临床医生应该知道什么关于息性精神药理学?
1Clinical assistant professor of psychiatry at Case Western Reserve University in Cleveland.
AMA journal of ethics
|September 11, 2023
概括
息精神病治疗方法应根据精神疾病量身定制,考虑治疗是否改变症状或疾病本身. 临床医生必须通过共享决策,在伦理上与患者一起确定护理目标.
科学领域:
- 精神病学是一个精神病学.
- 医学伦理 医学伦理
背景情况:
- 讨论了息精神病学的范围和伦理考虑.
- 息精神病学的现有框架,特别是心理药理学,具有概念上的局限性.
研究的目的:
- 检查当前息精神病学的概念局限性.
- 探索精神疾病的范围和相应的护理方法.
- 分析心理药物治疗在息精神病治疗中的作用.
主要方法:
- 对息精神病学的概念分析.
- 在息治疗中检查心理药理学实践.
- 讨论疾病谱和治疗效果.
主要成果:
- 精神疾病存在从可修改到不可修改的范围.
- 缓解性精神病治疗可以根据这一频谱进行量身定制.
- 精神病药物的效果 (减轻症状与改变疾病) 是关键考虑因素.
结论:
- 临床医生必须根据疾病特征在伦理上区分护理目标.
- 与患者共享决策对于息精神病学中动态目标制定至关重要.
相关概念视频
Psychosis: Goals of Pharmacotherapy
165
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
165
Continuing Care
1.5K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.5K
Drug Therapy
68
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
68
Nursing Ethical Principles II
1.0K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.0K
Analgesia and Pain Management
652
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
652
Pharmacodynamics: Overview and Principles
1.2K
Pharmacodynamics is a scientific field that delves into drugs' intricate biochemical, cellular, and physiological effects on the human body. The study of pharmacodynamics helps us understand how drugs interact with the body and elicit various responses.
Most drugs' effects result from their interactions with drug receptors or targets within the body. These interactions trigger specific responses at the cellular or systemic level. Drug receptors can be found on the surfaces of cells or...
Most drugs' effects result from their interactions with drug receptors or targets within the body. These interactions trigger specific responses at the cellular or systemic level. Drug receptors can be found on the surfaces of cells or...
1.2K


