Portal de Periódicos da CAPES

Disposal of clinical waste.

1992; BMJ; Volume: 304; Issue: 6821 Linguagem: Inglês

10.1136/bmj.304.6821.256-c

0959-8138

P. T. Mannion, A. M. Lewis,

Healthcare and Environmental Waste Management

Underdiagnosis of personality disorder reflects a to consider the applications, and a shortlist of for advice, although only one general practitioner tendency to concentrate on presenting symptoms, two was drawn up.These two were then seen at admitted to requesting such help.One community ignorance of criteria for making the diagnosis some length by every governor; in my case three psychiatric nurse had received post-basic training and of its impact on the prognosis of coexisting governors met together, seeing each candidate for in clinical psychopharmacology, but most updated conditions, and pessimism about its treatment.about an hour and a half.Extensive references their knowledge from the British National Many patients suffering from personality disorder were acquired by the headhunter; even the services Formulary, pharmaceutical representatives, and have little tolerance of psychic or physical pain, of a graphologist were used.I had previously nursing journals.Seven general practitioners sup- They attempt to deal with such pain or to bolster viewed such people with suspicion: to me they ported prescribing by community psychiatric poor self esteem by adopting various maladaptive smacked of fortune tellers and mumbo jumbo.The nurses i'n principle.Three general practitioners, strategies such as overdose, other self harm, eating graphologist's assessment of the two candidates two community psychiatric nurses, and two psy- disorder, alcohol ordrugmisuse, antisocial activity, was remarkably perceptive, not only mirroring chiatrists disagreed with prescribing by community or promiscuity.almost exactly our own assessment but confound-psychiatric nurses on the grounds that the nurses Patients with personality disorder thus tend to ing one candidate's husband by its accuracy.When lacked knowledge of general medicine and thera- present for help in crisis, often dramatically.As a the interviews were complete the governors met peutics.Two psychiatrists viewed the nurses as result of chilldhood experiences (for example, (about two weeks later) and after some two hours' having a limited role in prescribing.sexual abuse) they mistrust figures in authority, discussion the choice was made.Our study indicated awareness of the changing including doctors and nurses.This mistrust is Of course, the reputation of a school depends on role of community psychiatric nurses among the rooted in a profoundly low self esteem, and illness its head, but so does the reputation of a department nurses themselves, general practitioners, and psy- is perceived as being deserved.Help provided is and a hospital depend on its consultant staff.There chiatrists.Opinion on the issue of prescribing by perceived as not being merited, and therefore has to be a better way of appointing con'sultants nurses remained divided.It could certainly save engagement in and compliance with treatment are than the present system; reform is long overdue, doctors' time and provide rapid titration of drug impaired.