The assessment and treatment of the acutely ill patient—the role of the patient simulator as a teaching tool in the undergraduate programme

AbstractThe concept of the child psychiatric unit is considered. The character, capacities and activities of one unit are described and some features of the admissions over its first 21 years are discussed in relation to the findings of other studies. Among the factors considered are the patients' presenting diagnoses, their sex, their physical health and their length of stay in the Unit. Some possible future directions for the Unit are discussed, and the pattern of work over the two decades covered by the study is related to current and future requirements. It is suggested that for several categories of disorder, a child psychiatric unit offers unique advantages in both assessment and treatment.

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The role of stimulability in the assessment and treatment of spanish-speaking children

Journal of Communication Disorders ◽

10.1016/0021-9924(96)00014-7 ◽

1996 ◽

Vol 29 (4) ◽

pp. 299-314 ◽

Cited By ~ 6

Author(s):

Brian A. Goldstein

Keyword(s):

Spanish Speaking ◽

Assessment And Treatment

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Psychodynamic approaches to suicide and self-harm

BJPsych Advances ◽

10.1192/bja.2017.6 ◽

2018 ◽

Vol 24 (1) ◽

pp. 37-45

Author(s):

Jessica Yakeley ◽

William Burbridge-James

Keyword(s):

Risk Assessment ◽

Suicide Attempts ◽

List Type ◽

Relational Context ◽

Transference And Countertransference ◽

Assessment And Treatment ◽

Self Harm ◽

Psychoanalytic Theories ◽

Risk Assessment And Management

SUMMARYRates of suicide and self-harm are rising in many countries, and it is therapeutically important to explore the personal stories and relationships that underlie this behaviour. In this article psychoanalytic and psychodynamic principles and concepts in relation to violence towards the self are introduced and the various unconscious meanings of suicide and self-harm are explored within a relational context and attachment framework. We describe how a psychodynamic approach may enhance the risk assessment and treatment of patients presenting with self-harm and suicidality, particularly examining the role of transference and countertransference within the therapeutic relationship.LEARNING OBJECTIVES•Understand historical and contemporary psychoanalytic theories and concepts regarding the aetiology of suicide and self-harm•Understand the different meanings and expressions of acts of suicide and self-harm•Understand the use of countertransference in the risk assessment and management of self-harm and suicide attemptsDECLARATION OF INTERESTNone.

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Persisting pain in childhood medical illness

Oxford Textbook of Pediatric Pain ◽

10.1093/med/9780198818762.003.0033 ◽

2021 ◽

pp. 343-350

Author(s):

Martha Mherekumombe ◽

John J. Collins

Keyword(s):

Pain Management ◽

Treatment Approach ◽

Medical Illness ◽

Childhood Diseases ◽

Pain Mechanisms ◽

Multifaceted Approach ◽

Assessment And Treatment ◽

Childhood Pain ◽

Underlying Processes

Persistent pain in childhood and medical illness can be challenging to manage. The chapter has been revised to give a brief overview of the approach to pain management in some childhood diseases. Better understanding of the etiology of pain mechanisms guide the management of pain. In addition, an understanding of the pathophysiology of the underlying processes and utilizing a stepwise assessment and treatment approach is important. Discussion around the multifaceted approach to childhood pain management incorporating the understanding of the role and place of analgesics in managing these medical illnesses is outline. In addition, appropriate medication or analgesia prescription and the role of nonpharmacological approaches has been considered in this revision.

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Cardiac Catheterization in Assessment and Treatment of Kawasaki Disease in Children and Adolescents

Children ◽

10.3390/children6020032 ◽

2019 ◽

Vol 6 (2) ◽

pp. 32

Author(s):

Hitesh Agrawal ◽

Athar M. Qureshi

Keyword(s):

Coronary Artery ◽

Kawasaki Disease ◽

Children And Adolescents ◽

Cardiac Catheterization ◽

Coronary Artery Lesions ◽

Small Children ◽

Promising Tool ◽

Assessment And Treatment ◽

Artery Disease

Cardiac catheterization has become a promising tool to assess and treat coronary artery lesions in patients with Kawasaki disease. Significant coronary artery lesions can now be treated via transcatheter route even in small children. Further development and miniaturization of this technology will help to promote widespread use to the benefit of small children suffering from coronary artery disease. The role of diagnostic and interventional coronary artery procedures in children and adolescents are discussed in this article.

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The role of the physiotherapist in the management of people with haemophilia: defining the new normal

British Journal of Hospital Medicine ◽

10.12968/hmed.2020.0016 ◽

2020 ◽

Vol 81 (8) ◽

pp. 1-8

Author(s):

AJ Wells ◽

D Stephensen

Keyword(s):

Physical Activity ◽

Recurrent Bleeding ◽

Significant Shift ◽

New Era ◽

Assessment And Treatment ◽

Bleeding Episodes ◽

New Treatments ◽

Improve Health

Physiotherapists aim to maximise quality of life and movement potential within the spheres of promotion, prevention, treatment/intervention and rehabilitation. Haemophilia care is witnessing a significant shift towards a new era of potentially life-changing treatments which offer a future of minimal or no bleeds for people with haemophilia. As such, physiotherapy intervention should be more proactive rather than reactive to treat and rehabilitate recurrent bleeding episodes. The role of the physiotherapist within the multidisciplinary team includes the differential diagnosis of musculoskeletal bleeding, supporting and encouraging higher levels of physical activity, rehabilitation to maximise physical potential and capabilities, assessment and treatment of non-bleed-related musculoskeletal issues, managing comorbidities and falls risk, and improving the longitudinal surveillance of musculoskeletal health. Encouraging and supporting people with haemophilia to become more active will improve wellbeing and improve health and health outcomes, and physical activity is becoming one of the most important outcomes for people with haemophilia. Recommendations on the best way to accurately capture these data are vital to ensure the full health benefits of new treatments for people with haemophilia are clear.

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Assessment and Treatment Approaches for Survivors of Torture

The British Journal of Psychiatry ◽

10.1192/bjp.166.6.705 ◽

1995 ◽

Vol 166 (6) ◽

pp. 705-711 ◽

Cited By ~ 24

Author(s):

Ronan J. McIvor ◽

Stuart W. Turner

Keyword(s):

Complex Trauma ◽

Treatment Modalities ◽

International Literature ◽

Psychosocial Effects ◽

Future Directions ◽

Cultural Expectations ◽

Literature Searches ◽

Assessment And Treatment ◽

Survivors Of Torture

BackgroundTorture, with its personal, cultural, political and psychosocial effects, is presented as a complex trauma. The efficacy of different treatment modalities for those survivors who need assistance is examined critically.MethodInternational literature searches using MEDLINE and Psych-Info, books and relevant book chapters were examined.ResultsOne hundred and twenty-five articles were selected for analysis; 30 of the most relevant are discussed.ConclusionsDiscrete approaches to treatment have been developed, but many have yet to be evaluated critically. Common therapeutic elements are outlined. It is recommended that an integrated, flexible, client-centred approach utilising several techniques is most likely to achieve best results. Wider socio-political aspects should be taken into account, and treatment must be consistent with cultural expectations. Future directions for research are outlined and the role of primary prevention is stressed.

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