‫ﻣﻬﮭﺎﻡم ﺍاﻟﻄﺒﻴﯿﺐ ﺍاﻟﻤﻘﻴﯿﻢ‬
‫‪ ç‬ﺍاﻟﻨﻮﺑﺘﺠﻴﯿﺎﺕت‬
‫‪ ×‬ﺍاﻟﻘﺳﻡم‪ ‬ﺍاﻟﺩدﺍاﺧﻠﻰ‪ ) ‬ﺍاﻟﻧﻭوﺑﺗﺟﻰ‪ ‬ﻫﮬﮪھﻭو‪ ‬ﺑﻣﺛﺎﺑﺔ‪ ‬ﻣﺩدﻳﯾﺭر‪ ‬ﺍاﻟﻣﺳﺗﺷﻔﻰ‪ ‬ﺻﺎﺣﺏب‪ ‬ﺍاﻟﻘﺭرﺍاﺭر‪ ‬ﺍاﻟﻧﻬﮭﺎﺋﻲ‪ ‬ﻓﻰ‪ ‬ﻛﻝل‪ ‬ﺍاﻷﻣﻭوﺭر‪ ( ‬‬
‫• ‪ ‬ﺍاﻟﻣﺭرﻭوﺭر‪ ‬ﻋﻠﻰ‪ ‬ﺟﻣﻳﯾﻊ‪ ‬ﺍاﻟﻣﺭرﺿﻰ‪ 3 ‬ﻣﺭرﺍاﺕت‪ 4 ) ‬ﻋﺻﺭر‪ ‬ﺍا ً‪ 10 -­ ‬ﻣﺳﺎء‪ ‬ﺍا ً‪ 10 -­ ‬ﺻﺑﺎﺣ‪ ‬ﺎ ً‪ . ( ‬‬
‫• ‪ ‬ﺍاﻹﺷﺭرﺍاﻑف‪ ‬ﺍاﻟﻁطﺑﻰ‪ ‬ﻋﻠﻰ‪ ‬ﺍاﻟﻣﺭرﺿﻰ‪ . ‬‬
‫‪ ü‬ﺍاﻟﺣﺎﻟﺔ‪ ‬ﺍاﻟﻧﻔﺳﻳﯾﺔ‪ ‬ﻟﻛﻝل‪ ‬ﻣﺭرﻳﯾﺽض‪ . ‬‬
‫‪ ü‬ﺍاﻟﺣﺎﻟﺔ‪ ‬ﺍاﻟﻌﺿﻭوﻳﯾﺔ‪ ‬ﻟﻛﻝل‪ ‬ﻣﺭرﻳﯾﺽض‪ . ‬‬
‫‪ ü‬ﻣﺗﺎﺑﻌﺔ‪ ‬ﺍاﻟﺣﺎﻻﺕت‪ ‬ﺍاﻟﺣﺭرﺟﺔ‪ . ‬‬
‫‪ ü‬ﺍاﻟﺗﻌﺎﻣﻝل‪ ‬ﻣﻊ‪ ‬ﺍاﻯى‪ ‬ﻁطﻠﺑﺎﺕت‪ ‬ﺃأﻭو‪ ‬ﻣﺷﺎﻛﻝل‪ ‬ﻋﻧﺩد‪ ‬ﺍاﻟﻣﺭرﻳﯾﺽض‪ . ‬‬
‫‪ ü‬ﺗﺟﻬﮭﻳﯾﺯز‪ ‬ﺣﺎﻻﺕت‪ . ECT ‬‬
‫• ‪ ‬ﺳﻼﻣﺔ‪ ‬ﺍاﻟﻣﺭرﻳﯾﺽض‪ ‬ﻭو‪ ‬ﺍاﻟﻘﻳﯾﺎﻡم‪ ‬ﺑﺄﻯى‪ ‬ﺗﻧﺑﻳﯾﻬﮭﺎﺕت‪ ‬ﺃأﻭو‪ ‬ﺃأﺣﺗﻳﯾﺎﻁطﺎﺕت‪ ‬ﺧﺎﺻﺔ‪ ‬ﺑﺳﻼﻣﺔ‪ ‬ﺍاﻟﻣﺭرﺿﻰ‪ ‬ﻣﻊ‪ ‬ﺍاﻟﻣﻣﺭرﺿﻳﯾﻥن‪ ‬ﺃأﻭو‪ ‬ﺍاﻟﻌﻣﺎﻝل‪ . ‬‬
‫• ‪ ‬ﺳﻼﻣﺔ‪ ‬ﺍاﻟﻣﺳﺗﺷﻔﻰ‪ . ‬‬
‫‪ ü‬ﺗﺎﻣﻳﯾﻥن‪ ‬ﻏﺭرﻓﺔ‪ ‬ﺍاﻷﻁطﺑﺎء‪ ‬ﻭوﻏﺭرﻓﺔ‪ ‬ﺍاﻟﺩدﻭوﺍاء‪ ‬ﻭوﺍاﻹﺩدﺍاﺭرﺓة‪ . ‬‬
‫‪ ü‬ﺍاﻟﺗﺄﻛﺩد‪ ‬ﻣﻥن‪ ‬ﺧﻠﻭو‪ ‬ﺍاﻟﻣﻛﺎﺗﺏب‪ ‬ﻣﻥن‪ ‬ﺃأﻯى‪ ‬ﺃأﺩدﻭوﻳﯾﺔ‪ ‬ﺃأﻭو‪ ‬ﺭرﻭوﺷﺗﺎﺕت‪ . ‬‬
‫• ‪ ‬ﺗﺟﻬﮭﻳﯾﺯز‪ ‬ﺍاﻟﺩدﻭوﺍاء‪ Inpatient & Halfway . ‬‬
‫• ‪ ‬ﺇإﻋﻁطﺎء‪ ‬ﺍاﻟﺩدﻭوﺍاء‪ ‬ﻓـﻲ‪ ‬ﻣﻭوﺍاﻋﻳﯾﺩدﻩه‪ ‬ﺍاﻟﻣﺣﺩدﺩدﻩه‪ Inpatient & Halfway . ‬‬
‫• ‪ ‬ﺍاﻹﺷﺭرﺍاﻑف‪ ‬ﻋﻠﻰ‪ 3 ‬ﻭوﺟﺑﺎﺕت‪ . ‬‬
‫• ‪ ‬ﻧﺯزﻭوﻝل‪ ‬ﺍاﻟﻣﺭرﺿﻲ‪ ‬ﺍاﻟﺣﺩدﻳﯾﻘﺔ‪ ‬ﻓﻰ‪ ‬ﺍاﻟﺻﺑﺎﺡح‪ . ‬‬
