin Reuptake Inhibitors (SSRIs) key information, 498</p>
<p>Table B.5 Non–SSRI antidepressants key information, 499</p>
<p>Table B.6 Mood Stabilisers key information, 502</p>
<p>Table B.7 Sedatives key information, 504</p>
<p>Appendix C Alcohol and drugs, 505</p>
<p>Table C.1 Quick guide to alcohol units (Cheryl Kipping), 505</p>
<p>Table C.2 Alcohol Use Disorders Identification Test (AUDIT) questionnaire, 506</p>
<p>Table C.3 Severity of Alcohol Dependence Questionnaire (SADQ), 508</p>
<p>Table C.4 Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA–Ar), 509</p>
<p>Table C.5 Clinical Opiate Withdrawal Scale (COWS), 511</p>
<p>Table C.6 Common illicit drugs summary, 513</p>
<p>Appendix D Cognitive testing, 515</p>
<p>Appendix D.1 The Montreal Cognitive Assessment (MOCA), 515</p>
<p>Appendix D.2 The Addenbrooke s Cognitive Examination–III (ACE–III), 516</p>
<p>Appendix D.3 The Mini–Addenbrooke s Cognitive Examination (M–ACE), 530</p>
<p>Appendix E Mental health legislation, 532<br />Anna M Burnside &amp; Penelope Brown, with thanks to Daniel M Bennett and Edward Noble</p>
<p>Table E.1 The Mental Health (Care and Treatment) (Scotland) Act 2003: common civil sections, 532</p>
<p>Table E.2 The Mental Health (Northern Ireland) Order 1986: common sections (Part II), 534</p>
<p>Table E.3 The Mental Health Act 1983, amended 2007 (England &amp; Wales): forensic sections, 537</p>
<p>Appendix F Useful contacts, 539</p>
<p>Index, 541</p>

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        Psychiatry – Breaking the ICE – Introductions, Common Tasks and Emergencies for Trainees