{"id":208922,"date":"2022-10-03T10:30:00","date_gmt":"2022-10-03T10:30:00","guid":{"rendered":"https:\/\/bm.dev.synology.me\/?p=208922"},"modified":"2022-10-03T10:30:00","modified_gmt":"2022-10-03T10:30:00","slug":"preventia-cheia-spre-o-imbatranire-sanatoasa","status":"publish","type":"post","link":"https:\/\/bm.dev.synology.me\/?p=208922","title":{"rendered":"Preven\u0163ia, cheia spre o \u00eemb\u0103tr\u00e2nire s\u0103n\u0103toas\u0103"},"content":{"rendered":"

\nDe\u015fi mul\u0163i viseaz\u0103 la tinere\u0163ea f\u0103r\u0103 b\u0103tr\u00e2ne\u0163e, \u00een lipsa unui \u201etratament-minunte\u201d pentru a o p\u0103stra avem totu\u015fi solu\u0163ia unei \u00eemb\u0103tr\u00e2niri s\u0103n\u0103toase. Ce rol joac\u0103 preven\u0163ia \u00een acest proces \u015fi ce solu\u0163ii exist\u0103 c\u00e2nd ne confrunt\u0103m totu\u015fi, dup\u0103 o anumit\u0103 v\u00e2rst\u0103, cu afec\u0163iunile specifice b\u0103tr\u00e2ne\u0163ii?<\/strong><\/p>\n

\n <\/p>\n

\n\u00cemb\u0103tr\u00e2nirea nu este o boal\u0103. Putem \u00eemb\u0103tr\u00e2ni s\u0103n\u0103tos dac\u0103 ne dorim cu adev\u0103rat \u015fi avem grij\u0103. \u00cemb\u0103tr\u00e2nirea \u00eencepe \u00een special de la nivel cognitiv, de la nivel cerebral. Deci foarte important este s\u0103 avem grij\u0103 de \u00eemb\u0103tr\u00e2nirea cerebral\u0103 pentru c\u0103 dac\u0103 aici \u00eencerc\u0103m s\u0103 combatem factorii de risc, \u015fi restul \u00eemb\u0103tr\u00e2nirii, \u015fi restul bolilor pot fi \u00eencetinite, astfel \u00eenc\u00e2t s\u0103 avem parte de o \u00eemb\u0103tr\u00e2nire frumoas\u0103, s\u0103n\u0103toas\u0103, \u00een care s\u0103 ne bucur\u0103m de oportunit\u0103\u0163ile respective, pentru c\u0103, sigur, \u00eemb\u0103tr\u00e2nirea nu iart\u0103 pe nimeni. Dar nu este o boal\u0103 ci, dac\u0103 \u015ftim cum s\u0103 lu\u0103m lucrurile at\u00e2t din punct de vedere medical c\u00e2t \u015fi psihosocial, \u00eemb\u0103tr\u00e2nirea poate fi o perioad\u0103 foarte frumoas\u0103 a vie\u0163ii\u201d, a spus dr. Ana-Maria Doscan, medic primar geriatrie, gerontologie \u015fi medicin\u0103 intern\u0103 \u015fi director medical al Enayati Hospital \u015fi Enayati Home, \u00een cadrul emisiunii BM Medical City News.<\/p>\n

\n\"\"Potrivit ei, \u00een procesul unei \u00eemb\u0103tr\u00e2niri s\u0103n\u0103toase esen\u0163iale sunt controalele de preven\u0163ie, care trebuie efectuate de la v\u00e2rste mai tinere, chiar de la 40 de ani, pentru a putea preveni o boal\u0103 cronic\u0103, \u015fi asta pentru c\u0103 boala cronic\u0103 nu are tratament curativ. \u201e\u015ei atunci, dac\u0103 nu po\u0163i s\u0103 tratezi \u00eencerci m\u0103car s\u0103 previi. Asta va avea impact \u015fi asupra s\u0103n\u0103t\u0103\u0163ii individului, dar \u015fi impactul economic va fi important.\u201d Este mult mai u\u015for, adaug\u0103 ea, s\u0103 previi dec\u00e2t s\u0103 tratezi. \u00cen acest demers spune c\u0103 importante sunt \u015fi strategiile preventive la nivel na\u0163ional.<\/p>\n

