Outpatient treatment is an advantageous treatment option for patients. How is inpatient treatment different from outpatient treatment Periodically treated as an outpatient and inpatient

TREATMENT OUTPATIENT

L. patients, carried out at home or when they visit a medical institution.

Medical terms. 2012

What does outpatient mean?

It is a system of medical care in which the patient undergoes almost all the necessary therapeutic measures at home or in a polyclinic. At the same time, he buys medicines at his own expense (except when the medicines are provided free of charge, for example, in case of bronchial asthma).

To date, the vast majority of diseases that do not cause serious disturbances in the activity of the patient's body are treated on an outpatient basis. The inpatient care option is recommended in more complex situations, for specialized therapeutic measures, or for the presence of conditions that directly threaten the life and / or health of the patient.

Advantages

This type of medical care has a number of advantages:

The patient does not have to be in a health care facility all the time.
An outpatient treatment regimen is a therapy that can be completed while doing household chores and sometimes work duties.
For public health, this option of providing assistance is the most cost-effective.

It is thanks to all these advantages that every year they try to use the outpatient regimen more and more often for the treatment of patients.

Flaws

This approach to the treatment of diseases has certain disadvantages. The main ones among them are the following:

The patient is not under the constant supervision of medical personnel.
The patient has to pay for all medicines in full.

Due to the presence of these shortcomings, the treatment of severe pathology does not involve the use of an outpatient regimen. The stationary option of therapy in this case is suitable to a much greater extent.

What pathologies are most often treated on an outpatient basis?

There are a large number of diseases for which the outpatient regimen of therapy is the most rational. Most often, patients in polyclinics are treated in this way for:

acute respiratory diseases;
arterial hypertension outside hypertensive crises;
bronchial asthma and chronic obstructive pulmonary disease without exacerbation;
chronic gastritis and peptic ulcer of the stomach and / or intestines without complications;
ischemic heart disease;
chronic pyelonephritis;
dyscirculatory encephalopathy;
most diseases of the dental profile;
acute and chronic sinusitis.

All these diseases are quite common, and in most cases they can be treated without hospitalization.

Violation of the outpatient regimen

Non-compliance by the patient with the recommendations of the doctor during the treatment at home or in the clinic is very, very common. Even in Western European countries, where people are very sensitive to the issues of maintaining their health, only 30% of patients fully adhere to the guidelines given by the specialist.

Currently, not many violations of the outpatient regimen are officially registered, despite the significant prevalence of this phenomenon. This is due to the fact that doctors usually feel sorry for patients and do not make appropriate notes in medical records, and especially in temporary disability sheets. If they contain indications of a violation of the regimen for the patient, monetary compensation from the employer may not be reimbursed at all or may be significantly reduced.

Timely reporting of a violation of the patient's outpatient treatment regimen is the right way for the doctor, because:

Helps to discipline the patient.
Increases the patient's adherence to treatment.
Reduces the period of temporary disability.
Reduces the likelihood of chronicity of the pathological process.
Reduces the cost of the state for payments on sheets of temporary disability.

Currently, the correctness of filling out the documentation by doctors is monitored not only by their immediate supervisors, but also by specialists from insurance companies.

When should a patient be transferred to a hospital?

Despite the many advantages of the outpatient treatment regimen, there are a number of cases when the patient needs to be transferred under the constant supervision of medical professionals in an inpatient healthcare facility.

The main indication for hospitalization are situations when the patient's condition is assessed as moderate, severe or extremely severe. This can be observed both in acute pathology and in exacerbation of chronic diseases.

Also, an indication for transferring a patient from outpatient to inpatient treatment is the need for a comprehensive examination using high-tech diagnostic methods. This allows you to significantly reduce the time spent on identifying pathology and establishing an accurate diagnosis. Currently, some patients are also hospitalized for the necessary measures before passing the medical and social expert commission. Hospitalization in a specialized hospital in this case allows you to make the most accurate diagnosis, which is necessary for making a reasonable commission decision in the future.

Treatment in a hospital or at home, as opposed to an outpatient clinic where a doctor treats visiting patients. Dictionary of foreign words included in the Russian language. Chudinov A.N., 1910 ... Dictionary of foreign words of the Russian language

Somatic methods of therapy. R. K. R. Salokangas divides the last three decades of the practice of treating mentally ill patients during primary hospitalization into three stages: 1949-1958, the period of the main emphasis on methods of shock therapy; 1959 1968, ... ... Psychological Encyclopedia

TREATMENT, treatment, cf. Action under ch. treat and heal. Successful treatment. A course of treatment. Go to a resort for treatment. Outpatient, inpatient treatment. Explanatory Dictionary of Ushakov. D.N. Ushakov. 1935 1940 ... Explanatory Dictionary of Ushakov

convalescence. from A. the continuous medical environment provided by system honey in the best way promotes. maintenance. Creating a system of this type requires research. pl. variables. First of all, the coverage area should be taken into account, to paradise maybe ... Psychological Encyclopedia

