Section I. Fundamentals of Psychonephrology.- Psychiatric examination in nephrology.- Psychometric assessment of neuropsychological function in kidney disease.- Current state, knowledge gaps, and management strategies of kidney disease for the psychiatrist.- Renal transplant essentials.- Overview of psychopharmacology principles in nephrology.- Renal toxicity of psychotropic medications.- Overview of psychotherapy principles for patients with kidney disease.- Decisional capacity determinations in psychonephrology.- Consultation-liaison psychiatry and collaborative care models of the patient with renal disease.- Section II. Common Psychiatric Presentations and their Management in the Patient with Kidney Disease.- Common psychiatric disorders in the renal patient.- Substance use disorders and the kidney.- Neurocognitive ramifications of renal disease.- Sexuality and sexual dysfunction in the renal patient.- Psychotoxicity of immunomodulators: corticosteroids, mycophenolate, tacrolimus, cyclophosphamide, and hydroxychloroquine.- Psychological aspects of adaptation to critical care nephrology, dialysis, and transplantation for the patient and the caregiver.- Palliative, end-of-life, and psychiatric care of patients with advanced renal disease.- Difficult patient encounters in nephrology.- Section III. Special Issues in Psychonephrology.- Chronic kidney disease and the aging population: Addressing unmet needs.- Physical activity and nutrition in chronic kidney disease.- Gender disparity and women’s health in kidney disease.- Cultural considerations when caring for racial and ethnic minority patients with end-stage renal disease.- Occupation-related stress affecting physicians caring for patients with renal disease.- Modernizing continuing professional development using social media.- Psychonephrology of the future: A global psychiatry and nephrology inter-specialty curriculum for training the next generation of specialists.
Ana Hategan, MD, FRCPC
Clinical Professor, Geriatric Psychiatrist
Division of Geriatric Psychiatry
Department of Psychiatry and Behavioural Neurosciences
McMaster University
Hamilton, ON
Canada
James Alan Bourgeois, O.D., M.D.
Chair, Department of Psychiatry,
Baylor Scott & White Health, Central Texas Division
Clinical Professor, Department of Medical Education,
College of Medicine, Texas A&M University Health Science Center
Temple, TX USA
Azim S. Gangji, MD, FRCPC
Professor of Medicine
Division of Nephrology, Department of Medicine
McMaster University
Vice President, Education
St. Joseph’s Healthcare Hamilton
Hamilton, ON
Canada
Tricia K.W. Woo, MD, MSc, FRCPC
Associate Professor
Division of Geriatric Medicine, Department of Medicine,
McMaster University
Hamilton, ON
Canada
The book focuses on pharmacological and non-pharmacological approaches of psychiatric syndromes that commonly occur in patients with kidney disease. It specifically reviews principles of psychotherapy and psychopharmacology with an emphasis on organ impairment and drug-drug interactions specific to nephrology.
This book also covers issues with medication nonadherence in patients with chronic kidney disease and psychiatric comorbidity, as well as the associated issues in dialysis and renal transplantation. Additionally, chapters cover various other topics addressing an active stance towards health promotion in chronically ill patients, including the critical role of the diet and physical activity. Such advice is often complex and changing depending on the stage of chronic kidney disease and the individual needs of the patient.
Written by specialists in the field, Psychonephrology: A Guide to Principles and Practice serves as a valuable reference and teaching tool that provides an opportunity for learning across a rapidly evolving medical field.