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Dąbrowska Maria, Lisiecki Jakub, Biernacki Maciej, Paruszewska – Achtel Monika, Ulenberg Agata, Ulenberg Grzegorz. Kinesiotherapy as a method supporting the rehabilitation of lumbosacral spine pain in pregnant women. Journal of Education, Health and Sport. 2019;9(5):359-362. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.3228940 http://ojs.ukw.edu.pl/index.php/johs/article/view/6937 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2019; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 28.04.2019. Revised: 28.04.2019. Accepted: 26.05.2019. Kinesiotherapy as a method supporting the rehabilitation of lumbosacral spine pain in pregnant women Dąbrowska Maria¹, Lisiecki Jakub¹, Biernacki Maciej¹, Paruszewska – Achtel Monika¹, Ulenberg Agata², Ulenberg Grzegorz ³ 1 Department of Anatomy, Nicolaus Copernicus University in Torun, Collegium Medicum 2 Fundamentals of Clinical Skills Laboratory and Medical Simulation, Nicolaus Copernicus University in Torun, Collegium Medicum 3 Cathedral treatment of Nursing, Department of Nursing in Intensive Care Medicine, Summary During pregnancy, a number of changes take place in the woman's body. They often cause pain in the spine, especially the lumbosacral segment. Dynamic slicing supports the rehabilitation of women during pregnancy, thanks to the fact that it has an analgesic effect, improves the flow of limes and increases the elasticity of tissues. Kinesiotherapy included in the rehabilitation is an effective method of pain relief in this area in pregnant women. Keywords: Kinesiology taping, pregnancy, spine pain, lumbosacral segment, physiotherapy

Humańska Marzena Agnieszka, Ulenberg Agata, Betke Katarzyna, Ulenberg Grzegorz, Ponczek Danuta, Pluta Agnieszka, Kowlaska Monika, Felsmann Miroslawa. The impact of diet on gastroesophageal reflux disease in patients at an early age. Journal of Education, Health and Sport. 2018;8(5):226-234. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1249396 http://ojs.ukw.edu.pl/index.php/johs/article/view/5497 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part b item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eissn 2391-8306 7 © The Authors 2018; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 02.05.2018. Revised: 18.05.2018. Accepted: 20.05.2018. The impact of diet on gastroesophageal reflux disease in patients at an early age Marzena Agnieszka Humańska 1, Agata Ulenberg 1, Katarzyna Betke 1, Grzegorz Ulenberg 2, Danuta Ponczek 1, Agnieszka Pluta 3, MonikaKowlaska 1, Miroslawa Felsmann 1 1 Laboratory of Basic Medical Clinical Skills and Simulation Faculty of Health Sciences Medical College in Bydgoszcz of the Nicolaus Copernicus University in Torun 2 Department of Practical Nursing, Nursing Intensive Care Department in the Faculty of Health Sciences Medical College in Bydgoszcz of the Nicolaus Copernicus University in Torun 3 Department of Community Nursing Faculty of Health Sciences Medical College in Bydgoszcz of the Nicolaus Copernicus University in Torun Address: PhD, MD, Marzena Humańska Laboratory of Basic Medical Clinical Skills and Simulation ul. Lukasiewicz 1 85-821 Bydgoszcz E-mail: marzenahumanska@tlen.pl tel: +48 52 585 5806 Summary Admission: Reflex disease is one of the most common diseases of the upper gastrointestinal tract. In the conservative treatment, non-pharmacological primary role proper nutrition and diet compliance. Objective: The aim of the study was to determine the impact diet has on reflux disease. Material and methods:The study has been given to people with gastroesophageal reflux disease. The study was conducted in Bydgoszcz and Wloclawek. The study used a survey of their own design on socio-demographic data and questions about dietary treatment. Statistical analysis was performed using SPSS statistical program. Results:The highest percentage of women-study group accounted for 58.1%, while men accounted for more than 41.9% of the study population. The study was dominated by two age groups. People aged 45-59 years - 34.9%, and 60-74 years - 30.2%. Respondents most frequently observed symptoms of gastroesophageal reflux disease after eating high-fat products - 34.9%. 7 persons adversely affected by the sharp spices, for 6 people - chocolate, for more than 10% of soda. For nearly half of the study population (44.2%) diet was too cumbersome to be able to be used. 10 people (23.3%) is not made trouble, 18.6% of respondents are aware that some products hurt them, but they can not give them up, and 14% of respondents often forgot about the use of supplements. Conclusions: The symptoms of gastroesophageal reflux disease in subjects most often occur after eating high fat products. The incidence of GERD increases with age. For almost half of the population studied diet is too cumbersome to be able to use it. Addictions such as alcohol and smoking have an impact on the incidence of gastroesophageal reflux disease. Keywords: Gastroenterology, reflux disease, diet.

