[Paliative care]

Paliativna oskrba (PO) je pomemben, nepogrešljiv sestavni del zdravstvene oskrbe bolnikov z neozdravljivo boleznijo in se izvaja na vseh ravneh zdravstvenega sistema. Za celostno oskrbo paliativnih bolnikov skrbi multiprofesionalen tim, ki zagotavlja razreševanje fizičnih, psihičnih, socialnih in duhovnih težav, s katerimi se soočajo paliativni bolniki ter njihovi svojci. Glavni cilj je skrb za čim boljšo kakovost življenja. PO priznava življenje in umiranje kot naraven proces.Palliative care (PC) is an important, indispensable and integral part of medical care of patients with incurable diseases, and it is performed at all levels of healthcare system. Comprehensive care of palliative patients is provided by a multi-professional team, which resolves physical, psychological, social and spiritual problems faced by palliative patients and their families. The main goal is to ensure the best possible quality of life. PC recognises life and death as natural processes

Paliativna oskrba

Palliative care (PC) is an important, indispensable and integral part of medical care of patients with incurable diseases, and it is performed at all levels of healthcare system. Comprehensive care of palliative patients is provided by a multi-professional team, which resolves physical, psychological, social and spiritual problems faced by palliative patients and their families. The main goal is to ensure the best possible quality of life. PC recognises life and death as natural processes.Paliativna oskrba (PO) je pomemben, nepogrešljiv sestavni del zdravstvene oskrbe bolnikov z neozdravljivo boleznijo in se izvaja na vseh ravneh zdravstvenega sistema. Za celostno oskrbo paliativnih bolnikov skrbi multiprofesionalen tim, ki zagotavlja razreševanje fizičnih, psihičnih, socialnih in duhovnih težav, s katerimi se soočajo paliativni bolniki ter njihov isvojci. Glavni cilj je skrb za čim boljšo kakovost življenja. PO priznava življenje in umiranje kot naraven proces

Paliativna oskrba bolnikov z rakom debelega črevesa in danke

Palliative care of patients with advanced colorectal cancer represents a comprehensive care of incurably ill patients. This care includes symptom management as well as psychological, social and spiritual support. The most common symptoms in colorectal cancer patients who were referred to the acute palliative care unit of the Institute of Oncology Ljubljana were pain, severe general weakness, intestinal obstruction and difficulty breathing. Palliative treatment of symptoms may differ as the disease progresses. The main objective of measures in palliative care is to maintain the best possible quality of life. In early palliative care, more complex treatment approaches (palliative surgeries, palliative irradiation, etc.) may also be used to provide a better quality of life when the disease progresses. In late palliative care (last weeks of life), the main concern is to provide comfort and the best possible well-being for the dying patients and their close relatives.Paliativna oskrba bolnikov z napredovalim rakom debelega črevesa in danke je celostna oskrba neozdravljivo bolnega. Oskrba vsebuje obvladovanje simptomov ter pomoč pri obvladovanju psihičnih, socialnih in duhovnih težav. Najpogostejši simptomi, zaradi katerih so bili bolniki z rakom debelega črevesa in danke sprejeti na oddelek za akutno paliativno oskrbo Onkološkega inštituta v Ljubljani, so bili bolečina, huda splošna oslabelost, zapora črevesja ter težko dihanje. Paliativno zdravljenje simptomov se z napredovanjem osnovne bolezni lahko razlikuje. Glavni cilj ukrepov v paliativni oskrbi je vzdrževanje čim boljše kakovosti življenja. V zgodnji paliativni oskrbi so lahko ustrezni tudi kompleksnejši pristopi zdravljenja (paliativni kirurški posegi, paliativno obsevanje ), ki služijo boljši kakovosti življenja ob nadaljnjem napredovanju bolezni. V pozni paliativni oskrbi (zadnji tedni življenja) je glavna skrb za ugodje in čim boljše počutje umirajočega ter njegovih bližnjih

