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«Messenger of Anesthesiology and Resuscitation» Vol 14, №6, 2017,

DOI : 10.21292/2078-5658-2017-14-6-73-78

Assessment and management of severe gastrointestinal symptoms in the adult patients when providing palliative care

А. V. BELOBORODOVА 1 , D. V. NEVZOROVА 1,2 , ZH. M. SIZOVА 1 , E. А. BАKUNINА 1

  • 1 I. M. Sechenov First Moscow State Medical University, Moscow, Russia
  • 2 Center of Palliative Medicine, Moscow, Russia

According to calculation methods recommended by World Health Organisation, in Russia, approximately 600,000 people (from 378,46 to 561,52 per 100,000 population) are need of palliative care. Palliative care includes various medical interventions aimed at pain relief and management of other severe manifestations of the disease, life quality improvement of incurably ill citizens and this care can be provided on the out-patient and in-patient basis by medical workers who had training in the provision of such care (pp. 36 of FZ-323). Due to the above, it is necessary to work out standard approaches to assessment and management of main severe symptoms in the patients in need of palliative care. The article discusses the opportunities for management of severe gastrointestinal symptoms in the adults patients in need of palliative care with life expectancy from several weeks to several years. Pharmacological and non-pharmacological methods, individual approach attentive to details are to be combined for the effective management of severe events.

Key Words: palliative medical care, incurably ill patient, severe events, nausea, vomit, diarrhea, constipation

References

  • 1.Kleminson B. Vvedeniye v palliativnuyu pomosch. (Russ. Ed.: Dr. Bruce Cleminson. Introducing Palliative Care.) D.V. Nevzorov, Eds. Moscow, Blagotvoritelny Fond Pomoschi Khospisam Vera Publ., 2016 276 p.
  • 2.RF Federal Law no. 323-FZ as of 21.11.2011 On the Basics of Health Care for Citizens of the Russian Federation. (In Russ.)
  • 3.Khronicheskiy bolevoy sindrom (KHBS) u vzroslykh patsientov, nuzhdayuschikhsya v palliativnoy meditsinskoy pomoschi. Klinicheskie rekomendatsii MZ RF. [Chronic pain syndrome in adults in need of palliative care. Clinical recommendations of the Russian Ministry of Health]. Moscow, 2016. Available at: http://cr.rosminzdrav.ru/schema.html?id=708#/text
  • 4.Gamondi С., Larkin P., Payne S. Core competencies in palliative care: an EAPC White Paper on palliative care education. Available at: http://www.eapcnet.eu/Themes/Education/EAPCWhitePaperonEducation.aspx
  • 5.Guideline. Essential Medicines in Palliative Care. World Health Organization. 2013.
  • 6.Worldwide palliative care alliance (WPCA); World Health Organization 2015. – http://www.who.int/nmh/Global_Atlas_of_Palliative_Care.pdf

For citation: Beloborodova А. V., Nevzorova D. V., Sizova Zh. M., Bakunina E. А. Assessment and management of severe gastrointestinal symptoms in the adult patients when providing palliative care «Messenger of Anesthesiology and Resuscitation» 2017; 14(6):73-78. DOI : 10.21292/2078-5658-2017-14-6-73-78


For citation: Beloborodova А. V., Nevzorova D. V., Sizova Zh. M., Bakunina E. А. Assessment and management of severe gastrointestinal symptoms in the adult patients when providing palliative care «Messenger of Anesthesiology and Resuscitation» 2017; 14(6):73-78. DOI : 10.21292/2078-5658-2017-14-6-73-78

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