{"id":10691,"date":"2022-12-27T16:36:10","date_gmt":"2022-12-27T15:36:10","guid":{"rendered":"https:\/\/voxvigor.se\/?p=10691"},"modified":"2022-12-27T16:36:10","modified_gmt":"2022-12-27T15:36:10","slug":"annu-en-gang-granskas-psykiatrisk-vard-med-skrammande-resultat","status":"publish","type":"post","link":"https:\/\/voxvigor.se\/bricks-staging\/annu-en-gang-granskas-psykiatrisk-vard-med-skrammande-resultat\/","title":{"rendered":"\u00c4nnu en g\u00e5ng granskas psykiatrisk v\u00e5rd med skr\u00e4mmande resultat"},"content":{"rendered":"\n

Vi \u00e4r m\u00e5nga som sett Uppdrag Gransknings program \u201d\u00c4ta, b\u00e4ltas eller d\u00f6<\/a>\u201d den senaste tiden och blivit starkt ber\u00f6rda. H\u00e4r skildras det oerh\u00f6rda lidande som en sv\u00e5r psykisk oh\u00e4lsa kan orsaka p\u00e5 ett hudl\u00f6st s\u00e4tt som kommer en ytterst n\u00e4ra.  <\/p>\n\n\n\n

Programmet ger n\u00e5gra unga m\u00e4nniskors utsatthet, maktl\u00f6shet och lidande ett ansikte och det g\u00f6r ont. Men det g\u00f6r \u00e4nnu mer ont d\u00e4rf\u00f6r att v\u00e5rden som i detta fall blivit den sista utposten som ska garantera expertkunskap, hj\u00e4lp, st\u00f6d, s\u00e4kerhet och trygghet inte f\u00f6rm\u00e5r f\u00f6rvalta och m\u00f6ta upp detta lidande utan tillf\u00f6r ytterligare skada.  <\/p>\n\n\n\n

Jag \u00e4r helt med p\u00e5 att en sv\u00e5r \u00e4tst\u00f6rning inneb\u00e4r en utmaning. Vi trevar fortfarande kring hur vi p\u00e5 b\u00e4sta s\u00e4tt kan bidra till att lindra lidandet och st\u00f6dja och hj\u00e4lpa de som drabbas mot \u00e5terh\u00e4mtning och \u00e5terfunnen h\u00e4lsa. Jag kan f\u00f6rst\u00e5 v\u00e5rdpersonals maktl\u00f6shet och vilsenhet i en ytterst sv\u00e5r situation d\u00e4r livet st\u00e5r p\u00e5 spel. Men jag vill inte och kan inte acceptera att man i sin desperation tar till f\u00f6renklade och h\u00f6gst tillf\u00e4lliga l\u00f6sningar, anv\u00e4nder v\u00e5ld, g\u00f6r sig skyldiga till lagbrott, uppenbart missbrukar sin makt och i efterspelet dessutom undandrar sig sitt ansvar. Detta \u00e4r ett svek och beh\u00f6ver granskas i ljuset av det.  <\/p>\n\n\n\n

H\u00e4r m\u00e5ste ett ansvarstagande f\u00f6r situationen intr\u00e4da. H\u00e4r m\u00e5ste en kraftsamling ske d\u00e4r all kunskap p\u00e5 omr\u00e5det tillvaratas, d\u00e4r ett genomarbetat och l\u00e5ngsiktigt h\u00e5llbart f\u00f6rh\u00e5llningss\u00e4tt intas med de ungas b\u00e4sta i sj\u00e4lvklart fokus. Det finns framg\u00e5ngsrika v\u00e4gar att g\u00e5 d\u00e4r den unika m\u00e4nniskans v\u00e4rdighet f\u00f6rvaltas, integritet respekteras, lidande lindras och d\u00e4r medm\u00e4nsklighet \u00e4r fundamentet.  <\/p>\n\n\n\n

Det duger inte att forts\u00e4tta traumatisera patienter och g\u00f6mma sig bakom att man bara vill v\u00e4l. V\u00e5rden m\u00e5ste kunna b\u00e4ttre.\u202f <\/p>\n\n\n\n

