Read the following text, paying particular attention to the highlighted words.
Although the proportion of deliberate self-poisoning or self-injury patients who require psychiatric inpatient care is fairly small, this group is of special importance because it includes those most likely to have serious psychiatric disorders, those at special risk of suicide or further attempts, and some patients who pose very difficult management problems. A case has been made for brief admission of patients who may not be suffering from psychiatric disorders, but who are in a state of particularly severe crisis. Clearly, the decision to admit a patient to hospital must be taken only after very careful consideration.
When a patient is admitted to a psychiatric inpatient unit the clinical team should avoid the temptation to commence specific treatments immediately, especially those of a physical nature. Better management is likely to result from a period of careful observation and assessment, with considerable support being provided at this time through frequent contact with nursing and other ward staff. A simple problem-orientated method of assessment can facilitate both management and communication between staff members. In units which employ a multidisciplinary approach, each patient might be allocated one member of staff (a "primary therapist") who has the main responsibility for dealing with the patient's problems. This should avoid conflicting advice or approaches. Above all else, it is important that psychiatric inpatient care is based on a carefully coordinated policy, especially for patients at particular risk of suicide. If a suicide should occur in hospital it is recommended that attention is paid to dealing with the resultant feelings both of patients and staff.
(Attempted suicide by Keith Hawton and Jose Catalan)
Now try the exercises. Exercise a
Back to AWL Exercises: Contents