Dr. David B. Adams – Psychological Blog

Psychology of Illness, Pain, Anxiety and Depression

The Question of Motivation

Among other information you must have regarding a patient’s psychological preparedness for surgery are

_ What do they know (in depth) about the procedure and its best and worst case outcomes?

_ Are they, at any level, prepared for a neutral or negative outcome?

_ How comfortable are they with whom, how and where this procedure will take place?

_ Do they know anyone (close friend or relative) who has benefited from the procedure?

_ Is the procedure mandatory or merely an possible option and does the patient fully understand that?

_ What are the patient_s plans after a positive outcome_what are the backup plans if the outcome is suboptimal?

_ What other clinical alternatives have been explained to the patient?

_ Does the patient have an adequate support system, but more importantly, do members of that support system understand the proposed procedure.

I would estimate that greater than 80% of patients whom I see pre-surgically do not understand what is being proposed despite repeated attempts to education them.

Comments for this post are closed.

Family Involvement

It is often very difficult for us to treat injured workers whose family members become intrusive and disruptive to the treatment …
Read Blog Post

Self-Destructive Patients

It occurs far too often and is distressing and confusing for most people to conceive of someone causing serious or even minor …
Read Blog Post

Finding Case Focus

The longer a case goes unresolved, the less likely it is to do so. There are actually three sources for this ; some of which …
Read Blog Post