‫• ‪ ‬ﻛﺗﺎﺑﺔ‪ ‬ﺩدﻓﺗﺭر‪ ‬ﺍاﻷﺣﻭوﺍاﻝل‪ ‬ﺍاﻟﺧﺎﺻﻪﮫ‪ ‬ﺑﺎﻟﻧﻭوﺑﺗﺟﻳﯾﺔ‪ . ‬‬
‫• ‪ ‬ﺗﺳﻠﻳﯾﻡم‪ 10 ‬ﺻﺑﺎﺣ‪ ‬ﺎ ً‪ .‬‬
‫‪ ü‬ﺩدﻓﺗﺭر‪ ‬ﺍاﻷﺣﻭوﺍاﻝل‪ -­ ‬ﺍاﻟﻣﻠﻔﺎﺕت‪ ‬ﺍاﻟﻁطﺑﻳﯾﺔ‪ -­ ‬ﺍاﻟﻣﻠﻔﺎﺕت‪ ‬ﺍاﻟﺩدﻭوﺍاﺋﻳﯾﺔ‪ -­ ‬ﺍاﻟﻣﻔﺎﺗﻳﯾﺢ‪ -­ ‬ﺩدﻓﺗﺭر‪ ‬ﺍاﻟﺭرﻭوﺷﺗﺎﺕت‪ – ‬ﺍاﻷﺩدﻭوﻳﯾﺔ‪ ‬ﺍاﻟﺟﺩدﻭوﻝل‪ . ‬‬
‫‪ ü‬ﺍاﻟﺣﺎﻻﺕت‪ ‬ﺍاﻟﺟﺩدﺩد‪ ‬ﻭوﺃأﺣﻭوﺍاﻟﻬﮭﻡم‪ ‬ﻭوﺃأﻯى‪ ‬ﻋﺭرﻭوﺽض‪ ‬ﻁطﺑﻳﯾﺑﺔ‪ ‬ﺃأﻭو‪ ‬ﺗﺣﺎﻟﻳﯾﻝل‪ ‬ﻻﺯزﻣﺔ‪ ‬ﻭوﺗﻭوﺯزﻳﯾﻌﻬﮭﻡم‪ ‬ﻋﻠﻰ‪ ‬ﺍاﻟﻁطﺑﻳﯾﺏب‪ ‬ﺍاﻟﻣﺳﺋﻭوﻝل‪ . ‬‬
‫‪ ü‬ﺣﺎﻟﺔ‪ ‬ﻛﻝل‪ ‬ﻣﺭرﻳﯾﺽض‪ ) ‬ﻧﻔﺳﻳﯾﺔ‪ -­ ‬ﻋﺿﻭوﻳﯾﺔ‪ -­ ‬ﺍاﻟﺣﺎﻻﺕت‪ ‬ﺍاﻟﺣﺭرﺟﺔ‪ -­ ‬ﺩدﻭوﺍاء‪ ‬ﺍاﻟﻣﺭرﺿﻲ‪ -­ ‬ﻭوﺍاﻷﺩدﻭوﻳﯾﺔ‪ ‬ﺍاﻟﻧﺎﻗﺻﺔ‪ -­ ‬ﺃأﻯى‪ ‬ﺗﺭرﺗﻳﯾﺑﺎﺕت‪ ‬ﺍاﻭو‪ ‬‬
‫ﺗﻧﺑﻳﯾﻬﮭﺎﺕت‪ ‬ﺧﺎﺻﺔ‪ ‬ﺑﺎﻟﻣﺭرﻳﯾﺽض‪ . ( ‬‬
‫• ‪ ‬ﺗﺳﻠﻳﯾﻡم‪ ‬ﻁطﺑﻲ‪ ‬ﺍاﺩدﺍاﺭرﻱي‪ : ‬‬
‫‪ ü‬ﺗﺑﻠﻳﯾﻎ‪ ‬ﻣﺳﺋﻭوﻝل‪ ‬ﺍاﻟﺩدﻓﺗﺭر‪ ‬ﻭوﻟﺟﻧﺔ‪ ‬ﺍاﻟﺣﻘﻭوﻕق‪ ‬ﺑﺎﻟﺣﺎﻻﺕت‪ ‬ﺍاﻟﺟﺩدﻳﯾﺩد‪ ‬ﺓة‪ . ‬‬
‫‪ ü‬ﺗﺑﻠﻳﯾﻎ‪ ‬ﺍاﻹﺩدﺍاﺭرﺓة‪ ‬ﺑﺎﻯى‪ ‬ﻣﺷﺎﻛﻝل‪ ‬ﺇإﺩدﺍاﺭرﻳﯾﺔ‪ . ‬‬
‫‪ ü‬ﺗﺳﻠﻳﯾﻡم‪ ‬ﺃأﻯى‪ ‬ﺃأﻣﺎﻧﺎﺕت‪ ‬ﺃأﻭو‪ ‬ﺣﺳﺎﺑﺎﺕت‪ ‬ﻟﻺﺩدﺍاﺭرﺓة‪ . ‬‬
‫‪ ×‬ﺍاﻟﻌﻳﯾﺎﺩدﺓة‪ ‬ﺍاﻟﺧﺎﺭرﺟﻳﯾﺔ‪ ) : ‬ﻻ‪ ‬ﻳﯾﺳﻣﺢ‪ ‬ﻟﻠﻧﻭوﺑﺎﺗﺟﻰ‪ ‬ﺑﻣﺗﺎﺑﻌﺔ‪ ‬ﺃأﻯى‪ ‬ﻣﺭرﺿﻲ‪ ‬ﺑﺎﻟﻌﻳﯾﺎﺩدﺓة‪ ‬ﺍاﻟﺧﺎﺭرﺟﻳﯾﺔ‪ ‬ﻓﻰ‪ ‬ﻳﯾﻭوﻡم‪ ‬ﺍاﻟﻧﻭوﺑﺗﺟﻳﯾﺔ‪ ( ‬‬
‫• ‪ ‬ﺍاﻟﺗﻌﺎﻣﻝل‪ ‬ﻣﻊ‪ ‬ﺍاﻟﻛﺷﻭوﻓﺎﺕت‪ ‬ﺍاﻟﻁطﺎﺭرﺋﺔ‪ ‬ﻭوﺗﺣﻭوﻳﯾﻝل‪ ‬ﺑﺎﻗﻰ‪ ‬ﺍاﻟﻛﺷﻭوﻓﺎﺕت‪ ‬ﻟﻸﺧﺻﺎﺋﻲ‪ . ‬‬
