Psychological Assessment of Surgical Candidates PDF Download
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Author: Ryan J. Marek
Publisher:
ISBN: 9781433837319
Category :
Languages : en
Pages : 0
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Book Description
Surgery outcomes can vary due to psychosocial factors, such as substance use and caregiver support. This book presents evidence-based approaches to presurgical psychological assessment across a broad range of medical conditions.
Author: Ryan J. Marek
Publisher:
ISBN: 9781433837319
Category :
Languages : en
Pages : 0
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Book Description
Surgery outcomes can vary due to psychosocial factors, such as substance use and caregiver support. This book presents evidence-based approaches to presurgical psychological assessment across a broad range of medical conditions.
Author: Andrew Block
Publisher: Amer Psychological Assn
ISBN: 9781433812422
Category : Medical
Languages : en
Pages : 296
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Book Description
The success of many surgical procedures depends not only on the skill of the surgeon and the use of state-of-the-art technology, but also on the actions and characteristics of the patient. Patients' emotional and psychosocial concerns, health-related behaviours, outcome expectations, and compliance with treatment regimen can all strongly influence the ultimate effectiveness of surgery. Thus, mental health professionals are increasingly called upon to perform presurgical psychological screening (PPS) to ensure that patients are given the treatments most likely to be effective, while reducing the chances of worsening their conditions. This book presents PPS procedures for a wide range of surgery types, such as spinal surgery, organ transplantation, bariatric surgery, and plastic surgery. Drawing on both research and clinical experience, the authors explain how to conduct PPS, communicate results to patients and surgeons, and identify possible pre- or post-surgery interventions to mitigate risk factors and maximise the likelihood of surgical success. Case studies and a discussion of bioethics are included
Author: James E. Mitchell
Publisher: Taylor & Francis
ISBN: 113662273X
Category : Psychology
Languages : en
Pages : 288
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Book Description
Bariatric surgery plays an important role in the treatment of obesity; in this comprehensive resource the worldwide leaders of the field provide the most up-to-date information on the psychosocial issues that affect their patients. Included is an overview and history of surgical procedures, complete with illustrations, practical advice on topics such as physical activity and nutritional care after surgery, and essential information that allows clinicians to assist their clients as much as possible; for example, how pre-weight loss surgery psychosocial evaluations can serve as clinical interventions in their own right, and how structured interviews and questionnaires can be used in multiple contexts such as screening, treatment planning, and prognostic assessment. A distinctive chapter includes an overview of the special issues present in treating adolescents, who increasingly are the target of bariatric surgery procedures. This book is an essential reference for clinicians from the evaluation through the follow-up and aftercare of bariatric surgery patients.
Author: Kimberly A. Wisotzke
Publisher:
ISBN:
Category :
Languages : en
Pages : 178
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Book Description
Approximately 36% of adults in the United States population are obese. Obese patients have an increased risk of mortality and morbidity, particularly related to hypertension, dyslipidemia, Type 2 diabetes, asthma, sleep apnea, and impaired psychosocial functioning. The popularity of bariatric surgery has seen significant increases in recent years as a cost-effective way to manage weight. Determining candidates' psychological suitability for bariatric surgery is complicated by the fact that research on psychosocial predictors of success and/or poor outcomes is lacking and results are inconsistent. Psychologists often develop their own guidelines to assist in deciding whether a candidate should be cleared for surgery; thus evaluation procedures and cited contraindications to surgery vary greatly among programs. This study investigated predictors of psychological evaluation recommendation status in a sample of 100 bariatric surgery candidates. The variables that were examined included demographics, Axis I and Axis II psychopathology, and data from the Millon Behavioral Medicine Diagnostic (MBMD) (i.e., coping styles, stress moderators such as social isolation, and treatment prognostics such as interventional fragility, utilization excess, and problematic compliance). Number of Axis I diagnoses, social isolation, and educational level emerged as the strongest predictors of recommendation status. Multivariate logistic regression results suggest that for every additional Axis I diagnosis, the odds of being in the delayed group are approximately 5 times higher after controlling for the other factors in the model. Participants who reported greater social isolation on the MBMD have the odds of being delayed 6% times higher than those with higher social support. For those participants whose highest level of education is grade school, the odds of being delayed were 55 times higher than those participants who completed college or beyond. Additional research into predictors of success following bariatric surgery using large-scale, prospective, longitudinal studies is needed to better inform psychological evaluations. Efforts should also be made to review one's own bariatric psychological evaluation procedure to uncover which factors are most influential in the decision-making process.
