hsp-pr-314-001 tratamiento hospitalario de pacientes con enfermedad mental

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  • 8/2/2019 HSP-PR-314-001 Tratamiento Hospitalario de Pacientes con Enfermedad Mental

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    QWFQFEOHNQB LB][OQFIFWOB M4ao`b3 L][%[W%=61%;;6AH [FMOHNQH] MBNHNDHWEHAFA EHNQFILb}{oqfi O%%%%%%%%%%%%%*%%%%%%%%%%%%o ~~

    ]oe4n Gbiotfw~'3~ooa:::::LB][OQFIOSFMO4N Thw}o4n3 6XNiBFA AH ]FIXA EHNQFI

    6. BGCHQOTB

    7. FIMFNMH

    =. WH][BN]FGIH

    1. GF]H IH@FI

    8. TBMFGXIFWOB

    QFGIF AH MBNQHNOAB

    4. [BIoQOMF] @HNHWFIH] AH FXQBMBNQWBI

    0. AH]FWWBIIB

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    ]oe4n Gbidtfw~~ooa::::3LB][OQFIOSFMO4N Thw}o4n3 6XNiBFA AH ]FIXA EHNQFI

    6. BGCHQOTB

    7. FIMFNMH

    @fwfnqosfw xnf b{bwqxnf y }h`xwf fqhnmobn ah ib} {fmohnqh} lb}{oqfiosfab} hn if Xnoafaah ]fixa Ehnqfi) {whtonohnab woh}`b} ahwotfab} ah if} ao}qonqf} {fqbib`of}.

    H}qh {wbmhaoeohnqb f{iomf {fwf ib} {fmohnqh} vxh whvxohwhn lb}{oqfiosfmibn hn if Xnoafaah ]fixa Ehnqfi) ahwotfaf ah if mwoqomoafa ah }x {fqbib`of.=. WH][BN]FGIH

    Ehaomb [}ovxofqwf) Hndhwehwf Chdh) Fx|oiofw ah Hndhwehwof1. GF]H IH@FI

    Wh}bixmo4n 6;1= ah 7;;4. [bw if mxfi }h h}qfgihmhn if} mbnaomobnh} vxh ahghn mxe{iowib} [wh}qfabwh} ah ]hwtomob} ah ]fixa {fwf lfgoioqfw }x} }hwtomob} h oe{ihehnqfw himbe{bnhnqh ah fxaoqbwof {fwf hi ehcbwfeohnqb ah if mfioafa ah if fqhnmobn y }h aomqfnbqwf} ao}{b}omobnh}.Ahmwhqb 6;66 ah 7;;4. [bw hi mxfi }h h}qfgihmh hi ]o}qhef Bgio`fqbwob ah @fwfnqof ahMfioafa ah if Fqhnmobn ah ]fixa ahi ]o}qhef @hnhwfi ah ]h`xwoafa ]bmofi hn ]fixa.8. TBMFGXIFWOB

    [fmohnqh F`xab3 H} hi {fmohnqh vxh {wh}hnqf h|fmhwgfmibn ah }x} }onqbef}) ; xn{woehw h{o}baob) hn hi vxh lfy fiqhwfmobn efwmfaf ah if mbnaxmqf) ahi {hn}feohnqb yhifdhmqb) mbn f`wh}otoafa do}omf y"b thwgfi) fiqhwfmobnh} hn hi momob ahi }xhnb. ]h lfmhnhmh}fwof if lb}{qqfiisfmibn mxfnab }h {bnh hn woh}`b ; {bnh hn woh}`b f ib} ahef})qfwngohn mxfnab lf whfiosfab xn onqhnqb ah }xomoaob) ; lfy woh}`b oneonhnqh.[fmohnqh Onqhwehaob3 ]h mbn}oahwf vxh lfy xn mbnqwbi {fwmofi ah if f`wh}otoafa) ahi}xhnb y ahi fxehnqb hn if mbnaxmqf) y mxfnab lfn ao}eonxoab ib} onaomfabwh} ah woh}`bah }xomoaob.[fmohnqh Mw4nomb3 H} hi {fmohnqh mbn xnf {fqbib`of ehnqfi {hwefnhnqh) vxhmbnqonxfwf mbn fi`xnb} }onqbef}) {hwb {xhah whonqh`wfw}h f }x ehaob dfeoiofw) }bmofi yifgbwfi.

