Questions and Answers
What is the primary concern regarding dual agency in John's situation?
Which principle requires the physician to consider the patient's best interest when writing the report?
What should the physician do to address privacy and confidentiality when approached by WorkCover?
How should the physician respond to the request for John's notes to ensure informed consent?
Signup and view all the answers
What is a critical consideration when switching antipsychotics to alternatives like Olanzapine or Asenapine?
Signup and view all the answers
What should the physician gather after John's suicide in the hospital?
Signup and view all the answers
Which strategy should be employed if there are concerns about treatment non-compliance?
Signup and view all the answers
Which ethical principle is concerned with preventing harm to the patient when writing a report?
Signup and view all the answers
In what circumstance may a doctor be obligated to breach patient confidentiality?
Signup and view all the answers
When discussing clozapine as a treatment option, which group should be included in the conversation?
Signup and view all the answers
What type of therapy should be considered, taking cultural aspects into account for a patient experiencing auditory hallucinations?
Signup and view all the answers
What is the first step for the physician after receiving news of John's suicide?
Signup and view all the answers
What augmentation strategy can be implemented alongside antipsychotic treatment?
Signup and view all the answers
Which approach is advised to take when dealing with the cultural concerns of a patient's family about community follow-up?
Signup and view all the answers
Which method is recommended for gaining insights into a family's specific concerns regarding treatment?
Signup and view all the answers
What is one potential use for music and headphones in a therapeutic setting?
Signup and view all the answers
What is a key aspect of providing reassurance about mental health services to Stan's family?
Signup and view all the answers
In the case of Stan, if risk issues are present, what legal action might be necessary?
Signup and view all the answers
What is an essential principle when applying Motivational Interviewing techniques?
Signup and view all the answers
Which approach should be taken when the patient feels they do not need to follow their diet?
Signup and view all the answers
What is an appropriate way to affirm a patient's willingness to discuss their condition?
Signup and view all the answers
Why is combating stigma related to mental health important for Stan?
Signup and view all the answers
Which of these statements is true regarding the role of the media liaison officer?
Signup and view all the answers
What would be an inappropriate response to a patient who feels okay and dismisses dietary needs?
Signup and view all the answers
Which strategy can help improve adherence for a patient struggling to remember medication?
Signup and view all the answers
What psychological factor is commonly associated with all eating disorders?
Signup and view all the answers
Which of the following is NOT a risk factor for developing eating disorders?
Signup and view all the answers
Which method could enhance the motivation of patients with lack of insight into their medication adherence?
Signup and view all the answers
What external factor can contribute to the development of eating disorders in urban areas?
Signup and view all the answers
Which of the following strategies can be used to simplify a patient's medication regime?
Signup and view all the answers
Which of the following is a potential cause for cognitive changes that can trigger eating disorders?
Signup and view all the answers
What is a crucial aspect to assess when developing a formulation for a patient with an eating disorder?
Signup and view all the answers
What is a key component of successful management in anorexia nervosa treatment?
Signup and view all the answers
Which psychological therapy is specifically mentioned as evidence-based for treating anorexia nervosa?
Signup and view all the answers
During which phase of Family Based Treatment does weight restoration primarily focus?
Signup and view all the answers
What type of medication may be indicated for individuals with severe obsessive thoughts related to anorexia nervosa?
Signup and view all the answers
Which of the following summarizes the last phase of Family Based Treatment in anorexia nervosa?
Signup and view all the answers
What role does the family play according to the management of anorexia nervosa?
Signup and view all the answers
Study Notes
Ethical Issues in Report Writing - Civil
- Clarify your role as either a treating doctor focusing on patient welfare or as an independent psychiatrist aiding the court.
- Maintain patient confidentiality unless legally obligated to disclose information, consulting medico-legal insurance for guidance.
- Inform the patient about the report request and obtain informed consent after explaining the process and your role.
- Ensure any report provided serves the best interests of the patient while considering potential harm.