Varf\u00f6r g\u00e5r v\u00e5rdens representanter i f\u00f6rsvar?<\/h2>\n\n\n\n

Det som s\u00e5 vasst skaver i mig i allt detta \u00e4r det gamla vanliga beteendet att v\u00e5rdens representanter genast g\u00e5r i f\u00f6rsvar. Hur kan det komma sig att de alltid intar denna position trots att det \u00e4r s\u00e5 uppenbart att man kommit till korta. Att exempelvis i en v\u00e5rdplan formulera att b\u00e4ltning p\u00e5 rutin ska genomf\u00f6ras f\u00f6r sondmatning \u00e4r f\u00f6r det f\u00f6rsta alldeles uppenbart olagligt. F\u00f6r det andra \u00e4r det grundat i of\u00f6rst\u00e5else och okunnighet kring hur man bedriver framg\u00e5ngsrik v\u00e5rd f\u00f6r denna patientgrupp.\u202f <\/p>\n\n\n\n

Hur skulle det se ut om man f\u00f6r en g\u00e5ngs skull kunde st\u00e5 rakryggade och ta sitt ansvar, att bara stillsamt bekr\u00e4fta patienternas upplevelser? Framf\u00f6ra en \u00e4rlig urs\u00e4kt f\u00f6r att de tyv\u00e4rr inte f\u00f6rvaltat dessa unga m\u00e4nniskors f\u00f6rtroende, att man tyv\u00e4rr misslyckats. Man beh\u00f6ver inte i detta l\u00e4ge g\u00e5 in i att diskutera skuldfr\u00e5gan utan bara ge det alldeles legitima utrymmet f\u00f6r f\u00f6rl\u00e5telsen att verka. Om de ansvariga bara f\u00f6r en g\u00e5ngs skull kunde backa, kunde lyssna, kunde bekr\u00e4fta, kunde beklaga det intr\u00e4ffade och faktiskt trov\u00e4rdigt kunde be om urs\u00e4kt.\u202f <\/p>\n\n\n\n

T\u00e4nk om de kunde s\u00e4ga f\u00f6rl\u00e5t<\/h2>\n\n\n\n

Ansvar ska utkr\u00e4vas men den enskilda skuldfr\u00e5gan \u00e4r inte n\u00f6dv\u00e4ndigtvis det prim\u00e4ra att bel\u00e4gga. Det viktiga \u00e4r att en kraftsamling sker f\u00f6r att se till att f\u00f6rb\u00e4ttringar omedelbart kommer till st\u00e5nd. Det \u00e4r h\u00f6g tid att v\u00e5rden axlar sitt ansvar, att man inte forts\u00e4tter att bara fila p\u00e5 sina bortf\u00f6rklaringar, v\u00e4grar forts\u00e4tta att utvecklas. Den m\u00e5ste bli b\u00e4ttre i takt med att kunskaper genereras. Man f\u00e5r inte fr\u00e5ns\u00e4ga sig den sm\u00e4rta man emellan\u00e5t orsakar. T\u00e4nk om de kunde s\u00e4ga ett f\u00f6rl\u00e5t. H\u00e4r n\u00e5dde vi tyv\u00e4rr inte hela v\u00e4gen fram. Hur kan vi tillsammans g\u00e5 vidare och bli b\u00e4ttre f\u00f6r att undvika att det ska h\u00e4nda igen. F\u00f6r det \u00e4r ju det som g\u00e5ng p\u00e5 g\u00e5ng h\u00e4nder inom verksamheten. Man v\u00e4grar att ta ansvaret f\u00f6r att det intr\u00e4ffar att man emellan\u00e5t beg\u00e5r fel. Hade den \u00f6dmjukheten och det l\u00e4randeperspektivet funnits inom psykiatrin kanske den kunnat v\u00e4xa ifatt med sina brister och tillkortakommande.\u202f <\/p>\n\n\n\n

Psykiatrisk verksamhet har ett mycket komplext och utmanande uppdrag att utf\u00f6ra. Det b\u00f6r i sammanhanget betonas att det parallellt med tillkortakommanden \u00e4ven existerar mycket god psykiatrisk v\u00e5rd. Denna goda v\u00e5rd beh\u00f6ver \u00e4ven den bli uppm\u00e4rksammad och f\u00e5 spridning. <\/p>\n\n\n\n

I allt detta b\u00e4r jag med mig att vi alla m\u00e5ste hj\u00e4lpas \u00e5t att h\u00e5lla etiken levande i diskussioner och i arbetet kring den psykiatriska v\u00e5rdens utformning. De egenerfarnas r\u00f6ster \u00e4r oerh\u00f6rt v\u00e4rdefulla och viktiga i detta arbete. <\/p>\n\n\n\n