    [f`onf 7 ah 6;

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    ]oe4n Gbidtfw:::::3:: .....d~ .. ::::::LB][OQFIiSFMO4N Thw}o4n3 6XNiBFA AH ]FIXA EHNQFI

    [wh}mwo{mo4n3 H} if dbwexifmo4n ehaomf mbn if onaomfmo4n ah mfnqoafa) lbwfwob ywhmbehnafmobnh} `hnhwfih}.4. [BIoQOMF] @HNHWFIH] AHFXQBMBNQWBI

    ]h Oh afwf on`wh}b f ib} {fmohnqh} mxfnab hi }ovxofqwf ah if bwahn) ah 6 ; mbnqwfwob ahgh{hwefnhmhw hn hi }hwtomob ah{hnaohnab ah }x h}qfab bwvfnomb ; aof`n4}qomb. ]ohe{whvxh on`wh}h xn {fmohnqh f if Xnoafa ah ]fixa Ehnqfi) ahgh }hw wh`o}qwfab hn hi Iogwb ahOn`wh}b y H`wh}b ib} afqb} ahi {fmohnqh y if dhmlf ah On`wh}b. F}o eo}eb) mxfnab }hfxqbwomh }x }fioaf) ahgh }hw wh`o}qwfab hn hi Iogwb mbeb }b{bwqh ah }x H`wh}b.Hn if hnqwh`f ah qxwnb) }h ahgh iOhtfw hi mbnqwbi ah fmxhwab f nxehwb ah mfef}bmx{faf} y ao}{bnogih} y if xgomfmo4n ah {fmohnqh} hn mfaf {o}b.

    0. AH]FWWBIIB0.6. @hnhwfioafah}Ao}qwogxmo4n ah [fmohnqh}Mxfnab on`wh}f xn {fmohnqh f if Xnoafa) h}qh ahgh }hw xgomfab hn hi {woehw {o}b)abnah }h hnmxhnqwfn qbab} ib} [fmohnqh} F`xab} y ib} [fmohnqh} mbn Ao}mf{fmoafaDo}omf) f ehnb} vxh hi ehaomb mbn}oahwh vxh }hvxn {fqbib`of hi {fmohnqh {xhah }hwxgomfab hn hi }h`xnab {o}b.Mxfnab hi {fmohnqh }h ib`wh h}qfgoiosfw y lfyf ao}eonxoab hi woh}`b) h}qh ahgh }hwwhxgomfab hn hi }h`xnab {o}b abnah }h hnmxhnqwfn ib} [fmohnqh} Onqhwehaob} y[fmohnqh} Mw4nomb}) h}qb} xiqoeb} `hnhwfiehnqh }h efnhcfn fegxifqbwofehnqh.Nhmh}oafa ah Lfgoqfmo4n OnaotoaxfiMxfnab }h whvxohwf ah xnf lfgoqfmo4n onaotoaxfi }h onlfgoioqfwf xnf mfef ah if}lfgoqfmobnh} vxh qohnhn 7 mfef} y) if hndhwehwf chdh nbqodomfwf hn Faeo}obnh}.]h f}ovnfwf fi [fmohnqh xnf Lfgoqfmo4n onaotoaxfi hn ib} }o xohnqh} mf}b}3." Mxfnab {bw {fqbib`of ondhmmob}f hi {fmohnqh ahgf }hw fo}ifab:." Mxfnab }h htoahnmoh xnf efwmfaf f`wh}otoafa hn hi {fmohnqh:

    [f`onf = ah 6;

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    ]oe4n Gbidtfwp:::: .....~ ..: : : : : 3eLB][OQFIOSFMO4N Thw}o4n3 6XNOAFA AH ]FIXA EHNQFI

    )" Mxfnab hi {fmohnqh }hf ehnbw ah hafa ,f ehnb} vxh lfyf bqwb ehnbw ah hafa ahieo}eb }h|b hn if eo}ef lfgoqfmo4n y:)" Mxfnab {bw bqwf} mowmxn}qfnmof} ahwotfaf} ah }x {fqbibvif hi ehaomb 6 ; mbn}oahwhnhmh}fwob.[fmohnqh} ao}mf{fmoqfab}Ib} {fmohnqh} mbn ao}mf{fmoafa qw}omf ahghn }hw xgomfab} hn hi {woehw {o}b yf vxhwhvxohwhn {hwefnhnqh mbnqwbi y f}o}qhnmof {bw {hw}bnfi ah hndhwehwof {fwf }x qwf}ifab)ebtoioafa y f}o}qhnmof `hnhwfi3 f}hb) fioehnqfmo4n. Fahef} h} {b}ogih hi qwf}ifab hnmfeoiif ; }oiif ah wxhaf}.[WHTHNMO4N AH @H]QB ; ONQHNQB AH ]XOMOAOB3Ib} {fmohnqh} vxh lfn whfiosfab xn `h}qb ; xn onqhnqb ah }xomoaob y vxh }bnlb}{oqfiosfab} ; xn {fmohnqh vxh }h mbn}oahwf qohnh xn woh}`b ah }xomoaob fiqb }hwflb}{oqfiosfab hn hi 6; {o}b ah if xnoafa ah }fixa ehnqfi) yf vxh hn hi {woehw {o}b }hdfmoioqf xnf to`oifnmof ef} h}qwomqf y {hwefnhnqh ahi {fmohnqh. HO ehaomb qwfqfnqhahmoaiwf }o }h whvxohwh xnf lb}{oqfiosfmo4n fo}ifaf. Hn `hnhwfi) xn {fmohnqh mbn h}qf}mbnaomobnh} fnbqfaf} nb whvxohwh fo}ifeohnqb) y hi h}qfw fmbwn{fwofab dftbwhmh }x{wbqhmmo4n.

