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Published on: March 13, 2018
[Functional neurological disorders. Integrated, patient-centered neuropsychiatric approach]
Elise Trierweiler1, Cecile Hübsch2, Alexandre Berney1
1Service de psychiatrie de liaison, Département de psychiatrie, Centre hospitalier universitaire vaudois, 1011 Lausanne.
Functional Neurological Disorders (FND) require integrated care. This article presents a model for early intervention in hospitalized FND patients, involving neurology, psychiatry, and therapy teams.
Area of Science:
- Neurology
- Liaison Psychiatry
- Rehabilitation Medicine
Background:
- Functional Neurological Disorders (FND) present complex clinical challenges requiring multidisciplinary management.
- Comorbidities in FND, including somatic, neurological, and psychiatric conditions, complicate patient care and treatment engagement.
- Early detection and intervention are crucial for improving prognosis in FND patients.
Purpose of the Study:
- To present an integrated, early intervention care model for hospitalized patients with FND.
- To illustrate the application of this model using a clinical case example.
- To highlight the importance of coordinated care between neurology, liaison psychiatry, physiotherapy, and occupational therapy.
Main Methods:
- Development of an integrated care model for FND.
- Application of the model to an illustrative clinical case.
- Description of coordinated input from neurology, liaison psychiatry, physiotherapy, and occupational therapy teams.
Main Results:
- The presented model facilitates coordinated management of hospitalized FND patients.
- Early intervention involving multiple specialties can address the complexities of FND care.
- The case example demonstrates the practical implementation of the integrated care approach.
Conclusions:
- An integrated, early intervention model is effective for managing hospitalized FND patients.
- Multidisciplinary collaboration is essential for addressing the multifaceted needs of FND patients.
- This approach aims to improve patient outcomes by overcoming treatment barriers and managing comorbidities.
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