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Published on: July 31, 2017
Comprehensive multidisciplinary approach in the long-term hospitalization of a child with obsessive - compulsive
Mami Ono1, Ikuhiro Harada2, Kotoe Itagaki3
1Department of Nursing, Kohnodai Hospital, National Center for Global Health and Medicine, Ichikawa, Japan.
Insights
This case study highlights how a multidisciplinary team, led by nurses, supported a boy with obsessive-compulsive disorder (OCD) and autism spectrum disorder. A supportive team environment and open communication were crucial for his self-determination and positive progress.
Area of Science:
- Child and Adolescent Psychiatry
- Neurodevelopmental Disorders
- Mental Health Nursing
Background:
- Presents a case of a boy with co-occurring obsessive-compulsive disorder (OCD) and autism spectrum disorder (ASD).
- Highlights the necessity of long-term hospitalization for symptom management and family relationship improvement.
- Focuses on the final year of compulsory schooling and a nurse-led multidisciplinary team's interventions.
Discussion:
- Explores the challenges nurses faced in assisting with daily living without enabling compulsive behaviors.
- Emphasizes the risk of negative emotional impact on healthcare providers.
- Underscores the importance of a mutually supportive environment within the multidisciplinary team.
Key Insights:
- A supportive team environment, including open discussion of concerns and emotional venting, is vital for patient self-determination.
- Ongoing dialogue between medical staff, the individual, and parents facilitates positive advancement.
- Nurse-led multidisciplinary approaches are effective in managing complex pediatric mental health conditions.
Outlook:
- Further research into tailored multidisciplinary interventions for co-occurring OCD and ASD is warranted.
- Developing robust support systems for healthcare professionals in complex care settings is essential.
- Promoting patient self-determination through collaborative care models can improve long-term outcomes.
Abstract:
This article presents the case of a boy diagnosed with both obsessive-compulsive disorder (OCD) and autism spectrum disorder. Long-term hospitalization was required to improve the patient's OCD symptoms and family relationship. In his last year of compulsory schooling, a multidisciplinary team, led by a nurse, took various approaches to help him self-determine his pathway. In their role of assisting the patient with daily living, the nurses were at risk of becoming involved in his compulsive behavior and developing negative feelings. To support his self-determination, having a mutually supportive environment was essential between the multidisciplinary team and team members, which included discussing his daily living concerns and venting out negative feelings. In this case, ongoing dialog with the medical staff was important for the individual and parents to move forward positively within a supportive framework.
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