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therapy), trauma therapy (for example eye-movement desensitisation and reprocessing therapy) and outpatient individual and group sessions for children and adolescents with attention disorder/hyperactivity disorder. Special consultation hours are held for migrant families, children of mentally ill parents, parents with children suffering from sleep and developmental disorders or who fail to thrive, and for children with attention disorder/hyperactivity issues. In compliance with the principles of community-based healthcare, the Division of Child and Adolescent Psychiatry strives to cooperate with office-based medical doctors, counselling centres, youth welfare offices and private associations with similar agendas, schools and other hospitals. It also provides the University Hospital Düsseldorf with consultation services (for young individuals of all ages, including infants), generally in cases where suicide risks need to be assessed, where indications need to be verified in the event of transfers and, less frequently, where concomitant mental disorders need to be treated alongside somatic illnesses. Treatment includes creative therapy Current Scientific staff Medical Doctors M. Beetz, D. Hamzei, G. Ott, O. Sokolova, N. Vens, C. Wagner, N. Zaki Psychologists and other (non-medical) scientists U. Bowi, T. Ferrari, S. Klassen, P. Motz, G. Pingel, G. Rulcovius, M. Walg HealtHcare 47
lVr-KlINIKUM DÜSSelDOrF – HOSPItal OF tHe HeINrIcH-HeINe UNIVerSItY DÜSSelDOrF 2.2.4 Nursing Director: K. Maas The nursing staff of the LVR-Klinikum Düsseldorf support the patients in their efforts to cope with everyday stress situations, to achieve physical and mental well-being, to maintain, restore or adjust physical, mental and social functions and to cope with existential experiences, i.e. to solve problems and to manage human relationships. Those members of the multiprofessional team whose primary responsibility is the provision of nursing services do not focus exclusively on the illness: nursing is understood as a task that involves individual problem-solving strategies, health preservation resources and important social and domestic factors. The relationships between nursing staff and patients can assume a key role in the therapeutic process. Nursing means to plan and to design, in agreement with the patient and on the basis of a requirement-oriented information-gathering process, activities aimed at improving the patient’s individual well-being, interpersonal and relationship skills, coping strategies, compliance, selfsufficiency skills and self-confidence, at preserving existing skills and at reducing or, better, eliminating risks and their consequences. Psychiatric nursing is closely involved in the therapeutic task management and assumes – in close cooperation with the other professional groups – responsibility for the individuals’ safe passage through the course of treatment. Nurses who deal with inpatients and day care patients have the following main responsibilities. Continuous accompaniment of patients and observation of the following: s Illness-related limitations and resources, s Changes in behaviour, s Appearance and overall demeanour, s Patients’ behaviour in standard situations (during meals, leisure activities, etc.), 48 s Patients’ behaviour in situations of social contact (with other patients, nurses, etc.) s Drug adherence and the effectiveness of these drugs. Also: s Designing and implementing patient-specific psychiatric and psychotherapeutic nursing strategies s Application of existing guidelines and nursing standards pertaining to coercive and prophylactic measures s Provision of stress relief for the patient through careful cultivation of interpersonal relationships (one-on-one conversations, relaxation techniques, skills, etc.) s Provision of instructions and support (perhaps compensation and active involvement) concerning personal hygiene, maintenance of schedules and routines to support time-structuring efforts, orientation through explanations of rules, leisure activities s Organisation of group activities (well-being programmes to train the patients’ ability to enjoy themselves, training of social skills, psychoeducation) The rapidly changing legal and economic framework and further innovations of the past ten years have had a major impact on the face of nursing. Nursing has become less conservation and preservation and more an instrument of support for the development of self-sufficiency skills and rehabilitation. This change also means that the results of scientific research have been integrated into the field of nursing. Effective and patient-oriented nursing requires a permanent transfer of theory into practice, something that is ensured by the LVR-Klinikum Düsseldorf through a comprehensive range of internal and external professional courses of continuing education, among other things. The following processes were restructured within the past few years Since the LVR is in the process of converting the entire records of its hospital network to an electronic data management system (project title: “KIS” [“Krankenhausinformationssystem”]; Hospital Information System), a system was required that was capable of
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from a naturalistic study on a larg
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Klinikum Düsseldorf works closely
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