什么时候应包括入院精神病治疗进入户外,尽管逃跑或其他风险?
Allie Slemon1, Shivinder Dhari2
1Assistant professor at the University of Victoria School of Nursing in Victoria, British Columbia, Canada.
AMA journal of ethics
|March 6, 2024
概括
精神病治疗中的"零风险"方法可能会造成伤害. 本评论建议通过协作风险评估,平衡患者安全与以康复为导向的目标.
科学领域:
- 精神病学是一个精神病学.
- 患者安全 患者安全
- 医疗保健政策 医疗保健政策
背景情况:
- "零风险"模式在精神病医院住院患者的决策中越来越普遍.
- 这种方法需要仔细检查潜在的阳性危害.
- 平衡患者的安全与福祉是一个关键考虑因素.
研究的目的:
- 分析"零风险"范式在精神病医院住院患者的后果.
- 探索绝对安全和患者自主权之间的紧张关系.
- 为风险评估和护理规划提出替代策略.
主要方法:
- 案例评论和批判分析.
- 关于精神病风险评估的现有文献的审查.
- 讨论以康复为导向的护理模式.
主要成果:
- "零风险"的方法可能会无意中导致产生催产素的危害.
- 严格专注于消除所有风险可能与患者的康复和参与冲突.
- 合作风险评估是必不可少的.
结论:
- 重新思考"零风险"范式在精神病医院住院护理中至关重要.
- 将以康复为导向的目标纳入风险管理,可以提高患者的幸福感.
- 建议在风险评估中采用平衡,协作式的方法.
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