{"id":10486,"date":"2019-10-10T09:49:23","date_gmt":"2019-10-10T07:49:23","guid":{"rendered":"https:\/\/eoc.cat\/atencion-al-paciente-terminal\/"},"modified":"2022-02-17T10:52:28","modified_gmt":"2022-02-17T09:52:28","slug":"atencio-pacient-terminal","status":"publish","type":"post","link":"https:\/\/eoc.cat\/ca\/atencio-pacient-terminal\/","title":{"rendered":"Atenci\u00f3 al pacient terminal. Labors i caracter\u00edstiques"},"content":{"rendered":"

Un dels grans aven\u00e7os en els serveis sanitaris a Espanya \u00e9s l’atenci\u00f3 al pacient terminal. Aquesta atenci\u00f3 fa refer\u00e8ncia a les cures que s’administren als centres hospitalaris a persones que afronten els seus \u00faltims dies de vida.<\/p>\n

Heu de saber que el nombre de persones que requereixen aquest tipus d’atenci\u00f3 s’incrementa notablement als pa\u00efsos desenvolupats. L’equip de suport en aquests casos sol ser multidisciplinari. Aix\u00ed, podran oferir cura a persones amb malalties progressives i incurables i pron\u00f2stics de vida de 6 mesos o menys.<\/p>\n

Com s\u00f3n les cures al pacient terminal?<\/h2>\n

L’Organitzaci\u00f3 Mundial de la Salut<\/a> us brinda una visi\u00f3 integral de les cures pal\u00b7liatives. Per aix\u00f2, descriu aquesta \u00e0rea de la medicina com les mesures destinades a alleujar el patiment a pacients i familiars.<\/p>\n

Aix\u00f2 s’aconsegueix mitjan\u00e7ant la prevenci\u00f3, la identificaci\u00f3 i el tractament dels patiments. Poden ser espirituals, psicosocials o f\u00edsics i es presenten en enfrontar-se a la mort. Per aquesta ra\u00f3, es poden iniciar des d’etapes precoces de la malaltia juntament amb tractaments com la quimioter\u00e0pia.<\/p>\n

Aspectes psicosocials i espirituals<\/h2>\n

L’atenci\u00f3 al pacient i els familiars inclou aspectes com ara enfrontar-se a la por i compensar la soledat. En conseq\u00fc\u00e8ncia, els has de brindar l’oportunitat de compartir aquests i altres sentiments. A m\u00e9s, t’haur\u00e0s d’enfocar en expectatives realistes i en el maneig saludable del patiment emocional.<\/p>\n

Alleugeriment del patiment del pacient terminal<\/h2>\n

Pal\u00b7liar els patiments generals del pacient, estiguin associats o no a quadres de dolor, \u00e9s part de l’atenci\u00f3 que li pots brindar. Aix\u00f2 inclou el tractament simptom\u00e0tic de diverses situacions; dispnea, edemes, restrenyiment, dificultats per alimentar-se<\/a> i prevenci\u00f3 de les \u00falceres de dec\u00fabit. Tot aix\u00f2 es pot fer utilitzant mesures preventives que pal\u00b7li\u00efn la situaci\u00f3 o mitjan\u00e7ant l’\u00fas de medicaments.<\/p>\n

Veure la mort com un proc\u00e9s natural<\/h2>\n

Enfocar la mort com una cosa que \u00e9s part de la vida \u00e9s un suport imprescindible per a pacients i familiars. Per aix\u00f2, \u00e9s un pilar de l’atenci\u00f3 al pacient terminal. En primer lloc, les cures pal\u00b7liatives no pretenen accelerar el desenlla\u00e7. Tampoc busquen perllongar la vida ni crear esperances sobre la curaci\u00f3. L’objectiu \u00e9s oferir comoditat i dignitat al malalt i als familiars que l’acompanyin fins al final.<\/p>\n

Qualitat de vida<\/h2>\n

D’altra banda, les cures que pots oferir ajuden que la persona afectada visqui els seus \u00faltims dies amb activitat i en connexi\u00f3 amb l’entorn. En conseq\u00fc\u00e8ncia, part de les teves funcions seran que pugui aconseguir all\u00f2 que es proposa entre all\u00f2 que \u00e9s capa\u00e7 de realitzar. Per aix\u00f2, com a auxiliar d’infermeria<\/a> haur\u00e0s d’utilitzar mitjans de suport per tal de millorar el dia a dia del malalt.<\/p>\n

