Bravo-Garrido Nuria, Morán-Cortés Juan Francisco, Coronado-Vázquez Valle, Ramírez-Durán María Del Valle
Department of Nursing, University of Extremadura, Plasencia, Spain.
Department of Semiology and Clinical Communication, Universidad Francisco de Vitoria, Madrid, Spain.
Front Psychiatry. 2023 Mar 9;14:1132659. doi: 10.3389/fpsyt.2023.1132659. eCollection 2023.
The Hospital Care Unit for individuals with intellectual disabilities and behavioral disorders provides comprehensive care in a controlled and video-surveyed facility that minimizes access to potentially manipulative materials during aggression or pica episodes. The patient was admitted to the unit due to issues including ingestion of non-edible fluids, aggression toward staff and other patients, and self-injury. All patients participated in occupational activities led by an occupational therapist from Monday to Friday from 10 a.m. to 11:30 a.m. In addition, creative workshops such as cinema forums and cooking workshops were held on some afternoons. During the analyzed period from January to June 2022, the patient experienced three episodes of pica, 14 assaults toward staff, and eight toward peers. All of these incidents occurred after dinner and were triggered either by the inability to eat dessert or by refusal to brush teeth afterward. In our case study, the implementation of creative workshops such as cooking had a positive effect on decreasing instances of pica and aggression. These workshops slightly improved participation in other occupational therapy activities and stabilized the patient's behavior, increasing the likelihood of her being able to return to her habitual residence.
智障和行为障碍患者医院护理单元在一个有监控和视频监测的设施中提供全面护理，该设施在攻击行为或异食癖发作期间尽量减少接触潜在的可操控物品。该患者因摄入不可食用液体、对工作人员和其他患者有攻击行为以及自我伤害等问题入院。所有患者周一至周五上午10点至11点30分参加由职业治疗师主导的职业活动。此外，某些下午还举办了电影论坛和烹饪工作坊等创意工作坊。在2022年1月至6月的分析期间，该患者经历了三次异食癖发作、14次对工作人员的攻击以及8次对同伴的攻击。所有这些事件都发生在晚餐后，要么是因为无法吃甜点，要么是因为之后拒绝刷牙引发的。在我们的案例研究中，烹饪等创意工作坊的实施对减少异食癖和攻击行为的发生有积极作用。这些工作坊略微提高了对其他职业治疗活动的参与度，并稳定了患者的行为，增加了她能够回到惯常住所的可能性。
