Psychiatric aspects of surgery including transplantation

Gary Rodin and Susan Abbey Preoperativeassessment

Emotional, .coniri,b„u.t.o.rs.„t.o..th.e„ .patient's, .physical, symptoms

Cognitive^functioning, .and.j.n.fPrme.d .consent Assessment .pfperspnality,. cpping.style,, ..a.n,d...th.e, ..response. .tP.surgery Preoperativeinterventions Anxiety

Mooddisorders

PsycMiLflisorders seyerepersonalitydisprders

Substanceabuse .disorders

Postoperative compli.catiOPS..andjnterventipns Immediate

Delirium,. . and . .agitation sh.o.rt-te.rm...cpmpíi£at.ions

Medium-.and.. long-term. complications

Adjustment ..issues

Dislpr0pprti0nate,disability ..and.p.aiP

Conclusions Chapter. References

Attention to psychiatric disturbances and to emotional distress is important in the surgical setting from the time of the initial diagnostic assessment, to the perioperative period and subsequent recovery and rehabilitation. Psychiatric illness and psychological factors which are not taken into account prior to surgery may contribute to inaccurate diagnoses, unrealistic assessment of the surgical risk, unnecessary surgery, and complications that could have been avoided or minimized. This chapter will address these factors and provide an approach to the consideration of psychiatric factors and interventions in this setting.

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