Psychiatric Admission

Following this confrontation, our practice is to admit the patient to an inpatient psychiatric service if at all possible. I have never regretted admitting a patient to a psychiatric service but I have on several occasions sorely regretted failing to do so. Given the potentially life threatening nature of the behavior, involuntary admission is certainly a viable option if the patient cannot otherwise be persuaded. Voluntary or involuntary, psychiatric admission accomplishes several goals. It makes clear the reality and the importance of the psychiatric diagnosis in the context of the patient's ongoing medical care. It formalizes the shift of primary responsibility for the behavior to the psychiatry service while allowing the medical subspecialist to remain an active consultant about the medical issues, and thus to address the patient's fear of being medically abandoned. A common explanation offered by patients for this behavior is that they know they have an illness and they have been doing what was necessary to maintain their doctors' interest and involvement. Psychiatric care should not be identified with the withdrawal of that care and involvement.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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