SANTRAUKA Slaugytojams tenka svarbus vaidmuo, slaugant alkoholį vartojančius pacientus, tačiau apie tai dar yra skirta mažai mokslinių publikacijų, informacijos. Darbo tikslas. Išanalizuoti slaugos procesą ūmių alkoholinių psichozių skyriuje. Tyrimas buvo atliekamas Respublikinėje Vilniaus psichiatrijos ligoninės (RVPL) ūmių alkoholinių psichozių (ŪAP) ir kituose psichiatrijos skyriuose 2007 metais. Planas. Iš viso apklausta abiejų lyčių įvairaus amžiaus 278 respondentai, besigydantys RVPL ŪAP ir kituose psichiatrijos skyriuose. Jie buvo suskirstyti į 2 grupes, priklausomai nuo skyriaus kuriame gydėsi. Buvo pildomos anoniminės anketos. Rezultatai. ŪAPS ir kitų skyrių slaugytojos, pakankamai kvalifikuotai teikia pacientams psichologinę pagalbą. 95,2 proc. respondentų pasitiki savo slaugytoja, ji padeda jiems spręsti iškilusias sveikatos problemas 89,3 proc., 60,6 proc. respondentų jaučiasi suprasti ir 76,8 proc. respondentų kreipiasi į slaugytoją, kai juos pradeda varginti nerimas ar baimė. Svarbiausios ŪAPS slaugytojos savybės, yra pagarba pacientui 63,0 proc. bei 58,7 proc. profesionalumas, o kitų skyrių pacientams - slaugytojos užuojauta 68,3 proc. ir profesionalumas 57,5 proc. ŪAPS respondentai, kad ir pasitiki, dažniau 33,0 proc. išsako savo poreikius slaugytojai nei kitų skyrių respondentai 19,2 proc. bei nuoširdžiai bendradarbiauja su slaugytoja 93,5 proc. nei kitų skyrių respondentai 89,2proc. Tačiau ŪAPS respondentai dažniau 23,9 proc. jaučiasi nesuprasti slaugytojų... [toliau žr. visą tekstą] / SUMMARY Nurses take important part in nursing of patients, who have alcohol addiction, but there is lack of scientific publications and information about it. The objective of thesis is to traverse nursing process in sudden alcoholic psychosis department. The research was made in sudden alcoholic psychosis and other psychiatric departments of Republican Vilnius Psychiatric Hospital in year 2007. Design. There were interwied 278 different age and gender respondents, who were hospitalised in sudden alcoholic psychosis and other psychiatric departments of RVPL. They were divided into two groups, according from department. Anonymous questionnaires were filled. Results. Nurses from sudden alcoholic psychosis and other departments ensure professional psychological help. 95,2 proc. of respondents trust in nurse, she helps to deal with health problems 89,3 proc., 60,6 proc - feel understood and 76,8 proc. – ask for help of nurses, when anxiety and fear trouble them. The most important features of nurses are respect for patient 63,0 proc. and professional work 58,7 proc., while in other departments – compassion 68,3 proc. and professional work 57,5 proc.. In sudden alcoholic psychosis department respondents despite the fact that they trust in nurses, more often 33.0 proc. tell about their needs to them than respondents from other departments 19.2 proc. and collaborate accordingly 93.5 and 89.2 proc. However in sudden alcoholic psychosis department respondents more often 23.9 proc. feel... [to full text]

Purpose: To report a case of COVID-19 presenting with acute psychosis, without the hallmark respiratory symptoms of fever, cough, and shortness of breath associated with the novel virus. Case Summary: A 58 year-old male presented with acute psychosis and no symptoms associated with COVID-19. He denied fever, chills, chest pain, shortness of breath, or gastrointestinal symptoms. The patient had a medical history of coronary artery disease, chronic hepatitis C, polysubstance abuse (including cocaine and alcohol), liver disease, anxiety, and panic disorder. Patient was confused, disruptive, unable to communicate, and admitted to hallucinations. Prior to transfer to a psychiatric facility, the patient developed a cough, triggering COVID-19 testing and a positive result. He was initially treated with hydroxychloroquine before this was discontinued. The patient was treated with haloperidol and lorazepam before returning to baseline. He was discharged home with continued isolation. Conclusion: Acute psychosis, with or without other symptoms, appears to be a potential presentation of COVID-19 and should be considered by clinicians as a possible presenting manifestation. Other coronaviruses appear to have also been linked to neurological manifestations, including psychosis. Neurological manifestations of the virus vary widely, but have been reported multiple times. Treatment, as shown in this case report, appears to be supportive and symptom based for the associated psychotic symptoms. Optimal antiviral treatment is still yet to be clearly defined, as research continues on how to best treat the virus itself.