Transcript UNIT 2.7.1. ( D): Peranan dan Tanggungjawab Penolong Pegawai

UNIT 2.7.1. ( D):
Peranan dan Tanggungjawab PPP.
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
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 perkhidmatanperkhimatan 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.
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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
Name/NRIC:
Address;
HSK RN(if
any):
Name/NRIC:
Address;
HSK RN(if
any):
January
App
date
Att.
date
February
App
date
Att.
date
..Dec
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 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..