scholarly journals Engaging with Families Is a Challenge: Beliefs among Healthcare Professionals in Forensic Psychiatric Care

2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
Ulrica Hörberg ◽  
Eva Benzein ◽  
Christen Erlingsson ◽  
Susanne Syrén
Keyword(s):  
Forensic Psychiatry ◽  
Healthcare Professionals ◽  
Psychiatric Care ◽  
Ethical Dilemmas ◽  
Complex Field ◽  
The Family ◽  
Forensic Psychiatric ◽  
Group Interviews ◽  
And Control ◽  
The Way

Being healthcare professionals in the complex field of forensic psychiatry care (FPC) seems particularly challenging. Historically, families have almost been invisible in FPC. The aim of this study was to uncover beliefs among healthcare professionals concerning families of patients admitted for FPC. Using a hermeneutical approach inspired by Gadamer’s philosophy, group interviews with healthcare professionals in four Swedish forensic psychiatric clinics were analyzed. Analysis resulted in seven key beliefs. There were three beliefs about families: family belongingness is a resource for the patient; most families are broken and not possible to trust; and most families get in the way of the patient’s care. Four beliefs concerned encounters with families: it is important to achieve a balance and control over the family; it is essential to set aside one’s own values and morals; family-oriented work is an impossible mission; and family oriented work requires welcoming the families. Despite ethical dilemmas of working with families in FPC, healthcare professionals showed a willingness and desire to work in a more family-oriented manner. More knowledge, understanding, and caring tools are needed in order to meet the needs of the family as well as support the family’s resources.

scholarly journals A plea against over specialisation in forensic psychiatry

1992 ◽  
Vol 16 (7) ◽  
pp. 439-442 ◽  
Author(s):  
Eric F. Mendelson
Keyword(s):  
Forensic Psychiatry ◽  
Psychiatric Care ◽  
Early Stage ◽  
Integrated Approach ◽  
Integrated System ◽  
Forensic Patients ◽  
Secure Care ◽  
Regional Service ◽  
Forensic Psychiatric ◽  
Special Responsibility

The optimal system for delivering forensic psychiatric care has yet to be established. At an early stage, Gunn (1977) drew attention to the differing models of a ‘parallel’ service and an ‘integrated’ approach. Only with the integrated system do forensic patients pass to ordinary NHS facilities when they no longer require security or other specialist expertise. The debate can be extended into whether forensic services should be provided by regional units, by district services, or by a mixture of both. Indeed, the Royal College of Psychiatrists (1988) recognised that in addition to a regional service led by a fully trained forensic psychiatrist, secure care can be provided at a district level by consultants who have sufficient training to hold posts with a special responsibility. Furthermore, managers are understandably keen for as much as possible to be provided by their own district services.

Patient restrictions: Are there ethical alternatives to seclusion and restraint?

2010 ◽  
Vol 17 (1) ◽  
pp. 65-76 ◽  
Author(s):  
Raija Kontio ◽  
Maritta Välimäki ◽  
Hanna Putkonen ◽  
Lauri Kuosmanen ◽  
Anne Scott ◽  
...  
Keyword(s):  
Decision Making ◽  
Aggressive Behaviour ◽  
Psychiatric Care ◽  
Ethical Dilemmas ◽  
Decision Making Process ◽  
Involuntary Admission ◽  
Focus Group Interviews ◽  
Group Interviews ◽  
Acute Psychiatric Care ◽  
Normal Standard

The use of patient restrictions (e.g. involuntary admission, seclusion, restraint) is a complex ethical dilemma in psychiatric care. The present study explored nurses’ (n = 22) and physicians’ (n = 5) perceptions of what actually happens when an aggressive behaviour episode occurs on the ward and what alternatives to seclusion and restraint are actually in use as normal standard practice in acute psychiatric care. The data were collected by focus group interviews and analysed by inductive content analysis. The participants believed that the decision-making process for managing patients’ aggressive behaviour contains some in-built ethical dilemmas. They thought that patients’ subjective perspective received little attention. Nevertheless, the staff proposed and appeared to use a number of alternatives to minimize or replace the use of seclusion and restraint. Medical and nursing staff need to be encouraged and taught to: (1) tune in more deeply to reasons for patients’ aggressive behaviour; and (2) use alternatives to seclusion and restraint in order to humanize patient care to a greater extent.

scholarly journals Communication between the elderly person and the Family Health Team: is there integrality?

