Organization of health care ...

Organization of medical care. If the patients were deployed delusional psychosis is not in doubt, put on his psychiatric records in a mental hospital and provide treatment. The best option is hospitalization in a specialized (gerontological) Department of Psychiatric Hospitals. The mere removal of the patient from his familiar environment, to which "tied" his delusional and hallucinatory disorders, as a rule, the most important therapeutic measures, believing an end to these disorders, or at least significantly weakens them. In doing so, patients notice a sense of psychological relief: they calm down, they getting better sleep. In addition, in-hospital patients receive a comprehensive examination somatonevrologicheskoe that (especially considering their age) is very important to select appropriate drug therapy. In addition, it is imperative that treatment of delusional patients, especially in the early stages, took place under the supervision of medical personnel, because such patients are very wary, and sometimes explicitly negative attitude to pharmacotherapy. However, hospitalization is often difficult at times not only because of the categorical refusal of the patients, but also their relatives, especially in cases where they act as inducers. Therefore, the doctor is very important to establish contacts not only with patients but also with his relatives, who often themselves in need of psychological adjustment of their induced delusional ideas. In such cases, is often an effective indication of the patient on the feasibility to carry out in-patient somatic and firming treatment to "calm the nerves, shattered as a result of prolonged conflict situation in the apartment. In those instances when you can not obtain the consent of the patient or his relatives to the hospital, this was dependent on an assessment of the degree of social danger as patient to himself and to live with him. If such a danger exists, then the patient forcibly placed in psychiatric hospital in accordance with the currently existing legislation. If the patient's behavior is not socially dangerous, it should be possible to arrange out-patient treatment, which should be started in a day hospital. Psychopharmacotherapy, which is obligatory in patients with the syndrome of paranoia housing should be strictly differentiated. Keep in mind nosology of psychosis and its syndromes structure, age of the patients, their somatonevrologicheskoe state. Patients with involutional age (60 - 65 years) in the absence of severe pathology somatonevrologicheskoy can apply a wide range of psychopharmacological agents, particularly neuroleptics with antipsychotic activity, such as haloperidol stelazin, etaperazin.