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September 23-24, 2019 | Prague, Czech Republic
2
nd
International Conference on
Palliative Care
Clinical Trials and Pharmacovigilance
Joint Event
&
Challenges and barriers of adequative pain management – Georgian experience
Rukhadze T
Iv. Javakhishvili Tbilisi State University (TSU), Georgia
Goal of the study – Improve quality of life of patients
with cancer pain in Georgia through evaluation of needs,
availability and accessibility of opioids. Questionnaire survey,
analysis of patients, medical professionals, patients medical
records and patients care givers were applied in the study. The
several problems associated with caregivers and difficulties
with respect to clinical groups, certain problems while opioids
prescription, dose selection, availability of opioids, tablet
forms of opioids were assessed and included in data base
along with medical problems.
The 159 questioners were analysed: 84 (52.8%) patients, 53
(33.3%) caregivers and 22 (13.8%) medical professionals. In
accordance with the obtained material comparative analysis
was performed and study results reliability was evaluated
based thereof, wherein p value indicator was considered to
be statistically reliable. It is significant, that concept of Clinical
Group in the practice of clinical oncology represents the unit
of dispenserisation remaining from the soviet healthcare
system.
Conclusions:
• Application of clinical groups in medical practice is
provisional; it represents the part of post-soviet system and
the unit of oncology patients’ health examination. Clinical
group creates a barrier in providing complete service to
patients, makes it impossible to prescribe opioids to patients
with medical means during anti-cancer radical treatment in
case of strong pains;
• Clinical group fails to provide complete information on
general condition of patient, quality of life. It is nor applied
in accordance with international clinical guidelines and is
maintained only in the countries of post-soviet region;
• The main barriers of non-adequate pain control and
challenges in opioids availability in Georgia are: lack of the
opioids, limited knowledge of medical professionals, opioid
phobia between medical professionals, patients and whole
population, incompliance of normative bases, legislation and
regulations.
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.geJournal of Primary Care and General Practice | Volume 2
J Prim Care Gen Pract, Volume:2