[Characteristics of the work of consulting psychiatrist at a non-psychiatric hospital].

Abstract

According to the findings of different authors somatic emergency hospitals admit about 0.3-40 percent of patients with psycho-somatic diseases: mental patients suffering from acute somatic diseases, patients with somatically conditioned mental disorders and also patients the somatic complaints of whom are manifesting symptoms of mental disease. An analysis was made of the consulting psychiatrist work at the multidisciplinary emergency hospital which had no somatopsychiatric department (SPD) in its structure. Medical care was provided to 2654 "mixed patients" with different mental disorders. Acute psychotic symptomatology was detected in 38 percent of these patients, however only 3.42 percent were transferred into mental hospitals and SPD of other hospitals. The remaining patients stayed at somatic hospital up to the end of treatment due to non-carriageable condition. Such situation considerably compicates the work of consulting psychiatrist. The optimization of curative and rehabilitative care for the patients requires efficient cooperation between consulting psychiatrist and resident physicians providing diagnosis, complex biological therapy, differentiated curative and rehabilitative regimen and also securing the rights of mental patients for confidential care in accordance with Code of medical ethics and ensuring continuous upgrading the skills of nurses and physicians of somatic hospitals.