Search

Palyatif bakımla birlikte ağrı yönetiminde gelişmeler, hastalık belirtilerinin hafifletilmesine yönelik girişimlerdeki yenilikler, terminal dönemde bulunan hastaların gereksinimleri daha merkezi bir alana taşındı. Hastalarla olan iletişim, kişilerarası ilişkiler yeniden bu dönemi deneyimleyen bireylerle ilgili araştırmaların konusunu oluşturmaya başlamıştır. Mizahın da palyatif bakım uygulamalarında kullanımı bu gelişmelere paralel seyreder. Bu makalede mizahın palyatif bakım uygulamalarındaki yeri ve hemşirelik uygulamalarında kullanılabilirliği tartışılmıştır. [ABSTRACT FROM AUTHOR]

The meaning of empirical knowledge in ethics has been debated from the past. Empirical ethics, which is a combination of social science and normative ethics, generally means social science research. Empirical ethics, which is also defined as an integrated form of ethical analysis and empirical research, enriches the discussions by clarifying the dilemmas faced by nurses in care services offered to individuals with mental health problems. In this context, studies combined with empirical ethics in mental health and psychiatric care are quite insufficient. In this article, it is aimed to define empirical ethics and discuss it in Turkey studies that can be defined as empirical ethical research conducted in the fields of psychiatric care. [ABSTRACT FROM AUTHOR]

Traditional healthcare practices are not fully efficient; thus, it can be said that individuals with chronic mental disorders living within society can benefit from implementation of new approaches such as empowerment. This approach is defined as the process in which an individual with a mental disorder gains knowledge, skills and attitudes enabling him to adapt to relationships in "normal" life so as to eliminate the inevitability of compulsory hospitalizations. With the empowerment approach, it becomes clear that new fields of creativity and different fields of power can be discovered in these individuals. The article aims to discuss this process. [ABSTRACT FROM AUTHOR]

Researches in the field revealed that depression is one of the most common psychiatric disorder in cancer patients which negatively affects cancer treatment and the patient's quality of life. However treatment and care of this factor has not been sufficiently considered yet. With the development of psycho-oncology, an important link between the cancer patient's treatment and psycho-social support for the patient and psychiatric treatment and care for the if it is needed has been established. With this connection, use of bio-psycho-social-model in cancer patient to improve their care has been proposed. To achieve this goal, medical staff is expected to realize patients' psychosocial need and the presence of any psychiatric disorders. For the medical staff working in oncology services, in-service training should be organized to increase the awareness about depression in the cancer patients. [ABSTRACT FROM AUTHOR]

Developments in methods of early diagnostic and treatment of cancer have increased the rate of survival. However, research also indicates that there has been an increase in the costs to health care system caused by both post-treatment of the disease itself and the possible psychosocial problems associated with the therapy. This evaluation stresses the importance of long-term post-treatment monitoring of cancer patients and emphasizes necessity of ensuring continuity of care. Sustainable long-term treatment and care procedures for the cancer survival patients have been developed in accordance with international regulations. The psychosocial services for cancer patients offered in our country are inadequate as these are at an early stage of development. However, establishment of organizations and coordination of various consultancy services for this group of patients can lead to prevention of workforce loss and other costs, as well as raise the quality of life for these patients. [ABSTRACT FROM AUTHOR]

The goal of the community mental health centers, which constitute the core of community based mental health service model, is to register the patients who live in a certain geographical region and have serious mental disorder in the center, to observe them regularly and to bring them back to community by providing their rehabilitation and treatment. The practice of community based mental health, which English health service carries out in one hand for the psychiatry patients' treatment and care, has many benefits, such as minimizing the sequence of going to hospital. The community mental health nurse, who works as an incidence manager, takes on the responsibility of treatment and care of the patient in the place where he/she lives, and the directly protective effect of this responsibility is an unquestionable fact. With this practice, the process of taking cure in hospital and the cost of treatment and care decrease. In our country, this sub-field of psychiatry is still in its incipient stage. Being familiar with the successful model practices in different countries may constitute a good model for the community mental health nursing practices which are on the first level in our country. For this purpose, the role of the nurses who work for the community mental health service in England is presented in this study. [ABSTRACT FROM AUTHOR]

It is not possible to conceive psycho-oncology separately from modern oncology. It is expected from medical personnel to realize patients' psycho-social needs and to possess knowledge about the demanding psycho-oncologic treatment for patients if it is needed. According to World Cancer Report statistics, the oncology personnel lack ability to determine the psycho-social needs of cancer patients and their families. For the medical personnel that work in oncology services, it is inevitable to raise the awareness of the cancer patients' psychosocial needs and to arrange in-service trainings about therapeutic negotiation techniques. The other step in the process of determining the psychological treatment and care requirements could be the improvement and execution of the standard psychological scanning tests applied to the cancer patients who are on the first level of diagnosis and treatment. It is important for the medical staff working with cancer patients to have a certain point of view concerning these issues. For this purpose, the present study focuses on the psychosocial problems that cancer patients might experience and on the evaluation techniques which are used in psycho-oncology. [ABSTRACT FROM AUTHOR]

Although the discipline of palliative care is new, it has rapidly gained its place in other areas of medicine. The most important reason for its fast development is that the provision of the necessary care and treatment for incurable patients has acquired increasing importance today. Palliative care considers that dying is a natural process of life. The main aim of palliative care services is to support both the patients and their family during the patient's life and after their death. Support with respect to possible physical and emotional problems should also be offered. Developed countries like Germany have made important progress with regard to palliative care applications. If palliative care models implemented in such countries become known in our country, it will aid their easier integration into the health care system and also facilitate the process for health professionals. For this purpose, palliative care offered in Germany and its application into the health care system are introduced in this review. [ABSTRACT FROM AUTHOR]