2013 ◽  
Vol 21 (4) ◽  
pp. 884-890 ◽  
Author(s):  
Rita Tereza de Almeida ◽  
Suely Itsuko Ciosak
Keyword(s):  
Elderly People ◽  
Healthcare Professionals ◽  
Elderly Person ◽  
Family Health ◽  
The Elderly ◽  
Communication Process ◽  
Innovative Technology ◽  
Family Health Program ◽  
The Family ◽  
And Control

OBJECTIVE: to verify the forms of communication used in four Primary Health Units with Family Health Program teams in Porto Feliz, São Paulo, and how they impact in the care and control of the health of elderly people. METHOD: this qualitative study sought to capture the communication between elderly people and healthcare professionals. Interviews were conducted with 20 elderly people of both sexes. RESULTS: from the discourses and observations, assertive communication and blocked communication emerged as the central analysis themes, the verbal and nonverbal elements of which, unveiled subjectivity of the communication process, of the local culture and of the psychosocial factors positively and negatively contributing to the healthcare for elderly people. The nursing teams of the Family Health Strategy showed forms of communication that favored the adherence of the elderly people to the care and control of their health. Negatives aspects did not have completely prejudicial consequences, however, should be avoided, in order to facilitate integral care to elderly people. CONCLUSION: it is worth reinforcing the need for improvement of the nursing team and other healthcare professionals regarding health communication as an innovative technology, bringing credibility to the health promotion and prevention programs with elderly users.

scholarly journals Polish Experiences of Safety Measures Involving Forensic Psychiatric Inpatients Implemented During the SARS-CoV-2 Pandemic

2021 ◽  
Vol 11 ◽  
Author(s):  
Janusz Heitzman ◽  
Paweł Gosek
Keyword(s):  
Forensic Psychiatry ◽  
Psychiatric Care ◽  
Psychiatric Treatment ◽  
Inpatient Service ◽  
Safety Measures ◽  
Social Distancing ◽  
Forensic Psychiatric ◽  
Treatment Safety ◽  
Therapeutic Activities ◽  
Safety Procedures

The SARS-CoV-2 pandemic has made it necessary for us to adapt our healthcare systems to a very different sort of reality. This clearly also applies to psychiatric services. The restrictions and safeguards associated with the pandemic particularly concern adherence to social distancing and medical treatment safety procedures. The implementation of these procedures is generally complicated by conditions of forensic psychiatry where, in line with demands made by courts, the treatment and isolation of mentally unwell offenders must be carefully managed. In most countries, forensic psychiatric treatment is an inpatient service where patients are kept in restricted and cramped spaces, making social distancing difficult to implement as patients participate in compulsory group therapeutic activities. As a result, it is necessary to introduce unique recommendations relating to patient safety and treatment adapted to the realities of forensic psychiatry. All this requires the implementation of additional restrictions, over and above those arising from the essential aspects of forensic psychiatry. In this paper, we present and discuss the Polish guidelines for forensic psychiatric care during the SARS-CoV-2 pandemic, developed as a result of discussions on essential measures introduced to reduce the spread of the virus and the unique needs of the forensic patient population.

Disease in the family in terms of contemporary literature for children

2014 ◽  
Vol 4 (1) ◽  
pp. 43-54
Author(s):  
Jowita Gromysz
Keyword(s):  
Young Children ◽  
Family Environment ◽  
Contemporary Literature ◽  
The Family ◽  
The Way

Summary Disease in the family is a literary motif used by many authors. The article contains a description of various ways of representing the disease in contemporary texts for young children. Pedagogical context of reading literary narratives refers to the way the rider repons to the text ( relevance to the age of the reader, therapeutic and educational function). The analyzed texts concern hospitalization, disability of siblings, parent’s cancer. There always relate to the family environment and show the changeability of roles and functions in family.

‘To wise for a woman’

2018 ◽  
Author(s):  
Nicola Clark
Keyword(s):  
Marital Problems ◽  
The Core ◽  
The Family ◽  
Made In ◽  
The Way

While there were clear strategic aims in the way that marriages were made in the Howard dynasty during this period, the family was only unusual in that it operated at the very top of the aristocratic hierarchy and was therefore able to use marital alliances to successfully recover and bolster both status and finances. Where they were different, however, was in the experience of some of these women within marriage. By and large, the marriages made by and for members of the family, including women, seem to have been as successful as others of their class. However, three women close to the core of the dynasty experienced severe marital problems, even ‘failed’ marriages, almost simultaneously during the 1520s and 1530s. The records generated by these episodes tell us about the way in which the family operated as a whole, and the agency of women in this context, and this chapter therefore reconstructs these disputes for this purpose.

