Somatic patients

High reactive ability of brain neurons explains the main purpose of the Central nervous system - to carry out regulatory activities aimed at maintenance and restoration of homeostasis in the organism. It is established that to the lack of oxygen myocardium is 5 times more sensitive than skeletal muscle, and brain - 15 times. It becomes clear why at such pathology as coronary heart disease and myocardial infarction, mental disorders are more constant, often affective disorders, sleep disorders, etc. appear even earlier than somatic signs of exacerbation of the condition (pain in the heart, the feeling of suffocation and others). In such cases, psychiatric symptoms is derived from somatic (infectious) diseases, its a sign. She, like other signs of disease, displays inherent in disease patterns - sharp, staging, trends of the course and outcome and is of great diagnostic and prognostic value. Therefore, the active treatment of the underlying disease (somatic and infectious diseases) is the main prophylactic measure against mental disorders.
The appearance in somatic hospital even one patient with delirium, hallucinations, psychomotor agitation dramatically disrupt the life of the entire Department. Psychosis always produces a painful impression on others, seeking at night, psychotic agitation associated diseases the patient may hinder the activities of other jaded somatic patients suffering. The development of psychotic state dramatically complicates the conduct of such a person, makes impossible the implementation of a number of diagnostic and therapeutic measures, contributes to the further deterioration of physical conditions, the emergence of life-threatening complications. Accompanying mental disorder failure criticism could lead to the inappropriate behavior and ridiculous actions, but somatogenne emerged depression dangerous possibility of suicidal tendencies. The doctor needs special knowledge, that in difficult conditions of severe somatic diseases to prevent the occurrence of mental disorders, properly classify their first symptoms and prevent the further complication of psychopathological syndrome. Careful consideration of all psychopathological symptoms in dynamics can provide valuable material for the prediction of the physical illness.
The role of somatic diseases as etiological point in the emergence of psychopathological symptoms cannot be reduced only to somatogenne influences. Important physical illness as a source of psychogenic. Negative emotions, fear, anxiety the patient for his life, response to unpleasant survey, painful medical procedures, sudden change of lifestyle in connection with hospital treatment - all this creates the conditions conducive to the Psychotrauma. Somatic pain, Actinidia patient, facilitates the emergence of a reactive state, neurotic reactions. Asthenia, the vulnerability of the psyche and the relevance of traumatic situations increase over somatic diseases. Reactive States can be observed not only to acute, but under acute and remote periods of the disease, which increases awareness of the patient on the nature of the disease and possible complications and consequences. The main theme of the feelings associated diseases of the patient - the status of the affected body, the disease, its outcome and the related social situation.
Source of neurotic, hypochondriac personal development, depression and anxiety in the conditions of the physical illness may be the doctor, his incorrect or misinterpreted sick behaviour and statements. Painful condition caused by doctor - iatrogenia - can be even more persistent and painful for the patient than somatic pathology, against which they arise. Prevention iatrogenia contribute to improving General medical culture, adherence to the principles of deontology in medical institutions, where a patient for help, introduction of the medical staff with the principles and methods of psychotherapeutic influence the creation of a common psychotherapeutic situation in clinics and hospitals, taking account of the patient's personality and individual approach to him. Among the main factors determining the nature, intensity and dynamics of mental changes in physical disasters, the main role is played by the characteristic features of the patient's personality and psychological impact of the doctor and other environmental factors: family, dates back to the work, etc.
Now for stacionarnyh patients that had physical disaster, heavy operations, successfully applied science-based system of phased psycho-hygienic, psycho and psychotherapeutic activities involving the need for common psychosomatic approach to the diagnosis and treatment. The objectives of this method are accelerating the process of restructuring the system of relations of the individual to the changed as a result of disease situations, achieving the highest possible level of psychological and social recovery of the disease. To solve these tasks are: (a) the impact of General psychotherapeutic environment Department; b) the inclusion of rational psychotherapy and autogenic training in the complex of therapeutic measures; C) the use of psychotropic drugs; d) the use of psychotherapeutic influence of physical therapy; e) reduction of terms of strict bed rest and duration of hospital stay; e) prevention of iatrogenic, combating unjustified restrictions hospital mode and activity in everyday life; g) carrying out psychotherapeutic and Advisory work with the relatives and friends of the patient; C) urge the patient to the earliest possible return to labour and social activity.