Author: Andrew Block
Publisher: Amer Psychological Assn
ISBN: 9781557989970
Category : Medical
Languages : en
Pages : 288
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Book Description
Annotation Written by three psychologists and one orthopedic spine surgeon, this book demonstrates that surgery to relieve chronic back pain can be greatly augmented by the inclusion of psychological components in the assessment and preparation of patients for spine surgery, as well as in post-operative rehabilitation. It offers specific techniques for screening out patients who will not benefit from surgery, preparing patients to undergo surgery, and improving rehabilitation outcomes. Annotation (c)2003 Book News, Inc., Portland, OR (booknews.com).
Author: Ryan Joseph Marek
Publisher:
ISBN:
Category : Mental illness
Languages : en
Pages : 50
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Book Description
Introduction: Psychological comorbidity is common in bariatric surgery candidates. Many multidisciplinary teams incorporate psychometric testing to screen for psychological factors that, if left unattended, may negatively impact surgical results. Purpose: Report descriptive findings and empirical correlates of Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF) scales among bariatric surgery candidates undergoing a pre-surgical psychological evaluation. Materials and Methods: The sample consisted of male (n = 324) and female (n = 658) patients seeking bariatric surgery who were administered the MMPI-2-RF at their psychological evaluation. Psychosocial and medical variables were retrospectively coded from the patients medical records. These criteria included history/current mental health diagnoses and treatments, maladaptive eating behaviors/diagnoses, past/current substance use, abuse history, sleep apnea, and denial of surgery. Results: Descriptive analyses demonstrated similar findings for male and female candidates and replicated previous reports. MMPI-2-RF scales measuring emotional dysfunction were associated with maladaptive eating patterns, a history of Major Depressive Disorder, and previous suicide attempts. Scale scores measuring behavioral dysfunction were associated with current/past substance use and previous physical abuse. MMPI-2-RF scale scores measuring somatic problems were associated with a higher BMI at the time of surgery, sleep apnea diagnosis/adherence, physical/sexual abuse history, active mood disorder, previous mental health diagnoses, and maladaptive eating patterns. Conclusions: The MMPI-2-RF can aid in identifying a broad range of psychological co-morbidity among bariatric surgery candidates. When used in conjunction with a pre-surgical psychological interview, it can aid in the assessment of psychological factors relevant to pre-surgical psychological assessment of bariatric surgery candidates.
Author: Andrew R. Block
Publisher: Psychology Press
ISBN: 1317778731
Category : Psychology
Languages : en
Pages : 196
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Book Description
Pain is an unfortunate daily experience for many individuals. Chronic pain -- lasting six or more months -- is suffered by approximately 30% of the population in the United States. These individuals wake up, function during the day and go to sleep, trying to keep pain at a minimum while, at the same time, maintaining some quality of life. They may make frequent visits to the doctor and the pharmacy. When they find relief, it is usually short-lived and comes at a cost such as dependence on narcotic medications or complete limitation of activity. Pain often becomes the central point of their existence. This practice guide describes an approach to psychological evaluation of the chronic pain patient who is being considered for surgery. A large body of research is accumulating which demonstrates that the outcome of surgical procedures aimed at chronic pain relief can be strongly influenced by psychological and emotional factors. This approach, termed "presurgical psychological screening" (PPS) uses interview and testing techniques to identify emotional, behavioral, and psychosocial difficulties which have been demonstrated to negatively impact surgical outcome. Studies show that even patients with clearly identifiable pathophysiology may respond poorly to surgery, due to issues such as pain sensitivity, medication dependence, rewards for pain behavior and personality style. Thus, some insurance carriers, rehabilitation nurses and state worker's compensation systems are encouraging, or even requiring, presurgical psychological screening in cases of surgery designed to relieve chronic pain. The first to present a comprehensive, unified approach to PPS in chronic pain syndromes, this text is designed to provide the behavioral health practitioner, as well as the trainee, with all the tools and information necessary to conduct PPS evaluations. It identifies a multitude of risk factors for poor surgical outcome and reviews research associated with each risk factor. Hands-on techniques for eliciting information from the patient about risk factors is also detailed. Toward this end, the practice guide also contains a number of forms and session outlines which can be directly utilized, or which can be altered to fit readers' needs. Models for weighing and combining surgical outcome risk factors are also provided. Thus, practitioners are able to reach valid and reliable predictions of surgical results. Finally, the text provides outlines of psychological interventions which can facilitate surgical outcome as well as surgical treatment alternatives. Upon completion of this practice guide, readers should be able to begin providing PPS evaluations which are scientifically valid, clinically sound, and which result in significant overall improvement in the treatment of chronic pain syndromes.
