Title OBOLJELI OD MULTIPLOG MIJELOMA SA ASPEKTA SESTRINSKE SKRBI
Title (english) SUFFERING FROM MULTIPLE MYELOMA FROM THE ASPECT OF NURSING CARE
Author Jasna Čačić
Mentor Angela Lovrić (mentor)
Committee member Iva Keglević (predsjednik povjerenstva)
Committee member Deana Švaljug (član povjerenstva)
Committee member Angela Lovrić (član povjerenstva)
Granter University of Rijeka Faculty of Health Studies (Department of Midwifery) Rijeka
Defense date and country 2018-06-27, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Nursing
Abstract Multipli mijelom predstavlja deset do petnaest posto svih hematoloških bolesti. To je napredni tumor koji se sastoji od više istih stanica – klonova koji su nastali od jednog imunoglobulina. Bolest se očituje degenerativnim promjenama kostiju, bolovima, anemijom, učestalim infekcijama, povećanjem razine kalcija te mogućim bubrežnim zatajenjem i drugim komplikacijama. Značajke u dijagnostici ove bolesti predstavljaju testovi za probir i postavljanje dijagnoze, procjena veličine tumora, prognoza i procjena oštećenja pojedinih organa. U liječenju multiplog mijeloma, u svrhu omogućavanja transplantacija matičnim stanicama, koriste se razne kombinacije liječenja sa citostaticima, imunomodulatornim lijekovima, inhibitorima proteasoma, glukokortikoidima. U sklopu liječenja ili održavanja se koristi i potporna terapija - ovisno o potrebama bolesnika. Kako bi se dijagnostika, liječenje i praćenje bolesnika provelo na pravilan način unutar bolničke i vanbolničke skrbi, veliku ulogu imaju medicinske sestre. Faze liječenja bolesnika nose razne promjene unutar privatnog, javnog, funkcionalnog i drugog životnog aspekta. Sestrinska skrb omogućuje kontinuirano praćenje tih faza te pomoć bolesniku i osobama koje sudjeluju u njezi. Kako bi se što jednostavnije i sigurnije omogućilo očuvanje i unaprjeđenje pravilnih životnih navika, smanjenje komplikacija i poboljšanje novonastalog stanja, uloge medicinske sestre se proširuje na edukacijske i potporne te imaju za cilj očuvati integritet bolesnika kao cjelovite osobe. Dnevne bolnice, poliklinike i ambulante obiteljske medicine također su uključene u brigu o oboljelima od multiplog mijeloma. Njihove zadaće su potpora i pomoć tijekom praćenja bolesnika, a uključuju dijagnostiku, liječenje, kontrole i slično. U prevenciji boli i patnje kod oboljelih i njihovih bližnjih uključuje se i palijativna skrb sa svojim sastavnicama.
Abstract (english) Multiple Myeloma represents ten to fifteen percent of all hematological diseases. It is an advanced tumor that consists of several identical cells - clones that are produced by one immunoglobulin. The disease is manifested by degenerative bone changes, pain, anemia, frequent infections, increased levels of calcium and possible renal failure and other complications. Diagnostic features of this disease include screening and diagnosis tests, tumor size estimation, and estimation of individual organ damage. In the treatment of multiple myeloma, various combinations of cytostatic, immunomodulatory, proteasome inhibitors, glucocorticoids are used in order to facilitate stem cell transplantation. Supporting therapy is also used as part of the treatment or maintenance - depending on the patient's needs. In order to properly diagnose, treat and monitor patients within hospital and outpatient care, nurses have a great role to play. Patient care phases carry various changes within a private, public, and other functional aspects of life. Nursing care enables continuous monitoring of these phases and for the patient and those who participate in the care. To help preserve and improve the proper living habits, reduce complications and improve the new situation, the role of nurses is expanded to education and support, and aims to preserve the integrity of patients as a whole person. Day hospitals, polyclinics and family health clinics are also involved in treating multiple myeloma patients. Their tasks are support and assistance during patient monitoring, including diagnosis, treatment, control, and the like. In the prevention of pain and suffering in the patients and their families, there is also palliative care with their constituents.
Keywords
multipli mijelom
komplikacije
liječenje
skrb
oboljeli
medicinske sestre
Keywords (english)
multiple myeloma
complications
treatment
care
patients
nurses
Language croatian
URN:NBN urn:nbn:hr:184:658543
Study programme Title: Professional study of nursing (Biomedicine and Healthcare; clinical medical sciences) Study programme type: professional Study level: undergraduate Academic / professional title: stručni/a prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva (stručni/a prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Access restricted to students and staff of home institution
Terms of use
Repository Repository of the University of Rijeka, Faculty of Health Studies
Created on 2019-04-04 10:19:21