{"id":34688,"date":"2024-11-26T17:11:21","date_gmt":"2024-11-26T17:11:21","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=34688"},"modified":"2024-11-26T17:11:21","modified_gmt":"2024-11-26T17:11:21","slug":"the-role-of-paramedics-in-end-of-life-planning","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/sq\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/type-2-rcf-funded-projects\/the-role-of-paramedics-in-end-of-life-planning\/","title":{"rendered":"Roli i paramedik\u00ebve n\u00eb planifikimin e fundit t\u00eb jet\u00ebs"},"content":{"rendered":"
Seksioni me titull module-1<\/span><\/a>
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Roli i paramedik\u00ebve n\u00eb planifikimin e fundit t\u00eb jet\u00ebs<\/h1>\n

 <\/p>\n<\/div>\n<\/header>\n

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Financimi<\/h2>\n<\/article>\n

Financimi i Aft\u00ebsive K\u00ebrkimore CCG i Bristolit, Somersetit Verior dhe Gloucestershirit Jugor (Zhvillim Lokal)<\/p>\n

Cila \u00ebsht\u00eb pyetja k\u00ebrkimore?<\/h2>\n

A e rrit futja e nj\u00eb rruge t\u00eb shqyrtimit dhe referimit p\u00ebr ndihm\u00ebsit mjek\u00ebsor\u00eb planifikimin e hersh\u00ebm t\u00eb kujdesit t\u00eb avancuar dhe a p\u00ebrmir\u00ebson rezultatet p\u00ebr pacient\u00ebt n\u00eb vitin e fundit t\u00eb jet\u00ebs?<\/p>\n

Cili \u00ebsht\u00eb problemi?<\/h2>\n

Identifikimi i pacient\u00ebve n\u00eb faz\u00ebn e Fundit t\u00eb Jet\u00ebs (EoL) b\u00ebhet dob\u00ebt, ve\u00e7an\u00ebrisht tek ata njer\u00ebz me diagnoza t\u00eb tjera p\u00ebrve\u00e7 kancerit, si\u00e7 jan\u00eb brisht\u00ebsia dhe demenca.<\/p>\n

\u00cbsht\u00eb e r\u00ebnd\u00ebsishme q\u00eb pacient\u00ebt q\u00eb i drejtohen EoL t\u00eb identifikohen her\u00ebt, pasi kjo lejon organizimin e mb\u00ebshtetjes gjith\u00ebp\u00ebrfshir\u00ebse t\u00eb komunitetit, identifikimin dhe p\u00ebrshtatjen e nevojave, si dhe respektimin e d\u00ebshirave t\u00eb tyre, si\u00e7 \u00ebsht\u00eb mund\u00ebsimi i njer\u00ebzve p\u00ebr t\u00eb vdekur n\u00eb vendin e tyre t\u00eb zgjedhur. Skenari m\u00eb i keq \u00ebsht\u00eb kur nj\u00eb pacient transportohet n\u00eb nj\u00eb Repart Emergjence t\u00eb spitalit me shum\u00eb njer\u00ebz dhe vdes n\u00eb spital, nd\u00ebrsa do t\u00eb kishte preferuar t\u00eb vdiste n\u00eb paqe n\u00eb sht\u00ebpi.<\/p>\n

Planifikimi i Kujdesit t\u00eb Parakohsh\u00ebm (PKP) p\u00ebrkufizohet si 'nj\u00eb proces i vendimmarrjes formale q\u00eb synon t\u00eb ndihmoj\u00eb pacient\u00ebt t\u00eb marrin vendime n\u00eb lidhje me kujdesin e tyre t\u00eb ardhsh\u00ebm q\u00eb hyjn\u00eb n\u00eb fuqi kur humbasin kapacitetin'. P\u00ebrdorimi aktual i PKP-s\u00eb brenda NHS-s\u00eb \u00ebsht\u00eb i ndryshuesh\u00ebm, shum\u00eb pacient\u00eb q\u00eb paraqiten n\u00eb sh\u00ebrbimin e ambulanc\u00ebs nuk duket se kan\u00eb planifikim t\u00eb kujdesit, edhe kur ishin n\u00eb fund t\u00eb jet\u00ebs. Me kostot spitalore p\u00ebr pacient\u00ebt e EoL t\u00eb vler\u00ebsuara n\u00eb 180 milion\u00eb \u00a3 n\u00eb vit, zvog\u00eblimi i k\u00ebtyre kostove, nd\u00ebrsa p\u00ebrmir\u00ebsimi i PKP-s\u00eb p\u00ebr pacient\u00ebt, \u00ebsht\u00eb i nevojsh\u00ebm.<\/p>\n

