Outpatient care is a beneficial treatment option for patients. How does inpatient treatment differ from outpatient treatment? Periodically treated on an outpatient basis and in an inpatient setting.

OUTPATIENT TREATMENT

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

Medical terms. 2012

What does outpatient mode mean?

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

Today, the vast majority of diseases that do not cause serious disruption to the patient’s body are treated on an outpatient basis. An inpatient option for providing care is recommended in more complex situations, for specialized treatment measures or in the presence of conditions that directly threaten the life and/or health of the patient.

Advantages

This option for providing medical care has a number of advantages:

The patient does not have to stay in a health care facility all the time.
An outpatient treatment regimen is therapy that can be completed without interrupting household chores and sometimes work responsibilities.
For public health care, this option for providing care is the most cost-effective.

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

Flaws

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

The patient is not under constant supervision of medical personnel.
The patient must pay for all medications in full.

Due to the presence of these shortcomings, treatment of severe pathology does not involve the use of an outpatient regimen. In this case, the inpatient treatment option is much more suitable.

What pathologies are most often treated on an outpatient basis?

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

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

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

Violation of outpatient regime

Failure by the patient to comply with the doctor’s recommendations during treatment at home or in a clinic is very, very common. Even in Western European countries, where people are very sensitive to the issues of preserving their health, only 30% of patients fully adhere to the instructions given by the specialist.

Currently, not many violations of the outpatient regime 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 the medical documentation and especially in the temporary disability certificates. If they indicate a violation of the patient's regimen, monetary compensation from the employer may not be reimbursed at all or may be significantly reduced.

Timely reporting of a patient’s violation of the outpatient treatment regimen is the right path for the doctor, since:

Helps discipline the patient.
Increases patient adherence to treatment.
Reduces the period of temporary disability.
Reduces the likelihood of chronicity of the pathological process.
Reduces state costs for payments for temporary disability certificates.

Currently, not only their immediate supervisors, but also specialists from insurance companies monitor the correct completion of documentation by doctors.

When should a patient be transferred to hospital?

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

The main indications 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 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 necessary measures before undergoing a medical and social expert commission. Hospitalization in a specialized hospital in this case allows you to make the most accurate diagnosis necessary to make an informed commission decision in the future.

Treatment in a hospital or at home, as opposed to outpatient treatment, when a doctor treats incoming 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 practice of treating mentally ill patients during initial hospitalization into three stages: 1949-1958, the period of the main emphasis on shock therapy methods; 1959 1968,… … Psychological Encyclopedia

TREATMENT, treatment, cf. Action under Ch. treat and be treated. Successful treatment. Course of treatment. Go to a resort for treatment. Outpatient and inpatient treatment. Ushakov's explanatory dictionary. D.N. Ushakov. 1935 1940 ... Ushakov's Explanatory Dictionary

To recovery. from A. the continuous healing environment provided by the medical system is best promoted. service Creating a system of this type requires research. pl. variables. First of all, the coverage area must be taken into account; the area may... Psychological Encyclopedia

Treatment of anorexia and bulimia- If there are signs of dystrophy, hospital treatment is necessary. Outpatient treatment is possible only when secondary somatoendocrine disorders do not reach a pronounced degree and do not threaten the lives of patients. Regardless of nosological... ... Encyclopedic Dictionary of Psychology and Pedagogy

inpatient medical care- deutsch: Krankenhausbehandlung f english: hospital treatment, in patient treatment Inpatient medical services are an element of the medical care system. Can be provided: completely inpatient; partially stationary; … … Russian-German-English dictionary on healthcare

L. patients admitted to hospital... Large medical dictionary

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

Outpatient compulsory observation and treatment by a psychiatrist- a compulsory measure of a medical nature, prescribed, 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 act committed, do not need to be placed in a psychiatric... ... Dictionary of basic criminal procedural concepts and terms

US Hospitals Massachusetts General Hospital ... Wikipedia

Books

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

The doctor told me that you will be treated on an outpatient basis. Tell me what is meant by outpatient treatment?

