Inpatient treatment is what? Hospital: referral, treatment, standards and refusal of hospitalization

Inpatient treatment is what? The answer to this question is found in the materials of this article. In addition, we will tell you about the reasons that are necessary for such treatment, how it is implemented, etc.

general information

Inpatient treatment are various forms of therapy used in various clinical cases. These may include rehabilitation, detoxification, a combination of both, as well as an approach in which one of the presented methods is accompanied by another.

Where is it carried out?

Inpatient treatment is a treatment that is carried out in an ordinary or psychiatric clinic. In addition, such therapy is often carried out in a specialized department of a hospital (for example, narcological).

Features of treatment

Inpatient treatment is a special form of therapy that is provided 24 hours a day. Most often, patients remain in medical institutions for several days, weeks or even months, years.

The most important difference between inpatient and outpatient treatment is the amount of medical care that the patient receives. After all, with such therapy the patient is under constant observation.

Why is inpatient treatment necessary?

This therapy has several advantages over low-intensity programs. So, thanks to the hospital environment, the highest level of medical surveillance is possible, as well as safety for clients who need regular physical or psychiatric treatment.

Inpatient treatment is indicated for those patients who, from the point of view of official medicine, are in a dangerous state or are a danger to others and themselves. In addition, such intensive therapy is useful for those patients who for whatever reason do not react to the advice and recommendations of doctors. For example, hospitalization is indicated for those patients who are in a life-threatening condition, but do not want to undergo outpatient treatment.

It should also be noted that the referral to the hospital is often issued to people who have a drug or strong alcohol dependence. In this case, patients are in protected conditions and can not "break" again.

When should patients be hospitalized?

Now you know what hospital treatment is. It should be noted that therapy under such conditions is much more effective than in outpatient. However, the existing list of indications gives the opportunity to be in the hospital only to those who have quite serious health problems.

At the moment, six points have been identified that are necessary in order to evaluate and decide whether the patient needs a full or partial hospitalization or whether he can be prescribed outpatient treatment.

So, we list the main points recommended for assessing the patient's condition:

• Acute intoxication or withdrawal syndrome;
• Complications of serious diseases and biomedical condition;
• Behavioral and emotional state;
• The potential for relapse;
• Resistance to treatment or its acceptance;
• Environment in the process of recovery.

After the assessment is completed, the specialist decides on the hospitalization of the patient. In this case, the doctor must take into account two serious points:

• Danger of the patient for others and himself;
• The likelihood that the patient will achieve success in treatment with less intensive programs.

Cancellation of treatment in hospital

According to the article of the Federal Law "On the Rights of Patients", absolutely any citizen has the full right to provide medical care in inpatient or outpatient settings. From the hospitalization the patient has the right to refuse, but this is only if the state of his health does not pose a threat to the surrounding people and does not threaten his life.

In such situations, the doctor who examined the patient and offered him treatment in the hospital, is obliged to take a written refusal from the patient. It is this paper that will be the confirmation of the fact that all responsibility for the health and life of the citizen is borne by him alone.

Standards of treatment in a day hospital

Inpatient treatment, in particular day treatment, provides for the mostly recumbent mode of the patient's day. So, each patient is allocated a separate bed-place with a cotton mattress and a standard set of bed linen.

The day hospital is designed for rehabilitation and preventive measures, which do not require round-the-clock monitoring.

The referral to inpatient treatment of the patient should be given only by the district therapist or any narrow specialist (neurologist, endocrinologist, surgeon, gastroenterologist, pulmonologist, rheumatologist).

Hospitalization is conducted in a planned manner. To reduce the time of examination of patients and the rapid appointment of treatment, all patients should be admitted to the day hospital already with the results of general clinical examinations (general urine, blood test, ECG, biochemical blood test, gynecologist examination, fluorography, EGDS), and after consultations with narrow specialists .

How is the treatment?

Treatment in the hospital (daytime including) is carried out using a set of measures that include medical therapy and physiotherapy (acupuncture, hydrotherapy, exercise therapy, massage, etc.).

It should also be noted that patients are treated free of charge in accordance with existing medical standards developed specifically for hospitals.

Reasons for referral to day care

Patients can be referred for treatment in a day hospital according to the following indications:

• Hypertensive disease, including secondary;
• Myocardiopathy;
• Myocardial dystrophy;
• Chronic ischemic heart disease;
• chronic pancreatitis;
• Chronic or reactive hepatitis ;
• Peptic ulcer of stomach and duodenum, chronic gastritis and duodenitis;
• Diabetes mellitus, accompanied by impaired peripheral circulation;
• chronic cholecystitis;
• Rheumatoid and other arthritis, osteoarthritis;
• gout;
• bronchial asthma;
• Obstructive pulmonary disease, chronic bronchitis;
• Damage to the valve apparatus;
• Chronic pyelonephritis, chronic glomerulonephritis, chronic cystitis;
• Encephalopathy, consequences of craniocereberal trauma;
• pneumonia;
• Polyneuropathy;
• Osteochondrosis, as well as lesions of intervertebral discs;
• Inflammatory diseases of the central nervous system and their consequences;
• multiple sclerosis.