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At least 19 recordsLinked to original sources

Ex-patient visitors to the hospital psychiatric unit.

An informal study of visits to an inpatient psychiatric unit by former patients indicated that such visiting was a common occurrence, more prevalent than staff realized. Most ex-patient visitors were chronically impaired individuals who were making a marginal community adjustment and did not use aftercare services. Of 29 expatient visitors, some of whom made multiple and even daily visits, more than half appeared to use the visits as an indirect, symbolic way of asking for help. For some the brief contacts with treatment personnel seemed to have therapeutic value. The authors suggest that, although such visits may be troublesome to staff, expatient visitors should be welcomed and offered informal brief supportive contacts when feasible.

Adult

Smoking in hospital: a survey of attitudes of staff, patients, and visitors.

A survey was carried out on attitudes to smoking in hospital. Analysis of 411 interviews showed that the majority (64%) of those questioned approved of some restrictions on patients smoking in the wards. Eighteen per cent would have liked to see a complete ban on smoking, while an identical number favoured no restrictions at all. Smoking habit influenced response; only 8% of smokers, compared with 25% of non-smokers, would have liked to see a total ban on smoking. Attitudes to smoking varied according to the status of the persons interviewed; only 6% of visitors and 7% of nurses approved of a complete ban on smoking, compared with 32% of medical students and 27% of doctors. The results suggest that the introduction of smoking and non-smoking areas in hospital wards would be approved by the majority of patients, staff, and visitors.

Adolescent

Terminal care: evaluation of in-patient service at St Christopher's Hospice. Part II. Self assessments of effects of the service on surviving spouses.

Self-assessments of 34 spouses of patients who had died from cancer at St Christopher's Hospice were compared with self-assessments of a matched group of spouses of patients who had died in other hospitals in the vicinity. The spouses of St Christopher's patients differed significantly from the comparison group in spending more time at the hospital, talking to more members of staff, other patients and visitors, reporting less anxiety and psychosomatic accompaniments of anxiety before (but not after) the patient's death and being less worried about pain, others hurting or harming the patient or about revealing their own fears to the patient. The institutional ideals of the Hospice were characterized as: 'The hospital is like a family', 'Nothing is too much trouble' and 'Don't worry'.

Anxiety

[A retrospective study of the impressions and psychic reactions experienced by patients in a traumatological intensive care unit (author's transl)].

30 persons who had been treated for an average of 22 days on a traumatological intensive care unit were asked to comment on their impressions and experiences. 80% of the patients had been in need of artificial respiration; but this had not unduly distressed them and they remembered it only vaguely. The major worry in 30% of the cases was awareness of their condition and the fear of permanent physical and mental disablement. 25% had greatly suffered from thirst. There was no mention that finding themselves in an intensive care ward, being dependent on a respirator or monitoring equipment or being disorientated had caused distress. None of them had seriously contemplated the possibility of his own death. The frequent visits by relatives were regarded as great comfort and help towards achieving mental equilibrium. All these critically ill persons were highly impressed by the constant and dedicated medical and nursing care they had received.

Anxiety

[Psychotics and their bodies].

We observed and other persons, too, (visitors, new patients...) the strange and particular physic aspect of lunatic people who are ill long since. The autonomy everybody seaks after, psychotic people loset it. The transformations of the psychoticbody appears as a trial to singularise and differentiate theirselves from the others. The few alluring aspect of these patients would signify the derogatory imago of a destroyed body, that does not be the mediator of the relationship to the other. Psychotic does not wish to please but want to be.

Adult

[Influence of the use of a video device for monitoring and visits on psychologic relations between patients, families and medical staff in an intensive care unit (author's transl)].

The use of a video device for monitoring and familial visits in a medical intensive care unit has various effects on psychologic relations between the patient, his family and the medical staff. Such a device is used since 1972 in Lille and has concerned more than 10,000 patients. On one hand, the monitoring of the patient is facilitated. His dependence to the staff is enhanced and allows a better taking of responsibility from the nurses and a good adhesion to the cares. At last, the video device gives to the patient and his family a real feeling of security during the early phase of the hospitalization. On the other hand, and particularly after this early phase, the use of a video device has deleterious effects on the psychologic relations of the patient with his family: enhancement of the psychologic regression, creation of an additional agression which jeopardizes the restoration of normal relations after attempt of suicide or prolonged artificial ventilation. This underlines the need for a real psychologic management of the video device in the reception of the families and the frequency of the relations with the medical staff.

Adult