Currently we have a 16-bed inpatient unit, which consists of:
- Four general beds in two rooms
- Eight semi-private beds in four rooms
- Two private rooms with AC
- Two single air-conditioned observation beds rooms for close observation of patient by the staff at the nursing counter.
Admissions in Inpatient Area
Patients are admitted through the emergency room, clinics or directly to the ward. The house staff and nursing staff on the floor receive the patient as soon as he or she arrives at the unit reception. The health care professionals take a detailed account regarding patient's disease from his or her family or the patient. A thorough orientation of the unit, its policies and regulations, are explained to the patient and finally consultant psychiatrist sees the patient either immediately or within the first few hours depending on the need.
Focus of Inpatient Services
- Identification of client's immediate needs, medical and psychological.
- The patient is accommodated as needed either in the observation or in general/semi-private room.
- The patient accommodated in the observation room usually has severe psychiatric symptoms, and is at risk of harming him or herself or others, or is in need of close observation for any other reason.
- Patients with mild symptoms can be accommodated in general or semi-private room.
- Patients with chemical dependency may be admitted on a selective basis to the private room. This room is also available for patients requesting more comfort and privacy.
Trained Psychiatric Nurses, Consultants And Trainee Psychiatrists Look After The Patient:
Trained psychiatric nurses and trainee psychiatrists provide care to the patient 24 hours a day, 7 days a week with close supervision and daily rounds of consultants. All are committed to offering the following multidisciplinary services to the patient:
- Supportive milieu therapy and planned individual and family counselling are provided. The purpose of these therapies is to identify the client's needs and to prioritise their care to bring about improvement in their symptoms.
- A very significant role of nurses is to build trusting relationship with the patients and their family through therapeutic communication techniques.
- Nurses and doctors also educate patients and their families about medications, their therapeutic and adverse effects and management of those effects.
- Besides their psychological needs, holistic approach to nursing care includes addressing their nutritional needs, religious needs, personal hygiene/grooming and sleep.
- Appropriate attention is given to the patient's other medical problems through timely referrals
- The doctors and nurses, based on the patient's condition, conduct family sessions. The focus of family session is on educating the patient and his/her family about the disease, medication, rehabilitation, home management and follow-ups.
- An ongoing assessment of the patient's condition is also made in the family session.
- Planning of short, long and overnight leaves is decided in these sessions in order to see the patient's adjustment and behavioral changes while at home.
- Electro-Convulsive Therapy (ECT)
It is a specialised procedure used very selectively and only for severely depressed patients who do not respond to conventional treatment or have some contraindications to antidepressant medications. It is given under general anaesthesia after consent from the patient and his or her family. The procedure is safe and often life-saving.
- Discharge Planning:
Discharge planning starts from day one of the patient's hospitalisation as medical and nursing interventions are focused on preparing the patient to get adjusted at home and to the society. Finally, the discharge is based on the patient's progress in the unit and feedback from his or her family after daytime and overnight leaves.
- Follow-Up of Discharged Patients:
On discharge, patients are provided with an appointment card, mentioning specific time and day and the consultant for their follow-up at their clinic. Usually the consultant who took care of the patient in the ward is the one who would follow him as an outpatient.
- Day Care Services
Occupational therapy is offered to both hospitalized and day care patients. It is the art and science of directing patient's participation to select tasks to restore, reinforce and enhance his performance. It facilitates learning of those skills and functions that are essential for adaptation and productivity and for promoting and maintaining health. The fundamental concern is to develop the capacity to perform with satisfaction the tasks roles essential to productive living and mastery of the self and the environment. Occupational therapy plays a very important role in making patients a productive community member. Patients referred from other hospitals can be admitted to occupational therapy program.
The objectives of occupational therapy are:
- To provide opportunities to patients for having meaningful contacts with persons and groups of people in the community.
- To develop acceptable work habits, skills and work tolerance.
- To explore and experience interaction with authority figures and to develop sharing and collaborating working relationship with peers.
- To assess the capacity to accept instructions, criticism, failure and success.
- To help the patients develop vocational interest that may facilitate and improve self image.
- To help the patients become aware of both their strengths and limitations.
- To provide opportunities for recreation through out door and indoor activities e.g. picnics, sports, parties, cooking sessions etc.
- To provide counseling for adjustment to the environment and for tolerating stress.
- Psychological Services
The Department of Psychiatry provides basic consultation and outpatient psychotherapy services for adults and children. Individual, marital and family therapy is provided for psychological distress.
The department also offers psychological assessment services for children as well as adults. The child assessments are used for identification and management childhood disorders, intellectual deficits, learning disabilities and developmental delays. Assessment comprises of cognitive abilities, achievement, educational problems, emotional problems, psycho educational needs and career guidance.
Adult assessment focuses on identification and management of various form of psychopathology, cognitive abilities, neuropsychological functioning and emotional and personality profiles