PATIENT FLOW IN ZUREK FGP

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Demeu Model Family Medical Outpatient Clinic
Was opened on November 16, 2000 Provides free
medical care to the enrolled individuals
regardless of sex or age
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Population Served by Demeu Model Family
Outpatient Clinic
15883
11389
1078
3416
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Interrelation among Model Clinic Personnel
Manager
Senior physician
Family physicians
Family nurses
Social workers
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Training Process
Nurse-trainer
Medical college Nurses Association
Public
Family nurses
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(No Transcript)
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Model Family Outpatient Clinic
Hospital
Diagnostic Center
Polyclinics
Year 2001
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PATIENT FLOWS
Registration
Preliminary screening room
Diagnostic laboratory
Family physician
Consultation with specialists
Functional diagnosis
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PRELIMINARY SCREENING BY NURSES

• 1. MANDATORY PROCEDURES
• Fluoroscopic X-ray
• Gynecological examination
• Examination for scabies and pediculosis
• Blood sugar (if indicated)
• Blood analysis
• Height, weight, vision, hearing
• Tonometry for intraocular pressure
• (40 years and older)
• Blood typing

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PRELIMINARY SCREENING BY NURSES

• 2. HISTORY
• When did illness start?
• Past illnesses hepatitis, drug allergies
• Family history
• Harmful habits alcohol, smoking, narcotics,
  substance abuse
• Social characteristics disadvantaged, group at
  high risk for STD and other diseases

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Functional Responsibilities of Nurses

• Preventive immunization of children and adult
  populations
• Home assessments and examination of new borns
•  Primary disease prevention for children,
  adolescents, and adults
• Observation of those in contact with infectious
  skin diseases and tuberculosis
• Fluorscopic X-rays of high risk groups
• Family planning
• Nursing procedures at home

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The Role of Nurses
Analysis of a situation
Performance of therapeutic procedures
Planning
Delegation of functions
Public education
Patient care
Reporting
Preventive measures and healthy life style
Evaluation
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Old people living alone
Handicapped children
Social Programs
Single mothers
Mothers with multiple children under 5
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The role of nurses in work with high risk groups
1. Education 2. Taking histories 3. Collection
and processing of information 4. Psychological
and moral support and rehabilitation 5.
Organizing additional consultations
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CLUBS WITHIN THE DEMEU MODEL FMOC
1.Zhansaya cardiological club 2. Healthy
parents healthy children club 3. Trust club
for adolescents 4. Safe children club 5.
Golden age club
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Zhansaya Cardiological Club
MISSION
Fostering self- and mutual-help for patients with
cardiovascular disease
MAIN OBJECTIVE
Prolongingactivelife
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Clubs, bringing together medical personnel and
citizens
this is a persuasive example of enlisting
the sick and healthy members of the public
to participate in the maintenance
of their own health