Continuous treatment of the patient with mental disorder after discharge from the hospital

Uvod: Proces zdravstvene obravnave pacienta z duševno motnjo je kompleksen zdravstveni problem. Zaradi tega je ključnega pomena celostna in kontinuirana obravnava pacienta, ko se le-ta vrne iz bolnišnice v domače okolje. Poudariti je potrebno pomen obveščanja pristojnih služb, ko se pacient vrne iz bolnišničnega v domače okolje. Namen: Namen diplomskega dela je s pregledom strokovne in znanstvene literature predstaviti kontinuirano in celostno obravnavo pacienta z duševno motnjo po odpustu iz bolnišnice. Metode dela: V diplomskem delu je bila uporabljena deskriptivna metoda dela, s katero smo pregledali literaturo, izdano od leta 2007 dalje, uporabljena sta bila tudi dva starejša vira. Za opredelitev namena diplomskega dela je bila pregledana strokovna in znanstvena literatura s področja zdravstvene nege, ki obravnava odpust pacienta iz psihiatrične bolnišnice. Literatura je bila iskana s pomočjo oddaljenega dostopa do informacijskih virov knjižnic Univerze v Ljubljani, preko portala DiKUL v podatkovnih bazah CINAHL in MEDLINE. Izbrana literatura je v angleškem in slovenskem jeziku, vsa besedila pa so bila prosto dostopna v celoti. Rezultati: Rezultati dobljeni s pregledom literature kažejo, da je v Sloveniji odpust pacienta iz bolnišnice premalo sistematiziran, manjkajo specialisti na področju zdravstvene nege, ki bi lahko reševali nastale težave. Obravnava v skupnosti se že uveljavlja, prav tako imajo svojo vlogo tudi nevladne organizacije. Razprava in sklep: Zdravljenje motenj v duševnem zdravju je dolgotrajen proces. Zaradi tega je treba iskati dolgoročne in sistemske rešitve. Ena izmed teh je sistematično obveščanje pristojnih služb in aktivno medsebojno sodelovanje vseh deležnikov v sistemu zagotavljanja pomoči, ki so na voljo pacientu z duševno motnjo po odpustu iz bolnišnice.Introduction: The process of medical treatment of a patient with a mental disorder is a complex healthcare problem. For this reason, a holistic and continuous treatment of the patient, when it is returned from a hospital to the home environment is of key importance. It is necessary to emphasize the importance of informing the competent services, when the patient returns from the hospital environment to the home environment. Purpose: The purpose of the diploma work is to present a continuous and comprehensive treatment of the patient with a mental disorder after the discharge from the hospital, through a review of professional and scientific literature. Methods of work: In the diploma the descriptive method of work was used, which examined the literature published since 2007, and two older sources were used. In order to define the purpose of the diploma thesis, it was examined by a professional in the scientific literature in the field of nursing, which deals with the discharge of a patient from a psychiatric hospital. Literature was sought with the help of remote access to the information resources of the libraries of the University of Ljubljana through the portal DiKUL and the databases: CINAHL in MEDLINE. The selected literature is in English in the Slovene language, and all texts were fully accessible in their entirety. Results: The results, obtained with a literature review, show, that in Slovenia the patient\u27s discharge from a hospital is subsystem, there are no experts in the field of nursing care who can solve the problems. Community care is already being implemented, and non-governmental organizations also has a role. Discussion and conclusion: The treatment of mental health disorders is a lengthy process. For this reason, long-term and system solutions should be sought. One of them is to systematically inform the competent services and actively cooperate with each stakeholder in the aid system that is available to a patient with a mental illness after being discharged from the hospital