Patronage is a form of work of medical institutions, whose main goal is to conduct at home Wellness and preventive measures, implementation of rules of personal hygiene and improved sanitation in the home. Patronage especially widely held in the institutions of protection of motherhood and childhood.
The patronage is held by doctors, district (patronage) sisters of children's polyclinics and rural medical stations, medical assistants and midwives antenatal clinics and feldsher-midwife stations.
Care for pregnant. During pregnancy a woman should be observed in female consultation or midwifery point to visit these institutions once a month before the 21st week of pregnancy, then twice a month - up to the 33rd week, then every week. When abnormalities during pregnancy visits should be more frequent. The midwife must visit the pregnant woman at home twice a view of acquaintance with its living conditions, talk about antenatal protection of the fetus (see), personal hygiene (preparation nipples breast feeding your child, use of prenatal bandage). In addition, the midwife explains some of the laws and regulations of the government on the protection of the rights and health of women. The first visit of a pregnant midwife conducts usually in the first half of pregnancy during the second visit (in the second half of pregnancy) verifies the implementation of these recommendations. If a woman is in antenatal clinic regularly, especially in the presence of pathology of pregnancy, the midwife visits her house, finds out the reason. In identifying pregnant toxicosis of pregnancy, extragenital diseases woman is necessary treatment at home or you receive an admission letter (active patronage of the obstetrician-gynecologist).
The patronage of children is carried out in each area of the doctor and the ward sister, or a nurse or midwife. The first visit of a pregnant (antenatal attendance) is a sister of the children's polyclinic in the 38th week of pregnancy. Sister asks pregnant about the state of her health, explains that it is necessary to prepare for the newborn.
In the first three days after discharge postpartum women and adolescent girls from maternity hospital nursing baby sister with the doctor visits the child at home, to get acquainted with the living conditions of the family, to give advice on feeding, sleeping and walking.
The patronage of the mentally ill is one of the forms of the organization of psychiatric care, in which terminally ill with a calm behavior are in families with constant monitoring by medical institutions. Patronage can be implemented in their own families patients or others ' families with payment of patronage of remuneration.
Patronage is organized in psychiatric hospitals and psycho-neurological dispensaries. Patients placed on patronage, are under systematic observation of the doctors and nurses of the respective medical institution. Patients are observed by a psychiatrist at least once in 3 months. Visiting nurses regularly visit the sick, control the quality of care, the following medical prescriptions. Selection of patients for the patronage and removal from the patronage of the produce of the special Commission. Patronized sick in some cases serve not only themselves, but also take part in domestic work in the family in which they live, and in rural areas, do feasible agricultural work. The patronage of the mentally ill is an important element of rehabilitation (see) of these patients. Systematic work, and stay away from the hospital, in many cases, have a beneficial effect on the patients ' condition.