Medical lawyer Alexey Gennadievich Afonin answers:

Order of the Ministry of Health and Social Development of the Russian Federation dated 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, accessible and free type of medical care for every citizen and includes: treatment of the most common diseases, as well as injuries, poisoning and other emergency conditions; medical prevention of major diseases; sanitary and hygienic education; carrying out other activities related to the provision of health care to citizens at their place of residence.

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

Outpatient care includes:

provision of first (pre-hospital, medical) and emergency medical care to patients in case of acute diseases, injuries, poisoning and other emergency conditions;
carrying out preventive measures to prevent and reduce morbidity, abortion, identifying early and latent forms of diseases, socially significant diseases and risk factors;
diagnosis and treatment of various diseases and conditions;
rehabilitation treatment;
clinical expert activities to assess the quality and effectiveness of treatment and diagnostic measures, including examination of temporary disability;
dispensary observation of patients, including certain categories of citizens entitled to receive a set of social services;
medical examination of pregnant women and postpartum women;
medical examination of healthy and sick children;
dynamic medical monitoring of the child’s growth and development;
organization of nutrition for young children;
organizing additional free medical care for certain categories of citizens, including the provision of necessary medicines;
identification of medical indications and referral to institutions of the state health care system to receive specialized types of medical care;
establishing medical indications for sanatorium-resort treatment, including certain categories of citizens entitled to receive a set of social services;
medical care for students, pupils of general and correctional educational institutions;
carrying out sanitary-hygienic and anti-epidemic measures, vaccine prevention 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 preparing young men for military service.

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

providing emergency medical care to patients with acute diseases, injuries, poisoning and other emergency conditions;
diagnosis, treatment of acute, chronic diseases, poisoning, injuries, conditions in the pathology of pregnancy, childbirth, the postpartum period, abortion and other conditions requiring round-the-clock medical supervision or isolation for epidemic reasons;
restorative treatment and rehabilitation.

Hospitalization in a hospital (in-patient clinic) institution is carried out for medical reasons:

upon the direction of a doctor of a medical institution, regardless of the form of ownership and departmental affiliation;
emergency medical services;
when a patient self-refers for emergency reasons.

How does inpatient treatment differ from outpatient treatment?
How can you refuse hospitalization?
How to cure alcoholism

What is outpatient and inpatient treatment?

Diseases that cause loss of ability to work can be treated in a clinic or in a hospital hospital, where you must stay for several days until you are discharged and declared recovered. Outpatient care is considered an integral and most widespread part of primary health care. About 80% of all patients who require treatment receive it.

Which treatment to choose

It is your right, of course, whether you prefer to be sick at home or go to the hospital, but you should always listen to the recommendations that your attending physician will give you. Many refuse inpatient treatment and choose outpatient treatment, since the hospital environment can be quite depressing, and the food is both tasteless and unhealthy. Of course, a home environment and the presence of family and friends are factors that positively influence the recovery process, but they are unlikely to replace round-the-clock qualified medical supervision in cases where it is vitally necessary.

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 has heard the advertisement for a cure for prostatitis, delivered by a charming TV weather presenter: JUST BE A MAN. Have you ever wondered what the meaning of such text is? Most likely, they removed the second half of the phrase: and don’t cry if it doesn’t help. For most men on the planet, the cause of prostatitis is a violation of blood circulation in the prostate gland, leading to stagnation of venous blood in it. Treatment of prostatitis without restoration of function (normal blood supply) makes drug treatment dangerous and ineffective. 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 required concentration to destroy the infection.

KIRLENA LLC produces reflex electrical stimulators ESRV-01 And ESRV-02 (Frosya), with the help of which you can quickly restore impaired functions, that is, perform treatment at home. Thus, treatment at home has become a reality. This is not just about treating simple diseases. For example, treating coughs and colds at home is a common activity,

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

Now let's speculate.

Most of us are treated at home. At the slightest hint of illness, we go to the clinic to see a 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 for 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 encouraged. Minister of Health B. Petrovsky said: “Self-medication - independent use of medicinal products and methods without the direct recommendation and supervision of a doctor - leads to complications of the disease, and sometimes disability and death of the patient. It is the duty of every conscious person to resolutely refuse self-medication.” Then government authorities realized that the state did 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-MEDICATION. Responsible self-medication is called: reasonable use of over-the-counter drugs by patients for the purpose of preventing or treating minor health disorders. The concept of Responsible self-medication boils down to the following: The population should know and be able to apply methods of self-healing, self-control, prolongation of the period of active life, provision of self- and mutual assistance, treatment of relatively minor ailments and syndromes based on modern medical technologies.

