the job of caring for the dying, Catherine clearly realized that modern medicine, despite the huge advances in life extension, forgot about the main thing - about the death of the person, which must be held as worthy as his birth.
On the death of few people says out loud, even the doctors prefer honest vague phrases "you die."
In the world of modern technologies death was not a natural ending of life, and something of a defeat in the fight, which you just need to accept and not to discuss.
palliative care experts want to change society's attitude to death, teach to talk about it without fear or embarrassment.
term "palliative care" is no accident occurred from the Latin pallio (cloak, cover, smooth).To harbor and protect their patients and their families - the ma
movement originated in the 80-ies of XX century on the initiative of experts of the World Health Organization (WHO) Department of Oncology.
then the main task was to relieve the pain of patients who die from cancer.Over time, this assistance has spread to humans and other incurable diseases.It became clear that the dying need not only painkillers and opiates, but also psychological assistance, moral support, the decision everyday issues, support their families.
definition of palliative care, WHO began to sound like this: "The direction of the medical and social activities, the aim of which is to improve the quality of life of the terminally ill and their families through the prevention and relief of suffering by means of early detection, careful assessment and relief of pain and other symptoms - physical, psychological and spiritual. "
In recent years, there is another approach to palliative care, when you need to provide assistance not only in the later stages, but much earlier, even when the patient passes treatment aimed at prolonging life.
in palliative care in the first place need to patients with cancer, chronic respiratory diseases and central nervous system, patients with HIV / AIDS and other serious diseases, traditional treatment which at some point ceased to help.
At the same time, physicians began to notice that the sooner their patients begin to receive additional care, the greater effect can be achieved.So now some agencies provide palliative care in parallel with standard therapy.
Representatives of palliative medicine believe that additional help is not necessary to wait for the verdict of doctors of impending death.Studies show that patients who received palliative care and traditional healing took place at the same time feel a lot better.Those of skill could not only improve their quality of life, but also to extend it.
Nevertheless, doctors often suggest that many patients are not psychologically ready for such non-traditional support.Even a meeting with an employee of the hospice is perceived as a defeat of the disease, the imminent approach of death.
At this stage, according to specialists of palliative institutions and family physicians should support the patient as much as possible, to explain to him the benefits of extra care.
In Russia, palliative care was recognized as medical care in 2011 alone.Then, given official status and the definition of the Federal Law №323 given medical direction, which many experts still consider incomplete and incorrect.
Thus, the document says nothing about the psychological and social assistance to patients and their families, not mentioned assistance to sick children.
Under Russian law, the appropriate care for dying patients should provide only medical organization - "palliative care centers and hospitals with the relevant departments," which virtually no one in Russia, as there is no possibility to train specialists in the field.
Nevertheless, there are organizations that even before the official status of palliative care has successfully provided its incurable patients in Russia, regardless of their age and diagnosis.
list of institutions providing palliative care for adults
palliative care for children
hospices and nursing homes are more prepared to support the terminally ill, to ease his pain as much as possible to help overcome the fear of death and spend the remaining time as he would like.
As explained by employees of these organizations, "Hospice - a house in which cherish life, no matter how much it or left."
Timely treatment for palliative care - a complex psychological moment for the patient, a new stage of life, but not the recognition of their own destruction.
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