While you start educating a patient about his condition, he refuses to know about it and asks you to give whatever treatment you want to give him. He has full capacity to make decisions otherwise. What should you do next? Give treatment that is best for him Decide with his relatives Inform him against his will Try to find the reasons why he does not wish to know Inform him that it is still important that he learns about all the options Answer : If an adult has capacity, no one else can make decisions on behalf of him/her. If the patient wants you to make decision for them or leaves it to a relative, friend etc., you should explain that it is still important for them to learn about the available options. If they do not want this information, you should then try to find the reasons.In case of any questions, please write down your comment below. Reference:  http://www.gmc-uk.org/guidance/ethical_guidance/confidentiality.asp

Which of these side effects of antipsychotics occur earlier than the others? A.  Tardive  dyskinesia B.  Akathisia C.  Parkinsonism D.  Hypothyroidism E.  Weight  gain   Answer : Acute dystonia can occur within hours of starting antipsychotics (minutes if the IM or IV route is used) Tardive dystonia occurs after months to years of antipsychotic treatment. Acute akathisia occurs within hours to weeks of starting antipsychotics or increasing the dose. Tardive akathisia takes longer to develop and can persist after antipsychotics have been withdrawn. Tardive dyskinesia occurs in months to years. Weight gain may start early but it may not be evident for few weeks. Parkinsonism may take days to weeks after antipsychotic drugs are started or the dose is increased. Reference:  The Maudsley Prescribing Guidelines in Psychiatry 12th Edition.

Which of these side effects of antipsychotics occur earlier than the others? A.  Tardive  dyskinesia B.  Akathisia C.  Parkinsonism D.  Hypothyroidism E.  Weight  gain Answer :  Acute dystonia can occur within hours of starting antipsychotics (minutes if the IM or IV route is used) Tardive dystonia occurs after months to years of antipsychotic treatment.  Acute akathisia occurs within hours to weeks of starting antipsychotics or increasing the dose. Tardive akathisia takes longer to develop and can persist after antipsychotics have been withdrawn. Tardive dyskinesia occurs in months to years. Weight gain may start early but it may not be evident for few weeks. Parkinsonism may take days to weeks after antipsychotic drugs are started or the dose is increased. Reference: The Maudsley Prescribing Guidelines in Psychiatry 12th Edition. 

While you start educating a patient about his condition, he refuses to know about it and asks you to give whatever treatment you want to give him. He has full capacity to make decisions otherwise. What should you do next? Give treatment that is best for him Decide with his relatives Inform him against his will Try to find the reasons why he does not wish to know Inform him that it is still important that he learns about all the options Answer : If an adult has capacity, no one else can make decisions on behalf of him/her. If the patient wants you to make decision for them or leaves it to a relative, friend etc., you should explain that it is still important for them to learn about the available options. If they do not want this information, you should then try to find the reasons. Reference: http://www.gmc-uk.org/guidance/ethical_guidance/confidentiality.asp

Risk Factors for Post-Traumatic Stress Disorder The following description of risk factors also answers QID:919472837474 The best answer would be d) her intelligence quotient. The patient has developed symptoms of post-traumatic stress disorder, including the most specific “intrusive symptoms.” These have occurred after the life-threatening event she went through. Both the international classification of diseases and the diagnostic and statistical manual require such a precipitating factor for making the diagnosis. It is an event that is life-threatening, or according to the diagnostic and statistical manual, one that threatens body-integrity (e.g. rape). One may either be a bystander or directly threatened by the event. However, this factor interacts with other predisposing or vulnerability factors in an individual to trigger the condition. Genetic factors account for about one-third of the vulnerability , according to a study conducted on twins working in the U.S. military. Other no

Meri CHANDI Memory impairment  Concentration reduced  Hallucinations  Anxiety  Nightmares Depression, delusions, depersonalization Insomnia