Neurological Diseases in Family Medicine

.: PREFACE
ÖN SÖZ
PREFACE
Doç. Dr. Nil TEKİN
Sağlık Bilimleri Üniversitesi İzmir Tıp Fakültesi, Aile Hekimliği AD, Tepecik Eğitim ve Araştırma Hastanesi, Aile Hekimliği Kliniği, İzmir, Türkiye
Article Language: TR
''Bir hastalığı incelerken, anatomi, fizyoloji ve biyoloji ile ilgili bilgeliğe erişiriz.
Hasta bir insanı incelerken, hayatın bilgeliğine erişiriz.''
Nörolog ve Yazar; Oliver Sacks

''Aile Hekimliğinde Nörolojik Hastalıklar'' kitabımızın sizlerle buluşmasından dolayı mutluluk duyuyoruz. Aile hekimliği disiplini temelinde nörolojik hastalıklara yaklaşım konusunda kapsamlı ve özgün bir kaynağa gereksinim duyulduğu düşüncesi, bu kitabın yazılmasında bizleri motive etmiştir.

Aile hekimi babasıyla ev ziyaretleri sırasında gördüğü hastaların öykülerinin alınmasında ve muayenesinde küçük yaşlardan itibaren büyük tecrübe kazanan ünlü Nörolog ve yazar Oliver Sacks'ın bakış açısı, bu kitabın içeriğinde yol gösterici olmuştur. Oliver Sacks öğrencilerine ''bir hastayı incelerken yalnızca nörolojik sorunları ve bunlarla nasıl yaşadığının değil, tüm hayat öyküsü ve ailesiyle birlikte değerlendirilmesinin gerekliliğini öğretir.'' Bu bakış açısı, kişiye biyopsikososyal bir bütün olarak yaklaşımı temel ilke olarak benimseyen aile hekimliği disiplini bakış açısıyla örtüşmektedir.

Yaşlanan dünyada ve ülkemizde birinci basamak sağlık hizmet sunumunda nörolojik hastalıkların artışı temel bir gerçeklik olarak ortaya çıkmaktadır. Bununla birlikte aile hekimlerinin nörolojik sorunları olan hastaya yaklaşımda çekinceli davrandıkları ve bu hastalar karşısında kendilerini rahat hissetmediklerini gösteren yayınlar mevcuttur. Bu durum nörolojik hastalıkları bulunan bireylerin etkin sağlık hizmeti almasının önünde engeller oluşturabilmektedir. Engellerin aşılmasında aile hekimlerinin nörolojik hastalıklar konusunda bilgi düzeylerinin artırılması önemlidir. Ayrıca başta nöroloji olmak üzere ilgili branşlarla aile hekimliği disiplini arasındaki işbirliğinin geliştirilmesi gerekmektedir. Birinci basamakta nörolojik hastalıklara yaklaşımın aile hekimliği disiplinin temel ilkeleri çerçevesinde sağlanması, sevklerin aile hekimlerinin değerlendirmelerini içerecek şekilde yapılması ve bu hastaların aile hekimleri tarafından etkin uzun süreli izlemi önemli sonuçlar ortaya koyacaktır. Bu durumun hastanın yaşam süresi ve yaşam kalitesi ile birlikte bakım verenlerin bakım yükü ve yaşam kalitesine de olumlu etki yaratacağı düşünülmektedir.

Bu bağlamda literatürde öncü olduğunu düşündüğümüz ''Aile Hekimliğinde Nörolojik Hastalıklar'' kitabına katkı veren başta Aile Hekimliği, Nöroloji, Geriatri ve Çocuk Sağlığı ve Hastalıkları olmak üzere tüm disiplinlerden bilim insanı yazarlarımıza ve bu kitabın yayınlanmasına olanak sağlayan Türkiye Klinikleri yöneticilerine en içten teşekkürlerimi sunarım.

Doç. Dr. Nil TEKİN
Editör
Sağlık Bilimleri Üniversitesi İzmir Tıp Fakültesi, Aile Hekimliği AD, Tepecik Eğitim ve Araştırma Hastanesi, Aile Hekimliği Kliniği, İzmir, Türkiye
''In studying a disease, we gain wisdom regarding anatomy, physiology and biology.
When we examine a sick person, we access the wisdom of life.''
Neurologist and Writer; Oliver Sacks

We are happy to present our book ''Neurological Diseases in Family Medicine'' to you. The idea that a comprehensive and original resource is needed on the approach to neurological diseases based on the discipline of family medicine motivated us in writing this book.

The perspective of the famous Neurologist and writer Oliver Sacks, who gained great experience from an early age in taking the histories and examining the patients he saw during home visits with his family physician father, has guided the content of this book. Oliver Sacks teaches his students that 'when examining a patient, it is necessary to evaluate not only the neurological problems and how he lives with them, but also the whole life history and family.' This perspective coincides with the perspective of the discipline of family medicine, which adopts the approach to the person as a biopsychosocial whole as a basic principle.

The increase in neurological diseases is emerging as a basic reality in the aging world and in the provision of primary healthcare services in our country. However, there are publications showing that family physicians are hesitant in approaching patients with neurological problems and do not feel comfortable with these patients. This situation may create obstacles for individuals with neurological diseases to receive effective health care. Increasing the knowledge of family physicians about neurological diseases is important in overcoming obstacles. In addition, cooperation between relevant branches, especially neurology, and the discipline of family medicine needs to be improved. Providing the approach to neurological diseases in primary care within the framework of the basic principles of the discipline of family medicine, making referrals including the evaluations of family physicians, and effective long-term follow-up of these patients by family physicians will yield important results. It is thought that this situation will have a positive impact on the patient's life expectancy and quality of life, as well as the caregivers' care burden and quality of life.

In this context, I would like to express my sincere gratitude to our scientist writers from all disciplines, especially Family Medicine, Neurology, Geriatrics and Child Health and Diseases, who contributed to the book ''Neurological Diseases in Family Medicine'', which we consider to be a pioneer in the literature, and to the managers of Türkiye Klinikleri who made it possible to publish this book.

Assoc. Prof. Dr. Nil TEKİN
Editör
University of Health Sciences İzmir Faculty of Medicine, Department of Family Medicine, Tepecik Training and Research Hospital, Clinic of Family Medicine, İzmir, Türkiye

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