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Całościowa ocena geriatryczna a opieka medyczna nad osobą w wieku podeszłym

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Kumięga P. B., Grata-Borkowska U. T., Bujnowska-Fedak M. M., Drobnik J.
Puls Uczelni
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2016
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issue 2
44-48
PL
Prognozy demograficzne wskazują, że najszybciej rosnącą grupą wiekową pacjentów na świecie są osoby powyżej 65. roku życia. Szacuje się, że ich odsetek w 2050 r. osiągnie ok. 31,3% populacji Polski. Oznacza to, że ludzie w wieku podeszłym będą dominować wśród pacjentów zgłaszających się do lekarzy wszystkich specjalności. Opieka medyczna w okresie starości powinna być ukierunkowana na indywidualne potrzeby pacjenta. Prawidłowe zdiagnozowanie objawów, określenie potrzeb zdrowotnych seniora we wszystkich wymiarach determinuje dalsze postępowanie medyczne. Narzędziem ułatwiającym to zadanie jest całościowa ocena geriatryczna (COG). To wielodyscyplinarne narzędzie, a zarazem złożony proces diagnostyczny, składający się z szeregu skal, którego celem jest określenie zakresu zaburzeń zdrowia seniora, jego zdolności do samodzielnego funkcjonowania, potrzeb i problemów na płaszczyźnie fizycznej, psychicznej, socjoekonomicznej oraz środowiskowej. Główne skale znajdujące zastosowanie w COG to: ADL, IADL, Barthel i inne służące do oceny stanu funkcjonalnego seniora. W ramach COG ocenia się także stan psychiczny chorego, stosując skalę MMSE , skrócony test sprawności umysłowej Hodgkinsona, test rysowania zegara, skalę Yesavage’a i inne. Z kolei ocena socjalno-środowiskowa ma na celu zdefiniowanie potrzeb osoby w wieku podeszłym w zakresie opieki doraźnej oraz długoterminowej.
EN
Demographic projections show that the fastest growing age group of patients in the world are people over 65 years of age. For instance, it is estimated that in 2050 their share will reach approximately 31.3% of the Polish population. This means that the elderly will certainly dominate among patients visiting doctors of all specializations. Health care at old age should be focused on individual needs of the patient. A right diagnosis of symptoms, identifying the health needs of seniors in all dimensions, determines application of further medical procedures. A tool that facilitates this task is Comprehensive Geriatric Assessment (CGAGA). CGAGA is a multidisciplinary tool and also a complex diagnostic process, consisting of a series of scales, the aim of which is to determine the scope of seniors’ health disorders, their ability to operate independently, their needs and problems encountered in the physical, psychological, socio-economic and environmental spheres. The main scales which apply in the CGAGA are: ADL, IADL, Barthel and others which serve to assess the functional capacity of the senior. As part of the CGAGA one can also evaluate the psychological state, using MMSE , Hodgkinson test, CDT, scale of Yesavage and others. In turn, the social-environmental assessment is meant to define the needs of elderly patients, which are connected with emergency interventions and long-term care.
2

Dokumentacja medyczna elementem bezpieczeństwa pracy ratownika medycznego

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Susło R., Paplicki M., Kozakiewicz M., Drobnik J.
Prawo
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2017
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issue 323
151-160
EN
Emergency medicine serves providing both pre-hospital medical services directly at emergency site and during transportation, and hospital emergency services at hospital emergency wards that result from previous rescue activities. Filling in medical documents is akey element ofparamedic’s activities indifferent of employing institution; as in Poland they are kept predominantly in paper form a cyberattack risk is low in this case. Keeping correct and proper medical records plays key role in ensuring both patient’s medical safety and paramedic’s formal and legal safety, including cases of suspected medical error. It is troublesome because ofcharacteristics of paramedic’s job that include in particular multitasking, time andresponsibility pressure and resulting in stress.
3
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Problemy etyczno-prawne błędu medycznego w praktyce lekarza rodzinnego - odpowiedzialność karna, cywilna i zawodowa

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Morawski A., Steciwko A., Źórawska J., Drobnik J., Pirogowicz I.
Acta Universitatis Lodziensis. Folia Sociologica
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2003
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issue 30
111-117
EN
Problem of medical malpractice is now one of the most popular problems in Polish society and in the polish media. The legal definition of medical malpracitice was made in Poland in 1952 by Highest Law Court. In that definition Highest Law Court decided that about medical ault we can say, when doctor’s diagnosis or therapy is made against the code of practice in contemporary medicine but only in approachable to him conditions. In our work we want to present contemporary classification of medical malpracitice especially in family medicine practice. We want to describe typical groups of their mistakes and their penal, civil and professional responsibility. Especially their civil and assurance responsibility is different in public and private health service. In the group of professional liability we must remember about unlegal problem of ethical responsibility due to Medicine Ethical Code. In our paper we also present data about medical malpractice from the Main Doctors Court.
4

Pożary odpadów a narażenie strażaków na substancje toksyczne

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Susło R., Paplicki M., Dopierała K., Wrzesiński J. A., Drobnik J.
Prawo
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2018
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issue 326
187-197
EN
In Poland in recent years more and more waste have been set on fire, thus intervening firefighters are at increased risk of suffering intoxication from fumes. Based on current literature and legal regulations review, characteristics of relevant toxic substances, associated health hazards and preventive measures were analyzed. In order to prevent negative health effects it is crucial not only to equip firefighters with adequate personal protective equipment and clothing but also to introduce obligatory monitoring their proper usage based on biologic markers of intoxication.
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