Cargando…
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...
Autores principales: | , , , |
---|---|
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 |
_version_ | 1784909969451122688 |
---|---|
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. |
format | Online Article Text |
id | pubmed-10028549 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT hughesdaniel deliveringmentalhealthcaretopatientswithadepressivedisorderalongsidealifelimitingillness AT yardleysarah deliveringmentalhealthcaretopatientswithadepressivedisorderalongsidealifelimitingillness AT greenfieldphilippa deliveringmentalhealthcaretopatientswithadepressivedisorderalongsidealifelimitingillness AT rolphmartin deliveringmentalhealthcaretopatientswithadepressivedisorderalongsidealifelimitingillness |