Psychopharmakotherapie as need medication of the age patient - dangers of a Intoxikationspsychose?

(openPR) - in October 2005 the submitted final report over „to psychopharmacologic drugs in the geriatric home “>>> see in addition www.bhf-bank-stiftung.de/Abschlussbericht.pdf and the project ReduFix >>> see in addition to www.efh-freiburg.de/agp/redufix.htm to have their special interest also in physician and maintain-legal discussion around the reason and the borders of the medical arbeitsteiligen processes in the stationary old-rge facility found.

The interdisciplinary investigations with consideration of the gerontopsychiatrischen, ethical and legal aspects take up to that extent problem area, which the actual dilemma in the medical and pflegerischen support of the age patient characterizes: the co-operation deficits between the physicians and the maintenance personnel on the one hand and „the technical deficits “of the involved ones during the regulation and conversion of the psychopharmacologic drug treatment of a mostly multimorbiden age patient with serious health consequences.

That the need medication is however extremely problematic, also in the literature with reference to the fact is described that the medication takes place not on the concrete situation of the patient and is therefore inadmissible, as far as it leaves the maintenance personnel its own deciding match area within the diagnostic and therapeutic range.

In the discussion around the reason and the border „of the need medication “m.E after the weighty circumstance is neglected that apart from the general physician-legal connections its own (adhesion) right of the Pharmakotherapie crystallized, from which special action directives for the physician be derived can, which it must meet, in order to have to expose itself not to the danger of a duty to exercise diligence injury (§ 276 BGB).

The classical „quality assurance “of the medical activity and thus its therapeutic decision orients itself here without exception in the context of the ordered Pharmakotherapie at the individual disease panorama of the patient and this presupposes certainly that the therapist takes its patient personally in inspection, to be able to escape in order „its “Pharmakotherapie evaluates and „the case of symptom “of an allegedly causal diagnosis of a certain disease picture before the special multi-morbidity risk of the age patient.

E lines up to fear, the fact that the maintenance personnel its „perceptions and “with the age patient wrongly interprets observations and so those after the reason put artis to ordered Pharmakotherapie of the physician in the consequence as one „medically ordered Intoxikationspsychose “prove could - a result, which is apparently enormous, but a frightening correspondence from the view of the right medical profession and newer Leichschauberichten experiences.

Reference work:
Psychopharmacologic drug supply in the geriatric home: an interdisciplinary study with consideration of medical, ethical and legal aspects/Johannes Pantel, Gisela Bockenheimer Lucius, ginger Ebsen, Ruth Mueller, Peter Hustedt and Alexander Diehm. Frankfurt/Main: Long 2006 (Frankfurt writings to the public health policy and to the health right; 3) ISBN 3-631-55095-2, 389 sides

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