Report of the Human Rights Defender on the activities of the National Preventive Mechanism in Poland in 2013 (among others radio-diagnostic studio, possibility of carrying out the endoscopy, the colonoscopy and an ultrasound scan) and had an own patient transport service, what very much is facilitating the transport of patients for consultation. At other hospital263, due to physiotherapists employed in it, a possibility of the healing and motor rehabilitation existed. Similarly to interviewed persons from 2012, patients to which the representatives talked, knew why they were in hospital and what they were diagnosed with. They had access, upon request, to information about their health and to their medical records. The majority of patients praised the availability of both basis and specialist health care services. Not always however they have been explained having the right to the refusal of acceptance of prescribed medicines, since it wasn’t in the interest of a staff264. Visited hospitals did not apply high risk procedures (insulin coma, atropine coma and electroconvulsive therapy). The representatives of the NPM did not find any limitations on access to medications for patients, including new-generation psychotropic drugs and other medications. The analysis of medical records provided to the representatives of the NMP showed, that in 5 of 11 visited establishments the records were kept inappropriately: in some of them current entries were missing (e.g. final one from last month), as well as the results of medical tests, commissioned medicines or in the scope of individual therapeutic plan. Also irregularities in documenting the drug treatment were stated; prescribed medicines were seen in the individual plan, however this fact wasn’t recorded in the medical record. Moreover an evaluation of a mental state, a reason of including the medicine and a reaction of the patient were missing. Similarly – reasons for the change of the dose of medicines weren’t seen. At all institutions apart from one hospital265 different forms of therapy were led with omitting pharmacological. Occupational therapy and community meetings were among group forms of psychoterapy influences. Moreover, classes in psychoeducation, social skills training, health preventions and music therapy were conducted. An occupational therapist, which conducted the individual work and group activities with them, was available to patients, to what they were encouraged to. However at some institutions an impossibility of participating of appointed patients in the occupational therapy was a problem as well as in other form of activities organised apart Hospital in Radecznica. Hospital in Radom. 265 Hospital in Lublin. 263 264 76

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