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8/12/2019 PCU Manual Counseling 2
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:
11000 0 2590 1637-8 0 2590 1631http://www.203.157.3.100 ()
1 : 2546
: 12,000
:
140
ISBN 974-465-275-6
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( 2545-2546)
/ 6
(Preventive and Supportive Counselling)
2546
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1 1
` 1` 1`
2` 4` 5` 5` 6
2 8` (Preventive Counselling) 9
` (Supportive Counselling) 11
3 13`Preventive Counselling
13 (Thalassemia) 22 HIV () 33
`Supportive Counselling
HIV 43 54 66 87 94 106 114 123
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135
`
137` 138` 140
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1
(Primary Care Unit)
(Information) (Advice)
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2
1.
2.
3.
5
1
1. (GREETING)
2. (SMALL TALK)
3. (ATTENDING)
S = Squarely O = Open L = Lean E = Eye contact R = Relax
4. (OPENING) () () ()
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3
- - ()- ()- 30 - 45 -
2
1.
2.
3
1. 2.
- -
-
3. - - -
- - 4.
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4
4
1.
2.
3.
4.
5
(Session) (Case)
1. 2. 3.
- - - -
1. (PREVENTIVE COUNSELLING)
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5
- AWARENESS :
- HOW AND METHOD TO CHANGE THE RISK : - PLANNING :
2. (SUPPORTIVE COUNSELLING)
- - -
(Verbal Non verbal) (Empathy)
(Non Judgement) (Non Discrimination) (Unconditioning Positive Regard)
(Group Counselling)
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6
(Self Help Group)
(Sustainable)
1. : 2. :
3. :
3
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1. 2. /
3. 4.
8. 5. 6. /
7.
2
1. (Preventive Counselling)2. (Supportive Counselling)
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9
(Preventive Counselling)
//
//
(Preventive Counselling)1. : /
2. :/ /
3. ( ) //
4. 4.1 4.2
4.3 HIV
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10
5. 5.1
5.2 /5.3
1. // 1.
2. /3. /
2. 1. / 2. /
3. 1. / 2. /
/3. /
1. /2. /
3.
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11
(Supportive Counselling)
/
/
///
(Supportive Counselling)1. :
2. : 3. :
(
) 4.
4.1 4.2 4.3 4.4 4.5
4.6 HIV4.7
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12
4.8 5.
5.1 5.2 /5.3
1. / 1.
2.
3. 4. 5.
2. / 1. 2.
3. 4. 5.
3. 1. / 2.
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13
` PREVENTIVE COUNSELING
/
//
/
/
/ /
1.
1.1
1.2 1.3
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14
2.
50
3.
4. 4.1 /
4.2
- -
()
- /
5. 5.1 /
5.2
(OPD Card) 5.3 5.4
- - - -
5.5
5.6
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15
6. 6.1
6.2 6.3 ( )
7. 7.1 7.2
1.
2.
2.1 (
)2.2 ( )
2.3 ( )
1.
1.1
1.2
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16
1.
- - -
2.
3.
4.
/
1.
2.
3.
4.
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...................................
1. () .............................................() .........................................................................................
............................................................................................................................................................................2. ........................................................................................................................................................................................................................................................................................................................................................3.
......................................................................................
......................................................................................
......................................................................................
......................................................................................
1. 3 30
2. - 5 /-
3.
- -
( )
1. ()2. / 3.
/4. (
)
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18
3
1. 2. 3.
1.
/
/ 15- 30 2 - 3 (/) (/)
/
1. 10 - 30 2-3 2. ()
3. 4. 5.
6.
2. / ,
(1.) (1.) 5
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1. 5 2. 3. 5 5 ( 5 )
4. 5.
3. 3.1
(//)
3.2
-
- -
-
2
1.
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20
2.
3.3 3.4 /
1.
()1. 2. -3. ()1. 2. //3. 4. 5. -6. 10
2.
1. 1-5
( 5-10 )2. 2 1-5
( 5-10 )
3. 1-5 (5-10 )
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4. 1-5 ( 5-10 )
5. () 1-5 ( 5-10 )
3. 1. 2. -
- ()1. 2. 3. - 4. 5. 5
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22
//
/
?
? /
//
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23
1.
2.
3.
