Veidlapa Nr. M-3 (8)
Study Course Description
Psychological Disorders in Internal Disease Clinic
Course Code
PUNK_010
Branch of Science
Clinical medicine; Psychiatry
ECTS
3.00
Target Audience
Medicine
LQF
Level 7
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Ļubova Renemane
Structure Unit Manager
Elmārs Rancāns
Structural Unit
Department of Psychiatry and Narcology
Contacts
Riga, 2 Tvaika Street, pnk@rsu.lv, +371 67080131
About Study Course
Objective
To provide knowledge about mental disorders that develop in somatically ill patients. To provide knowledge about the impact of somatic disease (intoxication, cerebral hypoxia, pain, somatic disease as a factor of psychological stress) on mental health development and progress. Learn basic psychopathological syndromes that develop in somatically ill patients. To provide knowledge about mental disorders according to ICD -10 classification, which develop in patients with cardiological diseases (myocardial infarction, ischemic heart disease) and cardio surgery, endocrinopathies, gastrointestinal diseases, kidney diseases, and respiratory diseases.
Mental illness diagnosis, treatment, medication and basic principles of the social rehabilitation in somatic inpatient and outpatient care settings.
Mastering the mental health care service organisation principles of the division of powers between internists, family physicians and mental health services, psychiatric patients' care planning and organisation. Acquiring psycho-educative therapy principles, adherence issues, and family education when facing patients with comorbide mental disorders to somatic diseases: cardio - vascular and respiratory diseases, gastro - intestinal tract, urinary tract, endocrine system and respiratory diseases.
Preliminary Knowledge
• Psychiatry and narcology training course in the 4th year of MF at the Department of Psychiatry and narcology of RSU;
• Internal medicine training course in the 4th and 5th year of MF;
• Advanced course in the pathology of lung diseases;
• Advanced course in the pathology of gastrointestinal diseases;
• In psychology, developmental and medical psychology (phases of crisis response, psychological defense mechanisms, personality structure);
• Medical ethics (specifics of ethical issues in psychiatry);
• In epidemiology (incidence, prevalence of mental and behavioral disorders, types of research);
• Basics of clinical patient care (deontology, iatrogeny, patient interview, investigation methods);
• In clinical pharmacology (antidepressants, mood stabilizers, tranquilizers, antipsychotics);
• In psychosomatic medicine;
• Health care organization and economy;
• In anesthesiology and resuscitation.
Learning Outcomes
Knowledge
1.Gained knowledge about the causes of mental disorders and the development of clinical features, early diagnostic possibilities for patients with somatic diseases (cardiological, endocrinopathies, gastrointestinal, kidney and lung diseases). Detection and diagnostics of mental disorders in patients with internal diseases. Medication rehabilitation fundamentals and supportive specifics of patients with internal pathology.
Skills
1.Acquired skills to carry out the assessment of mental disorders, psychiatric disorders' structured description in documentation. Usage of diagnostic scale. Acquisition of practical peculiarities of the different groups of patients (comorbid mental disorders and somatic diseases: cardiological, endocrinopathies, gastrointestinal, kidney disease and others).
Competences
1.Acquired competence to manage mentally ill patient in internist's practice. Must be able to identify the main features of mental illnesses of somatically ill patients. Must be able to make a diagnosis, develop a treatment plan and organise it, to be able to distribute medical competence between internists and psychiatrists, must be able to establish a therapeutic relationship and the therapeutic environment, to be able to educate the patient and the patient's family. Must be able to use diagnostic scale, to know how to reduce the stigma and prejudice for patients, to be able to organise emergency hospitalisation for psychiatric patients.
Assessment
Individual work
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Individual work |
-
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-
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Students independently acquire theoretical part of practical works by using RSU e-materials, information given in classes and recommended additional literature. During the classes, the results of independet work are checked and discussed in groups. Case description evaluation. Students evaluate and discuss in a group the physical state of a patient demonstrated during the practical classes.
In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal.
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Examination
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Title
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% from total grade
|
Grade
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|---|---|---|
|
1.
