Vohoumani Rostam, Le Raymond, Agustines Davin
Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, USA.
Psychiatry, Olive View - University of California Los Angeles Medical Center, Los Angeles, USA.
Cureus. 2023 Apr 8;15(4):e37303. doi: 10.7759/cureus.37303. eCollection 2023 Apr.
"Holistic approach" and "Quality Care" have been trending topics in the medical community for several decades, with holistic practice advocating for meeting patients' emotional, physiologic, psychological, and spiritual needs. In comparison, the quality care model highlights patient care metrics of equity, safety, and timeliness in medical treatment. Both converge on the concept of medical care centered around patients, with countless papers discussing their benefits in various healthcare settings. However, there is a gap in the literature regarding using both models to manage the mentally ill. Adopting the healthcare quality approach and incorporating a holistic perspective in managing psychiatric conditions can improve patient satisfaction and reduce societal and healthcare costs, making it an important area of further investigation. This paper will discuss the case of a 59-year-old male with schizophrenia who developed cardiopulmonary symptoms during his prolonged hospital stay, leading to extensive yet inefficient workup, in which his symptoms improved after implementing measures that uplifted his psyche. It will carefully examine holistic care's emotional and psychological aspects and the quality care domains for mentally ill patients. The case report aims to endorse integrating both models into the management of the psychiatric population to promote patient-centered and optimal quality of care.
“整体治疗法”和“优质护理”几十年来一直是医学界的热门话题，整体治疗法主张满足患者的情感、生理、心理和精神需求。相比之下，优质护理模式强调医疗中公平、安全和及时的患者护理指标。两者都聚焦于以患者为中心的医疗理念，无数论文探讨了它们在各种医疗环境中的益处。然而，关于同时使用这两种模式来管理精神疾病患者的文献存在空白。采用医疗质量方法并在管理精神疾病时纳入整体视角，可以提高患者满意度并降低社会和医疗成本，使其成为一个重要的进一步研究领域。本文将讨论一名59岁男性精神分裂症患者的案例，他在长期住院期间出现心肺症状，导致进行了广泛但低效的检查，在实施提升其心理状态的措施后症状有所改善。本文将仔细研究整体护理的情感和心理方面以及精神疾病患者的优质护理领域。该病例报告旨在支持将这两种模式整合到精神疾病患者的管理中，以促进以患者为中心的优质护理。