()
4. 4.1 /
4.2
- -
()
- /
-
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24
5. 5.1 /
/ 5.2
(OPD Card)
5.3 5.4
- /- - -
5.5
5.6
5.7
5.8
5.9
6. 6.1 6.2 (
)6.3 6.4
6.5
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7. 7.1
7.2 7.3
1.
2.
3.
4.
1.
2.
3.
4. /
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26
1.
2.
3.
- - / -
- -
4.
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?
1.
2.
3.
-
-
4.
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/
/
1.
2.
/
3.
4.
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1
0
1. 2.
3.
4.
5. ()
6.
7.
8.
9.
10.
11.
12.
13.
14. ( )
15.
0-4
5-10
11-15
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30
1. 2 4
2. 1 4
2 4 1 43.
1 4 1 4 1 4 1 44.
() 5.
7 3 3
1 4
/
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1. 2. 3. 4.
1. 2. 3. 4.
1. 2.
3.
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1.
2. 3. 4.
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HIV
/
/
?
// (F/U /Lab / )
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HIV1.
HIV
2. HIV
3. HIV
HIV HIV
HIV
HIV 2 1.
1.1 HIV1.2 HIV 3
HIV1.3
2. 2.1 HIV 2.2 HIV
2.3 HIV
(Window Period) HIV
3
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4. 4.1
4.2
- -
()
- / HIV
-
5. 5.1 /
/ HIV
5.2 (OPD Card)
5.3 5.4
- - / Window Period- -
5.5
5.6
6. 6.1 HIV
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6.2 6.3
7. 7.1 HIV7.2 HIV7.3 HIV
1. HIV
2.
3.
HIV
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1.
2. HIV
HIV (/)
3.
HIV HIV
4.
HIV
/
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HIV
1. HIV
- -
2. - 24 ..
3. - HIV
- - - - -
F/U
1.
2. ()
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HIVCODE...........................
........./........./......... HN................................. ( ) ( ) ....................... ( ) ( ) ( )
( ) / ( ) ( ) ....................... ( ) ( ) / ( ) ( ) /
( ) ....................... ( ) ( ) /. ( ) ( ) ( ) ( ) ( ) ( ) .......................
( ) ( ) ( ) ( ) .......................
...........................................................................................................................................................................................................................................................................................................................................................................................................
1. ( ) [ ]
[ ] //[ ]
( ) ( )
( ) ( )
2. ()
( ) (/)( ) / [ ] [ ] [ ] ( ) [ ] [ ] [ ] ( ) [ ] [ ] [ ] ( ) ( ) ( = = = )
............................................................................................................................................................................................................................................................................................................................................................
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3.
.................................................................................................................................................................................................................................................................................
.................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................
...........................................................................................
......................................................................................................................................................................................
...........................................................................................
...........................................................................................
...........................................................................................
...........................................................................................
.................................................................................................................................................................................................................................................................................
4.
( ) [ ] [ ] [ ] ( ) [ ] [ ] [ ] ( ) [ ] [ ] O / O O ( ) [ ] [ ] O / O O ( ) [ ] [ ] O / O O ( ) [ ] [ ] ( )
5. ( ) ( )
6. /...................................................................................................................................... ( )...............................................................................................................................
7. () 1...........................................................5...........................................................10 ()
8. ..............................................................................................
........./........./......... ......................................................
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1. HIV() - - HIV
- /- HIV
()
2. ()( ) (/)( ) / [ ] [ ] [ ] ( ) [ ] [ ] [ ] ( ) [ ] [ ] [ ] ( ) ( ) ( = = = )
3. HIV HIV
- - - HIV
HIV 1. HIV 2. HIV 3. HIV 4. HIV
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HIV HIV
1. 2. (Window Period)3. HIV 4. HIV
- - -
-
- - -
- - 24
HIV
- - -
(Window Period) - - - -
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` SUPPORTIVE COUNSELLING
HIV
/?
/
/
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HIV1.
HIV
2. HIV
3. HIV
HIV
HIV
24
4. 4.1 /
4.2 - -
()
- / HIV
-
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5. 5.1 HIV
5.2 5.3
5.4
5.5 HIV
6. 6.1 HIV6.2 6.3 6.4
7. 7.1 HIV7.2
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Pre-test
1. HIV
2. HIV
- - -
3. HIV
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?