Examination |
-
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-
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For successful completion of each semester students have to get average satisfactory grade for case description or practical works. The final examination is written. Examination ticket will consist of 3 randomly selected questions. Examination questions will be provided in e-studies. The length of the questions will be tailored to be easily answerable in 25 minutes and written on not more than one A4 page from both sides. Particular examination ticket will be drawn right before the exam. Each examination question will be graded separately and the final grade will be an average of 3 grades. If two of any of questions will be marked with unsatisfactory grade, examination will be failed.
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Study Course Theme Plan
FULL-TIME
Part 1
-
Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Auditorium
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2
|
Topics
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Mental disorders according to ICD -10 classification, which develops in patients with somatic patology.
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-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
5
|
Topics
|
Mental disorders according to ICD-10 classification, which develop in patients with cardiological diseases (myocardial infarction, ischemic heart disease) and cardio surgery.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
5
|
Topics
|
Mental disorders according to ICD-10 classification, which develop in patients with gastrointestinal diseases.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
5
|
Topics
|
Mental disorders according to ICD-10 classification, which develop in patients with diabetes mellitus.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
5
|
Topics
|
Mental disorders according to ICD-10 classification, which develop in patients with endocrinopathies.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
5
|
Topics
|
Mental disorders according to ICD-10 classification, which develop in patients with kidney and lung diseases.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
5
|
Topics
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Delirium due to somatic desease.
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Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam (Written)
Bibliography
Required Reading
1.
Aitken P., Robens S., Emmens T., et al. Developing Models for Liaison Psychiatry Services – Guidance. 1st edition, February 2014
2.
Mental disorders and medical comorbidity. Benjamin G. Druss MD, MPH, Elizabeth Reisinger Walker. RESEARCH SYNTHESIS REPORT NO. 21 FEBRUARY, 2011
3.
Psychiatry at a Glanc, by Katona, Cornelius, Cooper, Claudia, Robertson, Mary. Wiley-Blackwell. 5th edition. 2015. Page 60-70 (ebrary)
4.
Semple D, Smyth R. Oxford Handbook of Psychiatry, 2nd edition. Oxford University Press, Oxford, 2019
5.
Sutker P.B., Adams H.E. Comprehensive Handbook of Psychopathology. 3rd edition. 2002, Part V (akceptējams izdevums)
Additional Reading
1.
Goldberg D., L. Gask, R. Moriss. Psychiatry in Medical Practice. 3rd edition. Routledge, 2008
2.
Kaplan & Sadocks. Synopsis of Psychiatry. Editors B.J.Sadock, V.A.Sadock. 12th edition. Philadelphia; Williams & Wilkins, 2021.
3.
E. Tērauds, E. Rancāns, R. Andrēziņa, B. Kupča, G. Ancāne, I. Ķiece, Ņ. Bezborodovs. Depresijas diagnostikas un ārstēšanas vadlīnijas. 3. Izdevums. Latvijas psihiatru asociācija. Rīga, 2016., 52 lpp. (latviešu plūsmai)
4.
Rancāns E., Tērauds E., Zaļkalns J., Riževa I., Tirāns E., Taube M. Depresijas un neirotisko traucējumu diagnostikas un ārstēšanas rekomendācijas ģimenes ārstiem. RSU Psihiatrijas un narkoloģijas katedra. Rīga, 2012. 32 lpp. (latviešu plūsmai)
5.
R. Andrēziņa, E. Tērauds. Praktiskā psihofarmakoterapija. Rīga, 2015. 40 lpp. (latviešu plūsmai)
Other Information Sources
1.
Mental Health and Chronic Diseases. National healthy worksite. Issue Brief No. 2 October, 2012
2.
Cardiovascular disease and diabetes in people with severe mental illness position statement from the European Psychiatric Association (EPA), supported by the European Association for the Study of Diabetes (EASD) and the European Society of Cardiology (ESC). M. De Hert a, J.M. Dekker b, et.al. European Psychiatry 24, 2009. 412–424.
3.
Missing The Diagnosis: The Hidden Medical Causes of Mental Disorders. by William Matteson, Ph.D.
4.
Mortality and Medical Comorbidity Among Patients With Serious Mental Illness. Brian J. Miller, et.al. PSYCHIATRIC SERVICES. ps.psychiatryonline.org. October, 2006, Vol. 57 No. 10