Psihijatrijsko/psihološki aspekti u palijativnoj medicini

master's thesis

• Title (english): Psychiatric/psychological aspects in palliative medicine
• Author: Helena Perić
• Mentor: Marijana Braš (mentor)
• Committee member: Veljko Đorđević (predsjednik povjerenstva)
• Committee member: Dražen Begić (član povjerenstva)
• Committee member: Marijana Braš (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Psychiatry and Psychological Medicine); Zagreb
• Defense date and country: 2021-07-16, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Psychiatry

Abstract

Palijativna medicina područje je medicine za koje je karakteristična skrb usmjerena prema osobi. Usmjerena je prema fizičkim, psihološkim, socijalnim i duhovnim aspektima u zdravlju i bolesti. Psihijatrijsko/psihološki aspekti nužna su komponenta jer u palijativnoj medicini postoji visoka prevalencija psihijatrijskih poremećaja. Među najčešćim poremećajima su: anksiozni i depresivni poremećaji, poremećaji prilagodbe, delirij i drugi kognitivni poremećaji. Nažalost, ti poremećaji često nisu prepoznati ni liječeni. Zato je važno da psihijatar i/ili psiholog bude član svakog interdisciplinarnog tima. Psihijatar radi s bolesnicima koji imaju složenije psihološke potrebe primjenjujući integrativan pristup kombinacijom psihoterapijskih, socioterapijskih i farmakoterapijskih intervencija, ali ima i ulogu u rješavanju etičkih, duhovnih, socijalnih i pravnih pitanja. Također, psihijatar mora smatrati i obitelj bolesnika jedinicom kojoj je potrebna skrb. Psihijatar može sudjelovati u različitim organizacijskim oblicima palijativne skrbi. Tako može biti član mobilnog tima, čiji je zadatak pomoć i podrška pacijentima koji boluju od neizlječivih progresivnih bolesti koje dovode do smrti pacijenta. Budući da bi palijativna skrb trebala biti dostupna svim bolesnicima sa životno ugrožavajućim bolestima, posebna se pažnja pridaje vulnerabilnim skupinama poput djece, branitelja, osobama oboljelim od demencije i dr. Potrebe za specifičnom palijativnom skrbi usmjerene na ove skupine prepoznate su i izdvojene u Nacionalnom programu razvoja palijativne skrbi u Hrvatskoj 2017. – 2020.

Abstract (english)

Palliative medicine is an area of medicine characterized by person-centred care. It focuses on physical, psychological, social and spiritual aspects in health and disease. Psychiatric/psychological aspects are crucial components because there is a high prevalence of psychiatric disorders in palliative medicine. Among the most common are: anxiety and depressive disorders, adjustment disorders, delirium and other cognitive disorders. Unfortunately, those disorders are often left unrecognized and untreated. This is the reason why a psychiatrist/psychologist has to be a member of any interdisciplinary team. The psychiatrist works with patients whose psychological needs are more complex by applying an integrative approach, in terms of a combination of psychotherapy, pharmacotherapy and socio-therapeutic interventions, but also has a role in addressing ethical, spiritual, social and legal issues. Also, psychiatrist must consider the family of the patient as a unit in a need of care. A psychiatrist may be involved in a variety of organizational forms of palliative care. Thus, he can be a member of a mobile team, whose task is to help and support patients suffering from incurable progressive diseases that lead to the death of the patient. Since palliative care should be available to all patients with life-threatening diseases, special attention is paid to vulnerable groups such as children, war veterans, people with dementia, etc. The need for specific palliative care targeted at these groups is recognized and highlighted in „Nacionalni program razvoja palijativne skrbi u Hrvatskoj 2017. – 2020.“

• Keywords: palijativna medicina; psihijatrijsko/psihološki aspekti; psihijatrijski poremećaji; mobilni tim; vulnerabilne skupine
• Keywords (english): palliative medicine; psychiatric/psychological aspects; psychiatric disorders; mobile team; vulnerable groups
• Language: croatian
• URN:NBN: urn:nbn:hr:105:575882
• 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: 2022-03-24 13:46:05