‫• ‪ ‬ﺍاﻟﺗﻌﺎﻣﻝل‪ ‬ﻣﻊ‪ ‬ﺣﺎﻻﺕت‪ ‬ﺍاﻟﻌﻳﯾﺎﺩدﺓة‪ ‬ﺍاﻟﺧﺎﺭرﺟﻳﯾﺔ‪ . ‬‬
‫• ‪ ‬ﺍاﻟﺗﻌﺎﻣﻝل‪ ‬ﻣﻊ‪ ‬ﺍاﻻﺳﺗﻔﺳﺎﺭرﺍاﺕت‪ . ‬‬
‫• ‪ ‬ﺍاﻟﺗﻌﺎﻣﻝل‪ ‬ﻣﻊ‪ ‬ﺍاﻫﮬﮪھﻝل‪ ‬ﺍاﻟﻣﺭرﺿﻲ‪ ‬ﻓﻰ‪ ‬ﺍاﻟﺗﻠﻳﯾﻔﻭوﻧﺎﺕت‪ ‬ﻭوﺍاﻟﺯزﻳﯾﺎﺭرﺍاﺕت‪ . ‬‬
‫‪ ×‬ﺍاﻟﺗﻣﺭرﻳﯾﺽض‪ ‬ﻭوﺍاﻟﻌﻣﺎﻟﺔ‪ : ‬‬
‫• ‪ ‬ﺍاﻹﺷﺭرﺍاﻑف‪ ‬ﻋﻠﻰ‪ ‬ﺍاﻟﺗﻣﺭرﻳﯾﺽض‪ ‬ﻭوﺍاﻟﻌﻣﺎﻝل‪ ‬ﻭوﺟﻭوﺩدﺓة‪ ‬ﺍاﻻﺩدﺍاء‪ . ‬‬
‫• ‪ ‬ﺗﻘﺳﻳﯾﻡم‪ ‬ﺍاﻟﻌﻣﻝل‪ ‬ﺑﻳﯾﻥن‪ ‬ﺍاﻟﺗﻣﺭرﻳﯾﺽض‪ ‬ﻭوﺍاﻟﻌﻣﺎﻝل‪ . ‬‬
‫• ‪ ‬ﺇإﻋﻁطﺎء‪ ‬ﺍاﻟﺗﻭوﺻﻳﯾﺎﺕت‪ ‬ﺍاﻟﺧﺎﺻﺔ‪ ‬ﺑﺎﻟﻣﺭرﺿﻰ‪ . ‬‬
‫‪ Halfway : ×‬‬
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‫•‬
‫•‬
‫‪ ‬ﺍاﻟﺗﻧﺳﻳﯾﻕق‪ ‬ﻣﻊ‪ ‬ﺍاﻟﻣﻌﺎﻟﺟﻳﯾﻥن‪ ‬ﺑﺎﻟـ‪ Half Way ‬ﻓﻰ‪ ‬ﺣﺎﻟﺔ‪ ‬ﺩدﺧﻭوﻝل‪ ‬ﺃأﻭو‪ ‬ﺧﺭرﻭوﺝج‪ ‬ﺍاﻟﻣﺭرﺿﻲ‪ ‬ﻟﻠﻘﺳﻡم‪ ‬ﺍاﻟﺩدﺍاﺧﻠﻰ‪ . ‬‬
‫‪ ‬ﺗﺟﻬﮭﻳﯾﺯز‪ ‬ﻭوﺇإﻋﻁطﺎء‪ ‬ﺩدﻭوﺍاء‪ ‬ﺍاﻟﻣﺭرﺿﻰ‪ . ‬‬
‫‪ ‬ﺍاﻹﺷﺭرﺍاﻑف‪ ‬ﺍاﻟﻁطﺑﻰ‪ ‬ﻋﻠﻰ‪ ‬ﺍاﻟﻣﺭرﺿﻲ‪ . ‬‬
‫‪ ‬‬
‫‪ ç‬ﺇإﺟﺮﺍاءﺍاﺕت ﺍاﻟﺪﺧﻮﻝل ﻭوﺍاﻟﺨﺮﻭوﺝج ‪:‬‬
‫‪ ×‬ﺧﻄﻮﺍاﺕت ﺍاﻟـ ‪ADMISSION‬‬
‫• ‪ Evaluation ‬‬
‫‪ ü‬ﺍاﻟﺗﺎﺭرﻳﯾﺦ‪ ‬ﺍاﻟﻣﺭرﺿﻲ‪ .‬‬
‫‪ ü‬ﺍاﻟــ‪ . Physical Examination ‬‬
‫‪ ü‬ﺍاﻟـ‪ MSE ‬ﻭوﻓﺣﺹص‪ ‬ﺍاﻟﻘﺩدﺭرﺓة‪ ‬ﺍاﻟﻌﻘﻠﻳﯾﺔ‪ . ‬‬
‫‪ ü‬ﻭوﺟﻭوﺩد‪ ‬ﺃأﻯى‪ ‬ﻋﻭوﺍاﻣﻝل‪ ‬ﺧﻁطﻭوﺭرﺓة‪ . ‬‬
‫• ‪ Administrative ‬‬
‫‪ ü‬ﺗﺣﺩدﻳﯾﺩد‪ ‬ﺍاﻟﻣﺎﺩدﺓة‪ ‬ﺍاﻟﻘﺎﻧﻭوﻧﻳﯾﺔ‪ . ‬‬
‫‪ ü‬ﺗﺣﺩدﻳﯾﺩد‪ ‬ﺩدﺭرﺟﺔ‪ ‬ﺍاﻟﻐﺭرﻓﻪﮫ‪ ‬ﻭوﺍاﻟﺣﺳﺎﺑﺎﺕت‪ . ‬‬
‫‪ ü‬ﺗﺻﻭوﻳﯾﺭر‪ ‬ﺍاﻟﺑﻁطﺎﻗﺔ‪ . ‬‬
