Psychiatric assistance in the hospitalization of adolescents with chronic diseases

A case report

https://doi.org/10.53730/ijhs.v6nS1.5346

Authors

  • Rasmi Adelaide Indah Juwita Department of Psychiatry, Faculty of Medicine, Udayana University, Sanglah General Hospital, Bali, Indonesia
  • I Gusti Ayu Indah Ardani Department of Psychiatry, Faculty of Medicine, Udayana University, Sanglah General Hospital, Bali, Indonesia
  • I Gusti Ayu Trisna Windiani Department of Pediatrics, Faculty of Medicine, Udayana University, Sanglah General Hospital, Bali, Indonesia
  • I Gusti Agung Ngurah Sugitha Adnyana Department of Pediatrics, Faculty of Medicine, Udayana University, Sanglah General Hospital, Bali, Indonesia
  • Ni Luh Sukma Pratiwi Murti Department of Pediatrics, Faculty of Medicine, Udayana University, Sanglah General Hospital, Bali, Indonesia
  • Ida Aju Kusuma Wardani Department of Psychiatry, Faculty of Medicine, Udayana University, Sanglah General Hospital, Bali, Indonesia

Keywords:

hospitalization, adolescent, depression, psychiatry, chronic diseases

Abstract

Hospitalization is an unpleasant experience for all patients, likewise for adolescent patients. The most common stressors experienced by adolescents undergoing hospitalization include loss of freedom, control, and privacy; fear of injury to the body or changes in self-image; fear of disability, pain, and death; as well as separation with peers, home, and school. The stressor can trigger mental and behavioral disorders, so it can ultimately affect the therapy process and outcome. The role of psychiatrists in adolescent hospitalization is to assist, detect mental disorders that may occur, and provide appropriate procedures to overcome the disorder and prevent worsening of symptoms. This case report describes a 17-year-old teenage girl patient who was consulted to the psychiatry department because she looked sad. Patient experienced long periods of hospitalization, including having been cared in isolation and intensive care room, and had invasive procedures as well. The patient was diagnosed with a Major Depressive Episode without Psychotic Symptoms. Pharmacological therapy with 0.5 mg Risperidone tablet every 24 h orally (evening), while the non-pharmacological therapy given was supportive psychotherapy and psychoeducation to the parent.

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References

Ball, J. W., Bindler, R. C., Cowen, K. J., Shaw, M. R. (2017). Nursing Considerations for the Hospitalized Child. In Principles of pediatric nursing: caring for children 7th edition (pp. 222-245). New York: Pearson Education.

Bangun, S. R. (2020). Kolaborasi Psikiater Anak pada Tatalaksana Covid-19 . Magelang: RSJ Prof. Dr. Soerojo Magelang.

Esmaeeli, M., Erfani, S. R., Saghebi, A., Elmi, S., Rahmani, S., Elmi, S., et al. (2014). Screening for Depression in Hospitalized Pediatric Patients. Iran J Child Neurol., 8(1), 47-51.

Hasan, R., Nicolaidis, C. (2020). Psychiatric Comorbidities Increase Cost and Length of Hospitalization in Adolescent and Young Adults with Chronic Medical Conditions. Journal of General Internal Medicine, 35(6), 1897-1899.

Holland-Hall, C. M. (2020). Adolescent Physical and Social Development. In R. Kliegman, J. St Geme, N. Blum, S. Shah, R. Tasker, & K. Wilson (Eds.), Nelson Textbook of Pediatrics edition 21 (pp. 4308-4324). Philadelphia: Elsevier.

Jamalimoghadam, N., Yektatalab, S., Momennasab, M. (2017). Hospitalized adolescents' perception of dignity: A qualitative study. Nursing Ethics, XX(X), 1-10.

Leelathipkul, L., Ruangkanchanestr, S., Arunakul, J. (2018). Risk behaviors screening in Thai adolescents with acute and chronic illness. International Journal of Adolescent Medicine and Health, 20180047, 1-6.

Martin, A. C., Pataki, C. S. (2017). Adolescent Development. In Sadock (Ed.), Kaplan & Sadock's Comprehensive Textbook of Psychiatry 10th edition (pp. 8593-8616). Philadelphia: Wolters Kluwer.

Pusat Data dan Informasi Kementerian Kesehatan RI. (2014). Pusat Data dan Informasi Kementerian Kesehatan Republik Indonesia. Retrieved December 5, 2021 from https://pusdatin.kemkes.go.id/resources/download/pusdatin/infodatin/infodatin-reproduksi-remaja.pdf

Saoji, N., Baran, J., Gerhardt, C. A., Vanatta, K., Rotter, D., Trauth, J. M., et al. (2018). The Psychometrics of the Children's Depression Inventory When Used With Children Who Are Chronically Ill and Matched Community Comparison Peers. Journal of Psychoeducational Assesment, 1-12.

Turkel, S. B., Jacobson, J., Pao, M. (2017). Children's Reaction to Illness and Hospitalization. In B. Sadock, V. Ruiz, & P. Sadock (Eds.), Kaplan & Sadock's Comprehensive Textbook of Psychiatry 10th edition (pp. 9781-9804). Philadelphia: Wolters Kluwer.

WHO. (2021). World Health Organization. Retrieved December 5, 2021 from https://www.who.int/health-topics/adolescent-health#tab=tab_1

Published

31-03-2022

How to Cite

Juwita, R. A. I., Ardani, I. G. A. I., Windiani, I. G. A. T., Adnyana, I. G. A. N. S., Murti, N. L. S. P., & Wardani, I. A. K. (2022). Psychiatric assistance in the hospitalization of adolescents with chronic diseases: A case report. International Journal of Health Sciences, 6(S1), 2671–2675. https://doi.org/10.53730/ijhs.v6nS1.5346

Issue

Section

Peer Review Articles