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Medicina Fluminensis : Medicina Fluminensis, Vol.49 No.4 Prosinac 2013.

Pregledni rad

Intensive psychiatric care – psychiatric emergencies

Joško Prološčić ; Klinika za psihijatriju, KBC Rijeka, Rijeka
Sandra Blažević Zelić ; Klinika za psihijatriju, KBC Rijeka, Rijeka
Marija Vučić Peitl ; Klinika za psihijatriju, KBC Rijeka, Rijeka
Ivana Ljubičić Bistrović ; Klinika za psihijatriju, KBC Rijeka, Rijeka

Puni tekst: hrvatski, pdf (763 KB) str. 463-467 preuzimanja: 1.039* citiraj
APA 6th Edition
Prološčić, J., Blažević Zelić, S., Vučić Peitl, M. i Ljubičić Bistrović, I. (2013). Intenzivna psihijatrijska skrb – hitna stanja u psihijatriji. Medicina Fluminensis, 49 (4), 463-467. Preuzeto s
MLA 8th Edition
Prološčić, Joško, et al. "Intenzivna psihijatrijska skrb – hitna stanja u psihijatriji." Medicina Fluminensis, vol. 49, br. 4, 2013, str. 463-467. Citirano 18.06.2018.
Chicago 17th Edition
Prološčić, Joško, Sandra Blažević Zelić, Marija Vučić Peitl i Ivana Ljubičić Bistrović. "Intenzivna psihijatrijska skrb – hitna stanja u psihijatriji." Medicina Fluminensis 49, br. 4 (2013): 463-467.

Intensive psychiatric care is a type of psychiatric treatment of patients conducted in
a closed psychiatric ward, and engages the diagnosis and treatment of psychiatric emergencies.
Includes a comprehensive level of care, 24-hour observation, and the possibility of physical
restraint and isolation of patients in the event of loss of capacity for self-control. Psychiatric
disorders treated in such departments are deteriorating mental state within the various mental
disorders. The most common emergencies that require intensive psychiatric care are suicide,
auto and hetero aggressiveness and states of crisis. Examination of the patient includes
medical history, heteroanamnesis, description of psychiatric status, general and neurological
examination, laboratory tests, and sometimes CT and MRI of the brain. In order to take care of
urgent psychiatric patients in use is pharmacotherapy, psychotherapy (brief, individual dynamically
oriented, ventilation, debriefing, supportive and family psychotherapy), and sometimes
physical restraint and isolation of patients in isolation room because of possible danger to
himself and / or the environment. The principal members of the medical team are psychiatrists,
nurses and technicians who are highly qualified and trained in clinical psychiatry emergency
and will immediately determine procedure, diagnosis and treatment of the patient.
Time spent in psychiatric intensive care unit varies, but is usually from 2-6 days. By calming the
acute clinical picture which is the reason for admission to such department, the patient is
transferred to other psychiatric wards in accordance with its general mental and physical condition
and psychiatric diagnosis. Although it is generally thought that the procedures for intensive
psychiatric care is sometimes too hard or beyond the competence of personnel working
in such departments, they are medically necessary and justified.

Ključne riječi
agressive behavior; psychiatric emergencies; psychiatric intensive care; suicidal behavior

Hrčak ID: 112539



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