Uloga i značenje Specijalne bolnice Duga Resa u razvoju palijativne skrbi u Hrvatskoj

master's thesis

• Title (english): Role and significance of Special hospital Duga Resa for palliative care development in Croatia
• Author: Monika Borovac
• Mentor: Aleksandar Džakula (mentor)
• Committee member: Nikola Đaković (predsjednik povjerenstva)
• Committee member: Ana Borovečki (član povjerenstva)
• Committee member: Aleksandar Džakula (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Social Medicine and Health Care Organization); Zagreb
• Defense date and country: 2017-07-14, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Social Medicine

Abstract

Palijativna skrb je pristup koji poboljšava kvalitetu života bolesnika i njihovih obitelji suočenih s problemima povezanim s neizlječivom bolesti. Cilj zdravstvene njege palijativnog bolesnika je umanjiti ili odgoditi patnju i bol, osigurati bolesniku kvalitetan život, omogućiti dostojanstven proces umiranja te pružiti podršku obitelji koja sudjeluje u zbrinjavanju bolesnika. Proces provođenja palijativne skrbi je kompleksan i zahtijeva angažman cijelog tima dobro educiranih stručnjaka, a to su liječnici, medicinske sestre, fizioterapeut, psiholog, socijalni radnik i duhovnik. Tim je glavno sredstvo djelovanja, a upravo su interakcijski procesi među članovima od vitalne važnosti za uspjeh. Procjenjuje se da je neki oblik palijativne skrbi potreban kod 50% do 89% umirućih pacijenata, što bi za Republiku Hrvatsku iznosilo između 26000 do 46000 pacijenta godišnje. SB za produženo liječenje Duga Resa je ustanova koja pruža produženo liječenje, palijativnu skrb i djelatnosti specijalističko konzilijarne zdravstvene zaštite. U bolnicu se primaju bolesnici koji boluju od teških kroničnih bolesti, nakon prethodne akutne hospitalizacije, kako bi im se poboljšala kvaliteta života i omogućio što brži povratak u obitelj. Bolnica ima dugu tradiciju i mnogo iskustva u pružanju dugotrajnog liječenja, osim toga, od 2012. godine ima registrirane postelje za palijativnu skrb, a od 2015. godine i zaseban odjel. To je najveća ustanova u Karlovačkoj županiji koja pruža takvu skrb. Osim bolesnika iz Karlovačke županije i bolesnici iz drugih susjednih županija česti su korisnici skrbi i liječenja koje nudi SB Duga Resa. SB Duga Resa ima realnu praksu, posjeduje odgovarajuće resurse i znanje, postoje velike potrebe za usluge koje pruža te postoje mogućnosti i potrebe za daljnji razvoj.

Abstract (english)

Palliative care is an approach that improves the quality of patients' lives and the lives of their families, facing problems associated with a life-threatening disease. The aim of palliative care is to reduce or delay pain and suffering, to ensure quality of life for the patient, to enable patients to die with dignity and to support the family that takes care of the patient. The process of palliative care is complex and requires the engagement of a whole team of educated specialists, such as doctors, nurses, physical therapists, psychologists, social workers and priests. It is of vital importance for an efficient palliative care to be provided in the first place by a professional team of specialists who work together. It is estimated that between 50% and 89% of all dying patients require some form of palliative care. In the Republic of Croatia that would mean between 26 000 and 46 000 patients per year. It is estimated that in Karlovac County approximately 4 300 patients will require some form of palliative care during a period of three years. Special hospital Duga Resa is a hospital that provides long-term treatment, palliative care, and specialist conciliar health care. Patients who are diagnosed with a severe chronic disease, after previous treatment in acute hospital, are hospitalized to improve the quality of their life and to prepare them for a return to their homes. The hospital has a long tradition and a lot of experience in providing long-term treatment. What is more, since 2012 it has had registered beds for palliative care, and since 2015 a separate hospital ward for palliative care. It is the biggest hospital in Karlovac County which provides such care. Special hospital Duga Resa provides care not only for patients from Karlovac County but also for patients from other, neighbouring counties. Special hospital Duga Resa possesses the right resources and knowlege, also, there is great demand for the service it provides. In the future further development is expected.

• Keywords: palijativna skrb; palijativni bolesnik; SB Duga Resa; Karlovačka županija
• Keywords (english): palliative care; palliative patient; Special hospital Duga Resa; Karlovac County
• Language: croatian
• URN:NBN: urn:nbn:hr:105:623777
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2018-03-23 12:28:06