Palliative nurse care - education and training

INTRODUCTION: Palliative care is a method, which improves the quality of life via control over the typical symptoms. The subject of palliative care are patients with life-threatening diseases. The activities follow the basic principles, which are directed to solving physical, mental, spiritual and social problems, as well as, assessment and treatment of the pain. The active communication and cooperation with the patients` relatives are also part of the duties of the nurse who provides palliative care. The specificity of palliative care requires specialized preparation, aimed at acquiring knowledge of the sphere, as well as development of certain skills and competences. The lack of a clinical subject in the field of palliative medical science is a great challenge for the training team in the process of presenting this subject and teaching the skills needed by the students.AIM: The aim of this paper is to present the organization of the training of nurses in palliative care.MATERIALS AND METHODS: After finishing their training, the students provide a feedback via a poll. The analysis of the results determined that the examined students have acquired sufficient amount of information. For the purpose of the practical training, approved nursing documentation has been present­ed during the exercises, which were held in the Department of Palliative Care at the Complex Cancer Center - Ruse (CCC). The students highly evaluate the documents provided for work, and they think that by introducing them in practice, the quality of care will rise significantly, the nursing care will get easier, and continuity will be achieved.An electronic nurse file for palliative care was developed, allowing registration and evaluation of the activities performed.CONCLUSION: From the survey of the students who have passed training in the discipline, a positive feed­back is established. It appeared that they have received and absorbed a sufficient amount of information in the sphere of palliative nursing care

Palliative nurse care - education and training

AbstractIntroduction:Palliative care are a method which improves the quality of life via control over the typical symptoms. Subject of palliative care, are patients with life-threatening diseases. The activities are subordinate to the basic principles which are directed  at solving physical, mental, spiritual and social problems, as well as, assessment and treatment of the pain. The active communication and dealings with the patients` relatives are also part of the nurse`s actions, who gives palliative care. The specificity of palliative care requires specialized preparation, aimed at acquiring knowledge of the sphere, as well as development of certain skills and competences. The lack of the clinical subject Palliative medical science is a great challenge and responsibility for the training team, to present this subject, and to give the skills needed for the students.Aim: Presenting the organization of training of nurses in palliative care.Material and methods: After finishing their training, the students gave a feedback via a poll. By the analysis of the results it is determined that the examined students have acquired sufficient amount of information. For the purpose of the practical training, an approbation of nursing documentation has been worked out during the exercises, wich were held in a department of palliative care at the Complex Cancer Center - Ruse(CCC). The students highly evaluate the documents provided for work, and they think that by introducing them in practice, the quality of care will rise significantly, the nursing care will get easier, and continuity  will be achieved.An electronic nurse file for palliative care has been developed, wich file  allows registration and accounting of the activities performed.Conclusions: From the survey of the students who have passed training in the discipline, a positive feedback is established. It appeared that they have received and absorbed a sufficient amount of information in palliative nursing care

A novel technique of proximal optimization with kissing balloon inflation in bifurcation lesions

Background: Percutaneous coronary interventions (PCI) of bifurcation lesions poses a technical challenge with a high complication rate. Kissing balloon inflation (KBI) and proximal optimization technique (POT) are used to correct bifurcation carina after stenting. However, both may still lead to uncomplete strut apposition to the side branch (SB) lateral wall. Proposed herein, is a new stent-optimization technique following bifurcation stenting consisting of a combination of POT and KBI called proximal optimization with kissing balloon inflation (POKI). Methods: Bench and in-vivo evaluations were performed. For the bench visualization bifurcated silicone mock vessel was used. The POKI technique was simulated using a 3.5 mm POT balloon. For the in-vivo evaluation patients with angiographic bifurcation lesions in a native coronary artery with diameter ≥ 2.5 mm and ≤ 4.5 mm, SB diameter ≥ 2.0 mm, and percentage diameter stenosis (%DS) more than 50% in the main vessel (MV) were included. Provisional stenting was the default strategy. Results: In total 41 vessels were evaluated. The target vessel was left main in 9 (22.0%) patients, left anterior descending artery — in 26 (63.4%), left circumflex artery — in 4 (9.8%) and right coronary artery — in 2 (4.9%). The predominant type of bifurcation was Medina 1-1-1 (61.8%). Baseline proximal MV DS% was 60.0 ± 23.7%, distal MV DS% — 58.8 ± 28.9% and SB DS% 53.0 ± 32.0%. The application of POKI was feasible in 41 (100%) of the vessels. Post-PCI residual DS at proximal MV was 11.5 ± 15.4%, distal MV — 6.6 ± 9.3%, and SB — 22.9 ± 28.5%. Both procedural and angiographic success was 100%. Conclusions: POKI is a novel stent-optimization technique for bifurcation lesions. It showed excellent feasibility and success rate both in bench and in-vivo evaluation

50 години Катедра „Социална медицина и организация на здравеопазването`

22 Май 201