Narzędzie pomocne dla lekarza rodzinnego, pielęgniarki środowiskowej i pracownika socjalnego w oszacowaniu uwarunkowań stanu zdrowia i leczeniu pacjentów odwiedzanych w ich domach

*Andrzej Brodziak¹, Ewa Zarzyka², Ewa M. Ziółko²

Summary
The authors emphasize that it is necessary to distinguish between the traditional model of the acquisition of data about the medical problem, reported by the patient in the doctor’s office, usually at his desk and the more valuable way to become acquainted with the essence of the problem by going to the place of residence of the patient.
During the home visit is possible to familiarize yourself with the various determinants of health. Family members can be asked and it is possible to evaluate the relationships that exist between the patient and his closest people. One can visually assess their living conditions and possible environmental harm.
For several years, the second model is realized some time by general practitioners and home health care nurses. Recently this model is promoted also for so called “health care therapists” who are members of the so-called “teams of home health care”.
The authors, being convinced of the merits of this “home and environmental model” of practical medicine have developed a method of recording and illustrating data collected during visits in patient’s home.
The elaborated tool helps to communicate and discuss information among general practitioners, home health care nurses, social workers of primary health care centers and specialists. The method improves the formulation of the plan of further therapeutic steps and corrective interventions in psychosocial relations and living conditions of patients.

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