klinik desa

PERSONALIZED CARE ?????
OH !
NO……..
I AM
DOOMED
OH !
YES…
LETS TAKE A TOUR DOWN
THE MEMORY LANE
Good Distribution of Health Services
Delivery (Rural Health Unit)
RBK
PKK
RBK
Historically it started as a 3 – tier system
Consisting of :3 tier system
RBKOne main-health center for 50,000
RBK pop
One Health Sub Center for 10,000 pop
One mid-wife clinic for 2,000 pop PKK
RBK
2000
RBK
RBK
PKK
RBK
RBK
2000
RBK
2000
RBK
RBK
PKB
10,000
2000
50,000 population
RBK
RBK
PKK
RBK
RBK
Good Distribution of Health Services
Delivery (Rural Health Unit)
 In the 1970’s changed to 2 – tier system
2 tier system
 Consisting of :
 One Health Center for 15,000 to 20,000 pop
KD
KD
KD
 KK
One Rural Clinic (Klinik Desa) for 3,000- 4,000 pop
KK
KD
4000
4000
4000
4000
KD
KD
KD
KD
4000
15 -20,000
KD
4000
4000
KK
15 -20,000
4000
4000
4000
15 -20,000
4000
4000
KD
KD
KD
4000
KK
KD
KD
4000
KD
15 -20,000
4000
KD
4000
KD
KD
4000
4000
KD
KK
4000
KD
15 -20,000
4000
OPERATIONAL AREA
FILLING OF CARDS
AT THE COUNTER
BABY BEING WEIGHED
DEFAULTER TRACING
IMPORTANT REMINDERS
Home Visits
Getting to know the mother or the child and family
members. To determine whether the home is conducive
for home delivery. For the child whether it’s safe for the
child.
NURSES knows the family members of the mother or the
child. How many children in the family, who is well and
that need special attention? Who can be the support to
the mother and family in time of emergency?
Home Delivery, postnatal visits
These information will assist and guide for the nurse to
provide appropriate advise or health education
messages, anticipate the unexpected and assist mothers
and family to prepare for the unexpected events.
2 HOURS DANGEROUS JOURNEY
THROUGH A RURAL AREA TO SAVE A
MOTHER PRESENTING PPH
They even go extra mile
HUSBAND
WIFE
PICK UP
NURSE
FEEDING
BABY WHILE
ATTENDING
TO MUM
PERSONALIZED CARE …. IS IT NEW
???
YES
NO
BUT WHAT ACTUALLY WENT
WRONG ?????
• Personalised care is an unwritten policy /
practice.
• It is practiced in Midwife Clinic (RBK) or
Klinik Desa (KD) by ‘default’, due to the
fact that there was only one or 2 nursing
staff in the KD.
• This was not practiced fully in Health
Clinics, because of convenience.
SO WHAT IS PERSONALIZED CARE ?
IT IS A PATIENT
CENTERED
QUALITY CARE
THE FOCUS IS THE CLIENT
PERSONALIZED CARE
Many benefits can be gained from
personalised care planning. International
evidence shows best outcomes are achieved
when there are: systematic proactive services;
people engaged in their own care; and
healthcare professionals and people with longterm conditions working in partnership
(Wagner et al, 1996)
Midwifery services is about the
care of mother and child.
Personalised care is the ART of
midwifery services. The
midwifery KNOWLEGDE and
SKILLS
is the SCIENCE of
provide
comprehensive
health
midwifery services.
THE OBJECTIVE IS :
To
services where there is Continuity
Of Care from the time of
registration followed up by
appointments and visits to the
clients home by the same
personnel.
DID I MISS ANYTHING………
THUS…….
SOME OF THE
ADVANTAGES TO
CONSIDER
ADVANTAGES OF
PERSONALIZED CARE
Increase the quality of client care where
the care is given by the same nurse .
Therefore there is consistency.