Ulenberg Grzegorz, Ulenberg Agata, Grabowska-Gaweł Anna, Czapiewski Łukasz, Dąbrowska Maria, Smyk Paulina, Lewandowska Anna. Development of anesthesia nursing in the world and in Poland. Journal of Education, Health and Sport. 2017;7(8):1336-1351. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1045536 http://ojs.ukw.edu.pl/index.php/johs/article/view/5032 https://pbn.nauka.gov.pl/sedno-webapp/works/837157 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2017; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 05.08.2017. Revised: 12.08.2017. Accepted: 31.08.2017. Rozwój pielęgniarstwa anestezjologicznego na świecie i w Polsce Development of anesthesia nursing in the world and in Poland Grzegorz Ulenberg1, Agata Ulenberg2, Anna Grabowska- Gaweł1, Łukasz Czapiewski1, Maria Dąbrowska3, Paulina Smyk4, Anna Lewandowska5 1 Katedra Pielęgniarstwa Zabiegowego, Zakład Pielęgniarstwa w Intensywnej Opiece Medycznej, Uniwersytet Mikołaja Kopernika w Toruniu, Collegium Medicum w Bydgoszczy 2 Pracownia Podstaw Umiejętności Klinicznych i Symulacji Medycznej, Uniwersytet Mikołaja Kopernika w Toruniu, Collegium Medicum w Bydgoszczy 3 Katedra i Zakład Anatomii Prawidłowej, Uniwersytet Mikołaja Kopernika w Toruniu, Collegium Medicum w Bydgoszczy 4 Katedra Pielęgniarstwa Zachowawczego, Zakład Pielęgniarstwa Pediatrycznego, Uniwersytet Mikołaja Kopernika w Toruniu, Collegium Medicum w Bydgoszczy 5 Centrum Symulacji Medycznych, Uniwersytet Mikołaja Kopernika w Toruniu, Collegium Medicum w Bydgoszczy Streszczenie: Anestezjologia jest działem medycyny, który obejmuje wszelkie aspekty związane ze zwalczaniem bólu, towarzyszącego chorobom, urazom czy wadom wrodzonym W latach 50 - tych XX wieku rozpoczął się dynamiczny rozwój anestezjologii w Europie. Zaczęły powstawać nowe specjalizacje, które nie ominęły także pielęgniarstwa. Znieczulenia podawali już w większości lekarze specjalności zabiegowych w asyście pielęgniarek instrumentariuszek. W tym czasie też wyodrębniono pielęgniarki, które zajmowały się wyłącznie podawaniem znieczuleń. Słowa kluczowe: intensywna opieka, pielęgniarstwo anestezjologiczne, historia Summary: Anesthesiology is a branch of medicine that covers all aspects of the fight against pain, associated diseases, injuries or malformations in the 50 - of the twentieth century began with the dynamic development of anesthesia in Europe. New specializations have emerged that have not missed nursing. Anesthesia was administered by most of the specialists in the field of nursing of instrumentalists. At that time, nurses were also separated, who only dealt with the administration of anesthesia. Key words: intensive care, anesthesiology nursing, history

Dąbrowska Maria, Biernacki Maciej, Lisiecki Jakub, Paruszewska–Achtel Monika, Ulenberg Agata, Ulenberg Grzegorz. Rehabilitation in dysfunctions of temporomandibular joints. Journal of Education, Health and Sport. 2019;9(5):410-415. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.3229464 http://ojs.ukw.edu.pl/index.php/johs/article/view/6946 https://pbn.nauka.gov.pl/sedno-webapp/works/914392 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2019; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 02.05.2019. Revised: 20.05.2019. Accepted: 26.05.2019. Rehabilitation in dysfunctions of temporomandibular joints Dąbrowska Maria¹, Biernacki Maciej¹, Lisiecki Jakub¹, Paruszewska–Achtel Monika¹, Ulenberg Agata², Ulenberg Grzegorz³ 1 Department of Anatomy, Nicolaus Copernicus University in Torun, Collegium Medicum 2 Fundamentals of Clinical Skills Laboratory and Medical Simulation, Nicolaus Copernicus University in Torun, Collegium Medicum 3 Cathedral treatment of Nursing, Department of Nursing in Intensive Care Medicine, Abstract The treatment of the temporomandibular joints dysfunctions shall be complex due to several possible causes that trigger the disorders.Rehabilitation is based on adopting the techniques that originate from manual therapy, applying physiotherapy, classical and transverse massage, as well as autotherapy. Moreover, in the course of the therapy, Kinesio taping, post-isometric relaxation, positional release, release and rolling of the skin are also applied. Cooperating with an orthodontist, a stomatologist, a physiotherapist and a psychologist, as well as the commitment to the treatment on the part of the patient shall allow the cure to take effect in the joint itself and the muscles surrounding it. Key words: Temporomandibular joint, biomehanics, manual therapy