Text: Jenny Wetterling, RSMH-medlem. Denna text kommer senare att publiceras p\u00e5 RSMHbloggen.se<\/a>.<\/em><\/p>\n\n\n\n

Foto: Pixabay<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Hur skulle det se ut om man f\u00f6r en g\u00e5ngs skull kunde st\u00e5 rakryggade och ta sitt ansvar, att bara stillsamt bekr\u00e4fta patienternas upplevelser och framf\u00f6ra en \u00e4rlig urs\u00e4kt f\u00f6r att de tyv\u00e4rr inte f\u00f6rvaltat dessa unga m\u00e4nniskors f\u00f6rtroende, att man tyv\u00e4rr misslyckats. <\/p>\n","protected":false},"author":6,"featured_media":10692,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[148,4],"tags":[],"acf":[],"yoast_head":"\n\u00c4nnu en g\u00e5ng granskas psykiatrisk v\u00e5rd med skr\u00e4mmande resultat - Bricks staging<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/voxvigor.se\/bricks-staging\/annu-en-gang-granskas-psykiatrisk-vard-med-skrammande-resultat\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"%\" \/>\n<meta property=\"og:description\" content=\"Hur skulle det se ut om man f\u00f6r en g\u00e5ngs skull kunde st\u00e5 rakryggade och ta sitt ansvar, att bara stillsamt bekr\u00e4fta patienternas upplevelser och framf\u00f6ra en \u00e4rlig urs\u00e4kt f\u00f6r att de tyv\u00e4rr inte f\u00f6rvaltat dessa unga m\u00e4nniskors f\u00f6rtroende, att man tyv\u00e4rr misslyckats.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/voxvigor.se\/bricks-staging\/annu-en-gang-granskas-psykiatrisk-vard-med-skrammande-resultat\/\" \/>\n<meta property=\"og:site_name\" content=\"Bricks staging\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/voxvigoruppsala\" \/>\n<meta property=\"article:published_time\" content=\"2022-12-27T15:36:10+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/voxvigor.se\/bricks-staging\/wp-content\/uploads\/2022\/12\/hallway-g48481458c_1920-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1920\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Vox Vigor\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:image\" content=\"https:\/\/voxvigor.se\/bricks-staging\/wp-content\/uploads\/2022\/12\/hallway-g48481458c_1920-1.jpg\" \/>\n<meta name=\"twitter:label1\" content=\"Skriven av\" \/>\n\t<meta name=\"twitter:data1\" content=\"Vox Vigor\" \/>\n\t<meta name=\"twitter:label2\" content=\"Ber\u00e4knad l\u00e4stid\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minuter\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/voxvigor.se\/bricks-staging\/annu-en-gang-granskas-psykiatrisk-vard-med-skrammande-resultat\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/voxvigor.se\/bricks-staging\/annu-en-gang-granskas-psykiatrisk-vard-med-skrammande-resultat\/\"},\"author\":{\"name\":\"Vox Vigor\",\"@id\":\"https:\/\/voxvigor.se\/bricks-staging\/#\/schema\/person\/6317c8a7107854d8acfddb8fafcf0a47\"},\"headline\":\"\u00c4nnu en g\u00e5ng granskas psykiatrisk v\u00e5rd med skr\u00e4mmande resultat\",\"datePublished\":\"2022-12-27T15:36:10+00:00\",\"dateModified\":\"2022-12-27T15:36:10+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/voxvigor.se\/bricks-staging\/annu-en-gang-granskas-psykiatrisk-vard-med-skrammande-resultat\/\"},\"wordCount\":911,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/voxvigor.se\/bricks-staging\/#organization\"},\"articleSection\":[\"Debatt\",\"Samh\u00e4lle\"],\"inLanguage\":\"sv-SE\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/voxvigor.se\/bricks-staging\/annu-en-gang-granskas-psykiatrisk-vard-med-skrammande-resultat\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/voxvigor.se\/bricks-staging\/annu-en-gang-granskas-psykiatrisk-vard-med-skrammande-resultat\/\",\"url\":\"https:\/\/voxvigor.se\/bricks-staging\/annu-en-gang-granskas-psykiatrisk-vard-med-skrammande-resultat\/\",\"name\":\"\u00c4nnu en g\u00e5ng granskas psykiatrisk v\u00e5rd med skr\u00e4mmande resultat - 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