Features of care for mentally ill
nurse psychiatric department should know that such hallucinations, delusions and delusions, paranoia, manic, depressed, apathetic and catatonic state to quickly find their way, to help the patient does not cause harm to others and to himself, time to dissuade something, butif this is not possible, invite a doctor.
For patients in a psychiatric hospital are trying to create conditions under which the desired calm would be provided.Noise as a strong irritant, especially with prolonged exposure, depletes the human nervous system.It is known that the noise of the tires and a healthy person, makes him a headache, quickens the pulse, etc.It is understood that the noise and bustle of the particularly harmful effect on the mentally ill person.Mentally ill can not stand the noise from this, they are amplified headaches, there is irritability, outbreaks of excitation and may worsen symptoms.
entire work staff in the psychiatric ward of the hospital delivered and executed so that it was quiet, and in any case doe
correct alternation of sleep and wakefulness provides a person the normal operation of the brain and protects nerve cells in the brain from exhaustion.That is why there is so useful is strictly set schedule;it is clear that the well-established schedule is particularly indicated mental patients who are undergoing treatment in a psychiatric hospital.To this end, in a psychiatric hospital departments set mandatory for all patients with a schedule of the day with the exact hours of the morning rise, eating, walking, training medical work, cultural activities, sleep, etc.Such precisely set mode helps to ensure that patients soon restored their normal activity of the nervous system.If the patient goes to bed and gets up at scheduled times, at certain times, he gets used to falling asleep at set hours, his brain receives during sleep right vacation.If the patient goes to bed and gets up at different times, then rest it is erratic and insufficient.Perform sick strict daily routine regulates their behavior.Only the precise execution mode of the day will lead to successful treatment of patients.On the contrary, any breach of regulations leads to failure of therapeutic measures and hampers the work of the medical staff.
All patients should be kept clean and regularly wash, in addition, they can be assigned to the hygienic and medical baths.When the sanitary bath should be well and quickly wash the patient, starting from the head, then wipe the sheet and wear quickly.At therapeutic bath watch on the clock to ensure that the patient does not outlasted the appointed time.Monitor the status of patients in the bath (the general form, complexion).Special surveillance is conducted for patients with epilepsy.In the bathroom and back patients accompanied by a nurse.Weak patients should wash, comb, feed, monitor the physiological functions, in a timely manner given by the vessel, duck.If the patient goes under him, it should be promptly wash, wipe dry and put on clean clothes;such patients under the sheet enclose oilcloth.In bedridden patients with pressure sores may appear in order to prevent them more likely to change the patient's position in bed.It follows that there are no creases, crumbs.Under the sacrum enclose rubber circle, reddened places smeared with camphor spirit.If formed decubitus, smeared it with ointment Vishnevsky, with festering - treated cloth dampened Dioxydinum.Keep an eye on the cleanliness of the oral cavity, skin, nails.
care depressed patients
in the care of depressed patients after them strictly monitored day and night: it is necessary to accompany them to the toilet, washroom, bathroom.Inspect clothing and bedding, whether dangerous items hidden away in them.Medications are allowed to take only in the presence of the sisters to the patient is not hoarding them for suicide.It follows that such patients promptly ate.Depressed patients need rest.Any entertainment worsen his condition, and do not need to persuade him to watch television.Depressed patients often constipation, they promptly make an enema.
Care of patients in a state of excitement
Restless patients are placed in special compartments, where there are wards for silnobespokoynyh and slabobespokoynyh.If the patient is very excited, it is necessary to keep medical staff peace of mind.We must strive to gently and tenderly to reassure the patient, switch it to another thought.If the patient starts to bang his head against the wall, its keep, sedatives are used.Hold
do so: the patient lay on his back in the extended position, the sides of the bed are two nurses - keep two hands and two feet.To hold, you can use a blanket, bed sheet.It is impossible for the patient to keep the ribs, put pressure on the stomach, touch the face.Stand better on the sides of the bed to avoid kicking the patient.Do not stand on the patient's legs when holding.In the case of dangerous driving should be approached to the patient, holding in front of him a blanket and mattress, to mitigate the impact of a sudden from the side of the patient.Each situation depends on the nature and degree of excitation.retention techniques assimilated into practice under the guidance of a doctor and experienced nurses.After intramuscular administration of neuroleptics patient restless sleep comes.The patient is turned over on his stomach, the head is withdrawn to one side and hold at the time of injection.If the patient again tends to jump out of bed, run, attack, antipsychotics prescribed course.Restless patients prescribed long warm bath (water temperature 37-38 ° C).The patient was discharged into the tub;They come back, take him by the hand and quickly crossed them in front, under the breast;while medical personnel with a nurse on the side stand to the patient is not kicked.
There are six types of agitation.
1. hallucinatory-paranoid, meets with hallucinatory-paranoid states.The patient defends against enemies, attacking them.Persuasion does not apply here.Apply sedatives.
2. Depressive agitation occurs in the doldrums.It hurts the wall, scratching face, bite.It kind words can help further appointed protivodepressivnye psychotropic agents, the patient can hold with one medic.
3. maniacal excitement in manic-depressive psychosis.Against the background of the gab, noisy patient may attack others.Persuasion is not used only in conjunction with psychotropics drugs.
4. Excitation in a state of delirium (in infections, alcoholic or others. Poisoning).The patient jumps, runs, drives away from you someone.On the face expression of fear.Words can act on the patient, used sleeping pills, heart means.
5. catatonic excitement with catatonic states.Movement of the patient's absurd, incoherent speech.Words personnel have no effect.retention is required, use antipsychotics in combination with anti-anxiety drugs.
6. Excitation at twilight state of consciousness occurs in patients with epilepsy.He fights with the fire going through the terrible events.The patient is dangerous, attacks on others.Words are useless, keep patient.All approaches must be carefully, try to take the patient for limb lay in bed and hold until the end of the attack.
Helps Enema of chloral hydrate.Recently epilepsy with twilight state is rare.
care neurological and psychiatric patients have similarities and differences.One goal - to alleviate the suffering of patients, improve their health and help to recover faster and to achieve long-term remission.Nurses work is connected not only with the physical, but also mental stress, but if you succeed, then the work will not seem hard and difficult.