- Evaluate the risk of causing harm by writing a report or sharing the patient’s notes.
Management of Patient Suicide
- Attend the hospital ward to gather specific details surrounding the incident, including time, witnesses, and police involvement.
- Consider switching to alternative antipsychotic medications such as Olanzapine or Asenapine.
- If the patient struggles with medication compliance, consider depot medication options and legal frameworks like Community Treatment Orders (CTOs).
- Discuss the potential use of Clozapine for treatment after risk assessment, considering the patient's ethnic background.
- Implement Cognitive Behavioral Therapy (CBT) or culturally-tailored individual therapy, involving community liaison workers as needed.
- Explore augmentation strategies, such as combining mood stabilizers with antipsychotics.
- Utilize distraction techniques, such as music and headphones, to alleviate distress.
- Employ anxiety reduction strategies to support the patient's mental health.
- Note that Transcranial Magnetic Stimulation (TMS) has some evidence for efficacy but is not commonly used.
Stigma and Mental Health - Community Management
- Organize a family meeting to address concerns, involving an indigenous liaison worker if available.
- Clarify specific worries from the family and explore how best to support them and Stan.
- Provide psycho-education on schizophrenia, treatment options, and the need for a collaborative therapeutic alliance considering cultural factors.
- Communicate that traditional healing and western medical practices can exist together, engaging in a liaison model with traditional healers.
- Facilitate meetings with community elders to foster cooperation and family agreement.
- Reassure the family regarding the roles of mental health services and involve legal measures for patient safety if necessary, emphasizing patient-centered care.
- Involve media liaison officers if public relations become a concern.
- Address broader community issues like stigma reduction and support for Stan's employment.
Motivational Interviewing Principles
- Use Open-ended questions to gauge the patient's stage of change regarding diet and weight management.
- Make affirmations to recognize and encourage the patient’s efforts for change and validate their courage in discussing sensitive issues.
- Develop cognitive dissonance by highlighting the gap between the patient's current behavior and their health goals.
Tackling Non-Adherence in Medication
- Recommend the use of a dosette box for organized medication management.
- Suggest setting alarms through various devices, such as mobile phones, to remind the patient to take their medication.
- Utilize visual reminders like post-it notes to assist in medication adherence.
- Simplify medication regimens where possible, concentrating doses into fewer times per day.
- Involve a family member in administering medications to improve compliance.
- Consider adherence therapy incorporating motivational interviewing for patients lacking insight.
- Explore depot medications to ensure consistent intake.
- Assess and address any cognitive impairments that may affect medication adherence.
Eating Disorders - Risk Factors
- Female gender and exposure to societal “thin ideals,” particularly in developed nations, pose risk factors.
- Early menarche and genetic predispositions contribute to vulnerability.
- Urban living and participation in body image-focused activities increase risk.
- History of dieting or rapid weight loss, alongside family history of eating disorders, exacerbates risk.
- Psychological factors include a history of low self-esteem, perfectionism, and impulsivity.
- Multidisciplinary treatment teams, including psychologists and dieticians, are crucial for effective management.
- Family involvement is essential, with family therapy showing effectiveness for anorexia nervosa treatment.
- Medications like SSRIs and antipsychotics may assist with obsessive thoughts and associated anxiety.
Principles of Family-Based Treatment in Anorexia Nervosa
- Family involvement is crucial throughout treatment, supporting the adolescent's recovery.
- Phase 1 focuses on weight restoration, with therapists observing family interactions during meals to strengthen cooperation.
- Phase 2 transitions control of eating from parents back to the adolescent.
- Phase 3 addresses emerging adolescent issues and discharges, emphasizing continued support and health maintenance post-recovery.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
This quiz explores ethical considerations in report writing within a civil context. Participants will clarify their roles, maintain patient confidentiality, and understand informed consent procedures. Additionally, the quiz will cover the management of patient suicide incidents and medication compliance within legal frameworks.