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Management of psychiatric disorders in medically ill patients, including emergencies 

Management of psychiatric disorders in medically ill patients, including emergencies
Chapter:
Management of psychiatric disorders in medically ill patients, including emergencies
Author(s):

Pier Maria Furlan

and Luca Ostacoli

DOI:
10.1093/med/9780199696758.003.0146
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date: 25 August 2019

The coexistence of psychiatric disorders in patients with medical illnesses may influence both the diagnosis and the course of the illness by their effects on pathophysiological, diagnostic, and therapeutic processes. There may also be effects on patients’ collaboration with treatment and on their relationships with health care staff. Several factors change the management of, medical illnesses and psychiatric disorders, and their inter-relation ♦ increased life-expectancy and increasing survival of people with-severe illness alter the risk of other medical and psychiatric disorders; ♦ social changes affecting family structure can affect care giving. Other social factors include changes in the role of women (work, delayed maternity); increased immigration with consequent cultural diversity including different concepts of medical and psychiatric disorders (see Chapter 1.3.2); ♦ increased use of medication in medical and in psychiatric treatment, and changes in the organization of health care and social assistance from hospital-based to community-based. This chapter describes how to recognize, treat and manage psychiatric disorders in medical illnesses.

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