tanggunjawab Pembantu Perubatan di Jabatan Psikiatri. 2. Merebiu masalah psiko sosial pesakit. 3. Merebiu dan memberikan ubat kepada pesakit rawatan susulan 4. Mengeluarkan surat rawatan susulan dan mengatur pertemuan dengan Pakar Perubatan dan Pegawai Perubatan.
5. Mengenal pasti pesakit-pesakit
yang berisiko defaulters.
6. Menilai masalah Fisikal dan
Psikiatri Pesakit. Peranan dan Tanggungjawab PPP dalam Psikiatri Komuniti 1. Pengenalan kepada perkhidmatan- perkhimatan yang disediakan oleh Unit Komuniti.
2. Memeriksa temujanji pesakit setiap
masa.
3. Memeriksa ubat-ubatan untuk lawatan
susulan rumah-kerumah. 4. Merekod data dan statistik pesakit rawatan susulan.
5. Membuat laporan lawatan susulan.
6. Memonitor pesakit-pesakit yang
tidak datang pada temujanji.
7. Menyediakan jadual lawatan
susulan. 1. Mental Health Care The objective is to provide appropriate Mental Health care to new and follow up patients as well as to monitor and to trace defaulters.
2. Roles of the Asst.MO
Detection of medical Health problems in the community.
provide initial management of patients
suspected to suffering from mental health problems. provide follow up care of psychiatric patients attending the clinic.
to refer all relapse or uncontrolled
psychiatric cases seen at the clinic to the nearest District Hospital or psychiatric facilities.
To ensure that psychiatric drugss are
availabe for follow up patients.
To forward statistics to Jabatan
Kesihatan Negeri”. 3. Management Guidelines
a. For new patients suspected to be suffering
from mental problems.
The AMO must be able to distinguish
neurotic disorder from psychiotic disorder.
In neurotic, to give simple support at the
clinic level and to refer to the District Hospital if there is no improvement. If psychotic, the AMO must be able to distinguish organic disorder from functional disorder.
Any case of organic disorder must be
referred to the District Hospital for futher assesment and treatment. All manageable functional disorder should be managed at local level. Referral is necessary when there is no improvement.
All unmanageable cases must be
transferred to the nearest Dist. Hospital or Mental Hospital after the iniatial emergency treatment. b. Follow up Psychiatrict Patients.
l. The AMO must continue the same
treatment and to send the patient back for review to the referring centres every 6 months or 1 year as prescribed, if the patients are stable.
2. During the follow up visit, the AMO
must assess the follwing areas: Level of fuctioning. social functioning Self care behaviour side effects pysical problems compliance with medication relapse of acute symptoms.
3. The AMO must try to stabilize
the patient as the local level after consultation with the nearest available doctor. 4. If it is not possible to stabilize the patient, the AMO should refer the patient to the nearest hospital or psychiatric facility for further management. 4. Pendaftaran dan Pemantauan a. All follow up notes and referral letters from Hospital must be filed in alphabetical order.
b. All KD must keep a Registration Book to
register all patients with mental health problems. C. The registration Book must be standardised and must have the following information as shown below: Indentification January February ..Dec Name/NRIC: App Att. App Att. Address; date date date date HSK RN(if any): Name/NRIC: Address; HSK RN(if any): d. The AMO in charge must record the next appointment date and to monitor the patient’s attendance at the clinic.
e. All patients who did not turn up
more than 2 weeks after the last appointment dates are considered as defaulters.. f. The AMO must determine the best way to trace these defaulters.
g. The general out patient card will
be used for documentation.
h. The AMO will use either the
home based or clinic based approach of management 5. Administrative Fuction a. Medication 1. The copy of the follow up notes/referral letter from Hospitals must be attached when ordering medication not in AMO list.
2. In case of urgency, Supplementary
indent must be used.
b. Monthly Return. AMO must forward monthly
returns to the DHO’s Office regularly. Terima Kasih..