Treatment of anorexia and bulimia- In the presence of signs of dystrophy, inpatient treatment is necessary. Outpatient treatment is possible only when secondary somatoendocrine disorders do not reach a pronounced degree and do not threaten the life of patients. Regardless of the nosological ... ... Encyclopedic Dictionary of Psychology and Pedagogy

inpatient medical care- deutsch: Krankenhausbehandlung f english: hospital treatment, in patient treatment Hospital care is an element of the health care system. Can be rendered: completely stationary; partially stationary; … … Russian-German-English Health Dictionary

L. patients admitted to the hospital ... Big Medical Dictionary

Compulsory drug treatment- inpatient treatment based on a court decision in relation to a drug addict who evades voluntary treatment ... Source: MODEL LAW ON NARCOTIC DRUGS, PSYCHOTROPIC SUBSTANCES AND THEIR PRECURSORS ... Official terminology

Outpatient compulsory observation and treatment by a psychiatrist- a compulsory measure of a medical nature, appointed, if there are grounds, by the court to the persons specified in Part 1 of Art. 97 of the Criminal Code, who, due to their mental state and taking into account the nature of the committed act, do not need to be placed in a psychiatric ... ... Glossary of basic criminal procedural concepts and terms

US hospitals Massachusetts General Hospital ... Wikipedia

Books

Rehabilitation in diseases and injuries of the nervous system. Guide , Konstantin Kotenko , , Epifanov Alexander Vitalievich , Korchazhkina Natalya Borisovna , The guide deals with the issues of rehabilitation of patients with diseases and injuries of the central and peripheral nervous system from modern scientific positions. Presented in detail… Category: Massage. exercise therapy Series: Library of a medical specialist Publisher: GEOTAR-Media,
Medical rehabilitation. Textbook, Epifanov Vitaly Alexandrovich, Epifanov Alexander Vitalievich, Baukina Irina Aleksandrovna, The textbook of modern scientific positions discusses the rehabilitation of patients with diseases of the internal organs, the central and peripheral nervous system, diseases and ... Category: Other Publisher:

The doctor told me - you will be treated on an outpatient basis. What do you mean by outpatient treatment?

The medical lawyer Afonin Alexey Gennadievich answers:

Order of the Ministry of Health and Social Development of the Russian Federation of July 29, 2005 N 487 "On approval of the Procedure for organizing the provision of primary health care" regulates that:

Primary health care is the main type of medical care available and free for every citizen and includes: treatment of the most common diseases, as well as injuries, poisonings and other urgent conditions; medical prevention of major diseases; sanitary and hygienic education; carrying out other activities related to the provision of health care to citizens at the place of residence.

The obligation of institutions to provide primary health care is performed by medical workers of these institutions: district therapists, district pediatricians, general practitioners (family), obstetrician-gynecologists, other specialist doctors, as well as specialists with secondary medical and higher nursing education, in accordance with established order.

Outpatient care includes:

provision of first (pre-medical, medical) and emergency medical care to patients with acute diseases, injuries, poisoning and other urgent conditions;
carrying out preventive measures to prevent and reduce morbidity, abortion, identify early and latent forms of diseases, socially significant diseases and risk factors;
diagnosis and treatment of various diseases and conditions;
rehabilitation treatment;
clinical and expert activities to assess the quality and effectiveness of therapeutic and diagnostic measures, including the examination of temporary disability;
dispensary observation of patients, including certain categories of citizens who have the right to receive a set of social services;
medical examination of pregnant women, puerperas;
clinical examination of healthy and sick children;
dynamic medical monitoring of the growth and development of the child;
catering for young children;
organization of additional free medical care for certain categories of citizens, including the provision of necessary medicines;
establishment of medical indications and referral to institutions of the state healthcare system for receiving specialized types of medical care;
establishment of medical indications for sanatorium treatment, including certain categories of citizens entitled to receive a set of social services;
medical care for students, pupils of educational institutions of general and correctional types;
carrying out sanitary-hygienic and anti-epidemic measures, vaccine prophylaxis in the prescribed manner;
implementation of sanitary and hygienic education, including on the formation of a healthy lifestyle;
medical consultation and medical career guidance;
medical support for the preparation of young men for military service.

Inpatient care provided to the population of municipalities in hospitals and inpatient polyclinic institutions includes:

provision of emergency medical care to patients with acute diseases, injuries, poisoning and other urgent conditions;
diagnostics, treatment of acute, chronic diseases, poisoning, injuries, conditions during the pathology of pregnancy, childbirth, postpartum period, abortion and other conditions requiring round-the-clock medical supervision or isolation according to epidemic indications;
restorative treatment and rehabilitation.

Hospitalization in a hospital (inpatient polyclinic) institution is carried out for medical reasons:

in the direction of a doctor of a medical institution, regardless of the form of ownership and departmental affiliation;
emergency medical care;
in case of self-treatment of the patient according to emergency indications.

