Psychiatry: Breaking the ICE Introductions, Common Tasks, Emergencies for Trainees

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

• ISBN: 978-1-118-55726-6
• Editorial: Wiley–Blackwell
• Encuadernacion: Rústica
• Páginas: 576
• Fecha Publicación: 13/11/2015
• Nº Volúmenes: 1
• Idioma: Inglés