1. PALYATİF TEDAVİ İLKELERİ
BEGÜM ERGAN
DOKUZ EYLÜL ÜNİVERSİTESİ
GÖĞÜS HASTALIKLARI AD, YOĞUN BAKIM BİLİM DALI
11.Ulusal Dahili ve Cerrahi Yoğun Bakım Kongresi,
15 Kasım 2014, Antalya
2. Sunum Planı
1. Palyatif bakım-tanım
2. Ülkemizde palyatif bakım açısından durum nedir?
3. Palyatif bakımda temel ilkeler
4. Yoğun bakım ünitesinde palyatif bakım: Nasıl?
8. Sunum Planı
1. Palyatif bakım-tanım
2. Ülkemizde palyatif bakım açısından durum nedir?
3. Palyatif bakımda temel ilkeler
4. Yoğun bakım ünitesinde palyatif bakım: Nasıl?
14. Sunum Planı
1. Palyatif bakım-tanım
2. Ülkemizde palyatif bakım açısından durum nedir?
3. Palyatif bakımda temel ilkeler
4. Yoğun bakım ünitesinde palyatif bakım: Nasıl?
18. • Hayatın süresini uzatma
• Semptomları (hastalığı) durdurma ya
da erteleme
• Izdırabı (suffering) arttırabilir
• Tedavi hasta odaklıdır
• Genellikle sorumlu sağlık personeli
belirler
• Hayat kalitesi arttırma
• Semptomları kabul ve kontrol etme
• Hastanın konforu
• Hasta/aile ilişkisini gözetir
• Hastanın istekleri ve kararları
önceliklidir
Ölümü ertelemeye (yaşamı uzatmaya)
çalışır
Ölümü hayatın doğal bir parçası olarak
kabul eder
19. Palyatif bakım modeli
Primer
hastalığın
kontrolü
PALYATİF
BAKIM
Semptomların
kontrolü
Psikolojik
destek
Yaşam sonunun
planlanması
Ekonomik
destek
Sosyal destek Manevi destek
20. HASTA VE AİLE
Doktorlar
Hemşireler
Terapistler
Sosyal hizmetler
Eczacı
Dini/
Manevi
Destek
21. Palyatif bakım ve aile
Aileye bakım açısından olası en uygun seçenekleri önceden
sunar
Hastanın günlük yaşantısını iyileştirerek aile bireylerinin
endişelerini hafifletir
İşler bir destek sistemi oluşturur
Yas dönemini düzenler
23. Sunum Planı
1. Palyatif bakım-tanım
2. Ülkemizde palyatif bakım açısından durum nedir?
3. Palyatif bakımda temel ilkeler
4. Yoğun bakım ünitesinde palyatif bakım: Nasıl?
This template can be used as a starter file to give updates for project milestones.
Sections
Sections can help to organize your slides or facilitate collaboration between multiple authors. On the Home tab, under Slides, click Section, and then click Add Section.
Notes
Use the Notes pane for delivery notes or to provide additional details for the audience. You can see these notes in Presenter View during your presentation.
Keep in mind the font size (important for accessibility, visibility, videotaping, and online production)
Coordinated colors
Pay particular attention to the graphs, charts, and text boxes.
Consider that attendees will print in black and white or grayscale. Run a test print to make sure your colors work when printed in pure black and white and grayscale.
Graphics, tables, and graphs
Keep it simple: If possible, use consistent, non-distracting styles and colors.
Label all graphs and tables.
What is the project about?
Define the goal of this project
Is it similar to projects in the past or is it a new effort?
Define the scope of this project
Is it an independent project or is it related to other projects?
* Note that this slide is not necessary for weekly status meetings
What is the project about?
Define the goal of this project
Is it similar to projects in the past or is it a new effort?
Define the scope of this project
Is it an independent project or is it related to other projects?
* Note that this slide is not necessary for weekly status meetings
What is the project about?
Define the goal of this project
Is it similar to projects in the past or is it a new effort?
Define the scope of this project
Is it an independent project or is it related to other projects?
* Note that this slide is not necessary for weekly status meetings
When a patient’s disease process is no longer curable or reversible, aggressive curative treatment begins to be less appropriate and may be considered harmful.
Hospice philosophy emphasizes palliative care, which can be as aggressive as curative care, with a
focus on comfort, quality of life, and patient-/family-directed care that promotes the patient’s right to
self-determination and decision-making.
Curative care: Focuses on quantity of life and prolonging of life.
Curative care can actually cause more suffering when cure is no longer possible and treatments and procedures needlessly extend the period of suffering.
Quality of life is often elusive if a patient is subjected to treatments and interventions that he/she did not choose, such as respirators, intravenous infusion and tube feedings.
Within the hospice philosophy, patients are encouraged to complete advance directives. patients’ choices regarding resuscitation measures and curative treatments are respected and honored by hospice.
Palliative care: Focuses on quality of life and death, and views death as a natural part of life.
Palliative care is a lessening and relief of physical, psychosocial and spiritual suffering so that the patient can accomplish his/her goals and life-closure tasks.
Closure tasks may include saying goodbye, letting go, finding meaning and value in life and death, and mending relationships.
Control and management of physical, emotional, psychosocial and spiritual pain and suffering and other end-of-life issues are paramount.
Determining specific things that bring quality of life to each patient
“We [palliative care team] can…provide a support system to help relatives and friends cope with your illness.”
-http://www.mmc.org/mmc_body.cfm?id=3463
What is the project about?
Define the goal of this project
Is it similar to projects in the past or is it a new effort?
Define the scope of this project
Is it an independent project or is it related to other projects?
* Note that this slide is not necessary for weekly status meetings