How is inpatient treatment different from outpatient treatment?
How to refuse hospitalization
How to cure alcoholism

What is outpatient and inpatient treatment

Diseases that cause disability can be treated in a clinic or in a hospital hospital, where you must stay for several days until you are discharged and recognized as cured. Outpatient care is considered to be an integral and the most massive part of primary health care. It is received by about 80% of all patients who require treatment.

Which treatment to choose

Your right, of course, is what you prefer - to get sick at home or go to the hospital, but you should always listen to the recommendations that your doctor will give you. Many refuse inpatient treatment and opt for outpatient treatment, because the hospital environment can be quite oppressive, and the food is both tasteless and unhealthy. Of course, the home environment, the presence of relatives and friends are factors that positively affect the recovery process, but they are unlikely to replace round-the-clock qualified medical supervision in cases where it is vital.

Treatment at home

Tell your friends

We believe that modern methods of treatment at home should provide for the priority restoration of impaired functions.

Everyone hears an advertisement for a prostatitis cure, uttered by a charming TV weather forecaster: JUST BE A MAN. Have you ever wondered what is the meaning of this text? Most likely, they removed the second half of the phrase: and don't cry if it doesn't help. In most men on the planet, the cause of prostatitis is a violation of blood circulation in the prostate gland, which led to stagnation of venous blood in it. Treating prostatitis without restoring function (normal blood supply) makes drug treatment dangerous and ineffective. The treatment will be ineffective because the medicine taken (for example, an antibiotic), due to poor blood supply, will not be able to accumulate in the prostate in the right concentration to destroy the infection.

LLC "KIRLENA" produces reflex electrical stimulators ESRV-01 And ESRV-02 (Frosya), with which you can quickly restore impaired functions, that is, to treat at home. Thus, treatment at home has become a reality. It's not just about treating simple illnesses. For example, treating coughs and colds at home is a familiar activity,

kidney treatment at home (with the help of Patra, sand can be removed from the kidneys, and ESRV-01 will eliminate metabolic disorders that contributed to the formation of sand),
treatment of the pancreas at home (ESRV-01 electrostimulator will help to eliminate disturbances in the nervous regulation that led to disturbances in the pancreas),
treatment of bronchitis at home (electrostimulator ESRV-02 helps to eliminate blood stasis in the bronchi, without this bronchitis cannot be cured),
treatment of fibroids at home (elimination of stagnation of blood in the pelvic organs, restoration of peristalsis, muscle strengthening will contribute to the treatment of fibroids),
treatment of stroke at home (elimination of disorders in the nervous regulation contributes to the elimination of circulatory disorders, the Patra electromyostimulator helps to restore motor functions damaged by a stroke),
treatment of sciatica at home (elimination of nerve compression in the lower back using the Patra electrostimulator, treatment of the nerve along its entire length),
treatment of scoliosis at home (relaxing overly tense muscles and strengthening the weak ones with the help of the Patra electromyostimulator).

And now let's discuss.

Most of us are treated at home. At the slightest hint of illness, we go to the clinic to the doctor, and then spend 4-7 days in bed, swallowing the pills prescribed by the doctor according to the schedule. Many of us try not to go to the doctor, we prescribe medications ourselves on the advice of friends or from the Internet. In medicine, this method of treatment is called self-medication.

In the USSR, self-medication was not welcomed. Minister of Health B. Petrovsky said: “Self-treatment - the independent use of therapeutic agents and methods without the direct recommendation and control of a doctor - leads to a complication of the disease, and sometimes disability and death of the patient. It is the duty of every conscientious person to resolutely refrain from self-medication.” Then the state authorities realized that the state would not have enough funds to provide medical care to everyone, so they decided to use the recommendations of the World Health Organization (WHO), called RESPONSIBLE SELF-HEALING. Responsible self-medication is called: reasonable use by patients of over-the-counter drugs for the prevention or treatment of minor health disorders. The concept of Responsible self-treatment boils down to the following: The population should know and be able to apply methods of self-healing, self-control, prolonging the period of active life, providing self- and mutual assistance, and treating relatively minor ailments and syndromes based on modern medical technologies.

It seems that everything is very reasonable, especially if the abbreviation LS means THERAPEUTIC MEDICINES, which can be not only medicines, but also physiotherapy products, including home-use physiotherapeutic devices. Note that the concept refers to modern medical technologies, that is, technologies built on the latest achievements of science and technology. It will be very good if modern medical technologies are based not only on drugs, but also on home physiotherapy. In fact, it turned out that the concept of responsible care for the WHO was developed by the OTC Drug Manufacturers League, and the abbreviation of drugs refers exclusively to medicines. The underlying goals of the concept were, most likely, the desire to reduce the role of doctors in the sale of pharmaceutical products to the world's population and block the way for other treatments.

