The development of a Comprehensive Consultation-Liaison Program for the Hemodialysis Unit of the St. Luke's Medical Center
- Author:
Garduno-Cruz Monina
;
Lucindo-Jimenez Alma
- Publication Type:Journal Article
- MeSH:
Human;
Male;
Female;
HEALTH SERVICES;
MENTAL HEALTH SERVICES;
RENAL DIALYSIS
- From:
The Philippine Journal of Psychiatry
2005;29(2):27-34
- CountryPhilippines
- Language:English
-
Abstract:
Objective:
To develop a Pilot Comprehensive Consultation-Liaison Program for the SLMC-Hemodialysis Unit.
Method:
A Comprehensive Consultation-Liaison Program was developed for the SLMC-Hemodialysis Unit based on aneeds assessment survey conducted on patients, their families and the Renal Unit staff. The program consisting of: a) educational activities, b) group activities, and c) appropriate referrals to Psychiatry, was implemented for a 6-month period.
Results:
A total of six (6) patients undergoing hemodialysis at the SLMC-Renal Unit were recruited, with 5 of their families agreeing to participate. Four of the 6 patients (67%) were found to be clinically depressed, with another patient experiencing minimal symptoms of anxiety and depression. Objective quality of life was good and subjective QOL was moderate to high, with the activity domain being most affected. Majority (60%) of the family members had physical symptoms associated with burnout (low energy, fatigue) and was starting to manifest with psychological symptoms of depression, while 40% complained of anxiety symptoms. Quality of life was rated to be high by 80% of the family members. No psychopathology was identified in any of the Unit's staff, with quality of life rated to be high. Inspite of difficulties in the implementation of the group activities for the patients and families/caregivers, majority of the program strategies were implemented.
Conclusion:
A Comprehensive Consultation-Liaison Program for the Unit, which uses a biopsychosocial framework was developed and implemented. These included educational activities, group therapy and appropriate referrals to Psychiatry. The group therapy strategy, however, may not be the best approach for patients in this setting. Instead, individual psychotherapy is best suited and psychiatric consultation, for this purpose, is recommended.