Humańska Marzena Agnieszka, Czapiewski Łukasz, Ulenberg Agata, Ulenberg Grzegorz, Betke Katarzyna, Felsmann Mirosława. Quality of life and physical activity seniors with hypertension. Journal of Education, Health and Sport. 2019;9(3):547-554. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.2613154 http://ojs.ukw.edu.pl/index.php/johs/article/view/6746 https://pbn.nauka.gov.pl/sedno-webapp/works/908993 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part b item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eissn 2391-8306 7 © The Authors 2019; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 01.03.2019. Revised: 15.03.2019. Accepted: 26.03.2019. Quality of life and physical activity seniors with hypertension Marzena Agnieszka Humańska 1, Łukasz Czapiewski 2, Agata Ulenberg 1, GrzegorzUlenberg 2, Katarzyna Betke 1, Mirosława Felsmann 1 1 Laboratory of Basic Medical Clinical Skills and Simulation Faculty of Health Sciences Medical College in Bydgoszcz of the Nicolaus Copernicus University in Torun 2 Department of Practical Nursing, Nursing Intensive Care Department in the Faculty of Health Sciences Medical College in Bydgoszcz of the Nicolaus Copernicus University in Torun Address: PhD, MD, Marzena Humańska Laboratory of Basic Medical Clinical Skills and Simulation Ul. Lukasiewicz 1 85-821 Bydgoszcz E-mail: marzenahumanska@tlen.pl tel: +48 52 585 5806 Abstract Introduction: Hypertension is a very common blood disorder common in older people. This disease, as well as many others that often accompany the elderly, affects both the quality of life and to physical activity of seniors. Aim of the work: To assess quality of life and physical fitness of the elderly. Material and methods: The study was conducted among the elderly in Bydgoszcz. The study used standardized questionnaires such as the scale of the ADL, IADL, Barthel, WHO questionnaire QOL- Bref and Legal Data socjodemgraficznych own authorship. Study on variables was performed using Kruskal-Wallis test and Mann-Whitney test. Variability presented as the arithmetic mean (M) and standard deviation (SD). The level of significance p ≤ 0.05 considered statistically significant. The research group consisted of 100 people. Results: The quality of life of respondents depends on the length of the years of being infected with hypertension. It has been demonstrated statistical relationships in all areas of the WHO scale QOL- Bref, and the period of being infected with hypertension. With the increase in the period of illness reduce the amount of points earned by the respondents, which lowers the quality of life of respondents in every area of the WHO scale QOL- Bref. The length of the ill influence on the physical activity of the test population as assessed by scales: ADL IADL and Barthel. We observed an inverse proportional with the increase where the period of being infected with the disease reduced the results obtained from the questionnaires, indicating a decrease in patient autonomy. Conclusions: We found a statistically significant relationship between the sense of quality of life and the length of years of being infected with hypertension. This observation has any field scale WHOQOL- Bref. Statistical analysis shows that the longer the period of being infected with hypertension, including physical fitness was significantly lower subjects. Key words: quality of life, physical fitness, hypertension, geriatrics

Ulenberg Grzegorz, Ulenberg Agata, Czapiewski Łukasz, Humańska Marzena, Waśniowski Wojciech, Kaczmarek Wojciech. Review of techniques for monitoring patient vital signs used by intensive care nurses. Part three. Journal of Education, Health and Sport. 2019;9(2):275-280. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.2567603 http://ojs.ukw.edu.pl/index.php/johs/article/view/6599 https://pbn.nauka.gov.pl/sedno-webapp/works/904652 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part b item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eissn 2391-8306 7 © The Authors 2019; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 30.01.2019. Revised: 30.01.2019. Accepted: 18.02.2019. Review of techniques for monitoring patient vital signs used by intensive care nurses. Part three Grzegorz Ulenberg 1, Agata Ulenberg 2, Łukasz Czapiewski 1, Marzena Humańska 2, Wojciech Waśniowski 3, Wojciech Kaczmarek 4 Cathedral treatment of Nursing, Department of Nursing in Intensive Care Medicine, Medical College Bydgoszcz, Nicolaus Copernicus University in Torun, Poland Laboratory of Clinical Skills and Fundamentals of Medical Simulation Medical College Bydgoszcz, Nicolaus Copernicus University in Torun, Poland Department of Rehabilitation, 10 Military Clinical Hospital with a Polyclinic in Bydgoszcz Center for Medical Simulation, Medical College Bydgoszcz, Nicolaus Copernicus University in Torun, Poland Summary The work consists of three parts, which discusses such matters relating to the functioning of the cardiovascular, respiratory and central nervous system. A nurse is a person who is directly involved in the conduct, measures and draws attention to possible complications, since it is she is the person who spends the most time at the bedside. Development of medical science involves the construction of specialized medical equipment ever more perfect, more expensive, more complicated to build and operate, requiring more and more qualifications treatment team. Keywords: monitoring of vital signs, nursing, intensive care

