Tag: psychoterapia

Psychiatric rehabilitation of a patient after myocardial infarct

Bożena Grochmal-Bach

Bożena Grochmal-Bach – Psychiatric rehabilitation of a patient after myocardial infarct. Fizjoterapia Polska 2001; 1(2); 161-166

Abstract
Background. The purpose of this article is to describe the psychiatric rehabilitation of patient RK, who in the course of cardiological rehabilitation subsequent to a myocardial infarct experienced psychopathological symptoms provoked by the crisis situation resulting from his heart attack. A specially developed program of psychiatric rehabilitation was implemented, using goal management techniques. Research methods. The instruments used to evaluate the effects of rehabilitation included clinical interviews oriented towards psychopathological symptoms, an abbreviated version of the Beck Depression inventory, the Claparede Memory Test, the Wechsler Memory Scale – Revised (Polish version), and an authorial Clinical Self-Evaluating Test of Cognitive, Emotional, Vegetative, and Neurobehavioral Disturbances, which includes measurements of anxiety, mood, sleep disturbances, psychomotor arousal, self-esteem, and fatigue. Results. When retested after 6 months of rehabilitation the patient proved to have higher level self-esteem, while symptoms of anxiety, depression, restlessness, and aggression had diminished. Despite the very small doses of antidepressive, antianxiety, and sedative drugs, the patient’s condition improved due various other of the therapy program. Conclusion. The patient described in this article was characterized prior to his heart attack by superficial politeness severing to conceal anxiety and the resultant aggression, which was directly related to the development of cardiomyopathy. The interdisciplinary treatment program involved an entire team, including especially cooperation between the psychiatrist and the physiotherapist. It was directed especially towards improving the patient’s ability to relax and cope with stress constructively, which made it possible to improve the patient’s physical condition in daily functioning, reduce physical and mental tension, ameliorate emotional disturbances, and rebuild disturbed cognitive functions, improvement was obtained not only in the patient’s overall condition, but also in his of life.

Key words:
cardiological rehabilitation, psychoterapy, psychotonic training

Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

Model of professional activity of psychologist in the Rehabilitation Department in Zgorzelec

Teresa Karadimitris, Wojciech Kufel, Beata Michalak, Bartłomiej Halat, Marta Kopa, Zbigniew Śliwiński

Teresa Karadimitris, Wojciech Kufel, Beata Michalak, Bartłomiej Halat, Marta Kopa, Zbigniew Śliwiński – Model of professional activity of psychologist in the Rehabilitation Department in Zgorzelec. Fizjoterapia Polska 2008; 8(2); 206-216

Abstract
The professional activity of a clinical psychologist in a rehabilitation departament requires a general knowledge of psychology as well as familiarity with departament-specific issues. There exist a variety of models for the professional activity of a psychologist in rehabilitation. The practice in the Rehabilitation Departament in Zgorzelec is closest to the developmental model’, according to which disability represents a predisposition to experience various problems in life and rehabilitation is the process of interaction between a disabled person and a specialist in a rehabilitation and physiotherapy. This model regards the patient as a partner in the rehabilitation process. Psychologists in a rehabilitation departament need to undertake different activities in the therapy of children and in the treatment of adults. Work wit children (and their carers) includes diagnosis, therapy, stimulation of development, psychoeducation and support for the parents. The psychologist also collaborates with educational institutions: schools and kindergartens that the patients attend as well as the Psychological and Pedagogical Counseling Centre, whose activities aim to support the children’s development. In the case of adult patients with CNS damage, the psychologist begins work with a neuropsychological diagnosis and follws with exercises to restore the affected functions. The basic activity in work with patients suffering from musculoskeletal pain is psychoeducation, which covers the concept of disease, connection between stress and the functioning of the body, identification of needs and skills required to satisfy them, work with emotions and relaxation training.
Key words:
model of professional activity, psychological diagnosis, psychotherapy, psychoeducation
Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim