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Palliative Care for Patients with Mental Illness 

Palliative Care for Patients with Mental Illness
Chapter:
Palliative Care for Patients with Mental Illness
Author(s):

John D. Chovan

, and Betty D. Morgan

DOI:
10.1093/med/9780190862374.003.0040
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date: 23 August 2019

This chapter describes the challenges and special needs for persons living with severe and persistent mental illness as they face chronic and life-threatening illnesses. Healthcare providers, especially those working on palliative care interdisciplinary teams, will learn the magnitude of this underserved population; their circumstances; the special needs of the persons with schizophrenia, bipolar disorder, and personality disorders; and those aspects of their mental illness that limit access to and delivery of appropriate healthcare throughout the trajectory of their illnesses. Techniques for caring for and communicating with patients and their families are offered, as are ethical decision-making advice regarding refusal of treatment, capacity and competence, advance directives, and interpersonal issues.

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