My dream!

Micmomof3
on 6/15/04 1:49 am - Jacksonville, fl
Johanna, ~I found this and though it might help as well.~ Guideline For Psychiatric Evaluation Purpose of Evaluation The psychiatric evaluation includes a face-to-face interview with the patient. A general evaluation usually takes no more than 1 hour to complete. Several meetings with the patient should not be necessary. The psychiatric consultation is requested for the purpose of assisting in the diagnosis, treatment, or management of a patient's possible mental disorder or behavioral problem. The aim of the psychiatric evaluation is to provide answers to the questions including: · Patient's competency in deciding to proceed with gastric bypass. Is the patient competent to decide to proceed with surgery? · History of Substance Use. Does the patient have a past history of drug or alcohol use, abuse or dependence? If so what role might this play in the future of this patient given the expected stress that occurs in the postoperative period? · The presence of any Psychiatric diagnosis relevant to the gastric bypass; in particular is the patient psychotic? If any form of psychiatric illness is identified then prognosis and treatment advice should be included. · Willingness of the psychologist/psychiatrist to follow and treat the patient in the postoperative period. In addition the letter should include a commitment to be available for consultation in the event that depression occurs in the postoperative period. · Patient's ability to handle the stress of the period that follows surgery The evaluation should respect the patient's relationship with the primary clinician and should encourage positive resolution of conflicts between the patient and the primary clinician if these emerge as an issue. Issues to be Addressed in the Psychiatric Evaluation: History of the Present Illness, Past Psychiatric History, General Medical History, History of Substance Use, Social History, Occupational History, Family History, Review of Systems, Mental Status Examination, Functional Assessment, Information Derived From the Interview Process.
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