‫‪ ü‬ﻛﺗﺎﺑﺔ‪ ‬ﺍاﻟﻣﻠﻑف‪ ‬ﺍاﻹﺩدﺍاﺭرﻯى‪ ‬ﻭو‪ ‬ﺍاﻹﻣﺿﺎء‪ ‬ﺃأﻭوﺍاﻟﺑﺻﻣﺔ‪ ‬ﻋﻠﻰ‪ : ‬‬
‫‪ ×‬ﻻﺋﺣﺔ‪ ‬ﺍاﻟﻌﻼﺝج‪ ‬ﺃأﻭو‪ ‬ﻻﺋﺣﺔ‪ ‬ﺍاﻟـ‪ . Halfway ‬‬
‫‪ ×‬ﻁطﻠﺏب‪ ‬ﺍاﻟﺩدﺧﻭوﻝل‪ ‬ﺃأﻭو‪ ‬ﺍاﻹﺩدﺧﺎﻝل‪ . ‬‬
‫‪ ×‬ﺣﻘﻭوﻕق‪ ‬ﺍاﻟﻣﺭرﻳﯾﺽض‪ . ‬‬
‫‪ ×‬ﺍاﻟﺣﺎﻟﺔ‪ ‬ﺍاﻟﻌﺿﻭوﻳﯾﺔ‪ ‬ﻟﻠﻣﺭرﻳﯾﺽض‪ . ‬‬
‫‪ ü‬ﻛﺗﺎﺑﺔ‪ ‬ﺍاﻟﻣﻠﻑف‪ ‬ﺍاﻟﻁطﺑﻲ‪ . ‬‬
‫‪×‬‬
‫‪×‬‬
‫‪×‬‬
‫‪×‬‬
‫‪×‬‬
‫‪×‬‬
‫‪×‬‬
‫‪×‬‬
‫‪×‬‬
‫‪×‬‬
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‫‪I.D. info & Contacts ‬‬
‫‪Physical Ex. ‬‬
‫‪Patient C/O ‬‬
‫‪Informant C/O ‬‬
‫‪Past Hx ‬‬
‫‪Family Hx ‬‬
‫‪M.S.E. ‬‬
‫‪Mental Capacity ‬‬
‫‪Diagnosis ‬‬
‫‪ttt Plan ‬‬
‫‪1st Follow-up & 1st Medication ‬‬
‫• ‪ Management ‬‬
‫‪ ü‬ﺟﻠﺳﺔ‪ ‬ﺗﻭوﻋﻳﯾﺔ‪ ‬ﺍاﻟﻣﺭرﻳﯾﺽض‪ . ( Patient Orientation ) ‬‬
‫‪ ü‬ﺍاﻟﻛﺷﻑف‪ ‬ﺍاﻟﻌﺿﻭوﻱي‪ ‬ﻋﻝل‪ ‬ﺍاﻟﻣﺭرﻳﯾﺽض‪ . ‬‬
‫‪ ü‬ﺇإﻋﻁطﺎء‪ ‬ﺍاﻟﻌﻼﺝج‪ . ‬‬
‫‪ ü‬ﺣﺿﻭوﺭر‪ ‬ﺍاﻟﺗﻔﺗﻳﯾﺵش‪ ‬ﻭوﺇإﺳﺗﻼﻡم‪ ‬ﺍاﻷﻣﺎﻧﺎﺕت‪ . ‬‬
‫‪ ü‬ﺇإﺟﺭرﺍاءﺍاﺕت‪ ‬ﺍاﻟﺳﻼﻣﺔ‪ ‬ﻭوﺃأﻯى‪ ‬ﺗﻧﺑﻳﯾﻬﮭﺎﺕت‪ . ‬‬
‫• ‪ Next Day ‬‬
‫‪ ü‬ﺗﺑﻳﯾﻠﻎ‪ ‬ﻣﺳﺋﻭوﻝل‪ ‬ﺍاﻟﺩدﻓﺎﺗﺭر‪) ‬ﺃأ‪ .‬ﻣﺟﺩدﻯى‪ -­ ‬ﺃأ‪ .‬ﻳﯾﺎﺳﻣﻳﯾﻥن(‪ ‬ﺑﺗﺄﻳﯾﻳﯾﺩد‪ ‬ﺍاﻟﻣﺭرﺿﻰ‪ ‬ﻭو‪ ‬ﻣﺳﺋﻭوﻝل‪ ‬ﻟﺟﻧﺔ‪ ‬ﺍاﻟﺣﻘﻭوﻕق‪ ‬ﻭوﺇإﺳﺗﺧﺭرﺍاﺝج‪ ‬ﺍاﻟﻣﻠﻔﺎﺕت‪ ‬ﺍاﻟﻘﺩدﻳﯾﻣﺔ‪ .‬‬
‫‪ ü‬ﺳﺣﺏب‪ ‬ﺍاﻟﺗﺣﺎﻟﻳﯾﻝل‪ ‬ﻭوﻁطﻠﺏب‪ ‬ﻋﺭرﺽض‪ ‬ﺍاﻟﺑﺎﻁطﻧﺔ‪ . ‬‬
‫‪ ü‬ﺗﻭوﺯزﻳﯾﻊ‪ ‬ﺍاﻟﻣﺭرﻳﯾﺽض‪ ‬ﻣﻊ‪ ‬ﺍاﻟﻁطﺑﻳﯾﺏب‪ ‬ﺍاﻷﺧﺻﺎﺋﻰ‪ . ‬‬
