Nueva Joy A. Perucho
Institute of Psychiatry and Behavioral Medicine, PhilippinesPresentation Title:
Scarred: Psychological challenges in an electrical burn survivor
Abstract
Undiagnosed psychiatric disorders among burn patients can negatively impact treatment outcomes. We report a case of a 19-year-old male who suffered from electrical burn injuries involving 30% of the total body surface area. He underwent multiple surgeries including bilateral arm amputations. His recent admission was for release of contractures in the anterior chest and neck area. Patient manifested aggressive behavior in the burn unit post-operation, prompting referral to Consultation-Liaison Psychiatry service. Patient was diagnosed with Major Depressive Disorder and was started on an antidepressant. In addition, psychological support was rendered. Psychotherapy given focused on the issues of grief, loss and acceptance of self-image, development of adaptive behaviors, enhancing family functioning, and advocating for the patient to the surgical team. Patient’s mood improved with no recurrence of aggressive behavior. Moreover, he was noted to be more cooperative with his treatment and other members of the healthcare team. This case illustrates the importance of psychiatric support alongside medical and surgical treatment for burn survivors, with emphasis on early psychiatric consultation and vigilance in screening for psychiatric conditions.
Biography
Perucho is a graduate of Bachelor of Science in
Biology from University of the Philippines
Visayas, (2005-2009). She took Doctor of
Medicine from West Visayas State University
(2009 – 2013), and proceeded for her Post Graduate
Internship at the Philippine General Hospital in
Metro Manila (2013-2014). While serving as a
Doctors to the Barrio (A Philippine Government
program to send physicians to Geographically
Isolated and Disadvantaged Areas), she took her
Masters in Public Management, Major in Health
Systems Development at the Development
Academy of the Philippines in Tagaytay (2014-
2016) and Doctor of Philosophy in Rural
Development, Major in Organizational
Management at Cotabato Foundation School of
Science and Technology(2016-2020). She started
her residency in Psychiatry in 2020 at the Southern
Philippines Medical Center - Institute of Psychiatry
and Behavioral medicine, Davao City, Philippines
and she is currently the Chief Resident.