Geriatrik Palyatif Bakım ve Hemşirelik Yaklaşımı

Year 2022, Volume: 11 Issue: 1, 112 - 122, 29.04.2022

Özlem Uğur

Abstract

Palyatif bakım, ciddi ve yaşamı tehdit eden hastalığı olan bireylerin bakımında semptom yönetimi ve yaşam kalitesinin iyileştirilmesini amaçlayan interdisipliner bir yaklaşımdır.
Günümüzde yaşlı nüfus genç nüfusa göre hızla artmaktadır. Bu çoğu insanın yaşamını geriatrik bakım yaklaşımını gerektiren fonksiyonel yetersizlik, kırılganlık ve bilişsel gerileme ile karekterize bulgularla geçiriyor olması demektir. Bu ve benzeri nedenler yaşlı bireylerin ihtiyaçlarına ve durumlarına göre uyarlanmış palyatif bakım gerekliliğini beraberinde getirmiştir. Fakat hala bu konuyla ilişkili yeterli bir kavramsal çerçeve yoktur ve tüm güçlüklerine rağmen yapılandırılması gerekmektedir.

Keywords

Geriatri, Palyatif Bakım, Engeller, Hemşirelik, İzlemler

Supporting Institution

Çalışmayı destekleyen herhangi bir kurum yoktur

Project Number

-

Geriatric Palliative Care and Nursing Approach

Abstract

Palliative care is an interdisciplinary approach aimed at improving symptom management and quality of life in the care of individuals with serious and life-threatening diseases. Today, the elderly population is increasing rapidly compared to the young population. This means that most people spend their lives with symptoms characterized by functional disability, vulnerability and cognitive decline that require a geriatric care approach. However, there is still no adequate conceptual framework related to this issue and it is structured despite all its difficulties.