In this regard, we recall the advice of the Minister of Health of the Russian Federation Shevchenko dated March 20, 2002: “Be vigilant! As doctors, we usually do not use drugs. Medicine is not natural, it is against nature. Do you think that drug manufacturers and sellers are worried about your health? They are worried about their profit - your money."

Health ministries in some countries, such as Kazakhstan, are sounding the alarm that more than 90% of the country's population is already self-medicating. If employees of ministries believe that self-treatment is dangerous, then why don't they explain to the population which types and methods of self-treatment are the most dangerous?

Let's return to the definition of B. Petrovsky: Self-treatment is the independent use of therapeutic agents and methods without the direct recommendation and control of a doctor. And let's try to figure out whether there are methods and means that are safe to use without the direct recommendation and control of a doctor?

Let us turn to an experiment conducted in the first half of the twentieth century: The living tissue of a chicken was placed in a nutrient solution, from which waste was regularly removed. The experiment was stopped due to the outbreak of war, but by that time the chicken tissue had lived 7 lives of an adult chicken. The experiment was set up to confirm or refute the thesis of the Nobel laureate A. Carrel (1912): The cell is immortal, the environment in which it lives degrades. It turns out that if the environment in which the cells live is not allowed to degrade, the tissue can live forever. The conducted experiment can be interpreted differently: the tissue lived for a long time because the function of supplying the nutrient solution and removing waste was not disturbed. If we use the language of cybernetics and call the tissue of a chicken a structure, then the results of the experiment are a vivid confirmation of one of the laws of cybernetics: a function preserves a structure.

We believe that modern methods of treatment should provide for the priority restoration of impaired functions. Everyone hears an advertisement for a prostatitis cure, uttered by a charming TV weather forecaster: JUST BE A MAN. Have you ever wondered what is the meaning of this text? Most likely, they removed the second half of the phrase: and don't cry if it doesn't help. In most men on the planet, the cause of prostatitis is a violation of blood circulation in the prostate gland, which led to stagnation of venous blood in it. If we recall the experience with chicken and take into account that the delivery of nutrients to the prostate and the removal of cell waste from there is carried out only through the blood vessels, it will turn out, as in cybernetics: violations in the structure (in the prostate) arose due to a violation of the function (circulation). Treating prostatitis without restoring function (normal blood supply) makes drug treatment dangerous and ineffective. The treatment will be ineffective because the medicine taken (for example, an antibiotic), due to poor blood supply, will not be able to accumulate in the prostate in the right concentration to destroy the infection. The treatment will be dangerous because the drugs will harm healthy organs in which there is a normal blood supply (remember the advice of Minister Shevchenko).

How to make sure that in Russia home treatment does not become self-treatment? Firstly, the necessary number of polyclinics were built with the money of taxpayers to provide the population with outpatient care (this is now the name of the type of medical care in Russia in which the patient must come to the doctor for an appointment, receive a prescription from the doctor for treatment, purchase these funds and perform the prescribed treatment at home). Secondly, the salaries of doctors are paid from the budget, that is, from taxpayers' money. It would seem that there are all conditions for patients to receive high-quality outpatient care. Unfortunately, at present, doctors and polyclinics are allowed to use only drugs for outpatient care, despite the fact that many physiotherapy devices approved for use at home are registered in the Russian Federation. That is, in fact, a doctor or a polyclinic does not have the right to start outpatient treatment with the restoration of impaired functions in a patient, they are allowed to carry out only symptomatic treatment with drugs.

Of course, the doctor can offer the patient additional treatment in the physiotherapy room of the polyclinic, using the equipment available there. But the equipment of many is outdated, the assortment is narrow, you can’t serve everyone, and many don’t want to go to the clinic because of this, sit in long queues ...

Treatment at home with physiotherapy devices will eventually become commonplace in the treatment of diseases that have arisen due to circulatory disorders (inflammation of the appendages, prostatitis, sinusitis, rhinitis, hemorrhoids and others). But we must not forget that with the help of a reflex electrical stimulator, you can save a child from nocturnal enuresis, infants and the elderly - from constipation. These devices can be used in the treatment of diseases of the cardiovascular system, diseases of the gastrointestinal tract and urogenital area, in the treatment of pediatric, neurological and geriatric diseases.

Electromyostimulator Patra allows you to treat at home many diseases of the musculoskeletal system (arthritis, sciatica, osteochondrosis, joint pain).

What is the difference between inpatient and outpatient treatment?

What is the difference between a hospital and an outpatient clinic?

What does inpatient care mean?

What does outpatient care mean?

Inpatient treatment is the treatment of diseases in conditions of round-the-clock observation, hospitalization in departments of round-the-clock stay.

Such hospitalization conditions should be applicable to patients with diseases of various profiles: here you can list all departments by systems and internal organs (therapy, cardiology, neurology, neurosurgery, coloproctology, etc.), as well as by age composition: adults and pediatrics. There are separate hospitals that treat diseases of a certain nosology: tuberculosis dispensaries, narcological dispensaries, etc.

