Inpatient treatment - what is it? You will find the answer to this question in the materials of this article. In addition, we will tell you about the reasons that are necessary for such treatment, how it is carried out, etc.
general information
Inpatient treatment - these are various forms of therapy used in various clinical cases. These may include rehabilitation, detoxification, a combination of both methods, as well as an approach in which one of the presented methods is accompanied by the other.
Where is it carried out?
Inpatient treatment is treatment that is carried out in a regular or psychiatric clinic. In addition, such therapy is often carried out in a specialized department of a hospital (for example, drug treatment).
Treatment features
Inpatient treatment is a special form of therapy that is provided 24 hours a day. Most often, patients remain in medical institutions for several days, weeks, or even months, years.
The most important difference between inpatient and outpatient treatment is the amount of medical care that the patient receives. Indeed, with such therapy, the patient is under constant supervision.
Why is hospital treatment necessary?
This therapy has several advantages over low-intensity programs. Thus, due to the hospital environment, the highest level of medical supervision is possible, as well as safety for clients who urgently need regular somatic or psychiatric treatment.
Inpatient treatment is indicated for those patients who, from the point of view of official medicine, are in a dangerous condition or pose a danger to others and themselves. In addition, such intensive therapy is also useful for those patients who, for whatever reason, do not respond at all to the advice and recommendations of doctors. For example, hospitalization is indicated for those patients who are in a life-threatening condition, but do not want to undergo outpatient treatment.
It should also be noted that referral to the hospital is often prescribed to people who have a drug or heavy alcohol addiction. In this case, the patients are in a protected environment and can not "break" again.
When should patients be hospitalized?
Now you know what inpatient treatment is. It should be noted that therapy in such conditions is much more effective than in outpatient settings. However, the existing list of indications makes it possible to stay in the hospital only for those who have rather serious health problems.
At the moment, six points have been identified that are necessary in order to evaluate and decide whether the patient needs full or partial hospitalization or whether he can be prescribed outpatient treatment.
So, we list the main points recommended for assessing the patient's condition:
- acute intoxication or withdrawal syndrome;
- complications of serious diseases and biomedical status;
- behavioral and emotional state;
- potential relapse;
- resistance to treatment or its adoption;
- environment in the process of recovery.
After the assessment is completed, the specialist decides on the hospitalization of the patient. In this case, the doctor must consider two serious points:
- the danger of the patient to others and himself;
- the likelihood that the patient will achieve success in treatment using less intensive programs.
Refusal of treatment in a hospital
According to the article of the Federal Law “On the Rights of Patients”, absolutely any citizen has the full right to provide medical care in an inpatient or outpatient setting. The patient has the right to refuse hospitalization, but this is only if his state of health does not pose a threat to those around him and does not threaten his life.
In such situations, the doctor who examined the patient and offered him treatment in a hospital is obliged to take a written refusal from the patient. It is this paper that will be a confirmation that only he himself bears all responsibility for the health and life of a citizen.
Outpatient treatment standards
Inpatient treatment, in particular day care, involves mainly the bedridden regimen of the patient's day. So, each patient is allocated a separate bed with a cotton mattress and a standard set of bed linen.
A day hospital is intended for rehabilitation and preventive measures that do not require round-the-clock monitoring.
A referral to a patient’s inpatient treatment should be given only by a local therapist or any narrow specialist (neurologist, endocrinologist, surgeon, gastroenterologist, pulmonologist, rheumatologist).
Hospitalization is carried out as planned. To reduce the time of examination of patients and quick appointment of treatment, all patients should be admitted to a day hospital already with the results of general clinical examinations (general analysis of urine, blood, ECG, biochemical blood test, examination by a gynecologist, fluorography, endoscopy), as well as after consultation with narrow specialists .
How is the treatment going?
In-patient treatment (including daytime) is carried out using a complex of measures that include drug therapy and physiotherapy (acupuncture, hydrotherapy, exercise therapy, massage, etc.).
It should also be noted that the treatment of patients is free of charge in accordance with existing medical standards developed specifically for hospitals.
Reasons for referral to day care
Patients can be referred for treatment in a day hospital according to the following indications:
- hypertension, including secondary;
- myocardiopathy;
- myocardial dystrophy;
- chronic coronary heart disease;
- chronic pancreatitis;
- chronic or reactive hepatitis ;
- peptic ulcer of the stomach and duodenum, chronic gastritis and duodenitis;
- diabetes mellitus, accompanied by a violation of peripheral circulation;
- chronic cholecystitis;
- rheumatoid and other arthritis, osteoarthrosis;
- gout;
- bronchial asthma;
- obstructive pulmonary disease, chronic bronchitis;
- lesions of the valve apparatus;
- chronic pyelonephritis, chronic glomerulonephritis, chronic cystitis;
- encephalopathy, consequences of traumatic brain injury;
- pneumonia;
- polyneuropathy;
- osteochondrosis, as well as lesions of the intervertebral discs;
- inflammatory diseases of the central nervous system and their consequences;
- multiple sclerosis.