Cili \u00ebsht\u00eb q\u00ebllimi i hulumtimit?<\/h2>\n

Sh\u00ebrbimet e ambulanc\u00ebs jan\u00eb n\u00eb gjendje t\u00eb nxisin kujdes t\u00eb personalizuar dhe ofrimin e kujdesit m\u00eb af\u00ebr sht\u00ebpis\u00eb p\u00ebr ata pacient\u00eb q\u00eb nuk jan\u00eb identifikuar m\u00eb par\u00eb n\u00eb EoL dhe q\u00eb hyjn\u00eb n\u00eb sh\u00ebrbimin e ambulanc\u00ebs p\u00ebrmes nj\u00eb telefonate 999. Ky studim synon t\u00eb kuptoj\u00eb n\u00ebse identifikimi i pacient\u00ebve EoL nga paramedik\u00ebt mund t\u00eb rris\u00eb ACP-n\u00eb dhe t\u00eb p\u00ebrmir\u00ebsoj\u00eb rezultatet p\u00ebr k\u00ebta pacient\u00eb.<\/p>\n

Si do t\u00eb arrihet kjo?<\/h2>\n

Paramedik\u00ebve do t'u k\u00ebrkohet t\u00eb p\u00ebrdorin nj\u00eb mjet t\u00eb vendosur shqyrtimi, Udh\u00ebzimin p\u00ebr Identifikim Proaktiv (PIG) t\u00eb Korniz\u00ebs s\u00eb Standardeve t\u00eb Art\u00eb dhe nj\u00eb referim p\u00ebrkat\u00ebs n\u00eb klinik\u00ebn e mjekut t\u00eb familjes s\u00eb pacientit, p\u00ebr t\u00eb njoftuar at\u00eb se pacienti po i afrohet EoL dhe k\u00ebrkon rishikim ACP.<\/p>\n

Metodologjia realiste e vler\u00ebsimit do t\u00eb lejoj\u00eb nj\u00eb kuptim t\u00eb thell\u00eb se si kjo nd\u00ebrhyrje mund t\u00eb p\u00ebrdoret p\u00ebr t\u00eb identifikuar dhe referuar pacient\u00ebt n\u00eb vitin e fundit t\u00eb jet\u00ebs s\u00eb tyre, dhe si kjo mund t\u00eb ndikoj\u00eb n\u00eb rezultatet dhe p\u00ebrvoj\u00ebn e pacientit, p\u00ebrvojat e kujdestarit, p\u00ebrdorimin e burimeve dhe efektin n\u00eb kujdesin par\u00ebsor dhe fuqin\u00eb pun\u00ebtore t\u00eb ndihm\u00ebs mjek\u00ebsore.<\/p>\n

Kush po e udh\u00ebheq hulumtimin?<\/h2>\n

Kim Kirby<\/a>, Bashk\u00ebpun\u00ebtor i Lart\u00eb K\u00ebrkimor (Shkenca Paramedikale), Qendra p\u00ebr Sh\u00ebndet\u00ebsi dhe K\u00ebrkime Klinike, Universiteti i Anglis\u00eb Per\u00ebndimore.<\/p>\n

Informacion i m\u00ebtejsh\u00ebm<\/h2>\n

P\u00ebr m\u00eb shum\u00eb informacion ose p\u00ebr t'u p\u00ebrfshir\u00eb n\u00eb k\u00ebt\u00eb projekt, ju lutemi t\u00eb kontaktoni bnssg.research@nhs.net<\/a>.<\/p>\n <\/div>\r\n <\/section><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"

Section titled module-1 The role of paramedics in End of Life planning   Funding Bristol, North Somerset and South Gloucestershire CCG Research Capability Funding (Local development) What is the research question? Does the introduction of a paramedic screening and referral pathway increase early advanced care planning and improve outcomes for patients in the last year […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":32896,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-34688","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/34688","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/comments?post=34688"}],"version-history":[{"count":1,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/34688\/revisions"}],"predecessor-version":[{"id":34689,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/34688\/revisions\/34689"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/32896"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/media?parent=34688"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/tags?post=34688"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}