Bulletin de la Société des sciences médicales du Grand-Duché de Luxembourg
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Bull Soc Sci Med Grand Duche Luxemb · Jan 2005
[Increase in the wealth of emergency patients at the Central Hospital of Luxembourg. Who are they? Why do the come?].
As in all European countries, the CHL's Emergency Department is faced with a constant increase in the number of patients. The demographic patient profile in the 2001 survey shows a majority of young males with traumatic problems. Mostly evoked reasons for the increase are the lack of availability of general practitioners and patients' low level of information about the competences of GPs. The article discusses possible solutions to the bottlenecks in Emergency Departments.
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Bull Soc Sci Med Grand Duche Luxemb · Jan 2005
[Crisis interventions: a psychotherapeutical challenge for psychiatric emergencies?].
Taking care of patients consulting the emergency psychiatric unit, raises nosological, legal, ethical and even logistic questions for the emergency departments. The need for emergency psychiatric interventions has grown constantly during the last twenty years and clinicians were challenged to find a new psychotherapeutic approach, more focused on the actual symptoms presented by the patients than the 'classic' psychiatric interventions. ⋯ In this approach, the psychotherapeutic treatment is divided in four different stages: preparation, incubation, transformation and verification. The "psychiatric crisis" becomes an opportunity to change for the patient, being a passage rite towards a new and better psychological functioning.