AI Article Synopsis
- A 37-year-old homeless man from Albania experienced multiple fractures after jumping from a third-floor window due to his psychotic disorders.
- He was uninsured, refused hospital transfer due to paranoia, and ended up hospitalized for nearly 30 weeks, highlighting challenges like the combination of physical and mental health issues and lack of family support.
- The case underscores the importance of multidisciplinary evaluations in complex situations and encourages innovative solutions to balance patient care with cost-effectiveness in healthcare.
Article Abstract
We present the case of a 37-year-old psychotic, homeless man from Albania, who sustained multiple fractures after jumping from a third-floor window. The patient was uninsured and did not consent to transfer to a hospital in Albania because of paranoid delusions. Eventually he was hospitalised for nearly 30 weeks in hospital and a nursing home. Various factors of this complex case are considered, such as the co-morbidity of somatic and psychiatric symptoms, the absence of family support and the financial regulations that apply to uninsured patients. Doctors who are presented with similar complex cases are advised to organise frequent multidisciplinary evaluations with all health care workers involved. We encourage searching for creative interventions which serve both the best interests of the individual patient, and - where possible - also minimize the total cost of health care to society.
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