It seems that everything is very reasonable, especially if the abbreviation medicinal products means MEDICINES, which can be not only medications, but also physiotherapy products, including physiotherapeutic devices for home use. Please note that the concept mentions modern medical technologies, that is, technologies built on the latest achievements of science and technology. It will be very good if modern medical technologies rely not only on medications, but also on home physiotherapy. In fact, it turned out that the concept of responsible treatment for WHO was developed by the League of OTC Drug Manufacturers, and the acronym refers exclusively to drugs. 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 to other means of treatment.

In this regard, we recall the advice of the Minister of Health of the Russian Federation, Shevchenko, dated March 20, 2002: “Be vigilant! We doctors, as a rule, do not consume drugs. Medicine is unnatural, it is against nature. Do you think that drug manufacturers and sellers are worried about your health? They are concerned about their profits – your money.”

Ministries of health in some countries, for example, in Kazakhstan, are sounding the alarm due to the fact that more than 90% of the country's population is already engaged in self-medication. If ministry workers believe that self-medication is dangerous, then why don’t they explain to the population exactly what types and methods of self-medication are the most dangerous?

Let's return to B. Petrovsky's definition: Self-medication is the independent use of medicinal products and methods without the direct recommendation and supervision of a doctor. And let’s try to figure out whether there are methods and means that are safe when used without the direct recommendation and supervision of a doctor?

Let us turn to an experiment conducted in the first half of the twentieth century: Living chicken tissue 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 carried out to confirm or refute the thesis of Nobel laureate A. Carrel (1912): The cell is immortal, but 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 experiment can be interpreted differently: the tissue lived for a long time because the function of supplying a nutrient solution and removing waste was not disrupted. If we use the language of cybernetics and call chicken tissue a structure, then the results of the experiment are a clear confirmation of one of the laws of cybernetics: function preserves structure.

We believe that modern treatment methods should include the priority restoration of impaired functions. Everyone has heard the advertisement for a cure for prostatitis, delivered by a charming TV weather presenter: JUST BE A MAN. Have you ever wondered what the meaning of such text is? Most likely, they removed the second half of the phrase: and don’t cry if it doesn’t help. For most men on the planet, the cause of prostatitis is a violation of blood circulation in the prostate gland, leading to stagnation of venous blood in it. If we remember the experiment 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 blood vessels, it will turn out as in cybernetics: disturbances in the structure (in the prostate) arose due to dysfunction (blood circulation). Treatment of prostatitis without restoration of function (normal blood supply) makes drug treatment dangerous and ineffective. 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 required concentration to destroy the infection. The treatment will be dangerous because the medications will harm healthy organs that have normal blood supply (remember the advice of Minister Shevchenko).

How can we prevent home treatment from becoming self-medication in Russia? Firstly, the required number of clinics was built with taxpayers’ money to provide the population with outpatient care (this is what is now called in Russia the type of medical care in which the patient must come to the doctor for an appointment, receive a prescription from the doctor for treatment, purchase these funds and carry out prescribed treatment at home). Secondly, doctors’ salaries are paid from the budget, that is, from taxpayers’ money. It would seem that there are all conditions for patients to receive quality outpatient care. Unfortunately, at present, doctors and clinics are allowed to use only medications for outpatient care, despite the fact that many physiotherapeutic devices are registered in the Russian Federation and approved for use at home. That is, in fact, a doctor or clinic does not have the right to begin outpatient treatment by restoring the patient’s impaired functions; they are only allowed to carry out symptomatic treatment with medications.

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

Treatment at home with physiotherapeutic devices will eventually become commonplace in the treatment of diseases caused by 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 relieve a child from nocturnal enuresis, an infant and an elderly person from constipation. These devices can be used in the treatment of diseases of the cardiovascular system, gastrointestinal and genitourinary diseases, and in the treatment of pediatric, neurological and geriatric diseases.

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

Inpatient treatment and outpatient treatment - what are the differences?