The patient is in a 24-hour bed. Upon admission, he must be familiar with the rules of the order of the department, agreeing and signing in the medical history.

During a certain course of treatment, the patient is in the ward, undergoes an examination (moreover, in the hospital, all examinations should be free of charge), treatment in accordance with the tariff agreement and standards for treating their disease

At round-the-clock hospitals, there are day-care beds at a round-the-clock hospital. It's the same there, but patients are not put on food.

Polyclinics have a day hospital, when patients come from home for treatment. There is a nurse, a doctor, an examination at the clinic (more often they come with ready-made tests), the patient receives treatment and goes home. Sometimes there are couches or chairs to rest after the procedure.

Outpatient treatment includes all other treatment, without hospitalization and taking a medical history. Those. documentation - only an outpatient card, where an appointment is recorded, if necessary, a disability certificate is issued, examination and treatment are prescribed. A person is treated at home, visits a doctor when the disability certificate is extended or when the condition worsens.

There is also a hospital at home (from which everyone disowns, I mean doctors). This is when a bedridden patient or an old grandmother needs treatment in the form of injections, the doctor prescribes, and the local nurse comes and puts these injections, if necessary, she can come with a test tube and take blood for analysis (they now do a general blood test from intravenous blood, there is no such earlier - the finger was pricked). For the elderly, this is the most gentle method of treatment. Once in the hospital, in an unusual environment, they get lost, worried, thereby worsening their condition and their relatives have a new problem: to come every day, wash, dress, feed. It is best to treat the elderly in a familiar home environment.

Treatment in the hospital and at home: pros and cons

“Houses and walls help” - it is for this reason that patients often prefer home treatment to hospitalization. And yet, the hospital is a place where there are always medical staff nearby who will come to the rescue in time. Both treatment options have their pros and cons. Where is it better to be treated, at home or in the hospital? What are the features of inpatient and outpatient treatment? When is hospitalization required? What is a day hospital? Find out the details together with MedAboutMe.

Option 1. Inpatient treatment

Inpatient treatment enables a person to receive the medical care he needs and round-the-clock monitoring.

Daily medical round, during which you can ask all your questions and discuss problems.

Each patient has his own attending physician, who comes to work during the daytime and deals with the actual treatment of a particular patient. In the evening and at night, the doctor on duty monitors and treats patients. However, very often he is alone in several departments and in most cases he is called to solve any urgent problems and when new patients arrive. Therefore, you should not expect that he will be in the department all the time. All questions that relate to the disease and tactics of management, it is better to ask your doctor, because only he knows everything about the patient.

Free medicines.

Hospital treatment is free. But the doctor can prescribe to the patient only those medicines that are on the formulary list of a particular hospital. Currently, situations sometimes arise when the doctor offers the patient to buy the medicine he needs himself. However, doctors still try to choose an option from those who are in the hospital pharmacy.

Analyzes and procedures in the department.

It is very convenient for the patient that all tests and procedures are carried out directly in the department, treatment room or ward. He does not need to go to the clinic early in the morning, take a coupon and stand in lines. And for sick people, this is important.

No household chores.

All hospitals provide free meals to patients, most have shower rooms. For a sick person, this is an opportunity to take a break from housework (especially if this patient is a woman).

Rest from physical work.

There are absolutely no activities in the hospital that would require physical labor. Of course, sometimes the doctor prescribes physical therapy classes for the patient, but the load there is strictly dosed taking into account the patient's condition.

For many patients, the very fact of being in the hospital is stressful.

Being away from home, sleeping in an unfamiliar bed, new food. Not all hospitals provide the desired level of comfort. Sometimes a shower room and a toilet in a single copy for the whole floor.

The presence of neighbors.

A free private room is an unparalleled luxury. Very often, together with the patient, there are 3-5 more neighbors in the ward, and each with his own disease and character. Sometimes a new patient may arrive at night.

Longing and worry about relatives left at home.

Especially strong stress is experienced by women who are waiting for small children at home. Constant anxiety for them often makes patients finish treatment in the hospital ahead of schedule.

Option 2: Outpatient treatment

Outpatient treatment means that therapy will take place at home. In this case, the doctor will periodically examine the person. Sometimes he can send a district nurse to carry out patronage.

Habitual conditions.

Home bedding, regular food, TV, private shower and toilet.

Help from loved ones.

Next to a sick person, there is usually always one of the relatives who can help get up or vice versa lie down, cook food or just talk.

Lack of medical personnel nearby.

Of course, in the case of a common cold, there is no need for constant communication with doctors. However, some diseases can cause such complications, in which medical attention may be required immediately. In the hospital, a nurse, if necessary, will approach the patient within a couple of minutes, but if the treatment takes place at home, then if it worsens, you will have to call an ambulance.

