MEDIX, God. 22 Br. 119/120  •  Pregledni članak  •  Palijativna medicina HR ENG

Zbrinjavanje najčešćih simptoma u palijativnoj mediciniTreatment of the most common symptoms in palliative medicine

Davor Miličić, Petar Kes, Antonio Juretić, Matija Rimac, Ana Planinc-Peraica, Latinka Basara, Miroslav Samaržija, Livia Puljak, Gordana Štirjan Marković, Ana Ljubas, Mirna Vrček, Alenka Sirovec, Cvijeta Mitić, Marijana Braš

Bolesnici u uznapredovalom stadiju neizlječive bolesti često boluju od većeg broja pridruženih bolesti. U razdoblju kad im je potrebna palijativna skrb mogu imati brojne teške simptome koji im znatno narušavaju kvalitetu života. Zbog toga je jedan od temeljnih zadataka palijativne medicine i palijativne skrbi kontrola i ublaživanje psihičkih i fizičkih simptoma, što zahtijeva kvalitetnu edukaciju multidisciplinarnoga palijativnog tima. S obzirom na brojne moguće uzroke simptoma, potrebna je detaljna procjena bolesnika i individualiziran plan kontrole i ublaživanja simptoma. Također, potrebno je osigurati kontinuirano praćenje bolesnika, uz edukaciju kako samoga bolesnika tako i članova obitelji i drugih pružatelja skrbi o vještinama kontrole simptoma, koje i sami mogu primjenjivati. Danas su na raspolaganju brojne farmakološke i nefarmakološke metode za kontrolu simptoma uznapredovale neizlječive bolesti što, uz bolje razumijevanje patofiziologije nastanka simptoma, uvelike može pomoći zdravstvenim profesionalcima u njihovu svakodnevnom radu s takvim bolesnicima i članovima njihovih obitelji.

Ključne riječi:
edukacija zdravstvenih profesionalaca, bolesnika i bolesnikove obitelji; kontrola simptoma neizlječive bolesti; individualizirana medicina; palijativna medicina

Članak u cijelosti pročitajte u tiskanom izdanju MEDIX, God. 22 Br. 119/120

Patients in advanced stages of incurable diseases often suffer from a number of associated diseases. In the period when they need palliative care, they have a number of severe symptoms that significantly impair their quality of life. That is why one of the fundamental tasks of palliative medicine and palliative care is to control and alleviate mental and physical symptoms, which requires quality education of the multidisciplinary palliative team. Given the many possible causes of symptoms, a detailed assessment of patients and an individualized plan of control and alleviation of symptoms are required. Also, it is necessary to ensure continuous monitoring of patients, along with the education of patients, family members and other caregivers about the skills of symptoms control which they can apply themselves. Numerous pharmacological and non-pharmacological methods to control the symptoms are available nowadays. Along with an improved understanding of the pathophysiology of the occurrence of symptoms of advanced incurable disease, this can represent a great help to healthcare professionals in their daily work with such patients and their family members.

Key words:
education of health professionals, patients and their families; palliative medicine; person-centered medicine; symptoms’ control of incurable diseases