PCU Manual Counseling 2

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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`

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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- - ()- ()- 30 - 45 -

2

1.

2.

3

1. 2.

- -

-

3. - - -

- - 4.


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4

1.

2.

3.

4.

5

(Session) (Case)

1. 2. 3.

- - - -

1. (PREVENTIVE COUNSELLING)


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- 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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(Self Help Group)

(Sustainable)

1. : 2. :

3. :

3


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8

1. 2. /

3. 4.

8. 5. 6. /

7.

2

1. (Preventive Counselling)2. (Supportive Counselling)


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(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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(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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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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2.

50

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4.2

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5.2

(OPD Card) 5.3 5.4

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7. 7.1 7.2

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2.1 (

)2.2 ( )

2.3 ( )

1.

1.1

1.2


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1.

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5. () 1-5 ( 5-10 )

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1.

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()

4. 4.1 /

4.2

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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

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2.

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1.

2.

3.

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1.

2.

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3.

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1

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1. 2 4

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1. 2. 3. 4.

1. 2. 3. 4.

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1.

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HIV

/

/

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// (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

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()

- / HIV

-

5. 5.1 /

/ HIV

5.2 (OPD Card)

5.3 5.4

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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.

.................................................................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................................................................

......................................................................................................................................................................................

...........................................................................................

......................................................................................................................................................................................

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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.

-

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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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( ) ( ) ( ) ( ) ......................................( ) ( ) /( ) /( ) /( ) ( ) ( ) ......................................( ) ( ) ()......................................

( ) ( ) ()......................................................................................................................................................................................................................................................................................................................................................................................................................................

................................................................................................

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...................................................................


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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

-

-

-

5. 5.1 (OPD Card)

/5.2 /

5.3 /5.4


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6. 6.1

7. 7.1

7.2 / ( )

7.3

X 100


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1. / 1.

2. /

2.1 /

2.2 /2.3 //

3. ()

3.1 //

3.2 /3.3 //

4. ()

4.1 4.2 /4.3 4.4

5. /

6.

//


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2. 1.

1.1

1.2 /

1.3

2.

3.

4.


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3. 1.

2. ()

1. /

2.


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1. //

2. 2.1 2.2 2.3 2.4

3. 4.

1. 2. 3. 4.

1. 2.

3.

1. / 2. 3. /

4.

5.


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//

/

/ //


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1.

2.

3.

4. 4.1 /

4.2

- -

/ - /-

5.

5.1 / 5.2

(OPD Card)

5.3


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6. 6.1

6.2 6.3 6.4 6.5

7. 7.1


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1.

(OPD CARD)

2.

3.

/ 1.

2.

3.


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/ 1.

2. /

- - - Home Health Care- -

3.

/

/


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1.

2.

2.1

2.2

6 2.2.1

2.2.2 2.2.3 2.2.4 2.2.5 2.2.6


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3 1.

2.

..................().................()...

......................................()......

3.


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1.

2.

3. 4. 5.

/

/

1.

2. /

3.

1.

2.


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1. 2.

2.1

2.2 2.3

3. Home Health Care (H.H.C.)

4.


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//

/

?

/

//


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1.

2.

3.

4. 4.1

4.2

-

- () - /-

5. 5.1 //

5.2 ()

5.3

6. 6.1 6.2 6.3 6.4


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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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2 X

1. 2. 3.

4. 5. 6. 2 7. 8. 9.

10. 11.

12. 13. 14. 15. 16. 17. 18. 19. 20.

= 0 = 1 = 2 = 3


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()0-5

6-17

18-25

26-29

30-60


135/146

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1. 30 2.

3 1.

2.

3.


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1 . 2.

3.

4. 26-29

1.

10 1 . 2. 3. 4.

5. 6. 7. 8. 9. 10.

- 3-5 10-15


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- - 5-12

- -

2. -

1 4 1...2...3...4...

- 1 4 - 1 8 1...2...3...4...5...6...7...8...

-

- 4-5

- -

- 40

3. 1-

1 1 2 2 5 1

6 1 7 1


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8 1 9 1

10 10 1 1-5 1,1 2,2 3,3 4,4 5,51,1 2,2 3,3 4,4 5,5 6,61,1 2,2 3,3 4,4 5,5 6,6 7,71,1 2,2 3,3 4,4 5,5 6,6 7,7 8,81,1 2,2 3,3 4,4 5,5 6,6 7,7 8,8 9,9

1,1 2,2 3,3 4,4 5,5 6,6 7,7 8,8 9,9 10,101,1 2,2 3,3 4,4 5,5

-

-

-

2-

1 2 3 4 5 1 6, 7, 8, 9, 10 1 2 3 4 51 2 3 4 5 61 2 3 4 5 6 71 2 3 4 5 6 7 81 2 3 4 5 6 7 8 91 2 3 4 5 6 7 8 9 101 2 3 4 5


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PCU Manual Counseling 2

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