一般医疗病房和心理健康危机:看不见和不安全
Cindy Towns1,2, Kay Hodgetts1, Philippa Shirtcliffe1
1Department of Medicine, University of Otago Wellington, University of Otago, Wellington, New Zealand.
痴呆症的行为和心理症状 (BPSD) 需要专门的精神病治疗. 目前的医院做法是将BPSD患者送入普通医疗病房,这是不安全和不道德的.
科学领域:
- 老年精神病学是一门精神病学专业.
- 痴呆症护理 痴呆症护理 痴呆症护理
- 医疗保健政策 医疗保健政策
背景情况:
- 痴呆症 (BPSD) 的行为和心理症状很普遍,包括侵略性.
- BPSD是一种精神疾病,与妄想症不同,需要专门的管理.
- 新西兰面临着心理老年病床的短缺,尽管人口老龄化和BPSD病例的增加.
研究的目的:
- 突出与在急性医院环境中管理BPSD患者相关的挑战和风险.
- 批评当前的做法,由于缺乏专门设施,将BPSD患者接收到一般医疗病房.
- 断言这种做法不安全,不道德,法律上有问题.
主要方法:
- 对BPSD患者目前的入院实践进行定性分析.
- 审查与BPSD护理相关的伦理准则和患者权利规范.
- 对管理这些患者的医生进行医学法律影响的讨论.
主要成果:
- 一般医疗病房装备不佳,无法管理BPSD患者,缺乏适当的设计和资源.
- 医院经常将BPSD患者,包括严重侵略性的患者,录取到非专科病房.
- 这种做法侵犯了患者的权利,并使医疗保健专业人员面临重大医疗法律风险.
结论:
- 目前在新西兰管理BPSD患者的系统是不充分的,并带来风险.
- 迫切需要专门的心理老年医疗设施和资源.
- 将BPSD患者送入不合适的病房在伦理上是不可辩护的,必须加以解决.
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