Publicaciones etiquetadas ‘Recursos’

Recursos

Commentary: Futility in Psychiatry

J Psychiatr Pract. 2022 Jul 1;28(4):349-350. doi: 10.1097/PRA.0000000000000649.ABSTRACTWhile other medical professions have grappled with end-of-life care, the areas of palliative psychiatry, and more particularly, futility in psychiatry, have not been thoroughly addressed. The 3 cases presented in this issue illustrate how patients can succumb to a medical condition while presenting with primary psychosis (a patient with treatment-resistant schizophrenia who starves himself), secondary psychosis (a patient with small cell cancer of the lung who develops psychotic symptoms in the context of a paraneoplastic neurological syndrome), or a factitious disorder (a patient with self-induced aplastic anemia from ingesting an oral chemotherapy agent).…
Origen: Commentary: Futility in Psychiatry – PubMed

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Recursos

Psychiatric Futility and Palliative Care for a Patient With Clozapine-resistant Schizophrenia

J Psychiatr Pract. 2022 Jul 1;28(4):344-348. doi: 10.1097/PRA.0000000000000645.ABSTRACTRecognizing futility is a challenging aspect of clinical medicine, particularly in psychiatry. We present a case of a man who suffered from clozapine-resistant schizophrenia. His illness was characterized by prominent religious delusions and severe self-starvation. Neither the intensity of his symptoms nor his quality of life improved with available psychiatric interventions, and he experienced significant iatrogenic harms from enforced treatments. Recognizing clinical futility, in collaboration with a diverse multidisciplinary team, and making a clear shift to a patient-centered palliative approach allowed the patient’s treatment team to prioritize his autonomy and subjective meaning in…
Origen: Psychiatric Futility and Palliative Care for a Patient With Clozapine-resistant Schizophrenia – PubMed

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Community prescribing trends and prevalence in the last year of life, for people who die from cancer

BMC Palliat Care. 2022 Jul 8;21(1):120. doi: 10.1186/s12904-022-00996-3.ABSTRACTBACKGROUND: People who die from cancer (‘cancer decedents’) may latterly experience unpleasant and distressing symptoms. Prescribing medication for pain and symptom control is essential for good-quality palliative care; however, such provision is variable, difficult to quantify and poorly characterised in current literature. This study aims to characterise trends in prescribing analgesia, non-analgesic palliative care medication and non-palliative medications, to cancer decedents, in their last year of life, and to assess any associations with demographic or clinical factors.METHODS: This descriptive study, analysed all 181,247 prescriptions issued to a study population of 2443 cancer decedents…
Origen: Community prescribing trends and prevalence in the last year of life, for people who die from cancer – PubMed

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