The article highlights the role of a nurse in the implementation of general
and special care for seriously ill, incurable and agonizing patients, deontological aspects
of professional communication

Boreiko, L.D.

Semenenko, S.B.

Tymofiychuk, I.R.

English

Цифровий Репозиторій - Інтелектуальні Фонди Буковинського державного медичного університету

44 Zbiór artykułów naukowych.Introduction. Hospice and palliative medicine is professional medical and psy-chological help for patients with severe incurable diseases and limited duration of life. People are given hospice help at home or in medical institutions [1].Problem of development of hospice and palliative help is one of the most ac-tual and valuable social-economic and medical problems nowadays [1]. The main objective of hospice and palliative is support of patient’s quality of life in final period of disease, maximum relief of physical and moral suffering of sick per-son and his relatives, preservation of hu-man dignity of the patient [2].The role of nurse in palliative medi-cine is very responsible because she has the greatest contact with patient and his family and does the most part of work. In many Western-European hospices nurse is the main coordinator of team’s actions and central decision-maker.In order to better understand the phi-losophy of palliative help it will be great example of Virginia Henderson’s defini-tion of nurse role: “The unique role of nurse is to help a person – sick or healthy – to either maintain or restore health, or promote peaceful death and because Man could do it himself, without any help, if he had necessary forces, freedom and knowl-edge ”.Nurse, that gives palliative patients help has to be theoretically and practically be prepared to work in certain area al-ready within the educational institution. Palliative competence forms in process of professional training of future medic and requires systematic knowledge, skills and abilities from different disciplines, the ability to successfully act on the basis of practical experience. Possession of pallia-tive competence as an integral part of the professional competence of a future nurse is necessary at the present stage of devel-THE ROLE OF NURSE IN PALLIATIVE MEDICINEBoreiko L.D.PhD, Associate Professor Department of Patients Care and Higher Nursing EducationSemenenko S.B.PhD, Associate Professor Department of PhysiologyTymofiychuk I.R.PhD, Associate Professor Department of Physiology HSEE of Ukraine  “Bukovinian State Medical University”, Chernivtsi, UkraineSummary. The article highlights the role of a nurse in the implementation of general and special care for seriously ill, incurable and agonizing patients, deontological aspects of professional communication.Keywords: deontological aspects, seriously ill, incurable, ahonuyuchi patients, nurse. 45 Pedagogika.opment of medical education [3].So, an important part of the system of professional training of the nurse is the system of practical training, which allows the student to gain experience in profes-sional activities, to form his professional qualities of the person and appropriate attitude to the profession.The main part. Modern medicine re-quires specialists who have modern tech-nologies for patient care and medical services in accordance with European standards. In recent years, an important role is played by studying the features of general and special care for seriously ill, incurable and agonizing patients of all ages. That is why it was expedient to in-clude the main provisions of palliative medicine and the basic principles of the treatment of chronic pain in general edu-cation programs of all health profession-als.The most effective form of prepara-tion at the undergraduate level, taking into account the multifactorial, multidi-mensional manifestations of the problem of palliative and hospice care, is the prep-aration of future nurses on the principles of the through-formation of integral knowledge within the subjects taught at higher medical educational institutions.Modern medicine has a large arsenal of new laboratory and technical means of patient examination, and the task of the future medic – to be professionally / com-petent in accordance with European stan-dards. That’s is why considerable atten-tion is paid to teaching students the basic principles of organization of practical work in therapeutic departments, and the ability to identify and diagnose functional and organic responses of a person to ex-isting and potential health problems, the ability to provide qualified emergency medical care to a patient and to provide medical care appropriate to the profile pathology of the patient.For a nurse specializing in the provi-sion of palliative care, the most important part of her profession is to care for the patient in the process of his dying. It is important to work the nurses in the spe-cialized departments of the hospital di-rectly at the patient’s bed. Students get acquainted with the basic principles of organization of work of inpatient medical institutions and their functional units; Learn to maintain sanitary-hygienic, hos-pital and hospital-protective regimes; In the admissions department  – to receive and register patients, carry out pre-exam-ination and transport patients to the hos-pital department.One of the components of profes-sional development is the mastery of knowledge and skills of working with people, psychological readiness to work in market conditions and be responsible for the results of their work. That is why great attention is paid to the develop-ment of practical skills. Future nurses will master the skills of conducting pa-tient interviews and the rules for deter-mining the main indicators of life, and mastering the skills of caring for patients with fever; Learn to apply simple physio-therapy procedures; We master the skills of providing personal hygiene for pa-tients and caring for seriously ill and ag-onistic, taking into account the princi-46 Zbiór artykułów naukowych.ples of medical ethics and deontology; He learns to conduct the simplest resus-citation measures on a souvenir, study-ing the peculiarities of the professional activity of a nurse with inactive patients of all ages and their relatives.Palliative care can be provided taking into account the needs and consent of a particular patient at home, at the clinic or in inpatient treatment and prevention in-stitutions of any form of ownership, using various organizational forms of medical care, including day care facilities, special-ized hospitals (hospices or