1.
2.
3.
-
-
4. /
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48
1.
2.
3.
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CODE...........................
........./........./......... HN.................................1. ( ) ( ) ( ) ................................./........./.........
................................./........./.........2. ( )
( ) ( ) ( ) ( ) / ( )
3. // ( )( ) /( ) /( ) /( ) /
4. .........................................................................................................................................5. / / 3 ()
3 ...................................................................... ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ......................................................................
6. ()( ) ( ) ( )
7. ( ) ( ) ...........................8. ( )..................................................................................................................................................................................................................................................................................................................................................................................................
9. () 1...........................................................5...........................................................10 ()
( ) ( ) ........./........./.........( ) / . ......../........./......... ...................................................
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1.
2.
3. 4.
5. 6.
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1.
2.
()
(Social Support) ( )
3. /
4.
/
1. HIV
(Window Period)2.
/
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( ) ( ) ( ) ( ) ......................................( ) ( ) /( ) /( ) /( ) ( ) ( ) ......................................( ) ( ) ()......................................
( ) ( ) ()......................................................................................................................................................................................................................................................................................................................................................................................................................................
................................................................................................
................................................................................................
........./........./......... CODE.........HN................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
...................................................................
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/ case
/ /
/
/ /
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1.
2.
3. 3
/
4. 4.1 /
4.2
-
- ()
-
-
5. 5.1 /
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// /
/ 5.2
5.3
6. 6.1 6.2 6.3 6.4 6.5
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/
1.
2. /
3. /
4.
1.
2.
3.
4.
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/
/
/
1.
2.
/
3.
4.
5.
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/
( / )
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/ //
(//) 14
/
**
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2.
3.
1.
2. 3. 4.
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1.
2.
3.
4.
5.
6.
7.
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1 .
2.
3.
4.
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//
/
/
/ //
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1.
2.
3.
3.1
3.2 2 ()
3.3 (Tolerance)
3.4
4. 4.1 /
4.2 -
-
-
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5. 5.1
5.2 5.3
5.4 5.5
6.
6.1 6.2 6.3 6.4 6.5 6.6 6.7
7. 7.1 7.2
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1.
2.
3.
4.
4.1
4.2 4.3
4.4
5.
6.
7.
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1.
2.
3. ()
4. ()
5.
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/
1.
2.
3.
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1. ....................................................................................................................................................................................................................................................................................................................................................................................................................2. ..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................3. ....................................................................................................................................................
..........................................................................................................................................................................................................
..........................................................................................................................................................................................................4. 5. [ ] .........................../
[ ] .........................../6. ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................7. ...................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................8. ...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
9. ..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
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1. 2. 3. (abuse)4. (dependence)
1.
2. (Harmful use, abuse)
(Dependence Syndrome)
1. 2. 3 . 4. 5. 6. (Physical Withdrawal Stage)
CAGE TEST TWOQUESTIONS TEST
CAGE TESTC = Have you thought of CUTTING down ?
A = Have you been ANOYED of criticism ?
G = Have you feel GUILTY of you drug use ?
E = Have you used or drunk EARLY in the day ?
2 91%
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TWO QUESTIONS TEST ()
24 2 91.5%
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James Prochaska Carlo Diclemente (1982) 6 6
4 ()
(Pre-Contemplation)
: ( ) / /
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(Contemplation)
:
(Determination)
(Action)
(Maintenance)
(Relapse) (slip) (relapse)
:
:
:
:
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Miller (1985b) 1. (Giving Advice)
1.1 1.2
1.3
2. (Removing Barriers)
3. (Providing Choice)
4. (Decreasing Desirability) (Contemplation)
- ()
()
5. (Practicing Empathy) Empathy
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Empathy
6. (Providing Feedback) Feedback
Feedback Feedback Feedback
7. (Clarifying Goal)
Feedback -
8. (Active Helping)
(Miller & Rollnick) D A R E S1. Develop Discrepancy
2. Avoid Argument
3. Roll with resistance Stage of change
4. Express Empathy
5. Support Self-Efficacy
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(Disease ofdenial)
()
Believe system
() 1 (
) believe system
believe system pre-contemplation Contemplation
(Craving) strong
desire
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Pre-contemplation Contemplation
100%
Pre-contemplation Pre-contemplation ()
Pre-contemplation 4
Reluctant
Rebellious
Resigned
Retionalizing Pre-contemplati on
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1) 2) 2 3) (Tolerance)
4)
1. (Central nervous system stimulants)
(Dopamine)
2. (Central nervous system depressants) (Gamma amino butyric acid, GABA)
(endophine) (endophine)
3. (Psychedelic drugs) 5 (LSD) ()
4. (Inhalants)
(Addiction) (Sex Addiction) (Grumbling) (Bulemia)
3 (Cerebral Cortex) (Midbrain) (Brain Stem)
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(Cerebral Cortex)
(Brain Stem)
(Neurotransmitter)
(Tolerance) (Psycho-logical dependence) (Physical dependence) (Withdrawal symptoms)
(Craving)
(Amphetamine) 4 - 6
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Crash
(Dysphoria)
(Neurotransmitter)
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1. 2. (Individual Counselling)
(Group Counselling) (Psychotherapy) (Social support group)
3.