\"atenci\u00f3<\/p>\n

Els familiars<\/h2>\n

Donar suport i mantenir una connexi\u00f3 amb els familiars s\u00f3n part de les teves funcions. Tenir cura d’un malalt pot arribar a ser una tasca angoixant. Aix\u00ed, l’anomenada assist\u00e8ncia de relleu ofereix un respir i permet a la fam\u00edlia descansar i recobrar-se f\u00edsicament i emocionalment. Tamb\u00e9 us dona l’oportunitat de dedicar temps a les vostres necessitats personals.<\/p>\n

El dol<\/h2>\n

Des d’abans que el desenlla\u00e7 es presenti, comen\u00e7a el duel per a molts amics. Tindr\u00e0s l’oportunitat d’explicar les etapes per les quals passa aquest proc\u00e9s i fer saber que \u00e9s natural i previsible. Donar suport en casos de dubtes o inquietuds \u00e9s una ajuda de gran transcend\u00e8ncia en l’atenci\u00f3 al pacient terminal. Saber com sobrevindr\u00e0 el desenlla\u00e7 i preveure totes les circumst\u00e0ncies els permet acostar-se a la mort amb una actitud correcta.<\/p>\n

Tractaments addicionals<\/h2>\n

En determinades circumst\u00e0ncies, calen tractaments addicionals. Pot ser una infecci\u00f3, un esdeveniment imprevist o una complicaci\u00f3 de la malaltia. En conseq\u00fc\u00e8ncia, les cures pal\u00b7liatives tamb\u00e9 inclouen l’administraci\u00f3 dels f\u00e0rmacs indicats i les mesures generals. De la mateixa manera, se us encomanar\u00e0 el maneig dels equips m\u00e8dics que requereixi el pacient.<\/p>\n

Cures del pacient terminal directes<\/h2>\n

Netejar el pacient amb la freq\u00fc\u00e8ncia necess\u00e0ria \u00e9s part imprescindible de les cures de pacients terminals. Aix\u00f2 inclou mantenir un ambient grat a la seva habitaci\u00f3 i ajudar el malalt a estar c\u00f2mode. Canviar-lo de posici\u00f3 per prevenir les \u00falceres per dec\u00fabit \u00e9s tamb\u00e9 una tasca que haur\u00e0s de fer quotidianament. Igual que el mesurament dels signes vitals, el manteniment de les sondes o tenir cura de les vies venoses.<\/p>\n

Cures de la boca<\/h2>\n

Una tasca molt important \u00e9s mantenir la boca del malalt neta. Aix\u00f2 \u00e9s particularment important per als casos en qu\u00e8 es presentin lesions en aquesta \u00e0rea. Per aix\u00f2, pots fer servir un raspall de dents infantil amb truges suaus. Aix\u00ed eliminar\u00e0s la placa bacteriana de les dents i la llengua.<\/p>\n

Tamb\u00e9 la camamilla freda, l’aigua amb llimona, els gla\u00e7ons de gel i la vaselina l\u00edquida poden ser \u00fatils. Amb elles, la sensaci\u00f3 que queda a la boca i els llavis ser\u00e0 m\u00e9s confortable i s’estimular\u00e0 la secreci\u00f3 de saliva.<\/p>\n

L’atenci\u00f3 al pacient terminal \u00e9s complexa i requereix coneixement i disposici\u00f3 d’ajudar. Gr\u00e0cies a ella, la fam\u00edlia i el malalt en resultaran enormement beneficiats.<\/p>\n","protected":false},"excerpt":{"rendered":"

Un dels grans aven\u00e7os en els serveis sanitaris a Espanya \u00e9s l’atenci\u00f3 al pacient terminal. Aquesta atenci\u00f3 fa refer\u00e8ncia a les cures que s’administren als centres hospitalaris a persones que afronten els seus \u00faltims dies de vida. Heu de saber que el nombre de persones que requereixen aquest tipus d’atenci\u00f3 s’incrementa notablement als pa\u00efsos desenvolupats. […]<\/p>\n","protected":false},"author":7,"featured_media":6530,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[88],"tags":[89,92,102],"class_list":["post-10486","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-auxiliar-infermeria","tag-auxiliar-infermeria","tag-auxiliar-quirofan","tag-emergencies-sanitaries"],"yoast_head":"\nAtenci\u00f3 al pacient terminal. 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