Friday, August 1, 2008

DAY 2 : JITRA

Geriatric Health





Objective


To plan, prepare and provide services to all geriatric age- group patients encompassing physical, mental, social, and spiritual as well to reduce disability and increase independence.



Improve cooperation between Ministry of Health, NGOs and government agencies regarding geriatric health.


Enhance public knowledge and involvement with geriatric health.



Geriatric Health District Committee




Chairman : District Health Officer

Vice Chairman : Hospital Director

Secretary : Medical & Health Officer

Committee members : Family Medicine Specialist
Dental Officer
Dietician
Health Nurse
Medical Assistant
Physiotherapist


Their roles include planning activities, promotions, prevention, treatment for geriatric residents.

They also provide training for Health professionals based on official modules by the MOH and place them at Geriatric Units.

They also plan and implement suitable activities for the public based on the Geriatric Care Module.

They also encourage the involvement of the public in Geriatric Health Care through Geriatric Clubs, Fund raisers, Health Club and so on.

Inspect and analyze the achievement of this program.


Geriatric Clinic

The clinic runs concurrently with the regular Out-Patient Department and all geriatric patients are advised to undergo regular health examination every year.


Standard Operating Procedure
1. Registration is done by Administrative assistant.
2. History taking done by Medical Assistant
3. Initial examination (blood pressure, pulse rate, weight, height, body mass index, vision and hearing test) done by Medical Assistant
4. If necessary patient is referred to medical officer for further examination
5. Lab test (hemoglobin levels, random blood sugar and urine FEME) done medical lab technician.
6. If normal, patient may return home, if necessary treatment is provided.
7. Referrals are made to dietician, psychologist, family medicine specialist, dental officer, and social & welfare officer and nearest hospital.


Activities


1. Health Education at the health clinic, schools and community centres. This includes health talks, giving out flyers / posters and audio video presentation.
2. Screening, like BMI , pap smear , diabetes , hypertension , oral hygiene , breast examination , assessment of daily living
3. Treatment like counseling , physiotherapy, occupational therapy , stress management and home care nursing.




Records


Individual records are updated during every visit and every month the MA produces a monthly report. Every six months the medical assistant in charge of each health clinic sends a report to the State health deaprtment on :
1. Number of new patients
2. Numbers of repeat patient
3. Number of patient who were completely assessed.
4. Number of referrals
5. Number of each diagnosis.




From the left: A diagram of the district of Kubang Pasu(the biggest district in Kedah), Briefing at the meeting room.

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