Ulenberg Grzegorz, Ulenberg Agata, Czapiewski Łukasz, Humańska Marzena, Kaczmarek Wojciech. Overview of the basic techniques used to monitor the patient's condition by intensive care nurses - part one. Journal of Education, Health and Sport. 2018;8(9):1477-1484 eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1435586 http://ojs.ukw.edu.pl/index.php/johs/article/view/6088 https://pbn.nauka.gov.pl/sedno-webapp/works/879243 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part b item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eissn 2391-8306 7 © The Authors 2018; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 02.08.2018. Revised: 18.08.2018. Accepted: 26.09.2018. Overview of the basic techniques used to monitor the patient's condition by intensive care nurses - part one Grzegorz Ulenberg1 Agata Ulenberg2, Łukasz Czapiewski1 MarzenaHumańska2 Wojciech Kaczmarek3 1Cathedral treatment of Nursing, Department of Nursing in Intensive Care Medicine, Medical College Bydgoszcz, Nicolaus Copernicus University in Torun, Poland 2Laboratory of Clinical Skills and Fundamentals of Medical Simulation Medical College Bydgoszcz, Nicolaus Copernicus University in Torun, Poland 3Center for Medical Simulations, Medical College Bydgoszcz, Nicolaus Copernicus University in Torun, Poland Keywords: nursing, ICU, anesthesia Admission The purpose of conducting monitoring of vital functions is the early recognition of potential physiological imbalances and take urgent treatment. Supervision should be properly targeted and systematic, and the results must be reliable and accurate, because they are the basis for therapeutic intervention. The success of monitoring depends largely on the nursing staff. The nurse's role is enormous and requires a large resource of expertise and skills of its practical application, since it is the nursing staff spends the most time with the patient and the first notes any changes in the patient. Summary The work consists of three parts, which such issues were discussed on the functioning of the cardiovascular system, respiratory system and central nervous system. A nurse is a person who is directly involved in the conduct, measures and draws attention to possible complications, since it is she is the person who spends the most time at the bedside. Development of medical science involves the construction of specialized medical equipment ever more perfect, more expensive, more complicated to build and operate, requiring more and more qualifications treatment team. &nbsp

Ulenberg Grzegorz, Czapiewski Łukasz, Ulenberg Agata, Humańska Marzena. Central peripheral cannulas. Less catheter complications in critically ill patients. Journal of Education, Health and Sport. 2018;8(7):250-260. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1309293 http://ojs.ukw.edu.pl/index.php/johs/article/view/5646 https://pbn.nauka.gov.pl/sedno-webapp/works/870439 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part b item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eissn 2391-8306 7 © The Authors 2018; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 02.06.2018. Revised: 18.06.2018. Accepted: 11.07.2018. Central peripheral cannulas. Less catheter complications in critically ill patients Grzegorz Ulenberg1, Łukasz Czapiewski1, Agata Ulenberg2, MarzenaHumańska2 Cathedral treatment of Nursing, Department of Nursing in Intensive Care Medicine, Medical College Bydgoszcz, Nicolaus Copernicus University in Torun, Poland Laboratory of Clinical Skills and Fundamentals of Medical Simulation Medical College Bydgoszcz, Nicolaus Copernicus University in Torun, Poland Keywords: intensive care, nurse, PICC Summary: Permanent venous access in patients in intensive care plays a key role in the healing process. A routine branches to assume a central venous catheter to the patient is called a vascular access to the central venous line using a venous or long time. An alternative to this type of injection is the circumferential introduction of central venous (PICC - peripherally inserted central catheter) using long catheters placed e.g. a vein shoulder or ulna, which is associated with the lack of such serious complications as pneumothorax or catheter of a large artery, but due to the length of the catheter risk of thromboembolic complications is higher in relation to the central access.

