Políticas de saúde mental e mudanças na demanda de serviços de emergência

Del-Ben, Cristina Marta; Marques, João M A; Sponholz, Alcion; Zuardi, Antônio Waldo

doi:10.1590/s0034-89101999000500006

Cited by 22 publications

(15 citation statements)

References 5 publications

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“…The study conducted by Del-Ben, Marques, Sponholz and Zuardi (1999) in the psychiatric emergency service of the University hospital of Ribeirao Preto -SP correlated the annual increase in the number of hospitalizations made, to the progressive involvement of the service in the mental health network promoted by the deinstitutionalization process. The research has indicated that the reduction in hospitalization and changes in the profile of the patients assisted were linked to changes in the mental health policy in the region, responsible for the initiation of central psychiatric vacancies, by the reduction of psychiatric beds in specialized hospitals and through the creation and expansion of extra hospital services in the investigated period.…”

Section: Discussionmentioning

confidence: 99%

Psychiatric Crisis Management in the Emergency Care Hospital Network

Dimenstein

Gruska

Leite

2015

Paidéia (Ribeirão Preto)

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Since psychiatric crisis treatment is crucial in mental health care, this study aimed to characterize the psychiatric crisis in the hospital emergency services of Natal/RN. Semi-structured interviews were conducted with 33 professionals employed in four local public hospitals. The results revealed the absence of adequate beds for psychiatric conditions, scarcity of psychiatric drugs, lack of clarity regarding diagnostic criteria, treatment based on chemical restraint and inpatient care as a priority strategy. Furthermore, there is fragmentation of the work processes with physician centrality in the management of crisis, disarticulation between hospitals and other services of the psychosocial care network and systematic referrals to psychiatric hospital. We conclude that the configuration of the local hospital network does not present satisfactory responsiveness to psychiatric crisis situations and its clinical and institutional weaknesses reflect the process of psychiatric reform in the region.

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Section: Discussionmentioning

confidence: 99%

Psychiatric Crisis Management in the Emergency Care Hospital Network

Dimenstein

Gruska

Leite

2015

Paidéia (Ribeirão Preto)

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“…Among them were included central perceptions, opinions and attitudes of nurses and students of nursing on the use of alcohol and other psychoactive drugs, users and related sicknesses (23) . On specific information offered during the nursing graduate course, a study done in the late 1990s (18) , revealed among other things that alcohol and drugs were not topics of priority in the formation of nurses.…”

Section: Discussionmentioning

confidence: 99%

Protocol for assessing alcohol withdrawal syndrome by nursing professionals in emergency services: a pilot test

2008

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Objectives: This work speaks of a pilot test administered in four public services with emergency care (one at a hospital and three at community clinics) in the city of Ribeirão Preto, São Paulo, to test an assessment protocol for Alcohol Withdrawal Syndrome. Involved were auxiliaries, technicians and soon-to-be-nurses. The object was to evaluate the protocol´s potential as a guide to nursing care, and to test whether it was adequate in terms of comprehension and applicability. Methods: A protocol based on the Clinical Institute Withdrawal Assessment was constructed to be applied by nursing professionals in hospitals and community clinics, allowing for possible alterations based upon individual patients. Fifty-nine workers tested the protocol over four months. Results: Sixty-eight patients (21 women and 47 men), with average age between 34 and 40 years, were interviewed. Alcohol was the predominant drug of use (90%) on a daily average between both sexes. The protocol was designed to systematize health care. Among its purposes were: to facilitate care (42.4%); provide a script for faster orientation (30.5%); provide information giving professional updates (25.4%); provide explanations regarding the particular sickness (23.7). Conclusions: The experience was positive, identifying a lack of knowledge about Alcohol Withdrawal Syndrome. However, an interest to learn more on the subject became evident among workers. Keywords: Alcoholism/nursing; Substance withdrawal syndrome; Nursing care RESUMO Objetivos: Relatar a experiência piloto em quatro serviços públicos com pronto-atendimento (um hospitalar e três comunitários) na cidade de Ribeirão Preto-São Paulo, para testar um protocolo de avaliação da Síndrome de Abstinência Alcoólica entre os auxiliares, técnicos e eventuais enfermeiros, e avaliar o potencial do formulário como guia norteador do cuidado de enfermagem, bem como a adequação do mesmo em termos de compreensão e aplicabilidade. Métodos: Construiu-se, um protocolo para ser aplicado por profissionais de enfermagem, baseado no Clinical Institute Withdrawal Assessment e na vivência em serviços hospitalar e comunitário, contendo alterações que o paciente apresenta. Cinquenta e nove funcionários testaram o protocolo durante quatro meses. Resultados: Sessenta e oito pacientes (21 mulheres e 47 homens), com idade média entre 34 e 40 anos, foram entrevistados e o álcool predominou como droga de uso (90%) num padrão diário em ambos os sexos. O protocolo colabora na sistematização da assistência, facilitando o cuidado (42,4%), como roteiro de orientação (30,5%) e atualização profissional pelas informações (25,4%) e explicações sobre doença (23,7). Conclusões: A experiência positiva identificou a carência de conhecimentos relativos à Síndrome de Abstinência Alcoólica, porém, evidenciou o interesse desses trabalhadores em aprender. Descritores: Alcoolismo/enfermagem; Síndrome de abstinência a substâncias; Cuidados de enfermagem RESUMEN Objetivos: Relatar la experiencia piloto en cuatro servicios públicos con servi...