offices pallia-tive care). For example, if a patient wants to receive palliative care at home, the nurses can teach their relatives, or neigh-bours who care for him, properly give him prescribed medications, and provide other medical and psychological care [4]. That is why much attention is paid to the peculiarities of general and special care for seriously ill, incurable and agonizing patients of all ages in therapeutic, surgical and pediatric practice. At the same time the attention of students is drawn to the psychological, spiritual and social issues of palliative care for incurable patients and their relatives, especially the manage-ment of patients and children of child-hood in the terminal stage of the disease. Provision of emotional and practical sup-port to relatives of the patient, training in the basics of care, clarification of treat-ment plans and changes taking place in the patient’s condition, maintaining in the near confidence that the patient is behav-ing as best as possible – all this alleviates the stress of the relatives, And prevents their increased morbidity in the period of loss. The peculiarity of the relationship between the patient, his family and the medical staff in the field of palliative medicine is that they are based on the principles of mutual cooperation. With the patient and his relatives, possible op-tions for treatment and care are discussed, decisions on the adoption of the most ac-ceptable of them are taken together. The activity of the nurse contributing to the recovery of the patient in the palliative care industry is minimal, but it should always be remembered that a significant number of cases of spontaneous healing have been described when a patient with a terminal stage of oncological disease suddenly recover, even without receiving antitumor treatment.It is important to familiarize nurses with specific applications of the main types of anesthetic drugs for chronic pain syndrome, food in the context of incur-able diseases; study of specific emergency aid and resuscitation of the simplest in-curable patients.Caring for seriously ill patients will enable future nurses to recognize their own motives training to facilitate better motivation in learning, understanding the correct choice of future profession and determine their values (shape moral character towards education charity, hu-manity, empathy, responsibility and obli-gations ‘connection custody of patients) and will increase the level of professional competence.Conclusion. Study on hospice and palliative care helps create a competent, tolerant, with high moral values and ca-pable of self-improvement expert. 47 Pedagogika.References:1. Князевич В. Проблеми розвитку палі-ативної допомоги в Україні. Пропози-ції щодо їх подолання // Аптека №632 (11), 2008.2. Вороненко Ю.В., Губський Ю.І., Царен-ко А.В. Створення системи паліативної і хоспісної допомоги в умовах рефор-мування охорони здоров’я в Україні: медичні та соціальні аспекти // Наука і практика. – №1 (2). -2014. – 63-75.3. Білик Л.В. Методологічні підходи фор-мування паліативної компетентності бакалаврів медицини / Л.В. Білик // Ві-сник Черкаського університету.  – 2014. –№ 26 (319). –С. 113–121.4. Губський Ю.І., Царенко А.В., Скори-на  О.О., Сердюк В.Г., Бобров  О.Є., Вольф  О.О. Актуальні питання впро-вадження системи паліативної допо-моги в Україні  – [Електронний ре-сурс].  – Режим доступу http://www.medrada.org/stat/156-aktualni-pytannia-vpro vad zhennia-systemy-paliatyvnoi-dopomohy-v-ukraini48 Zbiór artykułów naukowych.Interactive learning technology is a special form of cognitive activity. It has a specific and predictable goal to create a comfortable learning condition in which everyone increases personal success and intellectual abilities. These methods are more suitable for student-centered ap-proach, as they involve collective learning of a teacher in collaboration with the stu-dent. When using interactive teaching methods a teacher required to apply a creative approach to the organization of the practical classes and always acts as an organizer of the learning process and have to be the condition’s creator of the stu-dents’ initiative. Using a combination of these methods helps students to become active participants in discussion and will improve knowledge, practical skills, logi-cal clinical thinking.Traditional technologies include teaching and learning ‘at the bedside’ with patients under the supervision of a teach-er [1]. Teacher improves students’ skills in thematic debate that include subjective examination (collection of patient’s com-plaints, history of diseases and life), ob-jective examination of the patient, formu-lation of diagnostic plan, main and con-comitant diagnosis.We use one of the methods of imita-tion training – situational teaching meth-odology (case-method) in our work with students. Using of this method provides a transition from the method of knowledge accumulation to active and practically-oriented approach relatively to real stu-dent activity [2, 3]. The purpose of this method is to teach students to analyze information, identify key problems, choose alternative ways of solutions, eval-uate them and formulate a program of action.The first stage of work is the organiza-tion of the case. The teacher planning and organize a teaching session, choosing a EFFICIENCY OF SOME COMPONENTS OF INTERACTIVE TECHNOLOGIES IN TEACHING OF PROPEDEUTICS OF INTERNAL MEDICINEGlubochenko O.V.M.D., Ph.D., Associate Professor, Department of Propedeutics of Internal Medicine, Higher state educational establishment of Ukraine «Bukovinian State Medical University», Chernivtsу, UkraineSUMMARY The use of some interactive teaching methods in the teaching of prope-deutics of internal medicine is analyzed. The implementation of these methods in practi-cal classes has a positive influence on understanding of teaching materials by students and stimulates effectiveness of learning.Keywords: interactive teaching methods, propedeutics of internal medicine, edu-cational technology.

THE ROLE OF NURSE IN PALLIATIVE MEDICINE

http://dspace.bsmu.edu.ua:8080/xmlui/bitstream/handle/123456789/13502/%d0%a1%d1%82%d0%b0%d1%82%d1%82%d1%8f_%d0%91%d0%be%d1%80%d0%b5%d0%b9%d0%ba%d0%be_%d0%a1%d0%b5%d0%bc%d0%b5%d0%bd%d0%b5%d0%bd%d0%ba%d0%be_%d0%a2%d0%b8%d0%bc%d0%be%d1%84%d1%96%d0%b9%d1%87%d1%83%d0%ba-44-48.pdf?sequence=1&isAllowed=y

THE ROLE OF NURSE IN PALLIATIVE MEDICINE

Abstract

Similar works

Full text

Available Versions

Цифровий Репозиторій - Інтелектуальні Фонди Буковинського державного медичного університету