Right to Parental Care

2017 ◽  
Author(s):  
Asha Bajpai
Keyword(s):  
Law Reform ◽  
Best Interest ◽  
Family Courts ◽  
Custody Of Children ◽  
The Family ◽  
Shared Parenting ◽  
The Right ◽  
A Minor ◽  
And Control ◽  
Physical Care

Custody refers to the physical care and control of a minor whereas guardianship is a wider term and includes rights and duties with respect to the care and control of minor’s person and property, and includes the right to make decisions relating to the minor. The present legal regime relating to guardianship and custody of children is discussed, including the Guardians and Wards Act, 1890, the Hindu Minority and Guardianship Act, 1956, the personal and matrimonial laws, and relevant provisions in the Family Courts Act and Protection of Women against Domestic Violence Act, 2005. The emerging concepts of shared parenting, joint custody, and the interparental child removal or abduction of child is included. There is review and analysis of some major reported judicial decisions. A comparative survey of international laws and trends has been done. Suggestions for law reform in the best interest of the child have been given.

scholarly journals 201 Reducing Noise Pollution on a Surgical Ward

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
S Shah
Keyword(s):  
Healthcare Professionals ◽  
Noise Pollution ◽  
Positive Role ◽  
Low Resource ◽  
Admission Rates ◽  
Quality Patient Care ◽  
Surgical Ward ◽  
Control Ward ◽  
Icu Psychosis ◽  
And Control

Abstract Noise pollution in surgical wards negatively influence the wellbeing of patients and healthcare professionals. In addition to disrupting sleep and impairing communication, recognised patient consequences include increased pain, increased re-admission rates and post-ICU psychosis. Ambient white-noise machines, sound-absorbing ceilings and retractable screens are purported as noise pollution reducing strategies (NPRS). These are expensive and impractical. We investigated the capacity of various low resource NPRSs. Noise was measured using “Sound Meter” app at four sites on two identical surgical wards. Ward A and B were designated as study and control ward, respectively. Measurements were taken at three time points (9am, 11am, 3pm) every day during a week. NPRSs were then implemented in ward A and data collection repeated. Prior to intervention there was no difference in noise between ward A and ward B (83dB and 87dB respectively, p > 0.05). After intervention, ward A was significantly quieter than ward B (64dB and 85dB respectively, p < 0.05). Restructuring ward environments presents several challenges. However, low resource interventions can have a positive role in reducing noise pollution. As hospitals become busier with resumption of normal services post-COVID-19, staff should be considerate of noise pollution in order to create an environment conducive to high quality patient care.

scholarly journals The use of physical exercise in forensic psychiatric care in Sweden: a nationwide survey

2021 ◽  
pp. 1-9
Author(s):  
Henrik Bergman ◽  
Thomas Nilsson ◽  
Peter Andiné ◽  
Alessio Degl’Innocenti ◽  
Roland Thomeé ◽  
...  
Keyword(s):  
Physical Exercise ◽  
Psychiatric Care ◽  
Nationwide Survey ◽  
Forensic Psychiatric

Pandora’s box in the dental clinic

2021 ◽  
pp. 1-5
Author(s):  
Debby Ben-David ◽  
Azza Vaturi ◽  
Ester Solter ◽  
Bina Rubinovitch ◽  
Jonathan Lellouche ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Healthcare Professionals ◽  
Dental Procedure ◽  
Dental Clinics ◽  
Intravenous Drugs ◽  
Environmental Surfaces ◽  
Outpatient Procedures ◽  
Polymerase Chain ◽  
And Control ◽  
Element Sequence

Abstract Background: In June 2018, the Ministry of Health received notification from 2 hospitals about 2 patients who presented with overwhelming Enterobacter kobei sepsis that developed within 24 hours after a dental procedure. We describe the investigation of this outbreak. Methods: The epidemiologic investigation included site visits in 2 dental clinics and interviews with all involved healthcare workers. Chart reviews were conducted for case and control subjects. Samples were taken from medications and antiseptics, environmental surfaces, dental water systems, and from the involved healthcare professionals. Isolate similarity was assessed using repetitive element sequence-based polymerase chain reaction (REP-PCR). Results: The 2 procedures were conducted in different dental clinics by different surgeons and dental technicians. A single anesthesiologist administered the systemic anesthetic in both cases. Cultures from medications, fluids and healthcare workers’ hands were negative, but E. kobei was detected from the anesthesiologist’s portable medication cart. The 2 human isolates and the environmental isolate shared the same REP-PCR fingerprinting profile. None of the 21 patients treated by the anesthesiologist in a general hospital during the same period, using the hospital’s medications, developed infection following surgery. Conclusions: An outbreak of post–dental-procedure sepsis was linked to a contaminated medication cart, emphasizing the importance of medication storage standards and strict aseptic technique when preparing intravenous drugs during anesthesia. Immediate reporting of sepsis following these outpatient procedures enabled early identification and termination of the outbreak.

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