Paid medicines.

If the patient does not belong to the preferential category of patients, then he will have to purchase all the drugs at the pharmacy at his own expense.

The need for visits to the clinic.
The doctor can invite you to an appointment, give a referral for tests or additional research methods. To do this, you will need to visit the clinic, wait in line, contact other patients.

Option 3. Day hospital

Day hospital combines the advantages of outpatient and inpatient treatment. After all, while the patient is there only in the daytime for several hours. He is examined daily by a doctor, he takes tests and undergoes the necessary procedures. After that, the patient is given medication for evening and nighttime intake, and he goes home.

All the necessary examination and treatment is carried out in one place. For a patient, hospitalization in a day hospital does not mean a round-the-clock stay in the hospital.
Daily examination by a doctor, during which the patient can ask all his questions.

A day hospital, as a rule, is a department at a district polyclinic. However, in reality, it is not everywhere. And even if it is, there is often a long queue for hospitalization. So it's really hard to get there.
If worsening occurs at night, then the patient should also call for emergency care, as in outpatient treatment.

Who and how should choose the place of treatment

Unclear diagnosis. If the doctor cannot decide what kind of disease it is and what treatment tactics to choose.
The severity of the condition. If the health and life of the patient is in danger, or the doctor has an assumption that deterioration may occur suddenly.
Suspicion of surgical pathology. In the event that the doctor assumes that the patient may need an operation or observation of a surgeon, he will refer the patient to the hospital.
At-risk groups. These include children, the elderly, pregnant women, people with severe chronic diseases, which are the most vulnerable categories. In this case, the scales are always on the side of hospitalization.

Is it possible to refuse the proposed admission to the hospital

Any person has the right to write a waiver of hospitalization. No one has the right to keep him in the hospital by force. However, he must understand that if the doctor sees the point in continuing treatment in the hospital, then this is necessary, first of all, for himself, and not for the doctor. Do not neglect the opinion of experts who are trying to help him. If parents refuse hospital treatment for their child, whose life is in danger, then they act selfishly, as they decide his fate for him.

If, for family reasons, the patient cannot continue treatment in the hospital, you should ask the doctor to clearly describe all the necessary treatment.

Hospital treatment

Inpatient treatment - the organization of round-the-clock medical care and care for patients placed in a specially equipped medical facility.

Wikimedia Foundation. 2010 .

See what "Inpatient treatment" is in other dictionaries:

INPATIENT TREATMENT - Treatment in a hospital or at home, as opposed to outpatient care where a doctor treats visiting patients. Dictionary of foreign words included in the Russian language. Chudinov A.N., 1910 ... Dictionary of foreign words of the Russian language

Inpatient treatment of mentally ill senile patients (therapies for institutionalized elderly psychiatric patients) - Somatic methods of therapy. R. K. R. Salokangas divides the last three decades of the practice of treating mentally ill patients during primary hospitalization into three stages: gg., The period of the main emphasis on methods of shock therapy; years, ... ... Psychological Encyclopedia

TREATMENT - TREATMENT, treatment, cf. Action under ch. treat and heal. Successful treatment. A course of treatment. Go to a resort for treatment. Outpatient, inpatient treatment. Explanatory Dictionary of Ushakov. D.N. Ushakov. ... Explanatory Dictionary of Ushakov

Treatment of alcoholism (alcoholism treatment) - Recovery. from A. the continuous medical environment provided by system honey in the best way promotes. maintenance. Creating a system of this type requires research. pl. variables. First of all, the coverage area should be taken into account, maybe to heaven ... Psychological Encyclopedia

Treatment of anorexia and bulimia - In the presence of signs of dystrophy, inpatient treatment is necessary. Outpatient treatment is possible only when secondary somatoendocrine disorders do not reach a pronounced degree and do not threaten the life of patients. Regardless of the nosological ... ... Encyclopedic Dictionary of Psychology and Pedagogy

hospital care - deutsch: Krankenhausbehandlung f english: hospital treatment, in patient treatment Hospital care is an element of the health care system. Can be rendered: completely stationary; partially stationary; … … Russian-German-English Dictionary of Health

inpatient treatment - L. patients admitted to the hospital ... Big Medical Dictionary

Compulsory drug treatment - inpatient treatment based on a court decision in relation to a drug addict who evades voluntary treatment.

Read on this page:

Reading time: 6 minutes

Treatment of drug addiction or alcoholism and subsequent rehabilitation is a rather long process. As a rule, it takes at least six months, and often more. There are cases when it is impossible to put a person in the clinic for such a long time. If this is your case, outpatient drug treatment is also available at all First Step centers.

It is no secret that the most significant item of expenditure during treatment and rehabilitation is the accommodation and meals of the patient in the center. With outpatient drug treatment, this item of expenditure loses its relevance, and although the cost of the therapy itself turns out to be somewhat more expensive, sometimes you can save a lot on the total amount. At the same time, it is important to understand that outpatient drug addiction treatment has both its pros and cons. However, let's not get ahead of ourselves.

