The concept of palliative care:
A type of care that combines a range of activities and treatments to improve the quality of life of a patient (children and adults) and their families facing problems associated with a life-threatening disease by preventing and alleviating suffering by early detection, the treatment of pain and other physical symptoms, as well as psychosocial and spiritual support.
In the medical sense, they understand the full care of a patient whose disease is not responding to treatment designed to control pain and other symptoms.
Ø relieve pain and other severe symptoms;
Ø Affirms life and considers death a common process;
Ø Does not seek to bring death closer or postpone;
Ø Combine the psychological and spiritual aspects of patient care;
Ø Provides a support system to help patients live as deadly as possible;
Ø Provides a support system that helps the family to cope with the patient's illness and pain at the time of loss;
Ø Uses a team approach that meets the needs of patients and their families, including counseling at the time of loss, if necessary;
Ø Undoubtedly, it improves the quality of life and can also positively influence the evolution of the disease.
Palliative care is a key component of general care for people living with cancer and other incurable HIV / AIDS illnesses due to the variety of symptoms they may experience such as pain, diarrhea, cough, breathing, nausea, weakness, fatigue, fever and confusion. Palliative care is an effective way to relieve symptoms that cause excessive suffering and frequent visits to a hospital or clinic. As a result of inadequate palliative care, the symptoms do not heal, which prevents a person's ability to continue their daily activities. At Community level, lack of palliative care is a further unnecessary burden for hospital or clinical resources.
Beneficiaries of palliative care:
Patients of all ages with progressive chronic diseases with a limited prognosis for a life of up to 12 months with uncontrolled symptoms, psycho-emotional suffering and a certain level of addiction.
Ø Onco Pathology
Ø HIV / AIDS
Ø neurological and degenerative diseases
Ø progressive and chronic neglected heart failure;
Ø Renal impairment
Ø Pulmonary pathology in the advanced stage
Ø Other progressive untreatable diseases
Ø severe congenital malformations
Ø neuromuscular dystrophies
Ø Principles of palliative care:
Ø Treat the patient, not the illness
Ø Improvement of the quality of life and a positive impact on the evolution of the disease
Ø Provide control of pain and other symptoms
Ø Maintaining the value of life and treating death as a normal process
Ø Do not accelerate, but do not prevent death
Ø Consider the patient and his family as palliative care
Ø Holistic care by a multidisciplinary team
Ø Combining medical, psychosocial and spiritual aspects in patient care
Ø family support during the illness and after the patient's death
Providing palliative care services
Palliative care services at home are provided by accredited medical institutions for this profile, regardless of the form of ownership, based on the current legislation of the Republic of Moldova.
Patient identification for this service is performed by the family doctor and other specialists at the patient's place of residence, based on the severity of the pathologies and degree of addiction.
The treatment, procedures and manipulations required for the patient are prescribed by the family doctor who has issued the referral for medical care.
Our position is that all patients with incurable and neglected diseases receive palliative care at home.