The distinction between physiological and dysfunctional emotions in end-of-life care may be hard, for a twofold reason: on the one hand, the patient as a subject, with specific clinical features, personality, system of values; on the other hand, the clinical judgment by involved health professionals, particularly their specific cut-offs in discrimination between normal suffering and psychopathology. Both excessive/untimely medicalization and underestimation of medical conditions such as anxiety, depression, suicidal ideation, and insomnia may be a risk while dealing with end-of-life patients. Prompt, reliable psychiatric diagnosing contributes significantly to the major goal of dignity in death. The aims of a psychiatric consultation for patients with end-stage diseases should be: controlling concomitant psychiatric symptoms, managing pain and physical symptoms, assisting patient and relatives in the crisis-management, mediating conflicts between patient, family and ward personnel, and planning advocacy.

Psychiatric referral in the terminally ill patient / Mattei, Giorgio; Colantoni, Alessandra; Visentini, Chiara; Galeazzi, Gian Maria; Ferrari, Silvia. - In: RECENTI PROGRESSI IN MEDICINA. - ISSN 2038-1840. - 110:7(2019), pp. 343-346. [10.1701/3197.31746]

Psychiatric referral in the terminally ill patient

Mattei, Giorgio;Colantoni, Alessandra;Visentini, Chiara;Galeazzi, Gian Maria;Ferrari, Silvia
2019

Abstract

The distinction between physiological and dysfunctional emotions in end-of-life care may be hard, for a twofold reason: on the one hand, the patient as a subject, with specific clinical features, personality, system of values; on the other hand, the clinical judgment by involved health professionals, particularly their specific cut-offs in discrimination between normal suffering and psychopathology. Both excessive/untimely medicalization and underestimation of medical conditions such as anxiety, depression, suicidal ideation, and insomnia may be a risk while dealing with end-of-life patients. Prompt, reliable psychiatric diagnosing contributes significantly to the major goal of dignity in death. The aims of a psychiatric consultation for patients with end-stage diseases should be: controlling concomitant psychiatric symptoms, managing pain and physical symptoms, assisting patient and relatives in the crisis-management, mediating conflicts between patient, family and ward personnel, and planning advocacy.
2019
110
7
343
346
Psychiatric referral in the terminally ill patient / Mattei, Giorgio; Colantoni, Alessandra; Visentini, Chiara; Galeazzi, Gian Maria; Ferrari, Silvia. - In: RECENTI PROGRESSI IN MEDICINA. - ISSN 2038-1840. - 110:7(2019), pp. 343-346. [10.1701/3197.31746]
Mattei, Giorgio; Colantoni, Alessandra; Visentini, Chiara; Galeazzi, Gian Maria; Ferrari, Silvia
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11380/1179769
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