General medicine wards and the mental health crisis: invisible and unsafe.

IF 1.8 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Cindy Towns, Kay Hodgetts, Philippa Shirtcliffe, Christina Cameron, Vuk Sekicki, Cathal McCloy, Christopher Giedt, Nicolien Lourens, Tracey Putt
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引用次数: 0

Abstract

The behavioural and psychological symptoms of dementia (BPSD) are common and include physical and sexual aggression. Unlike delirium, BPSD is a purely psychiatric presentation with no additional medical condition requiring treatment. New Zealand has a paucity of psychiatry beds for older adults, but despite the ageing population, limited attention has been given to this growing problem. BPSD patients present acutely to hospital when their behaviour becomes unmanageable. They need specialist attention and facilities. However, despite inappropriate design and no resourcing, hospitals routinely expect medical wards to accept these patients when no psychogeriatric bed is available even when the presentation is complicated by physical or sexual violence. The authors contend that this practice is unsafe and unethical. It breaches the Code of Rights for all patients and places physicians at medico-legal risk.

普通医学病房与心理健康危机:无形且不安全。
痴呆症(BPSD)的行为和心理症状很常见,包括身体和性侵犯。与谵妄不同,BPSD是一种纯粹的精神病学表现,没有额外的医学条件需要治疗。新西兰为老年人提供的精神病学床位很少,但尽管人口老龄化,但对这一日益严重的问题的关注有限。当BPSD患者的行为变得难以控制时,他们会迅速到医院就诊。他们需要专家的关注和设备。然而,尽管设计不当和缺乏资源,医院通常希望病房在没有老年精神科床位的情况下接收这些病人,即使是在出现身体或性暴力的情况下。作者认为,这种做法是不安全和不道德的。它违反了《所有患者权利法典》,并使医生面临医疗法律风险。
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来源期刊
Internal Medicine Journal
Internal Medicine Journal 医学-医学:内科
CiteScore
3.50
自引率
4.80%
发文量
600
审稿时长
3-6 weeks
期刊介绍: The Internal Medicine Journal is the official journal of the Adult Medicine Division of The Royal Australasian College of Physicians (RACP). Its purpose is to publish high-quality internationally competitive peer-reviewed original medical research, both laboratory and clinical, relating to the study and research of human disease. Papers will be considered from all areas of medical practice and science. The Journal also has a major role in continuing medical education and publishes review articles relevant to physician education.
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