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Abstract
OPEN QUESTIONS ABOUT THE USE USE AND DEFINITION OF THE STATUS OF A PALLIATIVE CARE PATIENT
Yu. Zhogno, O.Riga
The article discusses the issue of determining the status of a palliative patient in the context of institutionalization of the national system of palliative care in Ukraine and the statistical obscurity of palliative patients. The definition of "palliative status of a patient" is studied using the materials of scientific Ukrainian and foreign sources. Semantics of the concepts of "status", "patient" and "palliative" are featured. The criteria for determining the patient's palliative status and its differential diagnosis are discussed using modern approaches to its categorization. Recommendations for determining the patient's palliative status, including that of a child, were developed.
Conclusion. The question of the status of a palliative patient still remains unanswered in practice, especially when palliative care is not finally institutionalized as an integral part of both clinical practice and collective consciousness of Ukrainian society.
Key words: palliative care, status of a palliative patient, discrimination.
ВІДКРИТІ ПИТАННЯ ВИКОРИСТАННЯ ТА ВИЗНАЧЕННЯ СТАТУСУ ПАЛІАТИВНОГО ПАЦІЄНТА
Ю. Жогно, О. Ріга
У статті дискутуються питання визначення статусу паліативного хворого в контексті інституалізації національної системи паліативної допомоги в Україні та статистичної непомітності паліативних пацієнтів. Дефініція «паліативний статус пацієнта» досліджується на матеріалі наукових вітчизняних та закордонних джерел. Розглянута семантика понять «статус», «пацієнт» та «паліативний». Обговорюються критерії визначення паліативного статусу пацієнта та його диференціальна діагностика, використовуючи сучасні підходи до його категоризації. Розроблено рекомендації щодо визначення паліативного статусу пацієнта, в тому числі, дитячого віку. Висновки. Визначення статусу паліативного пацієнта досі залишається на практиці без відповіді, особливо коли паліативна допомога остаточно не інституалізовано невід'ємною складовою як клінічної практики, так і колективної свідомості українського суспільства.
Ключові слова: паліативна допомога, статус паліативного пацієнта пацієнта, дискримінація.
ОТКРІТІЕ ВОПРОСІ ИСПОЛЬЗОВАНИЯ И ОПРЕДЕЛЕНИЯ СТАТУСА ПАЛЛИАТИВНОГО ПАЦИЕНТА
Ю. Жогно, Е. Рига
В статье дискутируются вопросы определения статуса паллиативного больного в контексте институционализации национальной системы паллиативной помощи в Украине и статистической незаметности паллиативных пациентов. Дефиниция «паллиативный статус пациента» исследуется на материале научных отечественных и зарубежных источников. Рассмотрена семантика понятий «статус», «пациент» и «паллиативный». Обсуждаются критерии определения паллиативного статуса пациента и его дифференциальная диагностика, используя современные подходы к его категоризации. Разработаны рекомендации по определению паллиативного статуса пациента, в том числе, детского возраста. Выводы. Определение статуса паллиативного пациента до сих пор остается на практике без ответа, особенно когда паллиативная помощь окончательно не институализирована неотъемлемой составляющей как клинической практики, так и коллективного сознания украинского общества.
Ключевые слова: паллиативная помощь, статус паллиативного пациента пациента, дискриминация.
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