Abstract
Introduction: At the Fann Psychiatry department, institutional accompanying
person is often very close to patients. Sometimes, they are the only ones to
witness pathological attitudes or behaviors coming from patients. Thus, we
will study the contribution of an institutional accompanying person to the
detection of 3 episodes of violence in a hospitalized patient and then formulate
recommendations.
Methodology: Our study is qualitative and was carried out at the Moussa Diop
clinic of the Fann psychiatry department. We relied on the case of a patient who
benefited from two presentations, one of which was taken from a summary of
the medical file written by the medical team and the other described orally
by her institutional accompanying person named FN during a semi-structured
interview.
Results: Presentation of the medical file: This is a 54-year-old patient treated
for dysthymic schizophrenia with a medical history of 3 hospitalizations. During
his last hospitalization, no episode of aggression or violence was mentioned in
his medical file. She is known to be very calm by caregivers.
Presentation of the patient by the institutional accompanying person FN:
“Madame was very violent. With each hospitalization, she can end the life of
her accompanying if the latter does not flee.” She specifies: “During her last
hospitalization, I narrowly sketched the chair with which she wanted to smash
my head. The first 3 days of each hospitalization are permanent insecurity
for me, it’s our job, what should we do? However, in the days that follow she
becomes cooperative.”
Conclusion: Due to the undefined working conditions of the institutional
accompanying person, episodes of repeated violence by a patient were not
transmitted to the caregivers. Which makes these recommendations for this
clinical case a priority to help them in the exercise of their functions