Author/Editor		Gradišek, Anton
Title		Zdravnik splošne oz. družinske medicine in vodenje bolnika z multiplo sklerozo
Translated title		General practitioner / family doctor and management of patient with multiple sclerosis
Type		članek
Source		Zdrav Vars
Vol. and No.		Letnik 37, št. 7-8
Publication year		1998
Volume		str. 323-6
Language		slo
Abstract		Since there is by estimation 2000 patients with multiple sclerosis in Slovenia, it means that each general practitoner/family doctor has also one or two, rarely three patients with this diagnosis. General symptoms which could mean the onset of multiple sclerosis are frequent with other patients, too. A thorough neurological examination should be performed also in a general practitioner's office, together with a careful observation of the patient. When the diagnosis of multiple sclerosis is confimed, the patient should not be turned over from a general practitioner/family doctor to a permanent specialistic care. The help of general practitioner/family doctor is needed by the whole family: from the regulation of disability status to the providing of appliances, coordinationof treatment, permanent support and, last but not least, treatment of other diseases that a patient with multiple sclerosis might get. it is important that doctors learn to approach uncurable diseases in a rational way, and plan their measures so that their realization can nevertheless offer some professional satisfaction, despite the prognosis of the disease against which they are helpess. Their role is also to help the patient and his/her family learn about as many written informative materials as possible, and about the possibilities of help. At an advanced stage of illness, and also at the confirmation of diagnosis, house calls are of vital necessity. It is important to keep up with professional literature as nowadays patients have an easy and fast access to information. The article deals also with a particular case of a patient.
Summary		Ker je v Sloveniji po oceni okoli 2000 bolnikov z multiplo sklerozo ima verjetno vsak splošni oz. družinski zdravnik med svojimi bolniki enega ali dva, zelo redko pa več kot tri bolnike s to diagnozo. Splošni simptomi, ki lahko pomenijo začetek multiple skleroze, pa so pogosti tudi pri ostalih bolnikih. Skrben nevrološki pregled sodi tudi v splošno ordinacijo, obenem pa še pazljivo opazovanje bolnika. Kadar je diagnoza multiple skleroze trdno postavljena, ne predajmo bolnika od sebe v trajno specialistično oskrbo. Našo pomoč potrebuje vsa družina: glede urejanja invalidskega statusa, pripomočkov, koordiniranja zdravljenja, stalne opore, ne nazadnje tudi glede vseh drugih bolezni, ki lahko dolete našega bolnika z multiplo sklerozo. Pomembno je, da se zdravniki naučimo racionalnega soočenja z neozdravljivimi boleznimi in naše ukrepe načrtujemo tako da nam realizacija le-teh lahko vseeno nudi določeno profesionalno zadoščenje kljub prognozi bolezni, kjer b osnovi ne moremo pomagati. Naša vloga je tudi v tem, da se bolnik in družina temeljito seznanita s pisnm informacijami in možnostmi pomoči. Hišni obiski so pri napredovali bolezni, pa tudi že v obdobju po postavitvi diagnoze, nujno potrebni. Pomembno je, da spremljamo strokovno literaturo, saj danes bolniki hitro prihajajo do informacij. V članku je opisan tudi primer bolnika.
Descriptors		MULTIPLE SCLEROSIS PHYSICIANS, FAMILY PHYSICIAN-PATIENT RELATIONS SOCIOECONOMIC FACTORS