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

What does inpatient treatment mean?

What does outpatient treatment mean?

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

Such conditions of hospitalization should be applicable to patients with diseases of various profiles: here you can list all departments by system 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, drug treatment dispensaries, etc.

The patient is on a 24-hour bed. Upon admission, he must be familiarized with the rules 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 (and in a hospital, all examinations should be carried out free of charge), treatment, in accordance with the tariff agreement and standards for the treatment of their disease

In 24-hour hospitals, there are day-stay beds in 24-hour hospitals. It’s the same there, but patients are not provided with food.

The clinics 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 arrive with ready-made tests), the patient receives treatment and goes home. Sometimes there are couches or chairs to relax after the procedure.

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

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

Treatment in 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, a hospital is a place where there is always medical personnel 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? In what cases is hospitalization required? What is a day hospital? We will find out the details together with MedAboutMe.

Option 1. Inpatient treatment

Inpatient treatment allows a person to receive the medical care he needs and 24-hour supervision.

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

Each patient has his own attending physician, who comes to work during the day and is engaged in the actual treatment of a particular patient. During the evening and night hours, 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 are admitted. Therefore, you should not expect him to be in the department all the time. It is better to ask your attending physician all questions regarding the disease and management tactics, because only he knows everything about the patient.

Free medicines.

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

Tests and procedures in the department.

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

No household hassle.

All hospitals provide free meals to patients, and 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 require physical labor. Of course, sometimes a doctor prescribes physical therapy classes for a 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.

Staying away from home, sleeping on an unusual bed, new food. Not all hospitals provide the desired level of comfort. Sometimes there is a single shower room and toilet for the entire floor.

Availability of neighbors.

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

Longing and worry about relatives left at home.

Women who have small children at home experience especially severe stress. Constant worry about them often forces patients to 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 local nurse to provide patronage.

Usual conditions.

Homemade bed, regular food, TV, private shower and toilet.

Help from loved ones.

There is usually always someone close to a sick person who can help him get up or 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 complications that may require immediate medical attention. In the hospital, if necessary, a nurse will approach the patient within a couple of minutes, but if treatment is carried out at home, then if the situation worsens, you will have to call an ambulance.

Paid medications.

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

The need for visits to the clinic.
The doctor may 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, and contact other patients.

Option 3. Day hospital

Day hospital combines the advantages of outpatient and inpatient treatment. After all, the patient is there only during the daytime for several hours. He is examined daily by a doctor, undergoes tests and undergoes the necessary procedures. After this, the patient is given medications for evening and night use, and he goes home.

All 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.
A daily examination by a doctor, during which the patient can ask all the questions that interest him.

A day hospital, as a rule, is a department at a district clinic. However, in reality, it is not everywhere. And even if there is one, there is often a long waiting list for hospitalization. Therefore, actually getting there is quite problematic.
If deterioration occurs at night, the patient should call emergency care in the same way as with outpatient treatment.

Who should choose the place of treatment and how?

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 patient’s health and life are in danger, or the doctor has an assumption that deterioration may occur suddenly.
Suspicion of surgical pathology. If the doctor suspects that the patient may require surgery or observation by 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, who are the most vulnerable categories. In this case, the balance is always on the side of hospitalization.

Is it possible to refuse the proposed hospitalization?

Anyone has the right to write a refusal to be hospitalized. 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. You should not neglect the opinion of specialists who are trying to help him. If parents refuse hospital treatment for their child, whose life is at risk, then they are acting selfishly, since they decide his fate for him.

If, due to family circumstances, the patient cannot continue treatment in the hospital, you must ask the doctor to clearly describe all the necessary treatment.

Inpatient treatment

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

Wikimedia Foundation. 2010.