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“…Caracterizam-se como "porta de entrada" da rede de atendimento em saúde mental, participando inclusive da regulação (redução) das internações psiquiátricas, por meio de observações curtas em suas retaguardas [14][15][16] . A apresentação clínica sintomatológica inicial nos casos de PEP pode ser bastante heterogênea, difi cultando o diagnósti-co preciso com base em manuais (10ª edição da Classifi cação Internacional das Doenças -CID-10, e 5ª edição do Manual Diagnóstico e Estatístico de Transtornos Mentais -DSM-V).…”

Section: Etiopatogenia E Fatores De Riscounclassified

First-Episode Psychosis: Emergency Assistance

Gouvêa¹,

Noto²,

Bonadia³

et al. 2014

RDP

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16 revista debates em psiquiatria -Nov/Dez 2014 zar, é usado para descrever um estado mental em que o indivíduo perde o contato com a realidade, manifestando caracteristicamente delírios, alucinações, pensamento e/ou comportamento desorganizado. A etapa inicial de manifestação dos sintomas psicóticos, em que a intensidade dos mesmos leva uma quebra evidente do funcionamento, define o primeiro episódio psicótico (PEP FIRST-EPISODE PSYCHOSIS: EMERGENCY ASSISTANCEResumo O termo psicose é usado para descrever um estado mental em que o indivíduo perde o contato com a realidade, e a etapa inicial de manifestação dos sintomas psicóticos define o primeiro episódio psicótico (PEP). Este artigo apresenta conceitos e dados gerais sobre PEP, apresenta fatores de risco e provê orientações sobre o diagnóstico (inclusive diagnósticos diferenciais), tratamento e acompanhamento de pacientes com PEP, com destaque para o papel das emergências psiquiátricas. As diferentes fases das psicoses também são descritas. Como conclusão, os autores salientam a importância da identificação e investigação dos casos, o início precoce do tratamento e o acompanhamento aproximado e individualizado dos pacientes.Palavras-chave: Psicoses, primeiro episódio psicótico, emergência psiquiátrica. AbstractThe term psychosis is used to describe a mental state in which the individual loses contact with reality, and the first step in the manifestation of psychotic symptoms is referred to as first-episode psychosis. This article presents general concepts and data on first-episode psychosis, describes risk factors, and provides guidance on the diagnosis (including differential diagnosis), treatment, and follow-up of these patients, with special attention to the role played by psychiatric emergency centers. The different phases of psychoses are also described. The authors conclude by underscoring the importance of identifying and investigating cases of first-episode psychosis, beginning treatment as early as possible, and maintaining a close, individualized follow-up regimen.

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Políticas de saúde mental e mudanças na demanda de serviços de emergência

Cited by 22 publications

References 5 publications

Psychiatric Crisis Management in the Emergency Care Hospital Network

Psychiatric Crisis Management in the Emergency Care Hospital Network

Protocol for assessing alcohol withdrawal syndrome by nursing professionals in emergency services: a pilot test

First-Episode Psychosis: Emergency Assistance

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