communication

[Editorial] The health of deaf people: communication breakdown

In their Review on the mental health of deaf people published in The Lancet this week, Johannes Fellinger and colleagues write about the social adversity associated with deafness, the high prevalence of depression and anxiety among deaf people, and the barriers they face in accessing mental health services. At the heart of these issues is the problem of communication. In mental health, as in all areas of medicine, good communication is the bedrock of diagnosis and treatment.

Patient communication videos

Hi list, Does anyone know of a good video that is available that demonstrates good pharmacist communication skills in a mental health population? This would be for PYI students. I would appreciate any suggestions; free sources are even better! Thanks in ...

hyperparathyroidism & psychosis/catatonia/AMS

Hello all,   If anyone has any case vignettes or good literature regarding this and are willing to share, that would be great! Got a patient who extensive medical workup is negative except incr PTH (>140). Psych believes this is a potential ...

Collaborative

Aloha List,   We have a physician interested in allowing us to give Risperdal and other psychiatric injectables for their patients due to financial constraints.  Has anyone any experience with a written collaborative agreement or ...

Antidepressant seizure risk

Hello list, We have a professor in our area teaching psychiatric residents that a ll SSRIs have ~ 2% seizure risk (lowering of seizure threshold) and buproprion IR has ~ 4% seizure risk – but buproprion SR/XL has the same risk as SSRIs.  ...

Citalopram vs other antidepressants

I would be also interested in hearing input.  My hunch is to stay away from venlafaxine or desvenlafaxine as they raise BP.  Would escitalopram make sense if financially feasible for the patient?  It also has fewer drug interactions ...

Preoperative and Bowel Prep Order Sets

Hi List, We are a facility which sends out our patients for colonoscopies and other operative procedures, and recently there has been a need for a preprinted preoperative and bowel prep order set. If anyone has any examples to share please email ...

Lithium and ACEI interaction

Does anyone have any documentation or references on potential lithium level changes in a patient already stable on an ACEI prior to initiation or dose increases of lithium?  I have several articles mentioning the interaction when an ACEI is added to ...

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