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Automated Translation of medical Situation

source: https://www.klinikum.uni-heidelberg.de/einrichtungen/zentrum-fuer-psychosoziale-medizin-24/station-roller-1602

Target group and treatment concept

This ward mainly treats patients with diseases from the schizophrenic group, i.e. people with schizophrenic, schizoaffective or atypical psychoses. Also patients with so-called dual diagnoses such as psychosis and addiction, psychosis and eating disorders and psychosis and personality disorders are treated. Frequently, the focus is on impairments in contact ability, disorders of drive, concentration and memory disorders as well as difficulties in making decisions.

The C.F. Roller Ward is an openly managed ward with patients predominantly suffering from schizophrenic disorders who require medical, social and professional care in a multi-professional team.

After the acute symptoms have subsided, patients are prepared for discharge at home or for transition to a day-care or complementary treatment facility. The aim of the therapeutic efforts is to restore independence in the areas of education, work and living.

Due to the specific characteristics of schizophrenic diseases, drug therapy is one of the essential components of inpatient treatment. Thereby, drugs, especially antipsychotics, are used which influence pathological changes in experience and behavior. Individually adapted to each patient, it is our aim to find a drug setting that has as few side effects as possible, but which brings about and maintains stability, and which restricts the quality of life of our patients as little as possible.

The independent and self-reliant taking of the medication is trained and the acquisition of a sound knowledge of the effects and side effects of the medication within the framework of the psychoeducation group and the one-on-one consultations is aimed for.

For a differentiated assessment of the neurocognitive performance, we have the possibility of an in-depth neuropsychological test via the PAKT outpatient clinic. Some patients have problems with memory, concentration and other mental functions during an acute illness, the extent of which the psychological testing can provide information about. The focus is usually on measuring current cognitive performance, which is recorded, for example, by testing concentration and attention, memory and stamina. After a short discussion, a wide variety of tasks are set, e.g. learning words, remembering stories, connecting numbers on a sheet of paper and much more. Disease-specific changes such as depression or paranoid tendencies can also be objectified by means of test diagnostics. The performance profile created in the process is important additional information for optimal treatment, career and future planning.

In addition to diagnostics, differentiated psychopharmacotherapy and multi-professional treatment, supportive as well as socio- and behavioral therapeutic approaches are the focus of our therapeutic efforts.

More information about the treatment offered at the Roller Ward Equipment

The station C.F. Roller has a total of 17 stationary and 3 semi-stationary places. There are 3 triple rooms, 2 double rooms and 4 single rooms on the ward, each with its own bathroom. The ward offers a relaxation room with comfortable lounging facilities for the day-care patients. In addition to a fitness room with various training equipment, our patients can use two recreation rooms with billiards, table tennis and speed hockey games. In addition there is a reading room with a library and a PC workstation on the ward. Outside the ward, a small garden has been lovingly created in which the patients plant, cultivate and harvest different types of vegetables or herbs under the guidance of the nursing staff. The yield can be used to cover the needs of the ward and the cooking group. The meals are taken in a common dining room, which can be used outside meal times as a lounge with TV and stereo. In the basement as well as in the attic there are further functional and therapy rooms.

The idea of a holistic treatment, which includes medical measures such as clinical examinations and pharmacotherapy as well as psycho- and social therapeutic procedures, is guaranteed by the interdisciplinary approach. Our ward team is multi-professionally staffed with:

1 senior physician
2 ward physicians
2 psychologists in the internship
1 social worker
13 nursing staff as well as pupils and people doing community service

This team is completed by an occupational therapist as well as a movement therapist, an art therapist and a music therapist. Group of relatives

The relatives have an important supporting function in our patients’ lives. Current research findings underline the importance of information groups for relatives, so that patients and important caregivers speak the same language and can jointly initiate timely measures in the event of a crisis or impending relapse. Important tasks of a family group are therefore the communication of information about relapse prevention, the possible causes of the disease, the treatment options both pharmacological and psychotherapeutic. In addition, the relatives should be offered support in regaining security in their behavior towards the ill family member, since this security has often been lost due to the illness and the associated change in the patient’s behavior. The relatives are also informed about social support measures, self-help groups and associations. A further important aspect of the group is to offer the relatives the opportunity to exchange information with other affected persons and thus to be able to relieve themselves in joint discussions. For many relatives it is very helpful to learn that they are not alone and that others have similar difficulties and have to cope with problem situations as they do themselves. In addition, there is the possibility to find out about their own isolation during this joint meeting.

The group of relatives is continuously led by a doctor, a social worker and a nurse. In order to give working people the opportunity to participate in the group, the meetings take place every third Monday of the month from 6:30 p.m. to 8:00 p.m. in the seminar room Querspange Ost in House 1 at the Psychiatric University Hospital Heidelberg. The group is open to relatives of inpatients and outpatients.

As important information from previous sessions is repeated at the beginning of the meetings, it is possible to join the group at any time.

However, we ask for prior registration in order to estimate and prepare the expected number of participants.

Translated with www.DeepL.com/Translator (free version)

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