Psychiatric hospital in Opava

In Opava, 17 May 2024

Patient J.R.
-27 years old-Hospitalized since 2018
-Previous stays in psychiatric hospital Jihlava
-Protective treatment ordered
-Diagnosis: paranoid schizophrenia

17.4.2024
Getting to know the VR Vitalis® offer and its demonstration

19.4.2024
Modules: chopping wood, free painting, 3D painting, puzzles, mugs, recognitionPatient familiar with the instructions for using VR Vitalis. Initially he was guided remotely via the tablet, but had no difficulty in selecting the modules independently within moments. During the therapy, the patient was not very talkative and kept his comments about the ongoing activity to himself. When prompted, he was able to describe what he was selecting and talk about what he was doing. He really liked the different environments that VR offers!

24.4.2024
Modules: free painting, shape determination, puzzle. Therapy conducted in sitting position. Patient tired today, but in good mood, stamina much weaker than last time.

26.4.2024
Modules: chopping wood, free painting, figure eights (figure eights did not appeal to him...), catching butterflies (difficult)Subjectively today the therapy was less interesting, the newly chosen modules were less interesting for the patient.

29.4.2024
Exploration of individual environments, testing imitation of precise movement by demonstration (in this module the patient became convinced that his left hand was more accurate and faster than his right hand, even though his dominant limb was the right), combination joining (subjectively difficult, but managed to complete), object recognition (subjectively too easy, did not complete due to loss of interest). The patient was able to cooperate for about 15 minutes, after which he started sweating under his glasses and stopped the therapy due to physical discomfort.

2.5.2024
Today's VR therapy was fully patient-directed. The individual modules were chosen by the patient directly from the range of glasses. This worked well, as did working in the modules he chose. His favourites were freehand and 3D painting. He also thrives in the cognitive module (mugs, puzzles).

Author
Lucie Machancová, DiS, Physiotherapist - Head Nurse RHBo, Psychiatric Hospital in Opava

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