Yaşlı Kanser Hastalarının Destekleyici Bakım Gereksinimleri: Gereksinimler de Yaşlanıyor mu?

Year 2021, Volume: 8 Issue: 1, 93 - 100, 31.03.2021

İrem Ayvat Azize Atlı Özbaş

https://doi.org/10.31125/hunhemsire.907936

Cited By: 2

Abstract

Yaşlanma süreci fiziksel, psikolojik ve sosyal değişimleri bünyesinde barındırır. Yaşlanma sürecinin beraberinde getirdiği psikososyal sorunlara uyum sağlamak durumunda olan yaşlı, sürece kanserin de eklenmesiyle zorlu bir yaşantının içine girebilmektedir. Hem yaşlı kanser hastası hem de yakınları için zorlu bir mücadeleye dönüşen bu süreçte, yaşlı kanser hastalarının benzersiz ve karmaşık ihtiyaçları ortaya çıkabilmektedir. Bu ihtiyaçların karşılanmasında hastaların bakımında büyük yer kaplayan “destekleyici bakım” kavramı önem kazanmaktadır. Destekleyici bakım, hasta ve aileyi merkeze alarak, bütüncül bakımın sağlanmasını hedefler. Böylece, kanser hastalarının fiziksel olarak rahatlığı ve fonksiyonelliği yanı sıra sosyal, bilişsel, ekonomik, psikolojik ve spritüal iyilik halini arttırılmış olur. Destekleyici bakım, uyum süreci, bakım memnuniyeti ve yaşam kalitesi ile sıkı bir ilişki içerisindedir. Sağlık hizmeti ve iletişim, günlük yaşam aktiviteleri, cinsel ve psikolojik boyutlarını kapsayan destekleyici bakım gereksinimleri, sunulan hizmet, bireysel ve kültürel özelliklerle değişim gösterebilmektedir. Çok boyutlu, benzersiz ve karmaşık gereksinimleri olan bu özel grubun ihtiyaç duyduğu bakımı alabilmesi, bakımı verecek olan hemşirelerin sistematik ve kanıta dayalı yaklaşımları benimsemesi ve hasta ve ailesine işbirlikçi bir tutumla yaklaşması ile mümkün olacaktır. Bu derlemenin amacı, yaşlı kanser hastasının benzersiz ve karmaşık olabilen destekleyici bakım ihtiyaçlarını incelemek ve sağlık bakım vericilerin, yaşlı kanser hastalarının karşılanmamış bakım gereksinimlerini tanımaları ve ele almalarında yararlanabilecekleri metni Türkçe literatüre kazandırmaktır.

Keywords

İhtiyaç tespiti, kanser tedavi hizmetleri, sağlık hizmetleri gereksinim ve talepleri, yaşlılar için sağlık hizmetleri

Supportive Care Needs of Elderly Cancer Patients: Do Needs Get Older Too?

Abstract

The aging process involves physical, psychological, and social changes. The elderly, who have to adapt to psychosocial problems brought by the aging process, can get into difficult life with the addition of cancer to the process. The unique and complex needs of elderly cancer patients may arise in this process, which has turned into a difficult struggle for both the elderly cancer patient and their relatives. The concept of "supportive care", which takes a great place in patients' care, gains importance in meeting these needs. Supportive care aims to provide holistic care by centering the patient and the family. Thus, the physical comfort and functionality of cancer patients, as well as their social, cognitive, economic, psychological, and spiritual well-being are increased. Supportive care is in a tight relationship with the adaptation process, care satisfaction, and quality of life. Supportive care needs, including the dimensions of healthcare and communication, daily life activities, sexual and psychological, may vary with the medical service and individual and cultural features. This special group with multi-dimensional, unique, and complex needs will receive the care they need if the nurses who provide care adopt systematic and evidence-based approaches and approach the patient and his/her family with a collaborative attitude. This review aims to examine the supportive care needs of elderly cancer patients and bring a text to Turkish literature that healthcare providers can use to recognize and address the unmet care needs of elderly cancer patients.

Keywords

Cancer care facilities, health services needs and demands, health services for the elderly, needs assessment

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