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September 23-24, 2019 | Prague, Czech Republic
2
nd
International Conference on
Palliative Care
Clinical Trials and Pharmacovigilance
Joint Event
&
Goal of the study – Practical guidelines development for
palliative care currentmodel improvement inGeorgia through
evaluation of palliative patients medical needs and provided
medical services, based on analysis of patients’ incurable
status definition in the country.
Questionnaire survey, analysis of medical documentation
and histories were applied in the study. Based on duration
of medical service provided to the patients, three groups
were assigned. Social and psychological problems of patients,
problems associated with caregivers and difficulties with
respect to clinical groups, problems of opioids prescription,
dose selection, availability of tablets were assessed and
included in data base along with medical problems.
In accordance with the obtained material, three groups
of patients were assigned, comparative analysis of them
was performed and study results reliability was evaluated
based thereof, wherein p value indicator was considered to
be statistically reliable. Considering study tasks and goals,
161 patients were selected. The 119 patients (73.9%) had
diagnosis of solid tumors, 27 (16.8%) oncology hematological
diseases, 15 (9.3%) diagnosis of primary tumors of central
nervous system. Number of patients due to age and sex was
as follows: group of patients aged 25-40 included 16 (9,9%)
patients; group of patients aged 41-60 included 35 (21,7%)
patients, 60-74 included 66 (40,9%) patients, and 75-80
included 44 (27,3%) patients.
Conclusions:
Needs of incurable patients and current medical
services are based mainly on medical needs and non-medical
aspects are often ignored; Provided medical services are
mainly based on minimal needs of patient and don’t include
internationally acknowledged model of palliative care;
It is not fair to request that duration of incurable patients’
palliative care shall be some 3 or 6 months, that infringes
main concept of palliative care: care till the end of life and
improvement/retention of quality of life.
Speaker Biography
Rukhadze T is aMedical Oncologist and Professor at Tbilisi State University.
Also, she serves as International Expert of Palliative Medicine and
completed her Postgraduate Fellowship in Clinical Oncology at Karolisnka
Hospital, Stockholm, Sweden and PhD at the age of 30 years from TSMU,
Georgia. She has completed international Fellowship program at the
Institute of Palliative Medicine, San Diego University, San Diego, USA.
She has over 50 publications that have been cited over 37 times and
her publication H-index is 3,5 and has been serving as an editorial board
member of EPMA Journal.
e:
tamar.rukhadze@tsu.geRukhadze T
1,2,3
Lekashvili T
1
1
Iv. Javakhishvili Tbilisi State University (TSU), Georgia
2
Research Institute of Clinical Medicine, Acad. F. Todua Medical Centre,
Georgia
3
Georgian National Association for Palliative Care, Georgia
Evaluation of medical needs and available medical services of end-of-life
cancer patients – Georgian experience
Journal of Primary Care and General Practice | Volume 2
J Prim Care Gen Pract, Volume:2