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Review Article

SRP. 2020; 11(7): 465-469


State of Providing Incurably ill Patients with Opioid Analgesics at the Level of Certain Constituent Entities of Russia

Marina Filippovna Mikaelyan, Irina Nikolaevna Iyro, Lyudmila Alexandrovna Ertel, Andrey Borisovich Goryachev, Rusanov Sergey Nikolaevich, Berezhnaya Elizaveta Sergeevna, Tatyana Gennadyevna Mogilenko, Khachatryan Martyn Milichkovich.


Abstract

ABSTRACT
Background. Palliative care is a complex of medical, social and psychological measures for the care of oncological and non-oncological seriously ill patients who need treatment for chronic pain syndrome in specific medical organizations or at home. Palliative care is based on approaches that improve the "life quality" of patients and their families when the possibilities of radical treatment have already been exhausted. Relieving the suffering of incurable patients is possible thanks to early diagnosis, assessment of the condition, adequate pain relief and full-fledged care.
Objective. The aim of the study was to analyze the level of palliative care for incurable patients in certain regions of the Russian Federation on the example of the Krasnodar and Stavropol territories.
Methods. Using content analysis, documentary observation, and statistical research methods, we studied the results of implementation of state-planned measures in certain regions and identified problems related to the availability of pain relief in incurable patients.
Findings. The study in both regions revealed: positive dynamics in the quality of this type of care, active implementation by regional health authorities of the developed "road map", a high degree of accessibility to pain relief, the effectiveness of measures taken, the implementation of legislative changes in the regions on palliative care. In addition to the positive results, some common problems in this area are identified not only for the studied regions, but also for the country as a whole.
Conclusions. The results of the study may contribute to raising awareness among health professionals about appropriate measures to improve palliative care for severe patients.

Key words: Incurably ill patients, palliative care, provision of medicine






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