title: Psychiatric considerations in the patient receiving organ transplantation: a clinical case conference.
abstract: Psychiatric consultations to evaluate a patient's suitability to receive organ transplantation can require the integration of multiple types and sources of information. A patient's social support network, history of treatment compliance, ongoing Axis I and Axis II disorders, and understanding of the procedure and follow-up required must all be evaluated during such a consultation. This article presents the case of a woman with borderline personality disorder who developed hepatic failure following a drug overdose, and discusses her evaluation for liver transplantation. The discussion frames the pertinent issues in the transplant evaluation and describes the perioperative (transplant) management of the borderline patient.
authors.affiliation: Massachusetts General Hospital, Boston, MA, USA. jhuffman@partners.org
authors.forename: Jeff C
authors.initials: JC
authors.lastname: Huffman
authors.forename: Michael K
authors.initials: MK
authors.lastname: Popkin
authors.forename: Theodore A
authors.initials: TA
authors.lastname: Stern
mesh_terms: D000082:Acetaminophen / Q000506:poisoning; D000328:Adult; D000700:Analgesics / Q000506:poisoning; D001521:Behavior Therapy; D001883:Borderline Personality Disorder / Q000175:diagnosis / Q000523:psychology*; D015897:Comorbidity; D003693:Delirium / Q000175:diagnosis / Q000523:psychology; D003937:Diagnosis, Differential; D062787:Drug Overdose / Q000523:psychology; D004608:Eligibility Determination; D005260:Female; D006501:Hepatic Encephalopathy / Q000139:chemically induced* / Q000523:psychology / Q000601:surgery; D006801:Humans; D007165:Immunosuppression Therapy / Q000523:psychology; D016031:Liver Transplantation / Q000523:psychology*; D010348:Patient Care Team; D010349:Patient Compliance; D010552:Personality Assessment; D010817:Physician-Patient Relations; D011183:Postoperative Complications / Q000175:diagnosis / Q000523:psychology; D011570:Psychiatry; D012017:Referral and Consultation; D018570:Risk Assessment; D012803:Sick Role; D012944:Social Support; D016312:Treatment Refusal / Q000523:psychology
chemical_list: D000700:Analgesics; D000082:Acetaminophen