临床临床病例会议:在一般医院的治疗超过异议
Natasha R Pillai1, Adira Hulkower2, Shane Gallagher3
1Department of Consultation Liaison Psychiatry, NYU Langone Brooklyn Hospital, New York, NY.
概括
治疗异议 (TOO) 对于精神分裂症患者面临的医疗问题,如尿路感染可能是复杂的. 员工培训和明确的协议对于一般医院的有效实施至关重要.
科学领域:
- 医学伦理 医学伦理
- 精神病学是一个精神病学.
- 医院管理局 医院管理局
背景情况:
- 进入普通医院的精神分裂症患者往往会面临复杂的医疗和精神病学挑战.
- 不坚持心理药物治疗和严重的动荡会使急性疾病的管理变得复杂.
研究的目的:
- 探索在一般医院环境中实施对抗治疗 (TOO) 的道德困境和实际挑战.
- 为医疗保健专业人员提供指导,为管理需要TOO的患者提供医疗和精神疾病的指导.
主要方法:
- 一个65岁的女性患有精神分裂症,需要TOO的案例介绍.
- 多学科的团队讨论和对案件的评论.
- 对TOO的伦理考虑,后勤障碍和实施策略的审查.
主要成果:
- 法院下令的TOO被授予,但由于工作人员不熟悉和患者持续的症状而面临延误.
- 伦理困境,员工不适以及后勤障碍严重阻碍了TOO的实施.
- 会议强调了咨询联络精神病学在促进TOO的关键作用.
结论:
- 在一般医院有效实施TOO需要解决员工教育,道德问题和后勤障碍.
- 一个明确的协议和强大的跨学科合作,特别是与精神病咨询,对于成功的TOO至关重要.
- 这一案例强调了需要改进的系统来管理涉及医疗和精神病学的复杂患者护理需求.
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