Care for the psychiatric patient in the primary health care

Mentalni/duševni poremećaji relativno su visoke pojavnosti, često počinju u mlađoj odrasloj dobi, smanjuju kvalitetu života i znatno sudjeluju u korištenju zdravstvenih resursa. Općenito se dijele na psihotične, neurotske, funkcijske i organske. Na razini primarne zdravstvene zaštite u Hrvatskoj mentalni/duševni poremećaji sudjeluju s udjelom 4-5%. Godine 2010. registrirano je ukupno 593.647 dijagnoza te se ova skupina s udjelom 5,2% nalazila na 8. mjestu. Ordinacija obiteljske medicine prvo je mjesto gdje pacijent dolazi kad ima neki zdravstveni problem, to su ulazna vrata u zdravstveni sustav za svakog pripadnika neke lokalne zajednice i većina problema pokušava se riješiti na primarnoj razini. Medicinska sestra je prva osoba s kojom se pacijent susreće i od nje se očekuje da pruži sestrinsku skrb na najbolji mogući način prilagođen individualnim potrebama pojedinca, te pruženu kroz holistički pristup. Medicinska sestra promatra, procjenjuje te primjereno odgovara na zdravstvene potrebe i probleme pacijenata, radi u skladu s načelima sestrinske etike i Etičkog kodeksa medicinskih sestara i poštuje prava pacijenta na privatnost i dostojanstvo, bez obzira na spol, dob, rasu, nacionalnu i vjersku pripadnost, politička i ostala životna opredjeljenja. U ordinaciji dr. Albine Jakovljević 15% upisanih pacijenata pati od jedne ili više dijagnoza iz skupine mentalni poremećaji i poremećaji ponašanja. Najviše zastupljene dijagnoze su F40-F48, odnosno neurotski, vezani uz stres i somatoformni poremećaji, dok su najmanje zastupljeni F99, neoznačeni duševni poremećaji.Mental disorders have relatively high incidence. They often beginning in young adulthood, reducing quality of life, and significantly contributing to the use of health resources. They are generally divided into psychotic, neurotic, functional, and organic. At the level of primary health care in Croatia, mental disorders participate with a share of 4-5%. In 2010, a total of 593,647 diagnoses were registered, and this group with a share of 5.2% was in 8th place. The family medicine office is the first place where a patient comes when he has a health problem, it is the entrance door to the health system for every member of a local community and most problems are tried to be solved at the primary level. The nurse is the first person the patient meets and is expected to provide nursing care in the best possible way tailored to the individual needs of the individual, and provided through a holistic approach. The nurse observes, assesses and responds appropriately to the health needs and problems of patients, works in accordance with the principles of nursing ethics and the Code of Ethics for Nurses and respects patients' rights to privacy and dignity, regardless of gender, age, race, nationality and religion. political and other life commitments. In the office of Dr. Albina Jakovljević, 15% of enrolled patients suffer from one or more diagnoses from the group of mental disorders and behavioral disorders. The most common diagnoses are F40-F48, ie neurotic, related to stress and somatoform disorders, while the least common are F99, unlabeled mental disorders