UNIT 2.7.1. ( D):

1. Pengenalan kepada tugas dan

tanggunjawab Pembantu

Perubatan di Jabatan Psikiatri.

2. Merebiu masalah psiko sosial

pesakit.

3. Merebiu dan memberikan ubat

kepada pesakit rawatan susulan

Peranan dan Tanggungjawab PPP.

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 DHO’s Office for compilation before sending to Sarawak Mental Hospital “Hosp. Sentosa”.

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. Registeration and Monitoring

a. All follow up notes and referral letters

from Hospital Sentosa, Pschiatric Units or

Dist. Hospitals 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:

Address;

HSK RN(if any):

App

date

Att.

date

App

date

Att.

date

Name/NRIC:

Address;

HSK RN(if any):

Note: AP-Appintment Att- Attending

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 Fuctiona. Medication 1. The copy of the follow up

notes/referral letter from HSK, Psychiatric Units or Dist, 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..