In exceptional cases, it is possible to carry out outpatient treatment of drug addiction and alcoholism. An outpatient treatment is one in which the patient is not admitted to a hospital. As a rule, with such an organization of treatment, the patient or doctors come to the patient at home, or the patient is taken to a medical facility for examination and procedures.

It is believed that isolation is one of the main therapeutic effects in the treatment of drug addiction and alcoholism. In fact, the task of restricting the freedom of movement of the patient is to protect him from the harmful influence of society and the opportunity to get alcohol or drugs. If it is possible to limit the circle of contacts and access to prohibited substances and without hospitalization, outpatient treatment is also possible.

In exceptional cases, outpatient drug and alcohol treatment is not possible or recommended for medical reasons. For example, in cases where treatment can cause complications of chronic diseases. If the patient is at risk, it is safer to carry out any treatment in a medical hospital, under the constant supervision of doctors. In addition, outpatient treatment of drug addiction and alcoholism implies constant monitoring of the patient's condition. If relatives are not ready to constantly be with him, it is more correct to place a person in a hospital.

Why is outpatient drug and alcohol treatment bad?

In part, we have already touched on this issue above, but this is not a reason to consider the shortcomings of outpatient drug treatment in more detail.

Lack of constant medical control over the course of treatment. Observing the patient only from time to time, the narcologist cannot fix changes in the course of the disease as objectively and promptly as when observing in a hospital. If a person has chronic diseases, as well as if drug addiction or alcoholism is in a neglected state, outpatient treatment is not recommended, and sometimes it is expressly prohibited.
The need to constantly monitor the patient with the help of relatives or a visiting nurse, as a result - extra costs, often commensurate with the cost of staying in a hospital.
Inability to promptly provide emergency medical care if necessary. In emergency cases, it is likely that you will have to go to a state ambulance, because of which the addicted person can be “registered”.
It is much more difficult to restrict an addict's access to drugs if he is outside the clinic. In this case, a single failure can jeopardize all the treatment already completed.
In order to regularly (quite often) take a patient to a rehabilitation center (usually a suburban one), it will be necessary to allocate a lot of time and money.
Conflicts and roughness in relations with relatives are inevitable, which happen in the life of any dependent person. They can seriously complicate the rehabilitation process, lead to relapses and repeated cases of drug use. After each of these cases, you will, in fact, have to start treatment from scratch.

Each family determines for itself which option to prefer - to choose the placement of a relative in a medical hospital (narcological clinic or rehabilitation center) or outpatient drug treatment. Specialists of the First Step hotline will always help you make the right choice, weigh all the pros and cons that are relevant specifically for your family, in your particular case.

Benefits of outpatient drug treatment

Don't let the previous part scare you. There are certain benefits that come with outpatient addiction treatment. Let's fix them, the same way, in the form of a handy list:

One of the most tangible advantages is the savings on the cost of living in a medical hospital. Housing is the most expensive component of the estimate for the treatment and rehabilitation of drug addicts and alcoholics.
The entire period of rehabilitation, with rare exceptions, the patient spends at home, with his family. For many people, this is much more comfortable in a psychological sense.
During treatment and rehabilitation, the patient has the opportunity to remain a full member of society. This is especially true for those whose addiction has not yet gone too far, and there is little point in isolating a person from the outside world. The patient can go to work, and the course of treatment can take place in his spare time. So, by the way, those who independently decided to fight addiction are often treated - as they say, on the job.
When a person is absent from the field of view of his surroundings for a long time, various rumors are often born (this is especially pronounced in small settlements) - he was sitting, being treated, something else. Outpatient addiction treatment will help to avoid these unnecessary rumors and rumors.

Each family decides for itself which option to prefer - to place a relative in a hospital or to carry out drug addiction treatment on an outpatient basis. The First Step hotline specialists will always help you make the right choice, weigh all the pros and cons that are relevant specifically for your family, in your particular case.

Outpatient treatment of drug addiction in clinics "First Step"

In general, those undergoing outpatient drug treatment at First Step clinics have access to all the same facilities and services that we provide to inpatients. The only difference is that the patient lives and eats at home, in a familiar environment.

You come only to a narcologist - for droppers, injections and examinations. In addition, it is necessary to visit the clinic to communicate with a psychologist - for personal consultations and group therapy sessions. The addict may also stay at the center during major events for the addict—holidays, shared sports, and other activities. Communication with "colleagues" is an important part of both therapy and subsequent socialization of drug addicts. We recommend not depriving a person of the possibility of such interaction.

You can consider an intermediate option for passing the course. You can leave the patient in the rehabilitation center for the whole week and take them home for the weekend, or do the opposite, depending on how much time you can devote to the relative yourself. On weekdays, the treatment and rehabilitation program is combined with educational and sports activities, on weekends - with active recreation and outdoor games. In addition, the guys regularly arrange holidays, fry kebabs together, and engage in amateur art activities.

