Monday 23 May 2016

INVOLUNTARY HOSPITALIZATION OF PATIENTS WITH THE DIAGNOSTIC: DELIRIUM, DEMENTIA AND OTHER COGNITIVE IMPAIRMENTS. -

In the case of the patients belonging to this category of diagnostic, fluctuating mental alteration is most frequently encountered at forms of moderate dementia. Delirium associated or not with withdrawal symptoms, frequently jeopardizes the person?s capacity of taking a decision, this leading to frequent involuntary hospitalizations. The purpose of this study is to highlight the bio-psycho-social and legal aspects of the patients? involuntarily hospitalized suffering from delirium, dementia and other cognitive impairments. Material and method ? it is a quantitative and retrospective study, and data have been processed from the observation charts of the patients involuntarily hospitalized between 2002 and 2012, suffering from delirium, dementia and other cognitive impairments. The group under study included 22 patients involuntarily hospitalized throughout 10 years in ?Socola? Psychiatric Hospital, Iasi. Results ? group distribution according to sex emphasizes that males are preponderant. The average age for females was 41%, while for males was 38.71%, which emphasizes age homogeneity according to sex (t=0.120; GL=21; p=0.732). The diagnostic of delirium, dementia or other cognitive impairments was confirmed at 77.3% of the patients involuntarily hospitalized. Conclusion - it is noticed the high frequency of the unemployed patients, which shows their difficulty of social functioning and reinserting, because of their altered cognitive, affective-emotional functions, whether behavioral or it is a consequence of the psychiatric patient?s stigmatization and marginalization. In psychiatry, the competence variability generates multiple ethic discussions. The cognitive functions being altered especially in the case of certain mental disorders, compromise the necessary conditions of a valid informed consent. - See more at: 

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