See what “Inpatient treatment” is in other dictionaries:

INPATIENT TREATMENT - Treatment in a hospital or at home, as opposed to outpatient treatment, when a doctor treats incoming 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 elderly psychiatric patients (therapies for institutionalized elderly psychiatric patients) - Somatic methods of therapy. R. K. R. Salokangas divides the last three decades of practice of treating mentally ill patients during initial hospitalization into three stages: the period of the main emphasis on shock therapy methods; gg.,... ...Psychological Encyclopedia

TREATMENT - TREATMENT, treatment, cf. Action under Ch. treat and be treated. Successful treatment. Course of treatment. Go to a resort for treatment. Outpatient and inpatient treatment. Ushakov's explanatory dictionary. D.N. Ushakov. ... Ushakov’s Explanatory Dictionary

Alcoholism treatment - Recovery. from A. the continuous healing environment provided by the medical system is best promoted. service Creating a system of this type requires research. pl. variables. First of all, the coverage area must be taken into account, to heaven it can ... Psychological Encyclopedia

Treatment of anorexia and bulimia - If there are 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 lives of patients. Regardless of the nosological... ... Encyclopedic Dictionary of Psychology and Pedagogy

inpatient medical care - deutsch: Krankenhausbehandlung f english: hospital treatment, in patient treatment Inpatient medical services are an element of the medical care system. Can be provided: completely inpatient; partially stationary; … … Russian-German-English dictionary on healthcare

inpatient treatment - L. patients placed in a hospital ... Big medical dictionary

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

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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 times when it is impossible to admit a person to a clinic for such a long period of time. If this is your case, all First Step centers also offer outpatient drug addiction treatment.

It is no secret that the most significant expense item during treatment and rehabilitation is the patient’s accommodation and meals in the center. With outpatient drug addiction treatment, this expense item loses its relevance, and although the cost of the therapy itself turns out to be somewhat more expensive, sometimes you can save a lot of money on the total amount. 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 provide outpatient treatment for drug addiction and alcoholism. Outpatient treatment is a treatment in which the patient is not hospitalized in a hospital. As a rule, with such an organization of treatment, the patient or doctors come to the patient's home, or the patient is taken to a medical facility for examination and procedures.

Isolation is believed to be one of the main therapeutic interventions in the treatment of drug addiction and alcoholism. In fact, the purpose of restricting the patient’s freedom of movement is to protect him from the harmful influence of society and the possibility of obtaining alcohol or drugs. If it is possible to limit your social circle and access to illegal substances without hospitalization, outpatient treatment is also possible.

In exceptional cases, outpatient treatment for drug addiction and alcoholism is not possible or is not 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 involves constant monitoring of the patient’s condition. If relatives are not ready to be with him constantly, it is more correct to place the person in a hospital.

Why is outpatient treatment for drug addiction and alcoholism bad?

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

Lack of constant medical monitoring of the progress of treatment. Observing the patient only from time to time, the narcologist cannot as objectively and promptly record changes in the course of the disease as during observation in a hospital. If a person has chronic diseases, as well as if drug addiction or alcoholism is in an advanced state, outpatient treatment is not recommended, and sometimes it is directly 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 a hospital stay.
Inability to promptly provide emergency medical care if necessary. In emergency cases, it is likely that you will have to contact a state ambulance, which is why the dependent person may be “registered.”
It is much more difficult to restrict a drug addict’s access to drugs if he is outside the clinic. Moreover, 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), you will need to allocate a lot of time and money.
Conflicts and rough edges in relationships with relatives are inevitable, which happen in the life of any addicted person. They can seriously complicate the rehabilitation process, lead to relapses and repeated cases of drug use. After each of these cases, you will have to, in fact, start treatment all over again, from scratch.

Each family decides for itself which option to prefer - choosing to place a relative in a medical hospital (drug treatment clinic or rehabilitation center) or outpatient drug addiction treatment. The specialists of the First Step hotline will always help you make a choice, weigh all the pros and cons that are relevant specifically for your family, in your specific case.

What are the benefits of outpatient drug addiction treatment?

Don't let the previous part scare you. There are also certain benefits that come with outpatient drug addiction treatment. Let's record them, also, in the form of a convenient list:

One of the most tangible advantages is savings on the cost of living in a medical hospital. Housing is the most expensive component of the cost of treatment and rehabilitation for drug addicts and alcoholics.
With rare exceptions, the patient spends the entire rehabilitation period 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 drug addiction has not yet gone too far, and there is little point in isolating the person from the outside world. The patient can go to work and undergo treatment in his free time. So, by the way, those who have independently decided to fight addiction are often treated - as they say, without leaving work.
When a person is absent from the field of view of his surroundings for a long time, various rumors often arise (this is especially pronounced in small settlements) - he was sitting, undergoing treatment, or something else. Outpatient drug addiction treatment will help avoid these unnecessary rumors and rumors.

