Title Uloga obiteljskog liječnika u sustavu palijativne skrbi
Title (english) The role of family medicine physician in the palliative care system
Author Dora Šarić
Mentor Miroslav Hanževački (mentor)
Committee member Venija Cerovečki Nekić (predsjednik povjerenstva)
Committee member Zlata Ožvačić Adžić (član povjerenstva)
Committee member Miroslav Hanževački (član povjerenstva)
Granter University of Zagreb School of Medicine (Department of Family Medicine) Zagreb
Defense date and country 2019-07-12, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Public Health and Health Care Family Medicine
Abstract Palijativna skrb je pristup koji poboljšava kvalitetu života bolesnika i njihovih obitelji,
suočenih s problemom neizlječivih, uznapredovalih bolesti, putem sprječavanja i
ublažavanja patnje pomoću ranog prepoznavanja, prosudbe te liječenja fizičkih,
psihosocijalnih te duhovnih problema. Ona je interdisciplinarna te obuhvaća
bolesnika, obitelj i zajednicu. Obiteljska medicina je temeljna djelatnost u primarnoj
zdravstvenoj zaštiti, koja provodi kurativnu i preventivnu zdravstvenu za štitu, ali i
opću palijativnu skrb, u populaciji za koju skrbi. U palijativnoj skrbi liječnik obiteljske
medicine u okviru svojih kompetencija pruža trajnu skrb bolesniku i njegovoj obitelji.
Pri pružanju palijativne skrbi radi timski te surađuje sa službama specijalističke
palijativne skrbi kako bi bile zadovoljene sve potrebe bolesnika i obitelji koje nisu
samo zdravstvene već i socijalne, psihološke i duhovne. U europskim državama,
vrijednosti koje su prepoznate među ekspertima za palijativnu skrb su: autonomija
pacijenta, dostojanstvo, potreba za individualnim planiranjem i donošenjem odluka te
holistički pristup. Opća palijativna skrb promiče snažniji odnos liječnik pacijent te
smanjuje fragmentaciju skrbi. Svi kliničari koji skrbe za ozbiljno bolesne pacijente
trebali bi razumjeti osnovna područja opće palijativne skrbi te dobiti osnovno
osposobljavanje vezan o uz palijativnu skrb. Vještine potrebne za obavljanje opće
palijativne skrbi dijele se na četiri glavna dijela: procjenjivanje i liječenje fizičkih
simptoma, brižan odnos prema psihološkim, sociološkim, kulturološkim te duhovnim
potrebama pacijenta, komunikacijske vještine kod ozbiljnih boles ti te koordinacija
skrbi. Prema “The Gold Standards Framework Proactive Identification Guidance
(GSF PIG)” objavljenog od strane Royal College of General Practitioners, postoje
kriteriji za rano prepoznavanje osoba kojima je potrebna palijativna skrb. Rani je
prepoznavan je pogoršanja s tanja vodi d o ranijeg predviđanja mogućih potreba,
boljeg planiranja, manjeg broja kriznih hospitalizacija te skrbi prilagođenoj željama
ljudi. To dovodi do boljih ishoda te više ljudi živi i umire na mjestu i na način na koji
želi.
Abstract (english) Palliative care is an approach that improves the quality of life of the patients and their
families, that are facing the problems of incurable, advanced diseases, through the
suffering prevention and alleviation by means of early identification, judgement and
management of physical, psychosocial and spiritual issues. It is an interdisciplinary
field and it includes the patient, family and the communi y. Family medicine is a core
service in the primary healthcare field, which provides curative and preventive health
care services, but also palliative approach and basic palliative care in population that
it cares for. In field of palliative care, family medicine physician provides permanent
care for the patient and his family within his competences. In providing palliative care,
family medicine physician works in the team and cooperates with specialist palliative
care services, in the way that all patient and family needs are met: health, social,
psychological and spiritual needs. In the European countries, a set of common values
is acknowledged among palliative care experts: patient autonomy and dignity, the
need for individual planning and decision making and holistic approach. Basic
palliative care promotes stronger patient physician relationship and reduces the
fragmentation of care. All clinicians that care for seriously ill patients should
understand essential fields of basic palliative care and receive essential training that
includes skills related to palliative care. Skills needed for providing basic palliative
care can be divided into four main parts: assessment and management of physical
symptoms, careful approach to psychological, sociological, cultural and spiritual
needs of the patient, serious illness communication skills and coordination of care.
According to “The Gold Standards Framework Proactive Identification Guidance” that
was published by Royal College of General Practitioners, there are criteria for early
identification of people who are thought to reach the end of their life within a 1 year .
Earlier recognition of decline leads to earlier anticipation of likely needs, better
planning, fewer crisis hospital admissions and care tailored to the peoples’ wishes.
This in turn results in better outcomes with more people living and dying in the place
and manner of their choice.
Keywords
palijativna skrb
obiteljska medicina
Keywords (english)
palliative care
family medicine
Language croatian
URN:NBN urn:nbn:hr:105:033810
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
Terms of use
Created on 2020-02-10 14:46:54