NFT is a common condition resulting from dysfunction of neural networks without any structural damage identifiable by standard additional tests. It manifests itself through motor and sensory disorders and dissociative functional crises. Diagnosis is essentially clinical, based on positive signs. Additional tests are used to rule out neurological comorbidities and confirm the functional origin. Management is based on a multidisciplinary approach.
One year after her election as President of the Ordre National des Infirmiers (ONI), Sylvaine Mazière-Tauran answers our questions about the body, current events and the outlook for the profession over the coming months.
At the crossroads of neurology and psychiatry, functional neurological disorders (FND) require detailed, coordinated management. Through the experience of the ACT N'PSY unit, this article shows how nurses, and in particular advanced practice nurses (APNs), are becoming key players: from psycho-education to clinical follow-up, coordination and networking, they are boosting the efficiency of care paths.
While we work with patients when they are victims of an adverse event in their care, we too often ignore the fact that the caregiver also experiences the consequences of this event. Some of these events lengthen hospital stays, aggravate health problems and can even lead to death. For the caregivers involved, as well as for the health-care teams, the effects are far from negligible in terms of affect and psychological suffering. It is therefore important to act here and develop systematic interventions.
Functional neurological disorders are disorders at the intersection of two disciplines: neurology and psychiatry. The psychiatric team is involved when the diagnosis is made and announced to the patient by the neurologist. The aim is to gain an overall view of the patient's situation and disorder, and to identify the mechanisms involved, in order to offer individualized, multidisciplinary care tailored to the assessed needs.
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