Medicinski vjesnik, Vol. 24 No. (1-2), 1992.
Ostalo
Psychiatric treatment of andogeneus psychosis in the areas of direct war danger
Mijo Milas
Sažetak
The aggression of Yugoslav soldiery in some areas in Croatia, and later in Bosnia and Herzegovina, brought to the appearance of the mass of refugeas. At that time, and soon after, a great number of psychosis in exacerbation appeared at the Psychiatrical Clinic, KBC Split, because of hospitalization. A very few number of bed-funds, nourishment, medicines and overload of medical personnel caused a big problem. There was a great probability that psychotic patients started coming to the Clinical from the areas situated near the frontline, who were there with their families. That would be unsolvdole problem for us. It was necessary to do something to keep those patients with their families and give them psychiatric treatment there. To achieve that, it was necessary to go to those areas and see which the most frequent causes were, and considering them, to take steps which could enable the stay of those psychotic patients with their families. For that occasion we’d made a semi-structural interview and found out the most frequent causes of the exacerbation of psychosis. Then, we recommended the forming of mobile psychiatric teams, and if it wasn’t possible, we suggested to enable more frequent visits of psychiatrist to those areas. Wherever was possible e prescribed depo-therapy maintaining with neuroleptics to the psychotic patients, in the daily dose twice higher than during the peace time, with analogous taking of diazepam, in the harder cases even to 80 mg a day. In absence of the neuroleptics, we suggested a dose of even 120 mg of diazepam a day for very agitated patients. We adviced the stablishment of constant telephone line between those areas and the psychiatrist. In this way, we achieved the remaining of a great number of psychosis with their families.
Ključne riječi
war; exacerbation of psychosis; medical treatment
Hrčak ID:
195331
URI
Datum izdavanja:
1.12.1992.
Posjeta: 701 *