Consultation and liaison implications of awakening paralyzed during surgery: a syndrome of traumatic neurosis.
The traumatic neurotic syndrome that occurs upon awakening paralyzed during surgery is a clinical problem unique to the medical setting. It presents the liaison nurse with potential problems in assessment. Given the patient's hesitancy to discuss the experience, the existence of this syndrome always should be considered when evaluating a highly anxious post-operative patient. Beyond the problems of patient assessment, this syndrome can represent a complex consultation-liaison problem, especially with a staff unfamiliar with its existence. A review of the concepts of consultation-liaison work often identifies problematic areas (such as interdisciplinary cooperation and educational needs) that the consultant should cover. The case presentation and discussion illustrated the process of applying consultation liaison principles to a complex clinical problem unique to the medical setting--the traumatic neurotic syndrome that occurs as a result of awakening paralyzed during surgery.
D000328:Adult; D001364:Awareness; D003071:Cognition; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D010243:Paralysis; D011568:Psychiatric Nursing; D012017:Referral and Consultation; D013313:Stress Disorders, Post-Traumatic / Q000451:nursing / Q000523:psychology*; D013514:Surgical Procedures, Operative