Introduction: Community mental health care refers to the treatment of a person with a
mental disorder predominantly at his or her home in the circle of his/her social network.
People with such problems are usually at home and do not seek professional help or they
find it too late. In a community mental health care, a registered nurse plays an important
role. Purpose: The purpose of diploma work was to present the structure of the users of the
community mental health care service of Posavje, which operates in the Sevnica Health
Center. The goal was also to determine which life activities are the most commonly
perceived, what kind of problems users face and in what form they appear. In the end
diploma work is evaluates the needs for nursing care and the importance of involving the
registered nurse in the process of community mental health treatment. The data was
acquired from the nursing documentation of the users. Methods of work: The research
carried out at the Sevnica Health Center included a review of users' nursing documentation
and the acquisition of data from the computer system. The data were displayed in the
observation sheet (annex). The research sample consisted of 176 users who were included
in community mental health treatment in 2017. The permission of the management of
Sevnica Health Center was obtained for the research, and the consent of the ethics
commission was not necessary as it was a review of the data recorded in the physical or
electronic documentation. Results: In 2017, the community mental health treatment
service for Posavje was treated by 176 people, of whom 63 % had the medical diagnosis of
schizophrenia. The average age of users was 55,8 years. From the records of the hearings,
most deviations were found in the field of basic life activities of eating and drinking,
sleeping and resting, personal hygiene and orderliness, avoiding environmental hazards,
and learning and acquiring health knowledge. Discussion and conclusion: Community
mental health treatment users often have problems in most life activities, so the registered
nurse plays an important role in raising the user's autonomy, in involving other services in
dealing with it, and in the ongoing assessment of his progress. In order to successfully
coordinate the work of the multidisciplinary team, however, additional knowledge is
needed in formal and non-formal education.
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