Author: John M. Spores, PhD, JD
Publisher: Springer Publishing Company
ISBN: 0826199879
Category : Psychology
Languages : en
Pages : 449
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Book Description
"Overall, this is an excellent guide to the use and administration of psychological tests. It provides straightforward directions and instructions on how to utilize testing in such a way as to better inform clinical practice. I could see this book as a mainstay on any counselorís bookshelf, especially those who are seeking a way to utilize standardized testing in their practice."--The Professional Counselor Journal ìFinally, a detailed and crystal clear guide to psychological assessment that effectively integrates 'best practices' with the realities of negotiating the mental health care system and insurance providers. I plan to draw on this practical guide in my private practice and to incorporate it as a required text in my advanced counseling assessment classes at both the masterís and doctoral level. This book is a treasure for any mental health professional involved in psychological assessment.î Joseph G. Ponterotto, PhD Professor of Counseling Psychology, Fordham University Standardized psychological testing is often essential for reliably determining the presence of a wide range of psychiatric and personality disorders, along with effectively addressing related issues that may require a psychological referral. This nuts-and-bolts guide to conducting efficient and accurate psychological testing in clinical settings provides mental health professionals with experienced guidance in the entire process, and includes a complete set of forms and templates for all aspects of assessment and testing, from the initial referral and diagnostic interview to the final report. Based on the authorís experience with over two thousand psychological and neuropsychological testing cases, this highly practical book presents a standardized process of assessment, testing, interpretation, report-writing, and presenting feedback to patients, family members, and other professionals. Actual case examples of patients from a wide age range illustrate the assessment and testing process in action. The text provides printed and electronic versions of referral and related forms, initial psychological assessment report templates that include critical areas of coverage for obtaining insurance approval, and interpretation tables for an exceptional inventory of key standardized psychological tests. Integral to the book is a review of psychological tests in seven key categories that most effectively address differential diagnostic dilemmas and related referral questions that clinicians are likely to encounter in practice. It also provides effective strategies for selecting the appropriate tests based on the particular diagnostic questions, guidance for successfully obtaining insurance approval for a targeted yet feasible number of testing hours, and an efficient system for simultaneous test interpretation and report writing. Key Features: Includes an overview of the assessment process, from the initial referral to completion of the final report Features effective reviews of commonly used tests, including neuropsychological, intelligence, personality, and behavioral inventories Includes print and digital templates and forms for all phases of assessment and testing Aids clinicians in both private practice and other health care settings to work within managed care and be effectively reimbursed for services Includes information on conducting forensic competency to stand trial assessments, including the authorís new measure of assessing a defendantís understanding of the legal system
Author: James E. Mitchell
Publisher: Routledge
ISBN: 1135412359
Category : Psychology
Languages : en
Pages : 184
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Book Description
This book provides mental health professionals with a basic overview of the types of procedures involved in bariatric surgery and the specific psychological impacts such operations can have on their patients. It also serves as a valuable resource to surgeons, nurses, doctors, and support staff who are involved in the medical treatment of obesity, but who may have little background in the psychosocial implications of their work. An accompanying questionnaire is available at http://www.eatingdisordersarena.com/resources/EDQ.pdf
Author: Sarah Deen (BSN, RN)
Publisher:
ISBN:
Category : Nursing
Languages : en
Pages : 74
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Book Description
A growing body of literature shows bariatric surgery to be the best long-term treatment option for obesity and related diseases. Thorough preparation in the preoperative phase by a multidisciplinary team is considered essential to successful patient outcomes. One element of preparation is the psychological assessment and management of the surgical candidate. The medical literature surrounding preoperative psychological assessment and management of the bariatric surgery patient was examined. Significant gaps in the empirical evidence base were found in the following areas: psychological assessment tools, psychological management, and psychoactive medication management. Closing these evidence gaps are essential to safe, effective care of the bariatric surgery patient. -- from the abstract.