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

Outpatient drug addiction treatment at First Step clinics

In general, those receiving outpatient drug addiction treatment at First Step clinics have access to all the same opportunities 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 IVs, 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 can also stay at the center during major events for addicts - holidays, joint sports and other activities. Communication with “colleagues” is an important part of both therapy and subsequent socialization of drug addicts. We recommend that you do not deprive a person of the opportunity for such interaction.

You can also consider an intermediate option for taking the course. You can leave the patient in a rehabilitation center for the whole week and take him home on the weekends, 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, and on weekends - with active recreation and outdoor games. In addition, the guys regularly organize holidays, barbecue together, and engage in amateur artistic activities.

Rehabilitation center "First Step" - near you

First Step rehabilitation centers 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 centers operate in large cities, regional and district centers.

Rehabilitation centers in the Moscow region operate in most satellite cities and in all administrative centers of the districts 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.

Implementing its strategy in the fight against drug addiction in Russia, First Step holds a significant number of public regional and city events, open days, open lectures and seminars. In addition, we are conducting active educational activities, developing several large information projects in the field of combating drug addiction and alcoholism, and combating illicit drug trafficking.

How does drug addiction treatment work?

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

Drug treatment for drug addiction

The first stage is drug treatment for drug addiction. It begins with detoxification, during which all harmful substances accumulated during drug use are removed from the human body. Next, the treatment itself begins. The tasks of the narcologist at this stage are 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 drug addict’s body quickly gets used to receiving them ready-made, in significant doses. In simple terms, the body begins to “be lazy” and gradually “forgets” how to produce substances on its own.

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

Drug rehabilitation

After completing a course of drug treatment and finally getting rid of chemical dependence, there is still a psychological dependency, which is even more complex. All that remains is 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 into the world of altered consciousness. Next, the doctor will step by step build new life priorities for the recovering drug addict, help him sort out relationships with friends and relatives, and find his place in society and in life in general.

Rehabilitation is the longest stage and involves 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 drug addicts learn to interact with each other, restore the basic social skills necessary for a normal, fulfilling life after discharge from the clinic or completion of a course of outpatient drug addiction treatment.

It is very important that those who live with a recovering drug addict under the same roof undergo at least a short 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 misunderstandings drag on for decades.

Socialization of drug addicts

One of the important components of a successful fight against drug addiction is an effective program for the socialization of drug addicts. Unfortunately, the overwhelming majority of Russian drug treatment clinics (both public and private) do not pay due attention to this, and often do not pay any attention at all. After discharge, most patients are left to their own devices, 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 have any tolerance towards recovering drug addicts - even those who have undergone treatment and long-term rehabilitation in a specialized center. At the same time, the majority of clinic graduates are completely ready for a normal life and are not dangerous to society. In these conditions, it is very important that the family, work team and immediate environment are adequately prepared for the person’s return after treatment and rehabilitation.

Socialization problems are less of an issue for most of those receiving outpatient drug addiction treatment. As a rule, such patients do not drop out of the existing environment - they remain socialized throughout the entire course of treatment and rehabilitation. However, if the psychologist sees such a need, our program of re-socialization for those in recovery is, of course, available to patients undergoing outpatient treatment.

Anti-drug hotline

If you are unsure whether outpatient drug addiction treatment is right for you and a loved one, call us on the hotline of the First Step network of rehabilitation centers. Experienced specialists 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 a stumbled relative faster, cheaper and safer for his own health.

A person who starts taking drugs can no longer help himself on his own. It was as if he had stepped off a cliff and was flying into the abyss. The only thing he can do is scream and call for help. It is very important that his call is heard. First of all - his family and friends, friends and caring colleagues. The sooner treatment begins, the faster and more effective it will be.

First Step assistance centers will provide comfortable accommodation, truly effective treatment and rehabilitation. You can get rid of drug addiction. The main thing is to seek professional medical help in a timely manner. If the patient does not agree to undergo 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 addiction treatment.