| Avtor/Urednik | Kolšek, Marko | |
| Naslov | Oblike dela družinskega zdravnika v domu starejših občanov | |
| Prevedeni naslov | Work of a general practitioner in the nursing home | |
| Tip | članek | |
| Vir | Zdrav Vars | |
| Vol. in št. | Letnik 41, št. 3-6 | |
| Leto izdaje | 2002 | |
| Obseg | str. 119-23 | |
| Jezik | slo | |
| Abstrakt | Staff of nursing homes provide nonmedical supply, nursing and medical rehabilitation to their residents, while medical treatment is provided by general practitioner. Time standard for a general practitioner and his team in a nursing home (approved by the National health insurance) is 5 hours per resident per year. Work in the nursing home surgery is similar to the usual work of a general practitioner, but it includes more medico-technical interventions. Medical records should be kept even more accurately because written instructions for treatment are also considered as an order for the medical staff of nursing home. Work on the wards of nursing home is similar to the rounds of a hospital physicians and sometimes it is similar to home visits. Cooperation between a physician and medical and nursing staff is crucial for a successful nursing and treatment because nurses (asg a connection between a physician .and residents) frequently have to make a responsible triage. The communication with residents' relatives is also an important part of physician's work in a nursing home. | |
| Izvleček | Domovi starejših občanov svojim oskrbovancem zagotavljajo poleg nemedicinske oskrbe tudi zdravstveno nego in zdravstveno rehabilitaciio, kar izvaja osebje doma, zdravljenje pa izvaja zdravnik družinske medicine. Časovni normativ za zdravnika, ki ga priznava ZZZS, je 5 ur dela zdravnikovega tima na enega oskrbovanca na leto. Delo v ambulanti je podobno delu v redni ambulanti družinske medicine, vključuje pa nekaj več medicinskotehničnih posegov. Zdravstvena dokumentacija mora biti vodena še bolj natancno, saj so zapisana navodila za zdravljenje med drugim naročilo za delo zdravstvenega osebja v domu. Zdravnikovo delo na oddelku je podobno "viziti" v bolnišnicah, včasih pa tudi hišnemu obisku. Za uspešno delo pri oskrbi, negi in zdravljenju oskrbovancev je ključnega pomena sodelovanje med zdravnikom ter zdravstvenim in negovalnim osebjem, saj morajo predvsem medicinske sestre in zdravstveni tehniki doma pogosto prevzeti odgovorno vlogo triažerjev, ker so ponavadi vezni člen med zdravnikom in oskrbovanci. Pomemben del zdravnikovega časa je namenjen tudi komuniciranju s svojci oskrbovancev. | |
| Deskriptorji | FAMILY PRACTICE HOMES FOR THE AGED AGED |