Author/Editor		Skela-Savič, Brigita
Title		Od besed k dejanjem: zdravstvena nega kot integralni del paliativne oskrbe onkoloških bolnikov
Translated title		From words to acting: nursing care as an integral part of palliative care of cancer patients
Type		članek
Source		Obz Zdrav Nege
Vol. and No.		Letnik 39, št. 4
Publication year		2005
Volume		str. 245-53
Language		slo
Abstract		Palliative nursing care is included in all aspects of palliative care of cancer patients. The central role in palliative nursing care always belongs to to the patient and his family and their related needs, and not the prognosis of his illness. Nurse should be able to understand the process of comprehension and coping with progressing disease, as well as the impact of the patient's condition of his family. The basic standpoint of palliative care is interdisciplinary team approach. Palliative nursing care is based on supportive model of nursing care which is most prominent when caring for a patient in hospice. The model was developed on the basis of analysis of work of nurses dealing with pain. In hospital work the fact that palliative medicine, palliative nursing care and palliative care in the widest sense of the word, are, along with surgery, radiotherapy and system therapy, the fourth professional field of oncology which should be acknowledged, researched and developed. Postgraduate specialist education of physicians and nurses would be required. Specialist education would enable the integration of this specific field of patient care, which also represents a mirror of every developed society, in the work of health institutions on all levels and into wider community.
Summary		Paliativna zdravstvena nega je vključena v vse vidike onkološke paliativne oskrbe. Osrednjo vlogo pri paliativni zdravstveni negi ima vedno bolnik in njegova družina ter s tem povezane potrebe in ne prognoza bolezni. Medicinska sestra mora razumeti procese dojemanja in soočanja bolnika z napredovalo boleznijo ter vpliv bolnikovega stanja na družino. Osnovno izhodišče za razvoj paliativne zdravstvene nege je interdisciplinarni timski pristop. Paliativna zdravstvena nega temelji na suportivnem modelu dravstvene nege, ki je zlasti izražen pri obravnavi bolnikov v hospicu. Model je bil razvit na osnovi analize dela medicinskih sester na področju bolečine. V kliničnem delu je potrebno sprejeti dejstvo, da so paliativna medicina, paliativna zdravstvena nega in paliativna oskrba v najširšem smislu poleg kirurgije, radioterapije in sistemske terapije, četrto strokovno področje onkologije, ki ga je porebno prepoznati, raziskovati in razvijati. Nujno je podiplomko izobraževanje zdravnikov in medicinskih sester. Le na ta način bomo to pomembno področje, ki je ogledalo vsake razvite družbe, integrirali v delo zdravstvenih zavodov na vseh ravneh zdravstva in širše družbene skupnosti.
Descriptors		ONCOLOGIC NURSING PALLIATIVE CARE