Title Sveobuhvatna sestrinska skrb bolesnika u terminalnoj fazi maligne bolesti
Title (english) Comprehensive nursing care of patients in the terminal stage malignancies
Author Maja Benković
Mentor Marijana Neuberg (mentor)
Committee member Karlo Houra (predsjednik povjerenstva)
Committee member Marijana Neuberg (član povjerenstva)
Committee member Ivana Živoder (član povjerenstva)
Granter University North (University centre Varaždin) (Department of Nursing) Koprivnica
Defense date and country 2017-04-12, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Nursing
Abstract Palijativna medicina jedna je od novijih grana moderne medicine. Glavno središte
palijativne medicine je skrb za terminalno oboljele bolesnike koji su u završnom stadiju svoje
bolesti. Organizacija palijativne medicine potrebna je na svim razinama zdravstvene zaštite. U
palijativnoj skrbi pokušavamo poboljšati kvalitetu bolesnikova života i njegove obitelji te
olakšati patnju, bol i druge simptome bolesti. Palijativni pristup potpuni je holistički pristup
prema drugoj osobi, od kojih je jedan zdravstveni djelatnik, a drugi bolesnik. Palijativna skrb
počinje kada su iscrpljene klasične metode liječenja. Dostupnost palijativne skrbi mora se
osnivati na potrebama i ne treba je ograničavati na tip bolesti, geografsku lokaciju ili
socioekonomski status onoga koji takvu skrb treba. Svi koji se skrbe za umiruće bolesnike trebali
bi sudjelovati u radionicama, usmjerenim na psihološke oblike skrbi. Palijativna skrb zapravo
podrazumijeva cjelokupnu skrb za bolesnika u terminalnoj fazi bolesti i njegovu obitelj.
Terminalna bolest je medicinski izraz koji se koristi za opisivanje bolesti koja se ne može
izliječiti ili adekvatno tretirati te od koje se očekuje da će rezultirati smrću pacijenta u kratkom
vremenskom periodu. Smrt je dio života. Vrlo je važno što bolje i kvalitetnije poboljšati
bolesnikove kvalitete života, a ujedno i pružati veliku podršku njegovoj obitelji, čak i nakon
smrti, pa sve do završetka procesa žalovanja. Medicinska sestra koja prati stanje bolesnika u
terminalnoj fazi bolesti zna kada treba uključiti i ostale članove zdravstvenog tima. Ovisno o
prilikama, uključivani su i drugi članovi tima - fizikalni terapeut, psiholozi te nezdravstveni
volonteri kao zamjena za zaposlene ukućane. Po potrebi se uključuju i konzultanti - dobrovoljci:
kirurg, dermatolog, fizijatar, pravnik i duhovnik. Iz definicije palijativne skrbi Svjetske
zdravstvene organizacije razaznaje se palijativni pristup: “Palijativna je skrb pristup koji
kvalitetu života bolesnika i njihovih obitelji suočavajući se s problemima povezanim uz bolest
koja prijeti životu. Medicinske sestre trebaju tijekom trajanja bolesti educirati obitelj, kako i na
koji način će postupiti po dolasku smrti. Završno vrijeme čovjekova života nosi mnogo dublju
dimenziju života. Znatno je važnije biti prisutan uz umiruću osobu. No za prisutnost je potrebno
učenje, prihvaćanje boli, patnje, žalosti i umiranja kao sastavnog dijela života. Dobra
komunikacija je zapravo dobar preduvjet za pravu skrb za bolesnike i njihove obitelji.
Komunikacija je jedna od najčešćih vještina kojom se zdravstveni djelatnici koriste u
svakodnevnom poslu. Vrlo je važno dobro baratanje komunikacijskim vještinama. To je sastavni dio svakog odnosa s bolesnikom i njegovom obitelji, a na kraju i ključ uspjeha medicinske sestre
odnosno zdravstvenog tima.
Abstract (english) Palliative medicine is the one of the newer branches of medicine. Its focus is care for
terminally ill patients in the final stage of their illness. The organisation of palliative medicine is
necessary on all the levels of health care. Palliative care tries to improve the quality of life for both
the patient and the family as well as to make suffering, pain and other symptoms of illness easier.
A palliative approach is the complete holistic approach towards the other person, a healthcare
professional and a patient. Palliative care starts when all the standard methods of cure have been
exhausted. The accessibility of palliative care must be based on needs and should not be limited to
the type of illness, geographical location or socioeconomic status of the person who needs such
care. All those who care for dying patients should participate in workshops, aimed at the
psychological forms of care. Palliative care implies the complete care for a patient in the terminal
phase of illness as well as for the family. Terminal illness is a medical term used for describing an
illness that cannot be cured or treated adequatelly and that is supposed to end with death of a
patient in a short period. Death is a part of life. It is very important to improve patent's quality of
life as much as possible and to give the family a big support, even after patient's death, all the way
to the end of grieving.A nurse who observes the condition of a patient in the terminal phase of
illness knows when the other members of the healthcare team should be included. Depending on
the circumstances, the other team members are included – physical therapist, psychologists and
volunteers who are not healthcare professionals as a replacement for the busy family members. If
necessary, the consultants are included – volunteers; surgeon, dermatologist, physiatrist, lawyer
and priest. The palliative approach can be recognized from the definition of palliative care
according to World Health Organisation:“ Palliative care is an approach that improves the quality
of life of patients and their families facing problems associated with life-threatening illness,“
During illness nurses should educate a family as to what will they do when death comes. The final
period of life has much deeper dimension of life.It is of great importance to be with a dying
person. This includes education, acceptance of pain, mourning and dying as a part of everyone's
life. A good communication is an important precondition for an appropriate care for patients and
their families. Communication is one of the most common skills healthcare professionals use in
their everyday work. It is of great importance to communicate well. That is the essential part of
the relationship with a patient and his family as well as the key to the success of a nurse and a
healthcare team.
Keywords
palijativna skrb
maligna bolest
komunikacija
bolesnik
smrt
žalovanje
Keywords (english)
palliative care
malignancy
communication
patient
death
mourning
Language croatian
URN:NBN urn:nbn:hr:122:448609
Study programme Title: Nursing Study programme type: professional Study level: undergraduate Academic / professional title: stručni/a prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva (stručni/a prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2017-05-12 07:50:53