ASSESSMENT AND MANAGEMENT OF SEVERE GASTROINTESTINAL SYMPTOMS IN THE ADULT PATIENTS WHEN PROVIDING PALLIATIVE CARE
https://doi.org/10.21292/2078-5658-2017-14-6-73-78
Abstract
According to calculation methods recommended by World Health Organisation, in Russia, approximately 600,000 people (from 378,46 to 561,52 per 100,000 population) are need of palliative care. Palliative care includes various medical interventions aimed at pain relief and management of other severe manifestations of the disease, life quality improvement of incurably ill citizens and this care can be provided on the out-patient and in-patient basis by medical workers who had training in the provision of such care (pp. 36 of FZ-323). Due to the above, it is necessary to work out standard approaches to assessment and management of main severe symptoms in the patients in need of palliative care. The article discusses the opportunities for management of severe gastrointestinal symptoms in the adults patients in need of palliative care with life expectancy from several weeks to several years. Pharmacological and non-pharmacological methods, individual approach attentive to details are to be combined for the effective management of severe events.
About the Authors
A. V. Beloborodova
I. M. Sechenov First Moscow State Medical University, Moscow
Russian Federation
Candidate of Medical Sciences, Associate Professor of Department of Medical Social Expertise, Emergency and Polyclinic Therapy
Russian Federation
Candidate of Medical Sciences, Associate Professor of Department of Medical Social Expertise, Emergency and Polyclinic Therapy
D. V. Nevzorova
I. M. Sechenov First Moscow State Medical University, Moscow;
Center of Palliative Medicine, Moscow
Russian Federation
Candidate of Medical Sciences, Associate Professor of Department of Medical Social Expertise, Emergency and Polyclinic Therapy, Chief Expert on Palliative Medical Care of the Russian Ministry of Health
Russian Federation
Candidate of Medical Sciences, Associate Professor of Department of Medical Social Expertise, Emergency and Polyclinic Therapy, Chief Expert on Palliative Medical Care of the Russian Ministry of Health
Zh. M. Sizova
I. M. Sechenov First Moscow State Medical University, Moscow
Russian Federation
Doctor of Medical Sciences, Professor, Head of Department of Medical Social Expertise, Emergency and Polyclinic Therapy
Russian Federation
Doctor of Medical Sciences, Professor, Head of Department of Medical Social Expertise, Emergency and Polyclinic Therapy
E. A. Bakunina
I. M. Sechenov First Moscow State Medical University, Moscow
Russian Federation
Post Graduate Student of Department of Medical Social Expertise, Emergency and Polyclinic Therapy
Russian Federation
Post Graduate Student of Department of Medical Social Expertise, Emergency and Polyclinic Therapy
References
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Review
For citations:
Beloborodova A.V., Nevzorova D.V., Sizova Zh.M., Bakunina E.A. ASSESSMENT AND MANAGEMENT OF SEVERE GASTROINTESTINAL SYMPTOMS IN THE ADULT PATIENTS WHEN PROVIDING PALLIATIVE CARE. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2017;14(6):73-78. (In Russ.) https://doi.org/10.21292/2078-5658-2017-14-6-73-78
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