{"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\/tr\/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":"Paramediklerin ya\u015fam sonu planlamas\u0131ndaki rol\u00fc"},"content":{"rendered":"
Mod\u00fcl-1 ba\u015fl\u0131kl\u0131 b\u00f6l\u00fcm<\/span><\/a>
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Paramediklerin ya\u015fam sonu planlamas\u0131ndaki rol\u00fc<\/h1>\n

 <\/p>\n<\/div>\n<\/header>\n

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Finansman<\/h2>\n<\/article>\n

Bristol, Kuzey Somerset ve G\u00fcney Gloucestershire CCG Ara\u015ft\u0131rma Kapasitesi Fonu (Yerel Kalk\u0131nma)<\/p>\n

Ara\u015ft\u0131rma sorusu nedir?<\/h2>\n

Acil t\u0131p teknisyenlerinin tarama ve y\u00f6nlendirme mekanizmas\u0131n\u0131n \ub3c4\uc785 edilmesi, erken d\u00f6nem ileri bak\u0131m planlamas\u0131n\u0131 art\u0131r\u0131r ve ya\u015fam\u0131n son y\u0131l\u0131ndaki hastalar i\u00e7in sonu\u00e7lar\u0131 iyile\u015ftirir mi?<\/p>\n

Sorun nedir?<\/h2>\n

Ya\u015fam\u0131n son evresindeki hastalar\u0131n belirlenmesi, \u00f6zellikle kanser d\u0131\u015f\u0131ndaki ya\u015fl\u0131l\u0131k zay\u0131fl\u0131\u011f\u0131 ve bunama gibi te\u015fhisleri olan ki\u015filerde yetersiz yap\u0131lmaktad\u0131r.<\/p>\n

Ya\u015fam sonuna yakla\u015fan hastalar\u0131n erken te\u015fhis edilmesi \u00f6nemlidir; \u00e7\u00fcnk\u00fc bu, kapsaml\u0131 topluluk deste\u011finin organize edilmesini, ihtiya\u00e7lar\u0131n belirlenmesini ve uyarlanmas\u0131n\u0131 ve insanlar\u0131n tercih ettikleri yerde \u00f6lmelerine olanak tan\u0131mak gibi isteklerinin yerine getirilmesini sa\u011flar. En k\u00f6t\u00fc senaryo, hastan\u0131n yo\u011fun bir hastane acil servisine g\u00f6t\u00fcr\u00fclmesi ve evde huzur i\u00e7inde \u00f6lmeyi tercih ederken hastanede \u00f6lmesidir.<\/p>\n

\u0130leri Bak\u0131m Planlamas\u0131 (\u0130KK), 'hastalar\u0131n kapasitelerini kaybettiklerinde ge\u00e7erli olacak gelecekteki bak\u0131mlar\u0131 hakk\u0131nda kararlar almalar\u0131na yard\u0131mc\u0131 olmay\u0131 ama\u00e7layan resmi bir karar verme s\u00fcreci' olarak tan\u0131mlan\u0131r. NHS'de \u0130KK'n\u0131n mevcut kullan\u0131m\u0131 de\u011fi\u015fkendir; ambulans servisine ba\u015fvuran bir\u00e7ok hastan\u0131n, ya\u015famlar\u0131n\u0131n son a\u015famas\u0131nda bile, bak\u0131m planlamas\u0131 yapmam\u0131\u015f oldu\u011fu g\u00f6r\u00fclmektedir. Ya\u015fam sonu hastalar\u0131 i\u00e7in hastane masraflar\u0131n\u0131n y\u0131lda 180 milyon sterlin oldu\u011fu tahmin edildi\u011finden, bu maliyetleri azalt\u0131rken hastalar i\u00e7in \u0130KK'y\u0131 iyile\u015ftirmek gereklidir.<\/p>\n

Ara\u015ft\u0131rman\u0131n amac\u0131 nedir?<\/h2>\n

Ambulans hizmetleri, daha \u00f6nce ya\u015fam sonu evresinde oldu\u011fu tespit edilmemi\u015f ve 999 acil \u00e7a\u011fr\u0131s\u0131 yoluyla ambulans hizmetine eri\u015fen hastalarda ki\u015fiselle\u015ftirilmi\u015f bak\u0131m ve eve daha yak\u0131n bak\u0131m sa\u011flanmas\u0131n\u0131 ba\u015flatma konumundad\u0131r. Bu \u00e7al\u0131\u015fma, paramediklerin ya\u015fam sonu evresindeki hastalar\u0131 tespit etmesinin, bu hastalar i\u00e7in ileriye d\u00f6n\u00fck bak\u0131m planlamas\u0131n\u0131 art\u0131r\u0131p art\u0131rmayaca\u011f\u0131n\u0131 ve sonu\u00e7lar\u0131 iyile\u015ftirip iyile\u015ftirmeyece\u011fini anlamay\u0131 ama\u00e7lamaktad\u0131r.<\/p>\n

Bu nas\u0131l ba\u015far\u0131lacak?<\/h2>\n

Paramediklerden, yerle\u015fik bir tarama arac\u0131 olan Alt\u0131n Standartlar \u00c7er\u00e7evesi Proaktif Tan\u0131mlama K\u0131lavuzu (PIG) ve hastan\u0131n aile hekimine yap\u0131lacak ilgili bir sevk i\u015flemi kullanarak, hastan\u0131n ya\u015fam sonuna yakla\u015ft\u0131\u011f\u0131n\u0131 ve ileriye d\u00f6n\u00fck bak\u0131m planlamas\u0131 (ACP) de\u011ferlendirmesine ihtiya\u00e7 duydu\u011funu aile hekimine bildirmeleri istenecektir.<\/p>\n

Ger\u00e7ek\u00e7i de\u011ferlendirme metodolojisi, bu m\u00fcdahalenin ya\u015famlar\u0131n\u0131n son y\u0131l\u0131nda olan hastalar\u0131 belirlemek ve y\u00f6nlendirmek i\u00e7in nas\u0131l kullan\u0131labilece\u011fini ve bunun hasta sonu\u00e7lar\u0131n\u0131 ve deneyimini, bak\u0131m verenlerin deneyimlerini, kaynak kullan\u0131m\u0131n\u0131 ve birinci basamak sa\u011fl\u0131k hizmetleri ve paramedik i\u015f g\u00fcc\u00fc \u00fczerindeki etkisini derinlemesine anlamay\u0131 sa\u011flayacakt\u0131r.<\/p>\n

Ara\u015ft\u0131rmay\u0131 kim y\u00fcr\u00fct\u00fcyor?<\/h2>\n

Kim Kirby<\/a>, Bat\u0131 \u0130ngiltere \u00dcniversitesi Sa\u011fl\u0131k ve Klinik Ara\u015ft\u0131rma Merkezi'nde K\u0131demli Ara\u015ft\u0131rma G\u00f6revlisi (Paramedik Bilimi).<\/p>\n

Daha fazla bilgi<\/h2>\n

Daha fazla bilgi almak veya bu projeye kat\u0131lmak i\u00e7in l\u00fctfen ileti\u015fime ge\u00e7in. 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\/tr\/wp-json\/wp\/v2\/pages\/34688","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/comments?post=34688"}],"version-history":[{"count":1,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34688\/revisions"}],"predecessor-version":[{"id":34689,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34688\/revisions\/34689"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/32896"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/media?parent=34688"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/tags?post=34688"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}