\nAna-Maria Doscan subliniaz\u0103 \u00eens\u0103 c\u0103 putem s\u0103 discut\u0103m \u015fi de preven\u0163ia secundar\u0103, care se refer\u0103 la situa\u0163iile \u00een care boala cronic\u0103 deja s-a instalat, dar \u00eenc\u0103 putem s\u0103 control\u0103m factorii de risc care pot agrava boala \u015fi complica\u0163iile.<\/p>\n

\n\u201ePutem face un management de caz mult mai bun din punct de vedere al s\u0103n\u0103t\u0103\u0163ii pacientului dar \u015fi al calit\u0103\u0163ii vie\u0163ii. Ne putem ghida \u00een preven\u0163ie dup\u0103 cele trei sintagme de strategie ale programului de strategie de preven\u0163ie european\u0103: respectiv s\u0103 d\u0103m via\u0163\u0103 anilor, adic\u0103 s\u0103 cre\u015ftem durata medie de via\u0163\u0103, s\u0103 d\u0103m s\u0103n\u0103tate vie\u0163ii, adic\u0103 s\u0103 avem o calitate a serviciilor de preven\u0163ie \u00eenc\u0103 din perioada de adult, la peste 40 de ani, \u015fi s\u0103 \u015ftim s\u0103 d\u0103m \u015fi calitate vie\u0163ii, adic\u0103 atunci c\u00e2nd avem o boal\u0103 totu\u015fi, s\u0103 reu\u015fim s\u0103 facem \u00een a\u015fa fel \u00eenc\u00e2t calitatea vie\u0163ii s\u0103 nu scad\u0103 foarte mult.\u201d<\/p>\n

\n

\n\u201eB\u0103tr\u00e2ne\u0163ea nu este o boal\u0103. Dac\u0103 \u015ftim cum s\u0103 lu\u0103m lucrurile at\u00e2t din punct de vedere medical c\u00e2t \u015fi psihosocial, \u00eemb\u0103tr\u00e2nirea poate fi o perioad\u0103 foarte frumoas\u0103 a vie\u0163ii.\u201d<\/em><\/strong><\/span><\/p>\n

\nDr. Ana-Maria Doscan, medic primar geriatrie, gerontologie \u015fi medicin\u0103 intern\u0103 \u015fi director medical al Enayati Hospital \u015fi Enayati Home<\/strong><\/span><\/p>\n

\n

\nEnayati Hospital este o unitate medical\u0103 premium, dotat\u0103 cu facilit\u0103\u0163i de \u00eenalt\u0103 tehnologie, fiind parte integrant\u0103 a Enayati Medical City, primul ora\u015f medical din Rom\u00e2nia. Spitalul are o capacitate de aproximativ 175 de paturi distribuite \u00een camere single sau duble, cu balcon \u015fi baie proprie, pe sec\u0163iile recuperare medical\u0103, neurologie, palia\u0163ie \u015fi cele de specialitate clinic\u0103, respectiv medical\u0103, geriatrie, cardiologie \u015fi pneumologie. Pe serviciile de recuperare \u015fi geriatrie, o medie a num\u0103rului de zile de spitalizare \u2013 care la Enayati au un cost mediu de circa 700 de lei\/zi cu bilet de trimitere \u2013 decontate de Casa de Asigur\u0103ri este de 12-14 zile.<\/p>\n

\n\u201eDar din p\u0103cate, discut\u00e2nd de un pacient fragil, cu multe comorbidit\u0103\u0163i, cu multe patologii, de multe ori este nevoie de mult mai mult timp ca s\u0103 avem o recuperare, chiar \u015fi cu rezultate destul de evidente. Putem discuta \u015fi de luni de zile.\u201d<\/p>\n

\nCa \u015fi \u00een restul \u0163\u0103rilor din Uniunea European\u0103, Ana-Maria Doscan sus\u0163ine c\u0103 Rom\u00e2nia este o \u0163ar\u0103 \u00een care popula\u0163ia \u00een v\u00e2rst\u0103 este \u00een continu\u0103 cre\u015ftere, \u015fi tocmai de aceea, nevoile, at\u00e2t sociale, economice dar \u015fi medicale sunt foarte mari pe acest segment de v\u00e2rst\u0103. \u201eAm trecut printr-o perioad\u0103 grea, pandemia de COVID-19, care a determinat o lips\u0103 de acces a acestui segment de popula\u0163ie la serviciile de tip cronic. Au fost foarte multe schimb\u0103ri \u00een domeniu \u015fi popula\u0163ia v\u00e2rstnic\u0103, cu multe boli cronice, nu a mai fost \u00eencurajat\u0103 s\u0103 apeleze la aceste servicii. \u015ei putem spune chiar c\u0103 p\u00e2n\u0103 la apari\u0163ia Enayati Hospital erau foarte pu\u0163ine posibilit\u0103\u0163i prin care v\u00e2rstnicul putea s\u0103 se adreseze pe zona acestor servicii de tip spitalizare continu\u0103\u201d, sus\u0163ine Ana-Maria Doscan.<\/p>\n

