User:Museicxfuhnatic/sandbox/sandbox/psychosurgery/clinicalguidelines

Third assignment was completed in Sandbox November 7th, but was deleted from the "Psychosurgery" wiki page

Clinical Guildelines
Clinical guidelines have been established to limit the abuse of psychosurgery such as performing surgery for sheer curiosity or experimental purposes. Guidelines have been created to determine who may qualify for psychosurgery and on reporting the performance of psychosurgery.

Application for Psychosurgery
Neurosurgical procedures for psychiatric disorders are reserved for patients who have been unsuccessful with electroconvulsive, psychotherapeutic, and pharmacologic therapies. The severity of a patient’s psychiatric disorder holds a higher priority over a chronic disorder. A patient’s psychiatrist is the only one who may only complete a request for a psychosurgery. The patient's psychiatrist must provide detailed documentation concerning the suspension of therapy and arrange for a neurosurgeon to perform the psychosurgery. Additional documentation that should be included in a psychosurgery application includes: the nature of the psychosurgery proposed, the qualifications of the neurosurgeon, location in which psychosurgery will be performed,informed consent of the individual undergoing the surgical procedure, and results from any investigations performed. Investigations include tests performed prior to time of application such as: a skull and chest X-ray, an EEG, Brain imaging, and a full blood count. A Mental Health Review Board makes a decision based on the application presented by the psychiatrist. A patient interested in psychosurgery must also have family or close individuals that also express an interest in the surgery.

Reports on the Performance of Psychosurgery
The neurosurgeon must complete a written report on the performance of the operation within three months after the completion of the surgery. A report should include details such as: the operative procedure, any operative or anesthetic complications, medications to be prescribed post surgery, a full psychological assessment after the surgery, and details on the progress during the period of three months post-operation.

The psychiatrist of the patient must write a report of the surgery results and present them to the Mental Health Board. The written results must be completed after three months and within twelve months after the psychosurgery. A written report should include: a detailed chronological summary of all treatments provided to the patient post operation, clinical notes of all significant in-patient admissions, details of patient's psychosocial support, details of the patient's functioning levels, and a determination of likely developments and progress with reasoning.