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Delivering mental healthcare to patients with a depressive disorder alongside a life-limiting illness

The concurrent assessment and treatment of mental health disorders and palliative illnesses is complex. Affective disorders are more prevalent in people who need palliative care. Identifying the most suitable place of care and multi-professional multidisciplinary teams to provide support can be chal...

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Detalles Bibliográficos
Autores principales: Hughes, Daniel, Yardley, Sarah, Greenfield, Philippa, Rolph, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10028549/
https://www.ncbi.nlm.nih.gov/pubmed/34994340
http://dx.doi.org/10.1192/bjb.2021.124
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author Hughes, Daniel
Yardley, Sarah
Greenfield, Philippa
Rolph, Martin
author_facet Hughes, Daniel
Yardley, Sarah
Greenfield, Philippa
Rolph, Martin
author_sort Hughes, Daniel
collection PubMed
description The concurrent assessment and treatment of mental health disorders and palliative illnesses is complex. Affective disorders are more prevalent in people who need palliative care. Identifying the most suitable place of care and multi-professional multidisciplinary teams to provide support can be challenging and bewildering for professionals and patients. Mental health clinicians may be left with a sense of therapeutic nihilism, while palliative care teams can feel limited by the mental health resources available for treating those living with significant physical and mental health needs. We discuss the fictional case of a gentleman with metastatic bowel cancer who has developed symptoms of depressive disorder and identify how taking a pragmatic patient-centred approach can offer a route through potential dilemmas when seeking to provide individualised care based on needs. We used lay person experience alongside our own experiences of novel mechanisms for cross-specialty working in order to direct psychiatric trainees’ approaches to such cases.
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spelling pubmed-100285492023-03-22 Delivering mental healthcare to patients with a depressive disorder alongside a life-limiting illness Hughes, Daniel Yardley, Sarah Greenfield, Philippa Rolph, Martin BJPsych Bull Praxis The concurrent assessment and treatment of mental health disorders and palliative illnesses is complex. Affective disorders are more prevalent in people who need palliative care. Identifying the most suitable place of care and multi-professional multidisciplinary teams to provide support can be challenging and bewildering for professionals and patients. Mental health clinicians may be left with a sense of therapeutic nihilism, while palliative care teams can feel limited by the mental health resources available for treating those living with significant physical and mental health needs. We discuss the fictional case of a gentleman with metastatic bowel cancer who has developed symptoms of depressive disorder and identify how taking a pragmatic patient-centred approach can offer a route through potential dilemmas when seeking to provide individualised care based on needs. We used lay person experience alongside our own experiences of novel mechanisms for cross-specialty working in order to direct psychiatric trainees’ approaches to such cases. Cambridge University Press 2023-02 /pmc/articles/PMC10028549/ /pubmed/34994340 http://dx.doi.org/10.1192/bjb.2021.124 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Praxis
Hughes, Daniel
Yardley, Sarah
Greenfield, Philippa
Rolph, Martin
Delivering mental healthcare to patients with a depressive disorder alongside a life-limiting illness
title Delivering mental healthcare to patients with a depressive disorder alongside a life-limiting illness
title_full Delivering mental healthcare to patients with a depressive disorder alongside a life-limiting illness
title_fullStr Delivering mental healthcare to patients with a depressive disorder alongside a life-limiting illness
title_full_unstemmed Delivering mental healthcare to patients with a depressive disorder alongside a life-limiting illness
title_short Delivering mental healthcare to patients with a depressive disorder alongside a life-limiting illness
title_sort delivering mental healthcare to patients with a depressive disorder alongside a life-limiting illness
topic Praxis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10028549/
https://www.ncbi.nlm.nih.gov/pubmed/34994340
http://dx.doi.org/10.1192/bjb.2021.124
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