    [f`onf 1 ah 6;

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    Thw}o4n3 6

    0.7. Dixcb`wfef, ONOMOB /

    Wh`o}qwfw hi on wh}b ahi {fmohnqhtfibwfab {whtofehnqh

    Xgomfw fi {fmohnqh hn mfeff}o`nfaf

    Onomofw qwfqfeohnqb ahi {fmohnqh ahfmxhwab f Bwahn Ehaomf

    Whfiosfw }h`xoeohnqb f ifhtbixmo4n aofwof ahi {fmohnqh

    NB

    Whxgomfw fi {fmohnqh hn hi}h`xnab {o}b ah if Xnoafa ah

    ]fixa Ehnqfi

    Mbnqonxfw hi qwfqfeohnqb ahi{fmohnqh

    NB

    [f`onf 8 ah 6;

  • 8/2/2019 HSP-PR-314-001 Tratamiento Hospitalario de Pacientes con Enfermedad Mental

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    ]oe4n Gbiotfw~~~oac:::::e LB][OQFIOSFMO4NXNiBFA AH ]FIXA EHNQFI

    Thw}o4n3 6

    Ondbwefw f if Qwfgfcfabwf ]bmofi {fwf vxhfto}h f }x dfeoiof y {xhaf whfiosfw ib} qwfeoqh}

    {fwf if }fioaf ahi {fmohnqh

    Afw fi {fmohnqh ib} ehaomfehnqb}{wh}mwoqb}

    Dbwefqb ah ]OMbnqwfwwhdhwhnmof {fwfMbnqwbi fegxifqbwob

    Afw fi {fmohnqh ib} ehaomfehnqb}{wh}mwoqb} {fwf hi eh}

    Afw Bwahn {fwf mbnqwbifegxifqbwob {bw Mbn}xiqf H|qhwnf.

    Whfiosfw if Lbcf ah ]fioaf ahi{fmohnqh y afw onaomfmobnh}

    Wh`o}qwfw if }fioaf ahi {fmohnqhhn hi Iogwb ah On`wh}b y H`wh}b

    y dowefw hi [fs y ]fitb

    [f`onf 4 ah 6;

    ]biomoqfw abmxehnqb}NB }b{bwqh} ah {f`b

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    ]oebn Gbiotfw .....~~oa:::::LB][OQFIiSFMO4N Thw}o4n3 6XNiBFA AH ]FIXA EHNQFI

    0.=. Efqwos ,Mxfawbah Fmqotoafah} y Wh}{bn}fgoioafah}/H|{iomfmobn ah if Bg}hwtfmobnh}N Fmqotoafa Wh}{bn}fgih Wh`o}qwb Woh}`b} yFmqotoafa Mbnqwbih}Wh`o}qwfw hi on`wh}bahi {fmohnqh vxh lf

    }oah tfibwfab{whtofehnqh hn

    Xw hnmof}) Mbn}xiqfH|qhwnf ; ]hwtomob}On`wh}b y ah Lb}{oqfiosfmo4n Iogwb ah6. xgomfmo4n ahi Hndhwehwof On`wh}b y

    {fmohnqh Xgomfw fi {fmohnqh ah H`wh}bfmxhwab f if mfef

    vxh lf }oah{whtofehnqh f}o`nfafmbn fxqbwosfmo4n ah]fixa EhnqfiOnomofw hi qwfqfeohnqb Ehaomb Bwahn Ehaomf

    Afw onomob fi ahi {fmohnqh) ah [}ovxofqwf7. fmxhwab f if Bwahnqwfqfeohnqb Ehaomf f}o`nfaf {bw Lo}qbwof Mionomfhi ehaomb qwfqfnqh Hndhwehwf ahi [fmohnqh

    ]h ahgh lfmhwhtbixmo4n3Whfiosfw }h`xoeohnqb onaotoaxfi ahf if htbixmo4n aofwof fmxhwab f ifahi {fmohnqh. Hn hi nhmh}oafa:{woehw {o}b }h dfeoiofw xnf fi

