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The paranoid patient: surgeon beware!

M J Hawes1, H H Bible

  • 1Department of Ophthalmology, University of Colorado Medical Center, Denver.

Ophthalmic Plastic and Reconstructive Surgery
|January 1, 1990
PubMed
Summary

Patients with paranoid disorder may pose risks during preoperative evaluations. Early detection and careful management are crucial, especially to avoid cosmetic facial surgery in these individuals.

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Area of Science:

  • Psychiatry
  • Plastic Surgery
  • Preoperative Assessment

Background:

  • Personality and mental health assessments are vital components of preoperative patient evaluations.
  • Paranoid disorder is characterized by a pervasive expectation of being exploited or harmed.
  • Identifying patients with paranoid tendencies preoperatively can be challenging.

Observation:

  • This paper details experiences with a patient exhibiting paranoid traits during preoperative assessment.
  • The patient presented potential management difficulties and risks.
  • Cosmetic facial surgery was deemed inappropriate for this patient.

Findings:

  • Paranoid patients can be difficult to detect preoperatively and may exhibit challenging or dangerous behavior.
  • Specific strategies for identifying and managing such patients are proposed.
  • Avoiding elective procedures like cosmetic facial surgery is recommended for patients with paranoid disorders.

Implications:

  • Healthcare providers should implement enhanced screening protocols for personality disorders in preoperative evaluations.
  • Developing tailored management plans for potentially disruptive or dangerous patients is essential.
  • Patient safety and appropriate surgical candidacy require careful consideration of psychological factors, particularly in elective cosmetic procedures.

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