‫‪ ü‬ﻛﺗﺎﺑﺔ‪ ‬ﺍاﻟـ‪ . Drug sheet ‬‬
‫‪ ×‬ﺧﻄﻮﺍاﺕت ﺍاﻟـ ‪Discharge‬‬
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‫‪ ‬ﻣﻘﺎﺑﻠﺔ‪ ‬ﺍاﻷﻫﮬﮪھﻝل‪ . ‬‬
‫‪ ‬ﺍاﻻﺗﻔﺎﻕق‪ ‬ﻋﻠﻲ‪ ‬ﺍاﻟﺧﻁطﺔ‪ ‬ﺍاﻟﻌﻼﺟﻳﯾﺔ‪ ) ‬ﻧﻅظﺎﻡم‪ ‬ﺍاﻟﻣﺗﺎﺑﻌﺔ‪ -­ ‬ﺭرﻭوﺷﺗﺔ‪ ‬ﺍاﻭو‪ ‬ﺩدﻭوﺍاء‪ ‬ﺟﺎﻫﮬﮪھﺯز‪ ‬ﻟﻸﺟﺎﺯزﺍاﺕت(‪ .‬‬
‫‪ ‬ﺍاﻷﻣﺿﺎءﺍاﺕت‪ .‬‬
‫‪ ‬ﺍاﻟﺣﺳﺎﺑﺎﺕت‪ . ‬‬
‫‪ ‬ﺍاﻷﻣﺎﻧﺎﺕت‪ . ‬‬
‫‪ ‬ﻛﺗﺎﺑﺔ‪ Follow up ‬ﺑﺣﺎﻟﺔ‪ ‬ﺍاﻟﺧﺭرﻭوﺝج‪ ‬ﺑﺎﻟﻣﻠﻑف‪ ‬ﻭو‪ ‬ﺗﺑﻠﻳﯾﻎ‪ ‬ﻣﺳﺋﻭوﻝل‪ ‬ﺍاﻟﺩدﻓﺎﺗﺭر‪ ‬ﻭوﺣﻔﻅظ‪ ‬ﺍاﻟﻣﻠﻑف‪ . ‬‬
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‫‪ ç‬ﻋﻼﺟﻴﯿﺔ‪:‬‬
‫‪ ×‬ﺍاﻟﻤﻬﮭﺎﻡم ﺍاﻷﻭوﻟﻴﯿﺔ ‪:‬‬
‫) ﻓﻰ ﺍاﻟﻴﯿﻮﻡم ﺍاﻷﻭوﻝل ﺑﻌﺪ ﺍاﻟﺪﺧﻮﻝل ﻭوﺗﻨﻔﺬ ﻣﺮﺓة ﻭوﺍاﺣﺪﻩه (‬
‫‪ v‬ﻁطﺑﻳﯾﺔ‪ : ‬‬
‫• ‪ ‬ﺇإﺳﺗﻼﻡم‪ ‬ﺣﺎﻟﺔ‪ ‬ﺍاﻟﻣﺭرﻳﯾﺽض‪ ‬ﻣﻥن‪ ‬ﺍاﻟﻁطﺑﻳﯾﺏب‪ ‬ﺍاﻟﻣﺳﺋﻭوﻝل‪ ‬ﻋﻥن‪ ‬ﺍاﻹﺩدﺧﺎﻝل‪ ‬ﻭوﻗﺭرﺍاءﺓة‪ ‬ﺍاﻟﻣﻠﻑف‪ ‬ﻭوﻣﻌﺭرﻓﺔ‪ ‬ﺃأﻯى‪ ‬ﻋﻭوﺍاﻣﻝل‪ ‬ﺧﻁطﻭوﺭرﺓة‪ ‬ﺃأﻭو‪ ‬ﺗﻧﺑﻳﯾﻬﮭﺎﺕت‪ ‬ﺃأﻭو‪ ‬‬
‫ﻣﻼﺣﻅظﺎﺕت‪ ‬ﺗﻣﺕت‪ ‬ﺃأﺛﻧﺎء‪ ‬ﺍاﻟﺩدﺧﻭوﻝل‪ . ‬‬
‫­‪ -‬ﺟﻠﺳﺔ‪ ‬ﺃأﻭوﻟﻳﯾﺔ‪ ‬ﺑﻐﺭرﺽض‪ : ‬‬
‫• ‪ ‬ﺗﻭوﺟﻳﯾﺔ‪ ‬ﻭوﺗﻭوﻋﻳﯾﺔ‪ ‬ﺍاﻟﻣﺭرﻳﯾﺽض‪ ‬ﺑﺎﻟﻣﺳﺗﺷﻔﻰ‪ ‬ﻭوﺍاﻟﺧﻁطﺔ‪ ‬ﺍاﻟﻌﻼﺟﻳﯾﺔ‪ ‬ﻭوﺍاﻷﻁطﺑﺎء‪ ‬ﺍاﻟﻣﺳﺋﻭوﻟﻳﯾﻥن‪ ‬ﻋﻧﻪﮫ‪ ‬ﻭوﻛﻳﯾﻔﻳﯾﺔ‪ ‬ﺍاﻟﻭوﺻﻭوﻝل‪ ‬ﺍاﻟﻳﯾﻬﮭﻡم‪ . ‬‬
‫• ‪ ‬ﺗﻘﻳﯾﻳﯾﻡم‪ ‬ﺍاﻟﺣﺎﻟﺔ‪ ‬ﺍاﻟﻌﺿﻭوﻳﯾﺔ‪ ‬ﻭوﺍاﻟﻧﻔﺳﻳﯾﺔ‪ ‬ﻟﻠﻣﺭرﻳﯾﺽض‪ ‬ﻭو‪ ‬ﺗﺣﺩدﻳﯾﺩد‪ ‬ﺃأﻯى‪ ‬ﻋﻭوﺍاﻣﻝل‪ ‬ﺧﻁطﻭوﺭرﺓة‪ . ‬‬
