Uloga diplomirane medicinske sestre u kupiranju boli kod palijativnih bolesnika

master's thesis

• Title (english): Nurse's role in pain management in palliative patients
• Author: Julijana Tenodi Maraković
• Mentor: Ana Borovečki (mentor)
• Committee member: Zlata Ožvačić Adžić (predsjednik povjerenstva)
• Committee member: Marijana Braš (član povjerenstva)
• Committee member: Ana Borovečki (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Social Medicine and Health Care Organization); Zagreb
• Defense date and country: 2021-09-14, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Social Medicine

Abstract

Dugogodišnje kronične i maligne bolesti najčešće dovode do fizičke boli i mnoštva drugih
simptoma koji uzrokuju strah, depresiju i izolaciju, što utječe na osobni integritet bolesnika.
Palijativni bolesnici zahtijevaju posebnu pažnju cijelog interdisciplinarnog tima s obzirom da
njihova bolest ulazi u zadnju fazu koje su u većini slučajeva svjesni, te se radi o emocionalno
zahtjevnom i iscrpljujućem iskustvu za bolesnika i njegovu obitelj. To je situacija kada se uz
medicinsku skrb i zdravstvenu njegu treba suočiti i s njihovim psihološkim potrebama.
Skrb za palijativne bolesnike je veliki izazov za medicinsku sestru koji zahtjeva aktivnu,
promišljenu i dugotrajnu skrb, a krajnji rezultat cjelokupna palijativne skrbi ne vodi izlječenju
bolesti, nego olakšavanju mnogobrojnih simptoma i neminovnoj smrti bolesnika.
Edukativni cilj ovog diplomskog rada je naglašavanje uloge diplomirane medicinske
sestre/tehničara u zdravstvenoj njezi i skrbi za palijativnih bolesnika, timskom radu u kupiranju
boli-prepoznavanju potreba, uočavanju i rješavanju raznih problema koji se javljaju u bolnim
stanjima kod palijativnih bolesnika na svim razinama zdravstvene zaštite. Diplomirana
medicinska sestra treba biti educirana iz područja palijativne skrbi, a kod problema boli mora
znati prepoznati bol i razlikovati vrste boli prema dijagnozama, sve načine kako ju olakšati
(medikamentozna i ostala terapija), na vrijeme uočiti probleme i nuspojave terapije za bol te
koordinirati razne stručnjake unutar tima kako bi pružili optimalno smanjenje boli kod
palijativnih bolesnika.
Prikazana je važnost sestrinske skrbi i komunikacije za palijativne bolesnike i njihove
obitelji/skrbnike. Naglasak je stavljen na specifičnosti kupiranja boli kod palijativnih bolesnika,
te stručan fizički, psihološki i socijalni pristup diplomirane medicinske sestre palijativnom
bolesniku.

Abstract (english)

Long-term chronic and malignant diseases most often lead to physical pain and a host of other
symptoms that cause fear, depression, and isolation, affecting patients ’personal integrity.
Palliative patients require special attention from the entire interdisciplinary team as their
disease enters a final stage that they are in most cases aware of, and it is an emotionally
demanding and exhausting experience for the patient and his family. This is a situation when,
in addition to medical care and health care, their psychological needs also need to be
addressed.
Caring for palliative care patients is a major challenge for the nurse that requires active,
thoughtful and long-term care, and the end result of overall palliative care does not lead to cure
of the disease, but alleviation of many symptoms and inevitable death of the patient.
The educational goal of this thesis is to emphasize the role of graduate nurses / technicians in
health care and care of palliative patients, pain relief - recognizing needs, identifying and
solving various problems that occur in painful conditions in palliative patients. A registered
nurse should be educated in the field of palliative care, and in case of pain problems she must
know how to recognize pain and distinguish types of pain according to diagnoses, all ways to
alleviate it (medication and other therapy), timely identify problems and side effects of pain
therapy, and coordinate various experts within the team to provide optimal pain reduction in
the palliative patient.
The importance of nursing care for palliative patients and their family, as well as
communication with the patient, his family and other team members is presented. Emphasis
was placed on the specifics of pain relief in palliative patients, and the professional physical,
psychological and social approach of the nurse to the palliative patient.

• Keywords: Diplomirana medicinska sestra; palijativni bolesnik; kupiranje boli
• Keywords (english): graduate nurse; palliative care patient; pain relief
• Language: croatian
• URN:NBN: urn:nbn:hr:105:071202
• Study programme: Title: Studies in Nursing; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2022-06-07 13:11:19