Ulenberg Grzegorz, Grabowska-Gaweł Anna, Ulenberg Agata, Czapiewski Łukasz, SmykPaulina, Lewandowska Anna. Multidisciplinary care standard for a ventilated mechanic patient at home in Poland. Journal of Education, Health and Sport. 2017;7(8):1700-1714. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1170485 http://ojs.ukw.edu.pl/index.php/johs/article/view/5259 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2017; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 01.08.2017. Revised: 28.08.2017. Accepted: 31.08.2017. STANDARD OPIEKI MULTIDYSCYPLINARNEJ NAD CHORYM WENTYLOWANYM MECHANICZNIE W WARUNKACH DOMOWYCH W POLSCE Multidisciplinary care standard for a ventilated mechanic patient at home in Poland Ulenberg Grzegorz1, Grabowska-Gaweł Anna1, Ulenberg Agata2, Czapiewski Łukasz1, SmykPaulina3, Lewandowska Anna4 1Uniwersytet Mikołaja Kopernika w Toruniu Collegium Medicum im Ludwika Rydygiera w Bydgoszczy, Katedra Pielęgniarstwa Zabiegowego, Zakład Pielęgniarstwa w Intensywnej Opiece Medycznej, 2Uniwersytet Mikołaja Kopernika w Toruniu Collegium Medicum im Ludwika Rydygiera w Bydgoszczy, Pracownia Podstaw Umiejętności Klinicznych i Symulacji Medycznej 3Uniwersytet Mikołaja Kopernika w Toruniu Collegium Medicum im Ludwika Rydygiera w Bydgoszczy, Katedra Pielęgniarstwa zachowawczego, Zakład Pielęgniarstwa Pediatrycznego, 4Uniwersytet Mikołaja Kopernika w Toruniu Collegium Medicum im Ludwika Rydygiera w Bydgoszczy, Centrum Symulacji Medycznych Słowa Kluczowe: Wentylacja nieinwazyjna NIV, opieka domowa, opieka multidyscyplinarna Streszczenie: Teoretyczne rozważania nad rolą oddychania prowadzili już starożytni Egipcjanie i Grecy. Jednak pierwsze instrumentalne próby prowadzenia sztucznej wentylacji pojawiły się dopiero w XVI wieku, kiedy to nadworny lekarz Ludwika XIV Andreas Vesali Vesalius opisał „działanie powietrza” wdmuchiwanego do dróg oddechowych psa przez trzcinę umieszczoną w tchawicy. Niemiecki inżynier Heinrich Drager opracował w 1909 roku urządzenie, które pozwalało wdmuchiwać powietrze do dróg oddechowych pacjenta przez metalową maskę. Pulmotor, tak bowiem nazywał się ten respirator wyprodukowany przez firmę Drager Werk AG, pozwalał na generowanie dodatniego ciśnienia w drogach oddechowych. Przed rokiem 2000 przypaki domowej wyntylacji mechanicznej w Polsce należy rozpatrywać jako epizodyczne. Dopiero w roku 2001 został uruchomiony Zespół Domowego Leczenia Respiratorem w Regionalnym Zespole Opieki Paliatywnej w Bydgoszczy. Była to pierwsza tego typu jednostka w Polsce masowo wprowadzająca domową wentylację nieinwazyjną. Aktualnie w Polsce działa około 40 ośrodków w tym jednostki uniwersyteckie, szpitale nieuniwersyteckie oraz podmioty prywatne. Key words: Non-invasive ventilation NIV, home care, multidisciplinary care Summary: The theoretical considerations on the role of breathing were already carried out by the ancient Egyptians and Greeks. However, the first instrumental attempts to conduct artificial ventilation appeared only in the sixteenth century, when court physician Louis XIV Andreas Vesali Vesalius described the "action of air" blown into the airways of the dog by a reed placed in the trachea. German engineer Heinrich Drager developed a device in 1909 that allowed him to blow air into the patient's airways through a metal mask. The pulmotor, as this respirator was manufactured by Drager Werk AG, allowed the generation of positive pressure in the airways. Before 2000, home-made mechanical de-agglomeration in Poland should be considered as episodic. It was not until 2001 that the Home Care Ventilator Team was launched in the Regional Palliative Care Team in Bydgoszcz. It was the first unit of this type in Poland massively introducing domestic non-invasive ventilation. Currently, there are about 40 centers in Poland, including university units, non-university hospitals and private entities.