ANALGESIA AS A FACTOR IN IMPROVING THE QUALITY OF LIFE OF PALLIATIVE PATIENTS
DOI:
https://doi.org/10.32782/2226-2008-2024-5-10Keywords:
palliative and hospice care, basic palliative diagnosis, reimbursement, literature reviewAbstract
Background. Palliative and hospice care (PHC) is provided to patients with incurable diseases in the last period of their life. PHC should reduce suffering and improve the quality of life of palliative patients themselves and their relatives. Pain relief is one of the main needs of palliative patients. The purpose of the work is to analyze, generalize, and systematize the information of professional literature and normative legal acts of Ukraine regarding chronic pain in palliative patients and adequate analgesia depending on the main palliative disease. Materials and methods. It was used system analysis, bibliosemantic method, and materials of PubMed and Google Scholar. Results. The study showed the imperfection of the practice of organizing palliative care for palliative patients in Ukraine: national standards for the treatment of chronic pain, reimbursement of analgesic drugs practice. An objective assessment of the results of the aid organization is provided by surveys on the quality of life with standard and modified SF-36 questionnaires. Conclusions. In order to organize full-fledged analgesia for the majority of palliative patients in Ukraine, it is necessary to review the list of palliative diagnoses with its recognition at the legislative level, as well as further development of the PHC system within the framework of the reform of the entire health care system. Increasing the availability of adequate pain relief for palliative patients should be facilitated by the legalization of medical cannabis, revision of protocols for the treatment of chronic pain in adults and children, improvement of the practice of reimbursement of the cost of medical drugs from the state budget, and further scientific research on the effectiveness of health care organization measures.
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