Podporna in paliativna oskrba bolnika s pljučnim rakom

Pljučni rak je zelo pogosto odkrit šele v napredovali fazi in je zato velikokrat neozdravljiv. Bolniki s pljučnim rakom imajo sočasno tudi številna druga pridružena stanja in obolenja, ki jim znižujejo kvaliteto in dolžino življenja. Paliativna oskrba, katere namen je zagotavljati celostno in neprekinjeno podporo bolniku (in bližnjim) skozi vsa obdobja življenja z neozdravljivo boleznijo, je zato za njih ključnega pomena. Cilj je zagotavljanje čim boljše kakovosti življenja in ohranjanje dostojanstva. Izvajanje paliativne oskrbe v našem okolju je dvonivojsko – osnovna in specializirana paliativna oskrba. Izvajalci osnovne paliativne oskrbe so družinski zdravniki s svojimi timi in zdravniki v zdravstvenih institucijah z osnovnimi znanji iz paliativne oskrbe. Specializirano paliativno oskrbo zagotavljajo za to delo dodatno izobraženi timi. Za kakovostno izvajanje posamezniku prilagojene paliativne oskrbe je pomembno dobro povezovanje obstoječih struktur s področja zagotavljanja paliativne oskrbe v posamezni regiji. Pri tem ima pomembno povezovalno vlogo koordinator paliativne oskrbe, ki bolniku omogoča optimalno oskrbo v danem času in kraju glede na njegove trenutne potrebe

Palliative care of colorectal cancer patients

Paliativna oskrba bolnikov z napredovalim rakom debelega črevesa in danke je celostna oskrba neozdravljivo bolnega. Oskrba vsebuje obvladovanje simptomov ter pomoč pri obvladovanju psihičnih, socialnih in duhovnih težav. Najpogostejši simptomi, zaradi katerih so bili bolniki z rakom debelega črevesa in danke sprejeti na oddelek za akutno paliativno oskrbo Onkološkega inštituta v Ljubljani, so bili bolečina, huda splošna oslabelost, zapora črevesja ter težko dihanje. Paliativno zdravljenje simptomov se z napredovanjem osnovne bolezni lahko razlikuje. Glavni cilj ukrepov v paliativni oskrbi je vzdrževanje čim boljše kakovosti življenja. V zgodnji paliativni oskrbi so lahko ustrezni tudi kompleksnejši pristopi zdravljenja (paliativni kirurški posegi, paliativno obsevanje ), ki služijo boljši kakovosti življenja ob nadaljnjem napredovanju bolezni. V pozni paliativni oskrbi (zadnji tedni življenja) je glavna skrb za ugodje in čim boljše počutje umirajočega ter njegovih bližnjih.Palliative care of patients with advanced colorectal cancer represents a comprehensive care of incurably ill patients. This care includes symptom management as well as psychological, social and spiritual support. The most common symptoms in colorectal cancer patients who were referred to the acute palliative care unit of the Institute of Oncology Ljubljana were pain, severe general weakness, intestinal obstruction and difficulty breathing. Palliative treatment of symptoms may differ as the disease progresses. The main objective of measures in palliative care is to maintain the best possible quality of life. In early palliative care, more complex treatment approaches (palliative surgeries, palliative irradiation, etc.) may also be used to provide a better quality of life when the disease progresses. In late palliative care (last weeks of life), the main concern is to provide comfort and the best possible well-being for the dying patients and their close relatives

Paliativna oskrba bolnikov z rakom debelega črevesa in danke

Palliative care of patients with advanced colorectal cancer represents a comprehensive care of incurably ill patients. This care includes symptom management as well as psychological, social and spiritual support. The most common symptoms in colorectal cancer patients who were referred to the acute palliative care unit of the Institute of Oncology Ljubljana were pain, severe general weakness, intestinal obstruction and difficulty breathing. Palliative treatment of symptoms may differ as the disease progresses. The main objective of measures in palliative care is to maintain the best possible quality of life. In early palliative care, more complex treatment approaches (palliative surgeries, palliative irradiation, etc.) may also be used to provide a better quality of life when the disease progresses. In late palliative care (last weeks of life), the main concern is to provide comfort and the best possible well-being for the dying patients and their close relatives.Paliativna oskrba bolnikov z napredovalim rakom debelega črevesa in danke je celostna oskrba neozdravljivo bolnega. Oskrba vsebuje obvladovanje simptomov ter pomoč pri obvladovanju psihičnih, socialnih in duhovnih težav. Najpogostejši simptomi, zaradi katerih so bili bolniki z rakom debelega črevesa in danke sprejeti na oddelek za akutno paliativno oskrbo Onkološkega inštituta v Ljubljani, so bili bolečina, huda splošna oslabelost, zapora črevesja ter težko dihanje. Paliativno zdravljenje simptomov se z napredovanjem osnovne bolezni lahko razlikuje. Glavni cilj ukrepov v paliativni oskrbi je vzdrževanje čim boljše kakovosti življenja. V zgodnji paliativni oskrbi so lahko ustrezni tudi kompleksnejši pristopi zdravljenja (paliativni kirurški posegi, paliativno obsevanje ), ki služijo boljši kakovosti življenja ob nadaljnjem napredovanju bolezni. V pozni paliativni oskrbi (zadnji tedni življenja) je glavna skrb za ugodje in čim boljše počutje umirajočega ter njegovih bližnjih