Establishing pain therapy management for cancer patients in the Republic Sakha (Yakutia)
https://doi.org/10.25789/YMJ.2023.84.14
Abstract
One of the most challenging and unresolved problems in modern oncology is the provision of medical care to incurable patients. Chronic pain syndrome is one of the most common phenomena causing severe and agonizing suffering to patients with malignant neoplasms.
As part of the implementation of the comprehensive national program for the development of palliative care in the Russian Federation (Order of the Ministry of Health of the Russian Federation and the Ministry of Labor and Social Protection of the Russian Federation dated May 31, 2019, No. 345n/372n), the authors have developed a project for the establishment of a Pain Management Center at the Yakutsk Oncological Dispensary and pain management rooms at the Ambulatory Oncology Center (AOC).
The regulatory and legal framework has been studied, and a calculation of patients requiring adequate pain relief at the end of life for the year 2022 has been conducted. In this project, the relevance of the topic is demonstrated, and the medical and social significance is justified. A SWOT analysis of the project has been carried out, evaluating the main risks of the project and proposing methods to eliminate and minimize negative consequences.
About the Authors
A. K. Okoneshnikova
Medical Institute of the North-Eastern Federal University; Yakutsk Oncological Dispensary
Russian Federation
Russian Federation
Okoneshnikova Alena Konstantinovna – PhD, Associate Professor at the Department of Surgery and Dentistry; neuro-surgeon
Yakutsk
T. I. Nikolaeva
Medical Institute of the North-Eastern Federal University; Yakutsk Oncological Dispensary
Russian Federation
Russian Federation
Nikolaeva Tatyana Ivanovna – PhD, Associate
Professor at the Department of Oncology; Chief Physician
Yakutsk
P. V. Nikiforov
Yakut Republican Medical Information and Analytical Center; Medical Institute of the North-Eastern Federal University
Russian Federation
Russian Federation
Nikiforov Pyotr Vladimirovich – Head; Associate Professor at the Department of Oncology
Yakutsk
L. V. Ignatieva
Medical Institute of the North-Eastern Federal University; Yakutsk Oncological Dispensary
Russian Federation
Russian Federation
Ignatieva Lena Vasilyevna – PhD, Associate Professor at the Department of Anesthesiology, Resuscitation, and Intensive Therapy with the Course in Emergency Medical Care; Deputy Chief Medical Officer for Organizational and Methodical Work
S. A. Myreeva
Yakutsk Oncological Dispensary
Russian Federation
Russian Federation
Myreeva Svetlana Anatolyevna – Candidate of Medical Sciences, Deputy Chief Medical Officer for Outpatient and Polyclinic Affairs, Gynecologist, Oncologist
References
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Review
For citations:
Okoneshnikova A.K., Nikolaeva T.I., Nikiforov P.V., Ignatieva L.V., Myreeva S.A. Establishing pain therapy management for cancer patients in the Republic Sakha (Yakutia). Yakut Medical Journal. 2023;(4):56-60. https://doi.org/10.25789/YMJ.2023.84.14
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