2009
DOI: 10.1089/jpm.2009.0015
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Psychiatric Indications for Admission to an Inpatient Palliative Care Unit

Abstract: As inpatient palliative care units (IPCUs) have become more widespread, experience grows regarding the patients for whom they are best suited. We report here on the use of an IPCU in the treatment of several individuals with comorbid psychiatric and advanced life-threatening illness during a 1-year period. At least four categories of such patients-those with suicide risk, dangerous noncompliance, anxiety with substance dependence and diagnostic dilemmas-may benefit uniquely from the individualized, whole perso… Show more

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Cited by 6 publications
(2 citation statements)
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“…In other words, the main thrust of psychiatric palliative care to date has been to bring psychiatric expertise to seriously-ill patients, many of whom had not previously experienced mental illness. Conversely, there has been little attention to developing models for the application of palliative care principles to the care of patients with chronic mental illness, with some important exceptions [4345]. Secondly, palliative care practice entails a number of important ethical concerns, some of which bear uniquely on issues relevant to mental health.…”
Section: Steps Aheadmentioning
confidence: 99%
“…In other words, the main thrust of psychiatric palliative care to date has been to bring psychiatric expertise to seriously-ill patients, many of whom had not previously experienced mental illness. Conversely, there has been little attention to developing models for the application of palliative care principles to the care of patients with chronic mental illness, with some important exceptions [4345]. Secondly, palliative care practice entails a number of important ethical concerns, some of which bear uniquely on issues relevant to mental health.…”
Section: Steps Aheadmentioning
confidence: 99%
“…One study reported that 7.8% of cancer patients considered suicide in order to escape the fear of cancer progression, stress, and suffering [7]. Severe pain, a high number of hospitalizations, metastasis to other organs [8], repeated recurrence [9], loss of autonomy and control over the situation, and feelings of helplessness and despair (Lefetz and Reich, 2006) led to this increased risk [9,10].…”
Section: Introductionmentioning
confidence: 99%