‫• ‪ ‬ﺍاﻟﺗﻌﺎﻣﻝل‪ ‬ﻣﻊ‪ ‬ﺍاﻯى‪ ‬ﻁطﻠﺑﺎﺕت‪ ‬ﺃأﻭو‪ ‬ﻣﺷﺎﻛﻝل‪ ‬ﻋﻧﺩد‪ ‬ﺍاﻟﻣﺭرﻳﯾﺽض‪ . ‬‬
‫• ‪ ‬ﺍاﻟﻘﻳﯾﺎﻡم‪ ‬ﺑﺎﻹﺟﺭرﺍاءﺍاﺕت‪ ‬ﺍاﻟﺧﺎﺻﻪﮫ‪ ‬ﺑﺳﻼﻣﺔ‪ ‬ﺍاﻟﻣﺭرﻳﯾﺽض‪ ‬ﻭوﺗﺑﻳﯾﻠﻎ‪ ‬ﺃأﻯى‪ ‬ﺗﻧﺑﻳﯾﻬﮭﺎﺕت‪ ‬ﺃأﻭو‪ ‬ﺍاﺣﺗﻳﯾﺎﻁطﺎﺕت‪ ‬ﻟﻸﻁطﺑﺎء‪ ‬ﻭوﺍاﻟﻣﻣﺭرﺿﻳﯾﻥن‪ ‬ﺍاﻟﻣﺳﺋﻭوﻟﻳﯾﻥن‪ . ‬‬
‫• ‪ ‬ﻛﺗﺎﺑﺔ‪ ‬ﺍاﻟﺩدﻭوﺍاء‪ ‬ﺍاﻟﻣﻁطﻠﻭوﺏب‪ ‬ﺃأﺧﺫذﻩه‪ ‬ﻓﻰ‪ ‬ﺍاﻟﻳﯾﻭوﻡم‪ ‬ﺍاﻷﻭوﻝل‪ . ‬‬
‫‪ v‬ﺇإﺩدﺍاﺭرﻳﯾﺔ‪ : ‬‬
‫• ‪ ‬ﺗﺑﻠﻳﯾﻎ‪ ‬ﻣﺳﺋﻭوﻝل‪ ‬ﺍاﻟﺳﺟﻼﺕت‪ ) ‬ﺃأ‪ .‬ﻳﯾﺎﺳﻣﻳﯾﻥن‪ ،٬ ‬ﺃأ‪ .‬ﻣﺟﺩدﻯى‪ ( ‬ﺑﺗﺄﻳﯾﻳﯾﺩد‪ ‬ﺍاﻟﻣﺭرﻳﯾﺽض‪ ‬ﻭوﺇإﺳﺗﻛﻣﺎﻝل‪ ‬ﺍاﻟﻣﻠﻑف‪ ‬ﻭوﺇإﺧﺭرﺍاﺝج‪ ‬ﺍاﻟﻣﻠﻔﺎﺕت‪ ‬ﺍاﻟﻘﺩدﻳﯾﻣﺔ‪ . ‬‬
‫• ‪ ‬ﺗﺑﻠﻳﯾﻎ‪ ‬ﺍاﻟﻁطﺑﻳﯾﺏب‪ ‬ﺍاﻟﻣﺳﺋﻭوﻝل‪ ‬ﻋﻥن‪ ‬ﻟﺟﻧﺔ‪ ‬ﺣﻘﻭوﻕق‪ ‬ﺍاﻟﻣﺭرﺿﻲ‪ ) ‬ﺩد‪ .‬ﺃأﺷﺭرﻑف‪ ‬ﺍاﻟﺷﻌﺭرﺍاﻭوﻯى(‪ . ‬‬
‫• ‪ ‬ﻣﺭرﺍاﺟﻌﺔ‪ ‬ﻭوﺇإﺳﺗﻛﻣﺎﻝل‪ ‬ﺍاﻟﻣﻠﻑف‪ ‬ﺍاﻟﻁطﺑﻰ‪ ‬ﻭوﺍاﻹﺩدﺍاﺭرﻯى‪ . ‬‬
‫‪ ×‬ﻣﻬﮭﺎﻡم ﺍاﻟﻴﯿﻮﻡم ﺍاﻟﺜﺎﻧﻰ ﺑﻌﺪ ﺍاﻟﺪﺧﻮﻝل ‪:‬‬
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‫‪ ‬ﻋﺭرﺽض‪ ‬ﺍاﻟﻣﺭرﻳﯾﺽض‪ ‬ﻭوﺗﻭوﺯزﻳﯾﻌﻪﮫ‪ ‬ﻋﻠﻰ‪ ‬ﺍاﻟﻁطﺑﻳﯾﺏب‪ ‬ﺍاﻷﺧﺻﺎﺋﻲ‪ ‬ﻭوﺗﺣﺩدﻳﯾﺩد‪ ‬ﺍاﻟﺧﻁطﺔ‪ ‬ﺍاﻟﻌﻼﺟﻳﯾﺔ‪ ‬ﻣﺗﺿﻣﻧﻪﮫ‪ : ‬‬
‫‪ ‬ﺍاﻟﺣﺎﻟﺔ‪ ‬ﺍاﻟﻌﺿﻭوﻳﯾﺔ‪ ‬ﻟﻠﻣﺭرﻳﯾﺽض‪ ‬ﻭوﻧﺗﻳﯾﺟﺔ‪ ‬ﺍاﻟﺗﺣﺎﻟﻳﯾﻝل‪ ‬ﻭوﺍاﻟﻌﺭرﺽض‪ ‬ﻋﻠﻰ‪ ‬ﻁطﺑﻳﯾﺏب‪ ‬ﺍاﻟﺑﺎﻁطﻧﺔ‪ ‬ﻭوﺇإﺣﺗﻳﯾﺎﺝج‪ ‬ﺍاﻟﻣﺭرﻳﯾﺽض‪ ‬ﻷﻯى‪ ‬ﺗﺣﺎﻟﻳﯾﻝل‪ ‬ﺃأﻭو‪ ‬ﻋﺭرﻭوﺽض‪ ‬ﻁطﺑﻳﯾﺔ‪ .‬‬
