Cierpka M
MMW Munch Med Wochenschr. 1981 Oct 9;123(41):1539-42.
With the team-centered introduction in psychiatric and psychosomatic advisory activity a form of consultation service is described which, in our opinion, is best suited to the many varied psychological problems of a surgical special ward. This consultation activity was institutionalized by setting up a weekly ward discussion in which all those involved on the ward described took part. With reference to examples of case histories the method of working this ward discussion is illustrated. In these conferences "problem patients" are discussed who have been found by the nursing personnel to be psychologically problematic. By discussion of the actual psychologic problem of the patient the nursing staff and the doctor undergo an emotional relief and support in the often difficult care of the patents.
在精神科和心身咨询活动中以团队为中心的介绍中，描述了一种咨询服务形式，我们认为这种形式最适合外科专科病房的各种心理问题。通过每周举行一次病房讨论会，使这种咨询活动制度化，病房里所有相关人员都参与其中。结合病历实例说明了这种病房讨论的工作方法。在这些会议上，会讨论护理人员发现存在心理问题的“问题患者”。通过讨论患者实际的心理问题，护理人员和医生在照顾这些往往很棘手的患者时，情绪上得到了缓解和支持。
