Title Sestrinska skrb osoba starije životne dobi s multiplim mijelomom Title (english) Nursing care of elderly people with multiple myeloma Author Dominika Brkić Mentor Suzana Konjevoda (mentor)Mentor Sonja Šare (komentor) Committee member Ivana Gusar (predsjednik povjerenstva)Committee member Suzana Konjevoda (član povjerenstva)Committee member Samir Čanović (član povjerenstva)Granter University of Zadar Defense date and country 2025-01-08, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Multipli mijelom je zloćudna hematološka bolest koja najčešće pogađa osobe starije životne dobi, s prosječnom dobi dijagnoze od 70 godina. Bolest se karakterizira nekontroliranom proliferacijom plazma stanica u koštanoj srži, što uzrokuje komplikacije poput koštanih lezija, anemije, bubrežnih disfunkcija i imunoloških poremećaja. Osobe starije životne dobi suočavaju se s posebnim izazovima zbog prisutnih komorbiditeta i smanjene tolerancije na intenzivne terapije. Liječenje uključuje kemoterapiju, imunomodulacijske lijekove, proteasomske inhibitore, terapiju zračenjem, te transplantaciju matičnih stanica. Kod osoba starije životne dobi često se primjenjuje prilagođeni terapijski pristup kako bi se smanjila toksičnost liječenja. Palijativna skrb je također važna za ublažavanje simptoma i poboljšanje kvalitete života. Razumijevanje specifičnih potreba osoba starije životne dobi i primjena individualiziranog pristupa ključni su za uspješno upravljanje ovom složenom bolešću. Medicinske sestre imaju važnu ulogu u skrbi za osobe starije životne dobi s multiplim mijelomom, pružajući sveobuhvatnu skrb koja obuhvaća pripremu za dijagnostičke i terapijske postupke, praćenje simptoma poput boli, umora, infekcija te emocionalnu podršku. S obzirom na krhkost i prisutnost komorbiditeta kod osoba starije životne dobi, medicinske sestre prilagođavaju planove zdravstvene njege, često u suradnji s multidisciplinarnim timom, kako bi smanjile nuspojave i očuvale kvalitetu života. Edukacija bolesnika i obitelji o bolesti, terapiji i samopomoći važna je za bolje razumijevanje bolesti i veće sudjelovanje u liječenju. Holistički pristup, koji uključuje fizičku, emocionalnu i socijalnu skrb, pomaže bolesnicima da se nose s izazovima koje donosi multipli mijelom, osiguravajući im bolju kvalitetu života i dostojanstvo tijekom liječenja.
Abstract (english) Multiple myeloma is a malignant hematologic disease that mostly affects older people, with the average age at diagnosis being 70 years. The disease is characterized by an uncontrolled proliferation of plasma cells in the bone marrow, which leads to complications such as bone damage, anemia, kidney dysfunction and immune disorders. Older patients face particular challenges due to concomitant diseases and a lower tolerance to intensive therapies. Treatment includes chemotherapy, immunomodulatory drugs, proteasome inhibitors, radiotherapy and stem cell transplantation. In older patients, an adapted therapeutic approach is often used to reduce the toxicity of the treatment. Palliative care is also essential to alleviate symptoms and improve quality of life. Understanding the specific needs of elderly patients and taking an individualized approach is key to effectively managing this complex disease. Nurses and medical assistants play a crucial role in the care of elderly patients with multiple myeloma, providing comprehensive care that includes diagnostics, therapy and emotional support. Their tasks include monitoring symptoms such as pain, fatigue and infections, and adapting therapy to the patient's needs. Given the frailty and co-morbidities of older people, nurses and medical technical assistants adapt treatment plans, often in collaboration with a multidisciplinary team, to reduce side effects and maintain patients' quality of life. Educating patients and their families about the disease, therapy and self-care is crucial for a better understanding of the disease and greater involvement in treatment. A holistic approach that includes physical, emotional and social care helps patients to overcome the challenges of multiple myeloma and ensures a better quality of life and dignity during treatment.
Keywords
holistički pristup
medicinska sestra
multipli mijelom
osobe starije životne dobi
Keywords (english)
holistic approach
nurse
multiple myeloma
elderly individuals
Language croatian URN:NBN urn:nbn:hr:162:274330 Study programme Title: Undergraduate university nursing study Type of resource Text File origin Born digital Access conditions Open access Terms of use Created on 2025-02-03 15:24:11
