Challenge of psychiatric rehabilitation for patients with long-term hospitalizations using the Nirje's normalization principles as a valuation standard: two case studies.
This research investigates the current care of hospitalized, chronically mentally ill persons to determine to what extent current hospitalization supports Nirje's principles of normalization. We propose that care-providers try to incorporate rehabilitation programs that help the patients acquire the pattern and rhythm of living necessary for them to live in the community in their daily hospital life rather than to fit the patients into hospital rules or schedule. Therefore, care-providers must look back on their own views of the humanity, disabled people, and support and may have to change them if necessary. It is important that care-providers do not give up having psychiatric patients not give up restoration of normal social living. To develop such individual attempts into rewarding activities, it is necessary to set goals in the hospital and to let an interdisciplinary team work to achieve them. Moreover, the situation is expected to change if efficient care management is implemented to support psychiatric patients in the community. High-quality care to realize independent living of patients in the community including collection and distribution of information, management of symptoms, assistance for self-care, and psychological education is provided at hospitals that maintain the idea of, and strong belief in, providing high-quality care for returning patients to the community. The findings of this study will provide insights into how to design better hospitalization and/or community care for the mentally ill.
Tanioka
Tetsuya
T
Department of Community and Psychiatric Nursing, School of Health Sciences, The University of Tokushima.
Mano
Motoshiro
M
Takasaka
Yoichiro
Y
Tada
Toshiko
T
Kawanishi
Chiemi
C
D000203:Activities of Daily Living; D003688:Deinstitutionalization / Q000379:methods*; D006699:Home Care Services; D006760:Hospitalization / Q000639:trends*; D006801:Humans; D007564:Japan / Q000208:ethnology; D008134:Long-Term Care / Q000639:trends; D001523:Mental Disorders / Q000208:ethnology / Q000523:psychology / Q000534:rehabilitation*; D011568:Psychiatric Nursing / Q000379:methods; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D012015:Reference Standards; D012648:Self Care