‫‪ ‬ﺍاﻟﺣﺎﻟﺔ‪ ‬ﺍاﻟﻧﻔﺳﻳﯾﺔ‪ ‬ﻟﻠﻣﺭرﻳﯾﺽض‪ ‬ﻭوﻛﻳﯾﻔﻳﯾﺔ‪ ‬ﺍاﻟﺗﺩدﺧﻝل‪ ‬ﺍاﻟﻌﻼﺟﻰ‪ ‬ﻓﻰ‪ ‬ﺍاﻟﺟﻠﺳﺎﺕت‪ ‬ﺍاﻟﻔﺭرﺩدﻳﯾﺔ‪ ‬ﺃأﻭو‪ ‬ﺍاﻷﻧﺷﻁطﺔ‪ ‬ﺍاﻟﺟﻣﻌﻳﯾﺔ‪ ‬ﻭوﻣﻥن‪ ‬ﺧﻼﻝل‪ ‬ﺍاﻟﻁطﺑﻳﯾﺏب‪ ‬ﺍاﻟﻧﻭوﺑﺗﺟﻰ‪ . ‬‬
‫‪ ‬ﺗﺣﺩدﻳﯾﺩد‪ ‬ﺃأﻭو‪ ‬ﺗﻌﺩدﻳﯾﻝل‪ ‬ﺍاﻟﻣﻠﻑف‪ ‬ﺍاﻟﺩدﻭوﺍاﺋﻰ‪ . (Drug sheet) ‬‬
‫‪ ‬ﺍاﻹﺗﺻﺎﻝل‪ ‬ﺑﺎﻷﻫﮬﮪھﻝل‪ ‬ﻭوﺗﺑﻠﻳﯾﻐﻬﮭﻡم‪ ‬ﻭوﺍاﻻﺗﻔﺎﻕق‪ ‬ﻣﻌﻬﮭﻡم‪ ‬ﻋﻠﻰ‪ ‬ﺍاﻟﺧﻁطﺔ‪ ‬ﺍاﻟﻌﻼﺟﻳﯾﺔ‪ ‬ﻭوﺍاﺳﺗﻛﻣﺎﻝل‪ ‬ﺍاﻟﺗﺎﺭرﻳﯾﺦ‪ ‬ﺍاﻟﻣﺭرﺿﻲ‪ . ‬‬
‫‪ ‬ﺗﺑﻳﯾﻠﻎ‪ ‬ﺍاﻻﻁطﺑﺎء‪ ‬ﺍاﻟﻣﺳﺋﻭوﻟﻳﯾﻥن‪ ‬ﻭوﺍاﻟﻁطﺑﻳﯾﺏب‪ ‬ﺍاﻟﻧﻭوﺑﺗﺟﻰ‪ ‬ﺑﺄﻯى‪ ‬ﺗﻧﺑﻳﯾﻬﮭﺎﺕت‪ ‬ﺍاﻭو‪ ‬ﺗﺭرﺗﻳﯾﺑﺎﺕت‪ ‬ﻣﻥن‪ ‬ﺣﻳﯾﺙث‪ ‬ﺍاﻟﺗﺩدﺧﻼﺕت‪ ‬ﺍاﻟﻁطﺑﻳﯾﺔ‪ ‬ﻭوﺍاﻟﺣﺎﻟﺔ‪ ‬ﺍاﻟﻌﺿﻭوﻳﯾﺔ‪ ‬‬
‫ﻭوﺇإﻣﻛﺎﻧﻳﯾﺎﺕت‪ ‬ﺍاﺳﺗﻘﺑﺎﻝل‪ ‬ﺍاﻟﻣﺭرﻳﯾﺽض‪ ‬ﻟﺗﻠﻳﯾﻔﻭوﻧﺎﺕت‪ ‬ﺃأﻭو‪ ‬ﺯزﺭرﻳﯾﺎﺭرﺍاﺕت‪ ‬ﺃأﻭو‪ ‬ﻧﺯزﻭوﻝل‪ ‬ﺍاﻟﺣﺩدﻳﯾﻘﺔ‪ . ‬‬
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‫‪ ×‬ﺍاﻟﻤﻬﮭﺎﻡم ﺍاﻟﻌﻼﺟﻴﯿﺔ ) ﺗﺴﺘﻤﺮ ﻳﯾﻮﻣﻴﯿﺎ ( ‪Psychotherapy -­‐ Physically -­‐ Drug sheet -­‐ File -­‐ Family -­‐ :‬‬
‫‪ Arrangement‬‬
‫• ‪ ‬ﺍاﻟﺟﻠﺳﺎﺕت‪ ‬ﺍاﻟﻌﻼﺟﻳﯾﺔ‪ ‬ﺍاﻟﻔﺭرﺩدﻳﯾﺔ‪ ‬ﺃأﻭو‪ ‬ﺍاﻟﺟﻣﺎﻋﻳﯾﺔ‪ ‬ﻟﻠﻣﺭرﻳﯾﺽض‪ . ‬‬
‫• ‪ ‬ﻣﺗﺎﺑﻌﺔ‪ ‬ﺍاﻟﺣﺎﻟﺔ‪ ‬ﺍاﻟﻌﺿﻭوﻳﯾﺔ‪ ‬ﻟﻠﻣﺭرﻳﯾﺽض‪ ‬ﻭوﺍاﻟﺗﻧﺑﻳﯾﻬﮭﺎﺕت‪ ‬ﺍاﻟﻼﺯزﻣﺔ‪ ‬ﻟﺳﻼﻣﺔ‪ ‬ﺍاﻟﻣﺭرﻳﯾﺽض‪ . ‬‬
‫• ‪ ‬ﻣﺭرﺍاﺟﻌﺔ‪ ‬ﻭوﺗﻌﺩدﻳﯾﻝل‪ ‬ﺍاﻟﻌﻼﺝج‪ ‬ﺍاﻟﺩدﻭوﺍاﺋﻰ‪ ‬ﻭوﺍاﻟﻣﻠﻑف‪ ‬ﺍاﻟﺩدﻭوﺍاﺋﻰ‪ . ‬‬
‫• ‪ ‬ﺍاﺳﺗﻛﻣﺎﻝل‪ ‬ﺍاﻟﻣﻠﻑف‪ ‬ﺍاﻟﻁطﺑﻰ‪ ‬ﻭوﺣﻔﻅظﺔ‪ ‬ﻓﻰ‪ ‬ﺍاﻟﻣﻛﺎﻥن‪ ‬ﺍاﻟﻣﺧﺻﺹص‪ . ‬‬
