32 KB392 KB27 KB192920262003Logar, VincencLunder, Urškaštevilka:11letnik:72str. 643-647ISSN:1318-0347COBISSID:17166809URN:URN:NBN:SI:doc-DMFI5JXMslSlovensko zdravniško društvoZdravniški vestnikDomovi za starostnikeHomes For The AgedHospitalizacijaHospitalizationMorfijevi derivatiMorphine DerivativesMortalityorganizacija zdravstvaPaliativna oskrbaPalliative CareSloveniaSlovenijaTherapeutic UseUmrljivostPaliativna oskrba v Sloveniji in izzivi za prihodnost| Palliative care in Slovenia and future challenges|Background. Palliative care in Slovene health care system isn't developed. Comparison with other countries is not possible in many aspects. There is no complete or appropriately educated palliative care team in hospitals or in primary care. Palliative care departments in hospitals and nursing homes do not exist. Holistic palliative home care is offered only by Slovene association of hospice. The pressure on nursing homes and nursing service departments isgetting stronger Standards and norms for staff, for living conditions and medical equipment do not allow any more admittances of patientswith the needs of high category of care in these institutions. Conclusions. Indirect indicators of level ofpalliative care (e.g. morphine consumption, palliative care departments, home care network, undergraduate education, specialisation and research) put Slovenia at the bade of the Europe. Statistics predict aging of population and more patients are also living with consequences of progressive chronic diseases and cancer. In the new healthcare reform there is an opportunity for palliative care to getan equalplace in healthcare system. With coordiriated implementation of palliative care departments, consultant teams and mobile specialistic teams, palliative care could reach a better level of quality. At the same time, quality permanent education is essentialIzhodišča. Paliativna oskrba v slovenskem zdravstvenem sistemu ni urejena. Primerjave slovenske paliativne oskrbe z drugimi državami so v mnogih vidikih nemogoče. V Sloveniji nimamo popolnega in ustrezno šolanega paliativnega tima v bolnišnicah ali v osnovnem zdravstvu, paliativni oddelki v bolnišnicah ali domovih upokojencev pa ne obstajajo. Celostno paliativno oskrbo na domu trenutno izvaja le Slovensko društvo hospic. Pritisk na negovalne oddelke in DSO je vedno večji. Standardi in normativi, tako kadrovski kot prostorski in materialni glede medicinske opreme v domovih, pa več ne dopuščajo povečevanja števila oskrbovancev s potrebami po najvišjih kategorijah kakovosti oskrbe. Zaključki. Posredni kazalci razvitosti paliativne oskrbe (poraba morfinov, število postelj paliativnih oddelkov, mreža oskrbe na domu, izobraževanje v dodiplomskem študiju, raziskave) postavljajo Slovenijo na evropski rep. Po statističnih kazalcih se populacija starejših veča, vedno več pa je tudi bolnikov, ki živijo s posledicami napredovalih kroničnih in rakavih bolezni. Nova reforma zdravstva je edinstvena priložnost, da paliativna oskrba dobi enakovredno mesto v zdravstvenem sistemu. S koordinirano vpeljavo mreže paliativnih oddelkov, konzultacijskih timov in mobilnih specialističnih timov bi ob permanentnem izobraževanju lahko razvili paliativno oskrbo na višji ravniTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo