S-3-17-01
Psychiatric Rehabilitation - Functional Assessment
Payandehfar. H (University of Rehabilitation science)
Survey of individual & social functioning of chronic inpatient in Raazi Psychiatric Center
Abstract: The problem of chronic psychiatric patients are so extended and complicated and involves bio psycho social complication. If the patient is left alone, his/her individual and social skills deteriorate. As a result, most of the patients have to stay in long term hospital wards and many of them will not be able to live independently and need constant health care and social support. In order to plan psychiatric rehabilitation, it is necessary to evaluate the individual and social functioning.
Methods: In a cross sectional study, 1 O0 chronic patients in Raazi psychiatric center with the diagnosis of chronic psychosis who stayed more than two years and aged between 30 to 55 years old were assessed by the Morningside Rehabilitation Status Scale (MRSS) in four areas of dependency, activities, social relationship and the influence of symptoms on the patient attitudes and behaviors.
Results: It has shown that their dependency to the psychiatric hospital has deprived them of social and individual functions. For the above reasons, these patients face several problems, and due to functional assessment, they are not able to solve their problems independently.
Conclusions: Planing of fundamental psychiatric rehabilitation and increase the level of patients social and individual independency as oppose to staying in hospital seems to be vital.
P-3-17-02
PHYSICAL THERAPY AND REHABILITATION IN THE MANAGEMENT OF CHRONIC HYSTERICAL DISORDERS: A CASE REPORT
F. Inanici, R. Celiker, K. Yazici, O. Basgoze. Hacettepe University, Ankara, Turkey.
Briquet's syndrome is a severe subgroup of chronic hysterical disorder and pose difficulty in the treatment because of intractability to psychotherapeutic or behavioral interventions.
We report a 46 years old woman who suffered from Briquet's syndrome with symptoms of paraparesia and astasic-abasic gait pattern. The attempts of psychological and pharmacological treatment were not successful in the management of this patient. A physical therapy and rehabilitation program of progressive ambulation techniques was used, and the patient showed a very rapid improvement that at the end of 10 days she was walking independently with normal gait pattern. In one year follow up, recurrence of gait disorder was not seen, but some different non-organic neurological symptoms developed.
