Author/Editor		Gradišek, Anton
Title		Obravnava bolečine v starosti
Translated title		Treatment of pain in old age
Type		članek
Source		Zdrav Vars
Vol. and No.		Letnik 36, št. 9-10
Publication year		1997
Volume		str. 325-6
Language		slo
Abstract		In old age, pain is often the first feeling in the morning. Pains are mostly due to degenerative changes of locomotor apparatus. Specialized symposia regarding pain are organized this year especially on the domain of analgetics prescription for patients with cancer and for the most frequent conditions with known pain etiology. The advantage of team treatment on the primary level is the possibility of using - besides community nursing - working and physical therapy at home and out-patient physiatric help. The aim is to obtain the quality of life without pain. As analgetic prescription is not sufficient, we must try to find out the mechanisms which trigger the pain, identify them and act preventively. It is necessary to know home environment and to have the information of other members of the primary health care team. Useful is also the evidence of prescribed drugs which patient must have with when contacting members of the team and different specialists.
Summary		Bolečina je v starosti neredko prvi občutek, s katerim se človek zjutraj zbudi. Velik del bolečin gre na račun bolečin v gibalih zaradi degenerativnih procesov. Pričujoči simpozij je delno namenjen osvežitvi znanja in novostim v predpisovanju analgetikov rakavim bolnikom. Specializirani simpozij na temo bolečine so organizirani zlasti letos posebej. V drugem delu se bomo posvetili predvsem najpogostnejšim stanjem, kjer je vzrok bolečine pojasnjen, in jo skušamo timko zmanjšati ali odstraniti. Prednost organizirane timske obravnave na primarni ravni je v tem, da lahko uporabljamo poleg patronažnega varstva, različno od okolij, tudi delovno in fizikalno terapijo na domu in ambulantno fiziatrično pomoč. Življenje brez bolečine predstavlja kakovost, ki se ji skušajmo približati. Ob anamnezi bolečine nam naj ne bo dovolj samo predpis analgetika na recept, poskušajmo poiskati mehanizme, ki bolečino sprožajo, jih idendificirati, obenem pa delovati preprečevalno na ponovitev. Ob tem je nujno poznavanje domačega okolja in dodatne informacije ostalih članov tima primarnega zdravstvenega varstva. Koristna je uporaba pisne evidence predpisanih zdravil, ki jo ima bolnik pri sebi, kadar prihaja v stik s člani tima in zdravniki raznih specialnosti.
Descriptors		PAIN FAMILY PRACTICE SELF MEDICATION ANALGESIA AGED