This document outlines six key principles of primary care medicine: continuity of care, comprehensiveness, coordination of care, community orientation, prevention, and family orientation. It discusses how these principles relate to providing holistic and coordinated care for patients over time while serving the broader health needs of the community. Factors like social determinants, economics, culture and family support networks are important to consider under the primary care model to fully address a patient's health issues and needs.
J.K. is a 34-year-old man with a 16-year history of schizophrenia who was admitted to the hospital after becoming unpredictable and threatening violence. He had been refusing medications and experiencing auditory hallucinations telling him to harm himself. Upon examination, he displayed symptoms of loose thought processes, depression, and diminished judgment. His condition is thought to have decompensated due to medication noncompliance, which has led to multiple hospital admissions in the past.
The Ottawa Charter for Health Promotion was developed at the first International Conference on Health Promotion in 1986. It outlines five areas of action to achieve health promotion by the year 2000: build healthy public policy, create supportive environments, strengthen community actions, develop personal skills, and reorient health services toward health promotion. The Charter calls for governments, health services, and communities to work together to support policies and actions that create physical and social environments conducive to health.
This document summarizes the case history of a 50-year-old married woman with a 10-year history of schizophrenia. She exhibits symptoms like depression, irritability, suspiciousness, insomnia, hallucinations, and social withdrawal. A mental status examination found coherent thought with visual hallucinations and phobias. She has good memory and intelligence but poor judgment. The patient displays signs of delusions of persecution, jealousy, and grandiosity as well as hallucinatory voices.
โรคความผิดปกติทางจิตใจภายหลังภยันตรายในเด็ก
Journal of Medicine and Health Sciences (Vol.21 No.3 December 2014)4
บทความทบทวนผู้ป่วย (Case review)
อนุพงษ์ สุธรรมนิรันด์
อมรรัตน์ คงชุบ
ณัฏฐิณี ชินะจิตพันธ์1
หน่วยจิตเวชเด็ก กลุ่มงานจิตเวช โรงพยาบาลชลบุรี