\nEa mai spune c\u0103 ehipa multidisciplinar\u0103, alc\u0103tuit\u0103 din medici, asistente \u015fi infirmiere necesit\u0103 o preg\u0103tire continu\u0103 particularizat\u0103 la nevoile acestor pacien\u0163i v\u00e2rstnici. \u201eSunt pacien\u0163i cu nevoi speciale, pacien\u0163i fragili, sensibili. C\u00e2nd vin s\u0103 se interneze la noi, prin faptul c\u0103 sunt sco\u015fi din mediul lor de acas\u0103, au nevoie de o adaptare. Au mare nevoie de \u00een\u0163elegere, de empatia noastr\u0103, a personalului medical. Au nevoie uneori chiar \u015fi de un psiholog care s\u0103 \u00eei ajute s\u0103 se adapteze \u015fi s\u0103 poat\u0103 r\u0103spunde favorabil la tratamentele \u015fi \u00eengrijirile oferite.\u201d \u00cen acest proces subliniaz\u0103 c\u0103 e necesar\u0103 \u015fi implicarea familiei, care e consiliat\u0103 \u015fi ajutat\u0103 s\u0103 \u00een\u0163eleag\u0103 nevoile pacientului cu boal\u0103 cronic\u0103.<\/p>\n

\n\u201ePentru c\u0103 dac\u0103 discut\u0103m, de exemplu, de un pacient cu boal\u0103 neurocognitiv\u0103 sau o demen\u0163\u0103, nevoile acestea sunt foarte complexe, \u00een special \u00een sfera de \u00eengrijire. Poate fi un pacient dependent, care are nevoi psihice speciale, poate sufer\u0103 de o depresie, de anxietate \u015fi atunci lucrul cu astfel de pacien\u0163i necesit\u0103 foarte mult\u0103 r\u0103bdare din partea personalului medical, foarte mult timp dedicat. Trebuie s\u0103-i oferi mai mult timp dec\u00e2t un consult sau fa\u0163\u0103 de cum oferi un serviciu medical unui pacient mai t\u00e2n\u0103r, \u015fi nu \u00een ultimul r\u00e2nd, foarte mult\u0103 empatie foarte \u015fi dragoste pentru aproape.\u201d<\/p>\n

\n\"\"<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

De\u015fi mul\u0163i viseaz\u0103 la tinere\u0163ea f\u0103r\u0103 b\u0103tr\u00e2ne\u0163e, \u00een lipsa unui \u201etratament-minunte\u201d pentru a o p\u0103stra avem totu\u015fi solu\u0163ia unei \u00eemb\u0103tr\u00e2niri s\u0103n\u0103toase. Ce rol joac\u0103 preven\u0163ia \u00een acest proces \u015fi ce solu\u0163ii exist\u0103 c\u00e2nd ne confrunt\u0103m totu\u015fi, dup\u0103 o anumit\u0103 v\u00e2rst\u0103, cu afec\u0163iunile specifice b\u0103tr\u00e2ne\u0163ii?   \u00cemb\u0103tr\u00e2nirea nu este o boal\u0103. Putem \u00eemb\u0103tr\u00e2ni s\u0103n\u0103tos dac\u0103 ne […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[510,52020,512],"tags":[52816,32955,52470,52190,10796,12845,17013,205,7374,14542],"class_list":["post-208922","post","type-post","status-publish","format-standard","hentry","category-actualitate","category-medical-city-news","category-revista-bm","tag-ana-maria-doscan","tag-batranete","tag-bm-medical-city","tag-enayati-hospital","tag-imbatranire","tag-pacient","tag-preventie","tag-sanatate","tag-servicii-medicale","tag-spital"],"_links":{"self":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/208922","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=208922"}],"version-history":[{"count":0,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/208922\/revisions"}],"wp:attachment":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=208922"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=208922"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=208922"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}