117 Unmet needs from mental and physical health co-morbidities: a prospective audit in community palliative care

Yardley, Sarah; Gorny, Monika

doi:10.1136/bmjspcare-2018-aspabstracts.144

Cited by 1 publication

(1 citation statement)

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“…One approach is for a psychiatric trainee to liaise with local palliative care teams to arrange clinical work as part of special interest sessions. In response to a local audit identifying substantial unmet mental health needs within a community palliative care team, 29 the authors embedded a psychiatric trainee within this team. We proposed this would improve psychiatric assessment and mental health treatment signposting, facilitate training of palliative care staff in assessing mental health, and improve the physical health knowledge of the psychiatric trainee.…”

Section: Treatment Approachesmentioning

confidence: 99%

Delivering mental healthcare to patients with a depressive disorder alongside a life-limiting illness

et al. 2022

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The concurrent assessment and treatment of mental health disorders and palliative illnesses is complex. Affective disorders are more prevalent in people who need palliative care. Identifying the most suitable place of care and multi-professional multidisciplinary teams to provide support can be challenging and bewildering for professionals and patients. Mental health clinicians may be left with a sense of therapeutic nihilism, while palliative care teams can feel limited by the mental health resources available for treating those living with significant physical and mental health needs. We discuss the fictional case of a gentleman with metastatic bowel cancer who has developed symptoms of depressive disorder and identify how taking a pragmatic patient-centred approach can offer a route through potential dilemmas when seeking to provide individualised care based on needs. We used lay person experience alongside our own experiences of novel mechanisms for cross-specialty working in order to direct psychiatric trainees’ approaches to such cases.

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Section: Treatment Approachesmentioning

confidence: 99%