Experience of rendering palliative medical (PMC) care in a versatile hospital is presented – in the St. Petersburg City geriatric medico-social center (CGMSC). Clinical records of 4561 patients receiving treatment on office of PMC CGMSC during 2015–2020 underwent the analysis. Characteristic of stages of hospitalization of oncological patients, patients with somatic pathology and patients with neurodegenerative diseases in office of palliative medical care is given. Presented clinical cases from the practice of managing difficult patients. The prospects of rendering palliative medical care in the conditions of a versatile hospital are described.
The conclusion is drawn that only during creation of offices of palliative medical care in versatile hospitals it is possible to render this type of specialized medical care for patients adequately and in full.
The purpose of the study is to analyze the activities of the Department of palliative care in the City Geriatric Medical and Social Center of St. Petersburg.Materials and methods.
A n a n a l y t i c a l s t u d y of the medical records of patients of the Department of Palliative Care of St. Petersburg State Medical Institution City Geriatric Medical and Social Center was conducted. The case histories were selected for three nosologies typical for geriatric patients.
R e s u l t s . The analysis included the medical records of 4,561 patients treated in the department of PMP GHZ in the period from 2015 to 2020. The article describes the stages of hospitalization of cancer patients, patients with somatic pathology and patients with neurodegenerative diseases in the department of palliative care. Clinical cases from the practice of managing difficult patients are presented. The prospects of providing palliative care in a multidisciplinary hospital are described.
C o n c l u s i o n s . Only with the establishment of palliative care units in multi-specialty hospitals is it possible to provide this type of specialized medical care to patients adequately and in full.
Management in health care