Síntomas al final de la vida

Cancer patients often die with serious unrelieved symptoms causing a distressing death for them and needless added suffering for their families. Many physicians have not trained to care for the dying patient. This work reviews the common symptoms in the final phase and describes the methods to control them and support the patient and family through this difficult time. These symptoms are so characteristic of the dying process that all the physicians should recognize them, be skilled in providing appropriate care, and prepare for problems that may arise

Les dones en els gremis de l'Edat Moderna a Barcelona (segles XVII i XVIII)

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El treball de la dona dins els gremis a la Barcelona del segle XVIII (una aproximació)

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Síntomas asociados al tratamiento con radioterapia

The principles of radiotherapy are the use of ionized radiation in the treatment of different pathologic process. The objective of radiotherapy treatment is the local or locorregional control of the tumor. The onset of side effects depends of the dose of radiation and the area that is included in the treatment field. The acute affects usually appear at the beginning of the treatment and usually disappear at the end or in the first weeks after the end of the treatment. The chronic effects appear 6 months after the treatment is finished and they persist during time. The most frequents side effects are fatigue and changes in the skin included in the treatment field. The other side effects are in relationship of the specific area that we are treating. With the improvements in the radiotherapy treatments we can achieve a better local tumor control with lesser chronic side effects

Cuidados continuos. Una necesidad del paciente oncológico

Los cuidados continuos pueden ser entendidos como la atención integral a la persona enferma en su realidad total: biológica, psicológica, familiar, laboral y social. Por tanto para realizar una atención total, se deben atender todas las fases de la enfermedad oncológica cubriendo desde la prevención y el diagnóstico, abarcando el tratamiento de soporte y sintomático, llegando a los cuidados paliativos del enfermo en fase avanzada, y el manejo de la crisis al final de la vida. Por tanto, los cuidados continuos son aplicables a lo largo de todo el proceso evolutivo del tratamiento del cáncer y de sus diferentes etapas, enfatizando los recursos empleados y su intensidad en función de las necesidades o complejidad requerida, y no solo aplicándolos en los pacientes avanzados al final de la vida.Continuity of care might be defined as an integral care to the patient as a whole: biological psychological social and the care of the family. That ´s why to get this global care, we need to care all the phases of the illness, since prevention and diagnosis, covering supportive care and reaching the palliative care when the cure is not possible and patients approach the end of life. Then, we need to apply the continuity of care along all the illness process in function of the needs and the resources and not only at the end of life

Síntomas asociados al tratamiento con radioterapia

The principles of radiotherapy are the use of ionized radiation in the treatment of different pathologic process. The objective of radiotherapy treatment is the local or locorregional control of the tumor. The onset of side effects depends of the dose of radiation and the area that is included in the treatment field. The acute affects usually appear at the beginning of the treatment and usually disappear at the end or in the first weeks after the end of the treatment. The chronic effects appear 6 months after the treatment is finished and they persist during time. The most frequents side effects are fatigue and changes in the skin included in the treatment field. The other side effects are in relationship of the specific area that we are treating. With the improvements in the radiotherapy treatments we can achieve a better local tumor control with lesser chronic side effects

El treball de la dona dins els gremis a la Barcelona del segle XVIII (una aproximació)

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PERCEPCIÓN DEL CUIDADO HUMANIZADO DE ENFERMERIA EN PACIENTES HOSPITALIZADOS EN EL SERVICIO DE MEDICINA HOSPITAL TINGO MARIA 2019

OBJETIVO: Describir la percepción del cuidado humanizado de enfermería en pacientes hospitalizados en el servicio de medicina del Hospital Tingo María 2019. MÉTODOS: Estudio descriptivo, de corte transversal, prospectivo, con una población de 120 pacientes consolidados en una muestra representativa de 92; se utilizó la encuesta como técnica y el cuestionario el instrumento, asociado a la escala valorativa, para el análisis se empleó la estadística descriptiva básicamente. RESULTADOS: La edad de los pacientes representa 21% entre 35 a 41 años, el 54% son del género femenino, el nivel educativo pertenece a sin instrucción con 32%, y 26% con primaria incompleta; Los pacientes hospitalizados proceden de zona rural 52%, la religión predominante es el evangélico con 64%. Los pacientes en estudio estuvieron hospitalizados en el servicio de medicina el 76% entre los tres primeros días. La percepción de pacientes hospitalizados en el servicio de medicina en relación al cuidado humanizado según dimensiones de sentimiento del paciente, características de enfermería, cualidades del hacer de enfermería, pro actividad, dimensiones apoyo emocional, apoyo físico empatía, priorizar al ser cuidado, disponibilidad para la atención. Perciben “algunas veces” en mayor proporción 64.1%, seguido de casi siempre 25%, siempre 7.6% y 3.3% nunca. Conclusión: la percepción de los cuidados humanizados por enfermería en el servicio de medicina son algunas veces.Tesi

Organización de los cuidados continuos

Continuos care is the integral care to the ill person in his all reality. We have to initiate the integral care to the cancer patient in the diagnostic phase and we have to continuos it along all the evolutive process with a special attention in the final phase, being an essential component in the cancer treatment. The target is to support the best quality of live in the sense of well-being in the physical mental and social status. For that, we need the coordination of the different levels of medical care, to obtain the global target. Continuos care has a lot of scenarios (home, hospital, and hospice) in which the role of different professionals is basic. Symptomatic treatment will be more important along the illness is progressing, but se have to remember that we have to support and treat all the psychological and social needs along all the process