DNB - PSYCHIATRY , PHY MED AND REHAB
MD - PSYCHIATRY , PHY MED AND REHAB
FINAL EXAM …!!!
Q 4 A ) WHAT IS PALLIATIVE CARE ?
B ) DISCUSS THE ROLE OF PSYCHIARIST IN PALLIATIVE CARE ?
A 4 INTRODUCTION / DEFINITION
1 Palliative care is a specialised medical care for people with serious illness
2 Is focused on providing patients with relief from symptoms , pain and stress of serious illness
3 The goal being to improve the quality of life for both patient and the caregivers
4 So , when a cure is no longer possible or when disease modifying treatment is no longer possible it is indicated
BENEFITS OF PALLIATIVE CARE
1 In improving quality of care
2 In reducing length of hospital stay
3 Improves satisfaction of patient and care givers
COMPONENTS OF PALLIATIVE CARE
1
ROLE OF PSYCHIATRIST
1 The primary task involves patient care -
A ) He / she has to check if there is proper adjustment of the patient with the surroundings
B ) He / She has to check if there is a component of anxiety or major depression in the patient
2 In educating patient and caregivers about the diseased process and its limitations ( PATIENT EDUCATION )
3 The psychiatrist contribution is typically to see and evaluate a patient one time , to render an opinion , to speak with medical team and to write a note
4 The specific type of therapy being DIGNITY THERAPY ( is a brief individualised type of psychotherapy ) - includes self care with highest degree of satisfaction is to be used
5 Other therapy being - Meaning centered psychotherapy it seeks to bolster meaning and spiritual well being in terminally ill patients
6 In prescribing medications such as anti depressants and psychostimulants such as methylphenidate which is helpful in reducing fatigue as well as depressive symptoms
7 Is basically focused on emotional well-being of the patient
8 In developing models of care
FEATURES OF PALLIATIVE PSYCHIATRY
1 Provides support in coping with and accepting of distressing mental symptoms
2 affirms life
3 Intends neither to hasten nor to postpone death
4 offers a support system to family and caregivers
CRITERIA FOR PALLIATIVE PSYCHIATRY
1 poor prognosis
2 unresponsive ness to competent treatment
3 continuing physiological or psychological decline
4 appearance of terminal course
5 For goal setting