دانلود کتاب دستورالعمل‌های تجویز مادزلی برای بیماری‌های روانی در بیماری‌های جسمی

More than 40% of people diagnosed with a serious mental illness have at least one concurrent physical illness. Prescribing medicines to treat the psychiatric condition can be complex in these circumstances. The prescriber will need to consider both the potential for prescribed medication to adversely affect any physical health condition and the possibility of altered response because of the presence of physical illness. Choice of medication in the physically unwell patient can be further complicated by a host of other factors. Some patients, for example, cannot take medicines orally, some are at the end of life, some may be on renal replacement therapy, and so on. The challenges of managing mental health medicines in patients with complex physical comorbidity are faced daily in liaison psychiatry (also known as consultative psychiatry or consultation-liaison psychiatry). As the global population ages and the prevalence of psychiatric conditions continues to increase, these challenges are also increasingly faced by psychiatrists working in all specialisms, both acute and chronic, inpatient and outpatient. This book aims to help the clinician navigate these prescribing scenarios and to be of use not only to psychiatrists but general physicians too. The importance of treating psychiatric conditions in people with physical illness cannot be overstated. There is no doubt that for every physical illness, the presence of mental ill health adversely affects both morbidity and mortality. We hope this book will not only enable the choice of safe and effective medication in physically unwell patients, but also engender confident prescribing for mental illness, even in the face of severe physical illness.