Makara Marta, Grzywa Anna, Spila Bozena
Independent Laboratory of Mental Health, Medical University of Lublin, Poland.
Pol Merkur Lekarski. 2011 Sep;31(183):190-2.
The consultative psychiatry is the field of scientific research and medical practice connecting biological, psychological and social aspects of mental and somatic disorders. The aim of the study was to discuss the subject area of the consultative psychiatry. Psychiatrist may be asked for consultation by the physician, family or patient. The reason for this may be the need to transport or cam the patient down (emergency), the need to understand the disorder, its dynamics, therapeutic difficulties or difficulties in cooperation with the patient. The introduction to consultation consists of gathering information from the supporting staff, patient's family, main physician or from the disease records. Psychiatric examination should be taking place in peaceful surroundings enduring privacy. Basic examination of mental condition should be carried out. The results of the consultation are required to be shared in writing and they influence further treatment and often, further life of the patient. In difficult situations it is advised to carry out psychiatric consultation several times. In emergencies there is a need to consult the aggressive patients with suicidal tendencies and consciousness disorders. The future of consultative psychiatry is connected with development of medicine in the field of transplantology, oncology, pandemics of contagious diseases, biomedicine, etc.
会诊精神病学是连接精神和躯体疾病的生物、心理和社会层面的科研与医学实践领域。本研究的目的是探讨会诊精神病学的主题范围。医生、家属或患者可能会请求精神科医生进行会诊。这样做的原因可能是需要运送或使患者镇静下来（紧急情况），需要了解疾病、其动态变化、治疗困难或与患者合作方面的困难。会诊的准备工作包括从辅助人员、患者家属、主治医生或病历中收集信息。精神病检查应在安静且能保证隐私的环境中进行。应进行基本的精神状况检查。会诊结果需要以书面形式分享，并且它们会影响进一步的治疗，而且往往还会影响患者的未来生活。在困难情况下，建议多次进行精神病会诊。在紧急情况下，有必要会诊有自杀倾向和意识障碍的攻击性患者。会诊精神病学的未来与移植学、肿瘤学、传染病大流行、生物医学等医学领域的发展相关。