There is no continuity of care because
different nurses may differ in knowledge,
experiences , treatment plans and instruction
which may cause their clients to be confused,
and thus affect the trust of the clients to our
services.
ADVANTAGES OF
PERSONALIZED CARE
Save time on client care, as nurses know their clients
especially the high risk cases.
Strengthen the rapport and trust with clients and
thus enhance the compliance and reduce the
incidence of defaulter
Less closeness with client due to frequent
change in nurses and this can cause
dissatisfaction to the clients especially when
questioned repeatedly on the same matter by
different nurses.
No long term plans for the clients
because nurses see clients on rotation
basis and there is a tendency for short
term plan only.
ADVANTAGES OF
PERSONALIZED CARE
Nurses are more focused on cases under
their own supervision, thus ensuring
continuity of care.
Nurses are more thoughtful and serious in
client care, because they care from the
beginning of pregnancy till end of pregnancy
and so forth – ‘encouraging professional and
accountability.
ADVANTAGES OF
PERSONALIZED CARE
Providing clients with information such
as test results or prompting them to
think about questions to ask before the
care planning consultation allows clients
to reflect and prepare to get the most
out of the discussion. It also establishes
an equal relationship with their nurses.
ADVANTAGES OF
PERSONALIZED CARE
For Supervisors, through regular supervision;
+ will assist you to identify staff who are weak
and hence provide constant guidance and
support them for capacity improvement
+ identify good performing staff and
continuous encourage for excellence
Challenges??
+ Coordination
+ Mind shift
+ Knowledge and skill of
nurses will be tested
+ Teamwork
CLEARLY DEFINE
OPERATIONAL AREA
OPERATIONAL AREA : ZONES COVERED
ZON A
ZON B
1
Kg. Melayu
8
2
Kuarters Klinik
Kesihatan Sg. Buloh
3
Kg. Sri Indah A
ZON C
ZON D
Kg. Bukit
Lagong
13 Kg. Matang Pagar
20
Taman Desa Bukit
9 Indah
14 Taman SriPutra
21 Kg. Orang Asli
Villa Putra
10 Kg. Sri Indah B
15
Taman Sri Putra
Mas
22 Kg. Masjid
4
Kuarters Institusi
Pendidikan
11 Taman Bukit Indah
16
Apartment Impian
Indah
23 Kg. Sri Bunga
5
Pangsapuri Danau
Rebung
Rumah Pangsa Kos
12 Rendah Bukit
Rahman Putra
17
Taman Impian
Indah
24
18
Taman Matang
Jaya
Kuarters Hospital
Sg. Buloh/
6 Kuarters Intergrasi
KKM
7
Kuarters Pusat
Kawalan Kusta Negara
19 Saujana Akasia
Valencia/
Sierramas
FILLING OF CARDS
DUTY ROSTER
BANNERS IN THE CLINIC
NOTICE BOARD IN THE CLINIC
CAPTIONS SEEN
CAPTIONS SEEN
CAPTIONS SEEN
DOCUMENTATION
PC BOOKS ACCORDING TO ZONE
PC BOOKS ACCORDING TO ZONE
ZON B (SELASA)
PC BOOKS ACCORDING TO ZONE
KKK101 BOOKS ACCORDING TO ZONE
TIDY CONSULTATION ROOM
TIDY CONSULTATION ROOM
Sound and systematic management
of Personalized Care will increase
the efficiency and quality of
antenatal care, thus contributing
significantly to the increase in client
satisfaction and empowered client
to take responsibility to their health
Delivering personalised care, listening to
patients, and putting them at the
centre of their care requires a cultural
shift from “doing to” patients to “doing
with” them.
Nurses may feel they are familiar with the
concept of care planning, but true
personalisation takes this to a new,
more dynamic level.
The care plan itself can also be a vehicle
for patients to hold important
information, a significant step in
shifting the locus of control.
THANK YOU FOR YOUR ATTENTION