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Biomedical subjects

D Wasylenki

Publications and source records attributed to D Wasylenki.

23 records · Page 2Linked to original sources
PubMed1983

Social support and post hospital outcome for depressed women.

In a larger follow-up study of discharged patients, a subgroup of 87 women with non-psychotic disorders had an unexpectedly poor outcome at six months with regard to readmissions, symptoms and social adjustment. The only factor which distinguished those who had been readmitted was lack of social support. Lack of social support was also related to poor symptom and social adjustment outcomes. There were considerable difficulties with social functioning independent of high symptoms. The adequacy of aftercare services is questioned in the light of these findings.

Adolescent↗
PubMed1981

Consultation-liaison psychiatry in a chronic care hospital: the consultation function.

This paper describes psychiatric consultations in a chronic care and rehabilitation hospital. It reports that although 60% of consultation requests were for depression, only 8.6% of patients seen received a diagnosis of Affective Disorder. Many patients seen, 51.4%, did not receive a formal psychiatric diagnosis and were found not present problems in adapting to chronic disabling illnesses. These problems included difficulties with convalescent and rehabilitative tasks, manifested by pathological behaviours such as persistent denial and pseudoindependence, as well as characteristic reactions to specific catastrophic illnesses. It is important to recognize that in this population psychotropic medication should be used judiciously, and interpersonal and milieu approaches should be emphasized. It is also important for the psychiatric consultant to maintain an optimistic, therapeutic attitude in what often seem to be rather foreboding consultation settings.

Adult↗
PubMed1980

Depression in the elderly.

Depression in the elderly is very common and may be difficult to diagnose. Because of its varied presentation and its frequent association with physical illness it will be encountered increasingly by all physicians as the elderly population expands. Depression, though treatable, is often not treated, and suicide rates are high among depressed elderly persons. Diagnostic difficulties lie in distinguishing depression from organic brain syndromes, from so-called masked depressions and from normal grief reactions. Pharmacologic treatment is effective, but care must be taken to recognize side effects and to use adequate doses. Psychologic approaches should focus on reducing feelings of helplessness and failing self-esteem. The importance of the losses borne by elderly persons in the pathogenesis of depression continues to be of theoretical and practical interest.

Age Factors↗
PubMedDate not supplied

Developing a social contract between the medical school and the community.

Medical schools are under considerable pressure to reform their conventional curricula. Problem-based and community-oriented instruction are the predominant choices of change. The focus on the community as a teaching resource has occurred partly in order to make medical education relevant to community health needs, and partly in an attempt to replace the declining teaching opportunities available in specialized tertiary care hospitals. This paper offers a theoretical perspective on community-oriented initiatives by examining how one such initiative has been developed in an attempt to establish a social contract between a medical school and a community. An evaluation of the experience is described as a means to assess the success of the social contract at an early stage of its development.

Attitude of Health Personnel↗