RT Book, Section
A1 Bayardo, Susana
A2 Molmenti, Ernesto Pompeo
A2 Santibañes, Martin de
A2 Santibañes, Eduardo de
SR Print(0)
ID 1180108325
T1 Psychological and Psychiatric Aspects
T2 Liver Transplantation: Operative Techniques and Medical Management
YR 2021
FD 2021
PB McGraw Hill
PP New York, NY
SN 9781260462517
LK accesssurgery.mhmedical.com/content.aspx?aid=1180108325
RD 2024/04/24
AB The  presence  of  end-stage  liver  disease  carries  a  strong  emotional  impact  for  the  patient,  the  family  group,  and  close  friends:  loss  of  health  and  a  life-threatening  condition  generate  great  stress,  which  may  be  accompanied  by  consternation,  denial,  anxiety,  depression,  etc.  Indication  for  transplantation  as  a  saving  alternative  triggers  a  counterpart  in  which  fears,  expectations,  and  vital  hopes  live  together  with  the  inevitable  clinical  deterioration  that  will  eventually  potentiate  them.Transplantation  goes  beyond  the  surgical  act  and  has  to  be  understood  as  a  process  that  encompasses  the  period  ranging  from  pretransplantation  to  posttransplantation  and  that  affects  all  life  areas,  modifying  their  quality,  habitual  social  and  working  environment  functioning,  and  roles  within  the  family  group.  Throughout  this  process,  the  patient  and  their  family  will  have  to  face  different  vicissitudes  regarding  both  the  patient’s  clinical  evolution  and  emotional  aspects.  The  attending  team  will  care  about  the  patient’s  well-being  and  emotional  balance;  thus,  they  will  contribute  to  the  patient’s  understanding  of  the  treatment  implications,  of  the  importance  of  compliance  with  medical  indications,  and  of  the  commitment  to  rehabilitation.  Therefore,  all  these  elements  are  considered  of  the  utmost  importance  for  a  favorable  evolution,  and  due  to  the  importance  and  incidence  of  these  aspects,  most  transplantation  programs  include  psychologists,  psychiatrists,  social  workers,  and/or  skilled  nursing  staff.  Although  the  role  of  these  professionals  varies  within  the  different  centers  and  teams,  they  usually  participate  in  the  evaluation  of  recipients,  of  living  donors  and  their  families,  and  in  the  patient’s  psychological  support  and  help  before  and  after  transplantation.Despite  some  differences  between  the  different  centers  and  programs,  the  psychosocial  evaluation  before  transplantation  aims  to  determine  the  patient’s  aptitude,  to  identify  risk  factors,  and  to  predict  how  he  or  she  will  manage  the  process  so  as  to,  if  necessary,  implement  orientation  and  educational  and  psychotherapeutic  interventions  that  help  the  patient  and  their  family  achieve  a  better  performance.  Studies  state  that  the  better  the  conditions  are  before  transplantation,  the  better  the  evolution  will  be  after  transplantation.