Rehabilitation Center "First Step" - near you

Rehabilitation centers "First Step" are located in different regions of Russia - you can always choose the one that is convenient for you from a geographical point of view. Most of the centers operate in large cities, regional and district centers.

Rehabilitation centers in the Moscow region operate in most satellite towns and in all administrative centers of the Moscow region. We try to open our new complexes in those places where the problem of the spread of drug addiction is especially acute, we interact a lot with the authorities so that our sites effectively help fight addiction.

In implementing its strategy in the field of combating drug addiction in Russia, First Step holds a significant number of publicly accessible district and city events, open days, open lectures and seminars. In addition, we are actively engaged in educational activities, developing several major information projects in the field of combating drug addiction and alcoholism, and combating illicit drug trafficking.

How is addiction treatment

Treatment of drug addiction in the rehabilitation centers "First Step" takes place in three main stages. Let's take a closer look at each of them.

Drug treatment of drug addiction

The first stage is drug treatment of drug addiction. It begins with detoxification, during which all the harmful substances accumulated during the use of drugs are removed from the human body. Next, the treatment itself begins. The task of the narcologist at this stage is to restore the natural functions of the patient's body.

Narcotic drugs (surfactants) replace substances and hormones produced in the body of a healthy person. The body of an addict quickly gets used to getting them ready-made, in significant doses. In simple terms, the body begins to “get lazy” and gradually “forgets” how to produce substances on its own.

With the help of droppers and vaccinations, as well as related therapeutic procedures, the doctor restores the body's ability to produce everything it needs on its own. Chemical dependence on drugs gradually passes, the human body itself ceases to require the next dose of psychoactive substances.

Rehabilitation of drug addicts

After completing a course of drug treatment and finally getting rid of chemical addiction, there is still a psychological one that is even more difficult. It remains to deal with it. At this stage, work is carried out with the patient's consciousness, his inner world, with a system of values and moral principles.

The first task of a psychologist is to find the hidden reasons that prompted a person to try drugs, to find out what exactly he was trying to escape from in the world of altered consciousness. Further, the doctor will step by step build new life priorities for a recovering drug addict, help to sort out relationships with friends and relatives, find his place in society, in life in general.

Rehabilitation is the longest stage associated with a lot of work with a psychologist. Personal consultations and confidential conversations alternate with group therapy sessions, psychological trainings and games. During joint classes, recovering addicts learn to interact with each other, restore the basic social skills necessary for a normal, fulfilling life after discharge from the clinic or the end of an outpatient drug treatment course.

It is very important that even those who live with a recovering addict under the same roof have at least a small consultation with a psychologist. Often the root cause of addiction is old domestic grievances. In Russia, unfortunately, it is not customary to regularly consult with a home (family) psychologist - as a result, many grievances and omissions drag on for decades.

Socialization of drug addicts

One of the important components of a successful fight against drug addiction is an effective program of socialization of drug addicts. Unfortunately, in the vast majority of Russian narcological clinics (both public and private) this is not given due attention, and often not at all. After discharge, most patients are left to themselves, which is why they very quickly return to the ranks of drug addicts, and then either to the clinic or under investigation.

Unfortunately, Russian society is not yet ready to treat recovering drug addicts with any tolerance, even those who have undergone a course of treatment and lengthy rehabilitation in a specialized center. At the same time, the majority of clinic graduates are fully prepared for a normal life, they are not dangerous to society. Under these conditions, it is very important that the family, the workforce and the immediate environment are properly prepared for the return of a person after treatment and rehabilitation.

Problems of socialization concern the majority of those who undergo outpatient drug treatment to a lesser extent. As a rule, such patients do not fall out of the existing environment - they remain socialized throughout the course of treatment and rehabilitation. However, if a psychologist sees such a need, our recovery resocialization program is of course also available to patients undergoing outpatient treatment.

Hotline against drugs

If you are in doubt about whether outpatient drug treatment is right for you and your loved one, call us at the First Step network of rehabilitation centers hotline. Experienced professionals will help you weigh the pros and cons that are relevant specifically for your family. This will help you make the right decision and cure the stumbled relative faster, cheaper and safer for his own health.

A person who has started taking drugs can no longer help himself on his own. He seemed to step off a cliff and fly into the abyss. The only thing he can do is scream and call for help. It is very important that his call be heard. First of all, his relatives and friends, friends and caring colleagues. The sooner treatment begins, the faster and more effectively it will pass.

First Step help centers will provide comfortable living, truly effective treatment and rehabilitation. You can get rid of addiction. The main thing is to seek professional medical help in a timely manner. If a patient does not agree to undergo a course of treatment, we will help to carefully and competently explain to him the reasons why a person should really agree to go to a clinic or undergo outpatient drug treatment.