Sunday, August 12, 2007

Is A Zopiclone Overdose Fatal

psychosocial nursing homes and management of certain issues (1) Gestalt


I, with this action, bring to the attention some issues that often need to be addressed when you are managing a Nursing Home or Hospice.
outset, it should be noted that this type of structure, to be considered "last resort" to which land, they must still pay attention and listen to the call for help from a whole family context. Such compliance and, therefore, to address solutions for each case above, exist in the first of several Evaluation Unit District (UVD) which, in an atmosphere of collegiality (as it should be, but the conditional m'รจ always a must) agree to such facilities or services (home care, day care centers, homes Rest, safe houses, apartment hotels, RSA, et cetera), direct the person in order to receive a service more responsive to special needs that the case presents.

Once established, the bodies responsible for assessment and mentioned that the best service to be offered for that single case is, precisely, the rest home, the hotel takes care to accommodate due to the professionalism, both the person, the whole family context, because the design of the facility to which it refers to a structure vocations and social care, the obligations that it must fulfill in order to provide optimum service are directed to a relational capacity and management human relationships as well as to the minimum allowed, and guarantees that the type of structure is required to provide, I am referring in this case, services that address the side of sanitation.

coordinating, in a residential facility for the elderly, a project that aims to promote the PAI (Plan individualized tutoring) , often I find myself involved in situations of extreme criticality that, while it showed an issue of character management on the other hand it should be noted that the same type of problem often does not coincide with the actual needs that the elderly actually expresses.

aimless wandering

Perfectly due in a context of dementia , the aimless wandering becomes a host for the old mode of behavior that often throws in discomfort even people who gravitate around the same old. In practice, the person, as well suggests the term of behavioral distress, it moves all over the place without a specific purpose and often in a frantic, moving objects and, perhaps placing them in places without a purpose easy to understand. E 'at this point that often take, in my opinion too easily measures of restraint, often the elderly is in fact tied to a chair, and as even more rarely accept that condition and order began to scream, your doctor prescribes a drug more easily sedative that has the sole purpose of making the person almost in a state vegetable but, nevertheless, will not complain anymore. Now, as the restraint and medication, do not go to meet the needs of people as those who are around them, from medical and nursing staff assisting the Project Individual (PAI ) is shown in these cases, especially appointed place in which the right measures to be taken considering the problem from different angles as participating in the Plan (the doctor, nurse, social worker, the tutor assistant, responsibilities included the hotel and a family). There, and only in that place behind a multidimensional assessment of the person, appropriate measures should be taken to chance. Unfortunately very few facilities that I know, practices are held directed to do so, it is always the prevailing logic of job descriptions and decision-making power is placed, as appropriate, only partial in the hands of doctors or nurse or the manager. If on-mentioned I think is understandable that, for one more reason you should operate in a climate that takes the highest degree of collegiality.

Mirco Marchetti