1.
2. (Day Treatment or Partial Hospitalization)
3. (Half way house)
4. (Therapeutic Communities)
(role models)
5.
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(Social support group) (Self help group)
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//
/
/
/ //
// ///
t
t
t
t
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1.
1.1 1.2
2.
3.
( ) ( )
4. 4.1 /
4.2
-
-
-
5. 5.1 (OPD Card)
/5.2 /
5.3 5.4
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6. 6.1
7. 7.1 7.2
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1. /
1.
2. 2.1
/2.2
2.3
2.4 /
3.
3.1
3.2
4.
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2. /
1.
1.1
1.2
1.3
- (With-drawal)
- / ()
-
( Antabuse)
2.
3. /
4.
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3.
1.
2.
1. /
2.
3.
3.1
3.2
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18-20 8-10
/
1. 2. 2
2.1 ( )
2.2
1.
2. /
: 1.
2. 3.
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1.
2.
3.
4. 4.1 /
4.2
- - ()
-
-
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5. 5.1 /
5.2 ()
5.3
/
6.
6.1 6.2 6.3 6.4 6.5 6.6
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/ 1.
2.
3. ()
4.
/
?
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1.
2.
3.
/
1.
2.
- - Home Health Care-
3.
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.
1. 2.
. 1. 2. 3. 4. 5. 6. 7.
*** 2
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1 1. _________________________________2. ____________________________________3. ( ) ( ) 4. ( ) ( ) ( )
( ) ( ) ( ) 5. ( ) ( ) ( ) ( )
( ) __________
6. ( ) ( ) ( ) ( ) 7. ________________________________________________________________________________
2 2
1. ( ) ( )2. ( ) ( )3. ( ) ( )4. ( ) ( )5. ( ) ( )6. ( ) ( )7. ( ) ( )
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( ) 1 2 ()
( ) 3 ()
( ) __________________________ _____________________ //____________________
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1 1. _______________________________________________________________________2. _________// ___________________3. ( ) ( ) 1 ________________________
2 ________________________3 ________________________
4 ________________________2
1 . - 2. 3. 4.
1 - 4
1. ( ) ( )2. ( ) ( )3. ( ) ( )4. ( ) ( )
( ) 1 2 2
( ) 2 4 2
( ) __________________________
_____________________ //____________________
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1. 2.
3.
1.
2.
3.
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1. 2. 3.
(Verbal Non-verbal)4. 5. 6.
7.
8.
1.
2.
3. 4.
5.
6. 7.
8. 1
9. 2-3
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1.
2. ( )3.
4. /5.
6.
7. / 8.
9.
1.
2. Home Health Care (H.H.C.)
3.
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//
/
/ /
/ /
/ /
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1.
1.1 1.2 1.3
2.
3.
4. 4.1 /
4.2
-
-
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1. / 1.
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2. 1.
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1.3
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3. 1.
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1. //
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//
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//
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American Psychiatric Association. Practice Guidelines for the treatment of PsychiatricDisorders: Compendium 2001.1st ed. Washington, DC:APA, 2000.
Hofman DP, Dubovsky SL. Depression and Suicide assesment. In : Kercher EE, Moore GP.Eds. Psychiatric aspects of emergency medicide. Emergency medicine clinics ofNorth America. 1991; 9(1) : 107-121.
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