    Whfiosfw htbixmobnf hn hi aof y Ehaomb on`wh}b y xnf fi=. }h`xoeohnqb f if hn if nbmlh: hn hi [}ovxofqwf Lo}qbwof Mionomf h`wh}b y:htbixmo4n ahi }h`xnab {o}b }h lfmh ahi [fmohnqh mbexnoqfwof xnf{fmohnqh xnf htbixmo4n aofwof) Hndhwehwf ths f if }hefnfah fmxhwab fi efnhcb ahnqwb ah ifonqh`wfi mbn gf}h hn h}qfaof: {bw

    hi qwfqfeohnqb {fwqh ahf}o`nfab. }ombib`of) qhwf{ofbmx{fmobnfi yqwfgfcb }bmofi

    [f`onf 0 ah 6;

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    ]oe4n Gbidtfw:3::::3::go~ .. ::::eLB][OQFIOSFMO4N Thw}o4n3 6XNiBFA AH ]FIXA EHNQFI

    ]o hi {fmohnqh }hhnmxhnqwf xgomfab hnhi {woehw {o}b y }hib`wh h}qfgoiosfw fi Ehaomb{fmohnqh) {xhah }hw [}ovxofqwfwhxgomfab hn hi}h`xnab {o}b ah ifXnoafa ah ]fixa

    EhnqfiMbnqonxfw hi EhaombMbnqonxfw hi qwfqfeohnqb lf}qf vxh [}ovxofqwf Lo}qbwof Mionomf1.

    qwfqfeohnqbhi {fmohnqh {xhaf }hw

    ahi [fmohnqhefnhcfab HndhwehwffegxifqbwofehnqhMxfnab hi {fmohnqh{xhaf }hw efnhcfabfegxifqbwofehnqh) hiehaomb {}ovxofqwf EhaombEfnhcb ahgh ondbwefw f if [}ovxofqwf Lo}qbwof Mionomf8. fegxifqbwob ahi Qwfgfcfabwf ]bmofi ahi [fmohnqh{fmohnqh {fwf vxh fto}h f }x Qwfgfcfabwfdfeoiof y h}qf {xhaf ]bmofiwhfiosfw ib} qwfeoqh} y

    }h {xhaf fxqbwosfw if}fioaf ahi {fmohnqh.]h Oh ahghn afw fi{fmohnqh ib}ehaomfehnqb}

    {wh}mwoqb} {fwf hieh} y xnf Bwahn {fwf

    Whdhwhnmof y mbnqwbi fegxifqbwob4. Mbnqwfwhdhwhnmof {bw Mbn}xiqf H|qhwnf. Hndhwehwf Bwahn EhaomfMxfnab hi {fmohnqh h}

    whdhwhnmofab) }hwhfiosf dbwefqb ah

    mbnqwfwwhdhwhnmof {fwf}x wh}{hmqotb mbnqwbi.Whfiosfw if Lbcf ah Lbcf ah H`wh}b

    Fxqbwosfw ]fioaf H wh}b ahi {fmohnqh)0. ahi {fmohnqh mxfnab if dfeoiof Hndhwehwf{wh}hnqh ib} Gbihqf ahabmxehnqb} }b{bwqh} ]fioaf C[fs 'cR

    [f`onf < ah 6;

  • 8/2/2019 HSP-PR-314-001 Tratamiento Hospitalario de Pacientes con Enfermedad Mental

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    ]oe4n Gbidtfw..)....q3'~ooa:::::LB][OQFIOSFMO4N Thw}o4n3 6XNiBFA AH ]FIXA EHNQFIah {f`b y if ]bihqf ah ]fitb/]fioaf abnah }hh|{iomf mxoafab} hnmf}f) qbef ahehaomfehnqb}) BwahnEhaomf y hn afabmf}b) hnqwh`f ahehaob} h oefvhnh}

    aofvnb}qomf}]h ahgh wh`o}qwfw if Iogwb ah}fioaf ahi {fmohnqh hn On`wh}b y

    Mbnqwbi ah ]fioaf hi Iogwb ah On`wh}b y H`wh}b

  • 8/2/2019 HSP-PR-314-001 Tratamiento Hospitalario de Pacientes con Enfermedad Mental

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    ]oe4n Gbiotfw..).:::::::%.~ooa::::::eLB][OQFIOSFMO4N Thw}o4n3 6XNiBFA AH ]FIXA EHNQFI

    )" Lo}qbwof Mionomf ahi [fmohnqh)" Lbcf ah H`wh}b)" ]bihqf ah ]fioaf ,[fs y ]fitb/

    ?. FNH\B])" H{omwo}o}." Wh}xehn ah Lo}qbwof Mionomf ahi [fmohnqh

    [f`onf 6; ah 6;