Palyatif Bakım ve Ölümle Yüzleşme
Tıptaki ilerlemeler sonucu yaşam beklenti süreleri uzamaktadır buna bağlı olarak artıkdaha ileri yaşta ve daha komplike ölümlerle karşılaşılır olmuştur. Hastalar ve yakınlarıözellikle terminal dönemdeki vakalarda çoğu zaman ölümü kabullenir olmuşlardırancak daha konforlu ölüm beklentileri yükselmektedir. Sağlık çalışanları ise hastalarınson dönemlerine ait kararlarını uygulamak istemekle birlikte mevcut yasal düzenlemelerbazı isteklerin uygulanmasına uygun değildir. Özellikle yurt dışında DNR ‘Do NotResuscitate’ veya CPR (Kardiyo Pulmoner Resussitasyon) negatif hasta kavramları yaygınlaşmaktadır.Fakat mevcut yasal düzenlemelerle kardiyopulmoner arrest gelişen hastayamüdahale etmemek, hastaya pasif ötenazi uygulamakla eşdeğer tutulmakta ve cezası1-3 yıl arası hapis olabilmektedir. Palyatif bakımda hastaya biyolojik destek sağlanırken,kimi hastalar da manevi olarak ölüme hazırlanmaktadır. Mevcut tedavilerin artıkyaşam süresini uzatmayacağını öğrenen hasta, palyatif bakım ünitelerinde kendi çizdiğisınırlar içerisinde çevresi ile vedalaşmaktadır. Yaşam hikayemizin başlangıcı ve seyrindende önemlisi bitiş şeklidir. Palyatif bakım ünitelerinde geriye dönüşsüz hastalaragüzel ve onurlu bir ölüm imkânı hazırlanmalıdır.
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