Palliative Care Resulting in the Recovery of an İschaemic, Ulcerated Foot With İndications for Amputation: Case Report
Abstract
Aim: The home healthcare services and palliative care services are co-ordinated in our hospital by the Family Medicine Department. With this case presentation, it was aimed to emphasise the importance of co-ordination of the palliative care unit with home healthcare services in the treatment and care of selected patients. Case: A 78-year old female was evaluated by the home healthcare services because of a wound in the left foot which had not recovered for 2 years and was then admitted to the palliative care unit with an infected wound 4 x 5 cm in the distal of the left ankle extending laterally. Amputation of the injured foot had been recommended to the patient but she had refused that option. At the end of the 3rd week of palliative care, the foot wound was seen to have improved and the patient was discharged with follow-ups to be made by home healthcare services. Discussion: Palliative care is a branch which aims to help patients who are not fully recovered because of a chronic disease or who require end-of-life support. In the case presented here, a 78-year old female patient was monitored by home healthcare services but routine dressing changes were not applied and further treatment was required. The patient was referred to the palliative care unit, was admitted and recovered with the appropriate treatment.
Keywords
References
- Benli AR, Erbesler ZA. Differences on comprehension and practice in palliative care in Turkey. Turkish Journal of Family Practice 2016;20:5- 6. [CrossRef]
- Inci F, Oz F. Palliative Care and Death Anxiety. Current Approaches in Psychiatry. 2012;4:178-87. [CrossRef]
- Limnili G, Ozcakar N. The characteristics of applications to home health care service and expectations. Turkish Journal of Family Practice 2013;17:13-7. [CrossRef]
- Moise P, Schwarzinger M, Um M. Dementia in 9 OECD countries: a comparative analysis, In: Organisation for Economic Co-operation and Development, Paris 2004. pp.14
- Jacobs P, Finlayson G, Faienza B, Brown M, Newson B, MacLean N. The development of a tool to assess quality of cost estimates. Dis Manage Health Outcomes 2002;10:127-32.
- Larsson BW, Larsson G, Carslong SR. Advanced home care: patients’opinions on quality compared with those of family members. J Clin Nurs 2004;13:226-33.
- Memisoglu D, Kalkan B. Governance and innovation in healthcare services and Turkey. The Journal of Faculty of Economics and Administrative Sciences 2016;21:645-65.
- Altuntas M, Yılmazer TT, Guclu YA, Ongel K. Home health care service and recent applications in Turkey. The Journal of Tepecik Education and Research Hospital 2010;20:153-8.
- WHO. Sixty-seventh World Health Assembly, In:Resolutions and Desicions. Geneva 2014, pp12-8.
- Brumley R, Enguidanos S, Jamison P, Seitz R, Morgenstern N, Saito S, et al. Increased Satisfaction with Care and Lower Costs: Results of a Randomized Trial of In-Home Palliative Care. J Am Geriatr Soc. 2007;55:993-1000. [CrossRef]
- Pham B, Krahn M. End-of-life care interventions: an economic analysis. Ont Health Technol Assess Ser. 2014;14:1-70.
- Smith S, Brick A, O’Hara S, Normand C. Evidence on the cost and cost-effectiveness of palliative care: A literature review. Palliative Med. 2014;28:130-50. [CrossRef]
- Bag B. Palliative care practices in Germany’s health system. Turkish Journal of Oncology 2012;27:142-9. [CrossRef]
- Kabalak A, Ozturk H, Erdem AT, Akın S. A comprehensive palliative care implementation in S.B. Ulus State Hospital. Journal of Contemporary Medicine 2012;2:122-6.
Abstract
Giriş: Palyatif bakım servisi ve evde sağlık hizmetlerinin koordineli bir şekilde çalışması hastaların takip ve tedavisinde önemli rol oynamaktadır. Bu olgu sunumu ile seçilmiş hastalarda birimler arasındaki koordinasyonun tedavideki etkisini göstermeyi amaçladık.Olgu: Evde sağlık hizmetlerinin evinde ziyaret ettiği 78 yaşında bayan hastanın sağ ayakta 2 yıl devam eden kronik yarası mevcut. Yara sağ ayak bileği laterale doğru uzanan, 4X5 cm. genişliğinde enfekte görünümlü idi. Amputasyon kararı verilmesine rağmen hastanın bu durumu reddettiği öğrenildi. Palyatif bakım servisinde 3 haftalık takip ve tedavisi sonrası yarası düzeldi. Evde sağlık hizmetlerinin kontrolünde olacak şekilde taburcu edildi
References
- Benli AR, Erbesler ZA. Differences on comprehension and practice in palliative care in Turkey. Turkish Journal of Family Practice 2016;20:5- 6. [CrossRef]
- Inci F, Oz F. Palliative Care and Death Anxiety. Current Approaches in Psychiatry. 2012;4:178-87. [CrossRef]
- Limnili G, Ozcakar N. The characteristics of applications to home health care service and expectations. Turkish Journal of Family Practice 2013;17:13-7. [CrossRef]
- Moise P, Schwarzinger M, Um M. Dementia in 9 OECD countries: a comparative analysis, In: Organisation for Economic Co-operation and Development, Paris 2004. pp.14
- Jacobs P, Finlayson G, Faienza B, Brown M, Newson B, MacLean N. The development of a tool to assess quality of cost estimates. Dis Manage Health Outcomes 2002;10:127-32.
- Larsson BW, Larsson G, Carslong SR. Advanced home care: patients’opinions on quality compared with those of family members. J Clin Nurs 2004;13:226-33.
- Memisoglu D, Kalkan B. Governance and innovation in healthcare services and Turkey. The Journal of Faculty of Economics and Administrative Sciences 2016;21:645-65.
- Altuntas M, Yılmazer TT, Guclu YA, Ongel K. Home health care service and recent applications in Turkey. The Journal of Tepecik Education and Research Hospital 2010;20:153-8.
- WHO. Sixty-seventh World Health Assembly, In:Resolutions and Desicions. Geneva 2014, pp12-8.
- Brumley R, Enguidanos S, Jamison P, Seitz R, Morgenstern N, Saito S, et al. Increased Satisfaction with Care and Lower Costs: Results of a Randomized Trial of In-Home Palliative Care. J Am Geriatr Soc. 2007;55:993-1000. [CrossRef]
- Pham B, Krahn M. End-of-life care interventions: an economic analysis. Ont Health Technol Assess Ser. 2014;14:1-70.
- Smith S, Brick A, O’Hara S, Normand C. Evidence on the cost and cost-effectiveness of palliative care: A literature review. Palliative Med. 2014;28:130-50. [CrossRef]
- Bag B. Palliative care practices in Germany’s health system. Turkish Journal of Oncology 2012;27:142-9. [CrossRef]
- Kabalak A, Ozturk H, Erdem AT, Akın S. A comprehensive palliative care implementation in S.B. Ulus State Hospital. Journal of Contemporary Medicine 2012;2:122-6.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | June 1, 2019 |
| Published in Issue | Year 2019Issue: 2 |