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‫‪. History ‬‬
‫‪. Drug sheet ‬‬
‫‪. Follow ups ‬‬
‫‪. Therapeutic Interventions ‬‬
‫‪ ü‬ﺍاﻹﺟﺭرﺍاءﺍاﺕت‪ ‬ﺍاﻹﺩدﺍاﺭرﻳﯾﺔ‪ ) ‬ﺍاﻟﻣﺎﺩدﺓة‪ ‬ﺍاﻟﻘﺎﻧﻭوﻧﻳﯾﺔ‪ ‬ﻭوﻟﺟﻧﺔ‪ ‬ﺍاﻟﺣﻘﻭوﻕق‪ . ( ‬‬
‫• ‪ ‬ﺍاﻟﺗﻭوﺍاﺻﻝل‪ ‬ﻣﻊ‪ ‬ﺃأﻫﮬﮪھﻝل‪ ‬ﺍاﻟﻣﺭرﻳﯾﺽض‪ ‬ﻭوﺇإﺟﺭرﺍاء‪ ‬ﺍاﻯى‪ ‬ﺗﺩدﺧﻼﺕت‪ ‬ﻋﻼﺟﻳﯾﺔ‪ ‬ﻻﺯزﻣﺔ‪ . ‬‬
‫• ‪ ‬ﻣﺗﺎﺑﻌﺔ‪ ‬ﺍاﻟﺗﺭرﺗﻳﯾﺑﺎﺕت‪ ‬ﺍاﻟﺧﺎﺻﺔ‪ ‬ﺑﺎﻟﻣﺭرﻳﯾﺽض‪) ‬ﺍاﻷﻛﻝل‪ -­ ‬ﺍاﻟﻧﻭوﻡم‪ -­ ‬ﻧﺯزﻭوﻝل‪ ‬ﺍاﻟﺟﻧﻳﯾﻧﺔ‪ -­ ‬ﺍاﻟﺗﻠﻳﯾﻔﻭوﻧﺎﺕت‪ – ‬ﺍاﻟﺯزﻳﯾﺎﺭرﺍاﺕت(‪ ‬‬
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‫‪ ç‬ﺗﻌﻠﻴﯿﻤﻴﯿﺔ ‪:‬‬
‫• ‪ ‬ﺣﺿﻭوﺭر‪ ‬ﺍاﻟﻣﺭرﻭوﺭر‪ ‬ﺍاﻻﺳﺑﻭوﻋﻰ‪ ‬ﻭوﺍاﻟﺟﻠﺳﺎﺕت‪ ‬ﺍاﻟﻌﻠﻣﻳﯾﺔ‪ . ‬‬
‫• ‪ ‬ﻣﻼﺣﻅظﺎﺕت‪ ‬ﺍاﻷﻁطﺑﺎء‪ ‬ﺍاﻟــ‪ Seniors ‬ﻋﻥن‪ ‬ﻁطﺭرﻳﯾﻕق‪ ‬ﺣﺿﻭوﺭر‪ ‬ﺍاﻟﺟﻠﺳﺎﺕت‪ ‬ﺍاﻟﻔﺭرﺩدﻳﯾﺔ‪ ‬ﻭوﺍاﻟﺟﻣﺎﻋﻳﯾﺔ‪ . ‬‬
‫• ‪ ‬ﺍاﻟﻘﺭرﺍاءﺓة‪ ‬ﺍاﻟﻌﻠﻣﻳﯾﺔ‪ ‬ﻭوﺍاﻹﺟﺗﻬﮭﺎﺩدﺍاﺕت‪ ‬ﺍاﻟﺷﺧﺻﻳﯾﺔ‪ . ‬‬
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‫ﻣﻬﮭﺎﻡم ﺍاﻟﻄﺒﻴﯿﺐ ﺍاﻟﻤﺘﻤﺮﻥن‬
‫• ‪ ‬ﺣﺿﻭوﺭر‪ ‬ﺍاﻟﻣﺭرﻭوﺭر‪ ‬ﺍاﻻﺳﺑﻭوﻋﻲ‪ ‬ﻭوﺍاﻟﺟﻠﺳﺎﺕت‪ ‬ﺍاﻟﻌﻠﻣﻳﯾﺔ‪ . ‬‬
‫• ‪ ‬ﻣﻼﺣﻅظﺔ‪ ‬ﻋﻣﻝل‪ ‬ﺍاﻷﻁطﺑﺎء‪ ) ‬ﻻ‪ ‬ﻳﯾﺳﻣﺢ‪ ‬ﺑﻣﻔﺭرﺩدﻫﮬﮪھﻡم‪ . ( ‬‬
‫‪ ü‬ﺍاﻟﺟﻠﺳﺎﺕت‪ ‬ﺍاﻟﻔﺭرﺩدﻳﯾﺔ‪ ‬ﻭو‪ ‬ﺍاﻟﺟﻠﺳﺎﺕت‪ ‬ﺍاﻟﺟﻣﻌﻳﯾﺔ‪ . ‬‬
‫‪ ü‬ﺍاﻟﻧﻭوﺑﺗﺟﻳﯾﺎﺕت‪ ‬ﻭو‪ ‬ﺇإﺟﺭرﺍاءﺍاﺕت‪ ‬ﺍاﻟﺩدﺧﻭوﻝل‪ ‬ﻭوﺍاﻟﺧﺭرﻭوﺝج‪ . ‬‬
‫• ‪ ‬ﺍاﻟﻘﺭرﺍاءﺓة‪ ‬ﺍاﻟﻌﻠﻣﻳﯾﺔ‪ . ‬‬