Keywords

Geriatrics, Palliative Care, Difficulties, Nursing, Strategies

Project Number

-

References

• Can G, 2019, Onkoloji Hemşireliği, Nobel Tıp Kitapevi
• Yıldırım Y ve Fadıkoğlu Ç, 2017, Palyatif Bakım Semptom Yönetimi ve Yaşam Sonu Bakım, Nobel tıp kitapevi, Ankara.
• Evers MM, Meier DE, Morrison RS.(2002). Assessing differences in care needs and service utilization in geriatric palliative care patients. J Pain Symptom Management, 23(5):424-32.
• Guerrero, JG. (2019). Palliative nursing care as applied to geriatric: An integrative literature review. Nurs Palliat Care. Vol:4: 1-6, doi: 10.15761/NPC.100019.
• Türkiye İstatistik Kurumu (TUIK). Data.tuik.gov.tr/Bulten/Index?p: Adrese-Dayalı Nüfus Kayıt Sistemi Sonuçları-2020-37210&dil:1. Erişim tarihi:22.02.2021.
• Şahin S, Shutoğlu S. (2018). Geriatrik Palyatif Bakımın Organizasyonu. Türkiye Klinikleri J Geriatr Special Topics, 4(1):7-11.
• Bloomer JM., Botti M, Runacsres F, Poon P, Barnfield J, Hutchinson MA. (2019). End of life care efor older people in subacute care: A retrospective clinical audit. Collegian, 26(1):22-27.
• Hegarty M, Currow CD. (2007). Palliative Aged Care: Collabrative Partnership Between Gerontology, Geratrics and Palliative Care. International Journal of Gerontology Vol:1(3): 112-117.
• Olden AM, Holloway R, Ladwig S, Quill TE, van Wijngaarden E. (2011). Palliative care needs and symptom patterns of hospitalized elders referred for consultation. J pain Symptom Manag.; 42: 410- 418.
• Voumard R, Rubli Truchard E, Benaroyo L, Borasio GD, Büla C, Jox RJ. (2018). Geriatric palliative care: a view of its concept, challenges and strategies. BMC Geriatr., 18(1):220. doi: 10.1186/s12877-018-0914.
• Bölüktaş P R.(2019). Yaşlanma Teorileri ve Geriatrik Değerlendirme. İstanbul Üniversitesi Uzaktan Eğitim Fakültesi. Yaşlı Bakımı Ön Lisans Programı.
• Hui, D., & Bruera, E. (2020). Models of Palliative Care Delivery for Patients With Cancer. Journal of clinical oncology: official journal of the American Society of Clinical Oncology, 38(9), 852–865. https://doi.org/10.1200/JCO.18.02123.
• Saracino RM, Bai M, Blatt L, Solomon L, McCorkle R . (2018). Geriatric palliative care: Meeting the needs of a growing population. Geriatr Nurs., 39(2):225-229. doi: 10.1016/j.gerinurse.2017.09.004.
• Magnuson A., Dale W., Mohile S. (2014). Models of Care in Geriatric Oncology. Curr Geriatr Rep. 2014 Sep; 3(3): 182–189.
• İnternal Medicine Residency Geriatrics& Palliative care. https://residency. dom.pitt.edu/program/tracks/geriatrics/, Erişim tarihi: 22.02.2021.
• Sarrio GR, Garrido M, Rebollo AM, Guillen- Ponce C. (2018). General Recommendations Paper on the Management og Older Patients with Cancer: the SEOM Geriatric Oncology Task Force’s Positions Statement. Clinical and Translational Oncology.;20(14): doı: 10.1007/s12094-018-1856.
• Santivasi WL., Partain DK. & Whitford KJ. (2019). The role of geriatric palliative care in hospitalized older adults. Hospital Practice, Vol:28(1): 37-47, https://doi.org/10.1080/21548331.2019.1703707.
• Overcash J. (2013).Geriatric oncology nursing: beyond standart care:Interdiscip Top Gerontology;38:139-45.
• Carpenter JG, Berry PH, Ersek M.(2017).Nursing home care trajectories for older adults following in-hospital palliative care consultation. Geriatr Nurs.;38(6):531-536. doi: 10.1016/j.gerinurse.2017.03.016.
• Towsley GL, Hirschman KB (2018).Talking About End-Of-Life Care: Perspectives of Nursing Home Residents Geriatr Nurs.; 39 (1), 72-76.
• Sucaklı, M , Koşar, Y . (2016). Palyatif Bakım ve Yaşam Kalitesi . Klinik Tıp Aile Hekimliği, 8 (3):34-39 . https://dergipark.org.tr/en/pub/ktah/issue/45394/487615.
• Holt-Lunstad J, Smith TB, Baker M, Harris T, Stephenson D. (2015). Loneliness and social isolation as risk factors for mortality: a meta-analytic review. Perspect Psychol Sci.;10(2):227–237.
• Taylor HO, Taylor RJ, Nguyen AW, Chatters L.(2018). Social isolation, depression, and psychological distress among older adults. J Aging Health.;30(2):229–246.
• Barford KL, D'Olimpio JT.(2008). Symptom management in geriatric oncology: practical treatment considerations and current challenges. Curr Treat Options Oncol.; 9(2-3):204-14. doi: 10.1007/s11864-008-0062-4.
• Morrison RS.(2013). Research priorities in geriatric palliative care: an introduction to a new series. J Palliat Med.;16(7):726-9. doi: 10.1089/jpm.2013.9499.
• Ersek M, Carpenter JG. (2013). Geriatric palliative care in long-term care settings with a focus on nursing homes. J Palliat Med.;16(10):1180-7. doi: 10.1089/jpm.2013.9474.
• Davita AE, Ross SJ, Hartronft S, Garza M, Lee S, Reilly SS. (2012).Effectiveness of a Geriatrics and Palliative Care Consultation on Symptom Management and Geriatric Syndromes. J Palliative Care Med., 2:4 doı: 10.4172/2165-7386.1000116.
• Browner IS, Smith TJ.(2018). Symptom Assessment in Elderly Cancer Patients Receiving Palliative Care. Ann Oncol, 24(7): 25-29. 29.Bahşi R., Varlı M. (2018). Palyatif Bakımdaki Yaşlıda Ağrının Yönetimi. Türkiye Klinikleri J Geriatr- Special Topics., 4(1): 49-54.
• Özsürekçi C., Halil GM.(2018). Palyatif Bakımdaki Yaşlıda Kronik Hastalıkların Yönetimi. Türkiye Klinikleri J Geriatr- Special Topics., 4(1): 12-19.
• Yalçın A., Sılay K. (2018). Palyatif Bakımdaki Yaşlıda Gastrointestinal Problemler. Türkiye Klinikleri J Geriatr- Special Topics., 4(1): 41-48.
• Turgut T., Varlı M.(2018). Palyatif Bakımdaki Yaşlıda Beslenme. Türkiye Klinikleri J Geriatr- Special Topics., 4(1): 72-88.
• Carlson C, Merel SE, Yukawa M. (2015). Geriatric Syndromes and Geriatric Assessment for the Generalist. Med Clin North Am.; 99 (2), 263-79.
• Çolak B, Kızıl Özel TE. (2018). Türkiye Klinikleri J Geriatr- Special Topics.; 4(1): 61-66.
• Heyland DK, Barwich D, Pichora D, et al. (2013). Failure to engage hospitalized elderly patients and their families in advance care planning. JAMA Intern Med.; 173(9):778–787.
• deLima Thomas J, Sanchez-Reilly S, Bernacki R, et al. (2018). Advance care planning in cognitively impaired older adults. J Am Geriatr Soc. 2018;66(8):1469–1474
• van Eechoud IJ, Piers RD, Van Camp S. Et al. (2014).Perspectives of family Members on planning end-of-life care for terminally ill and frail older people. J Pain Symptom Manage, ; 47(5):876-86
• NICE guideline . Care of dying adults in the last days of life. https://www.nice.org.uk/guidance/qs144 . 2017, Erişim Tarihi: 22.02.2021
• NHS England Transforming end of life care in acute hospitals. https://www.england.nhs.uk/.../transforming- end- of-life-care. 2015c, Erişim Tarihi: 22.02.2021
• Palliative care with European physicians involved in geriatric palliative care, http://www.eugms.org/research-cooperation/special-interest-groups/palliative-care.html, Erişim Tarihi: 22.02.2021
• World Health Organization Regional Office For Europe. Palliative Care For Older People: Better Practices, http://www.euro.who.int/__data/assets/pdf_file/0017/143153/e95052.pdf, Erişim Tarihi: 22.02.2021