Transcript medico-social work with oncological patients as a priority

Boyko Angelina
Kazan State Medical University
Cancerous diseases in
developed countries take the
second
place
after
cardiovascular ones according
to the number of lives being
lost. Cancer is a worldwide
problem. Worldwide about 10
million cases of malignant
tumors are diagnosed annually.
Meanwhile, about 8 million
patients die from cancer. In
Russia cancer kills more than
300 thousand patients. And
every year, about 450 thousand
new cancer patients are
revealed.




1,6% increase in the proportion of patients with malignant
neoplasms compared with the beginning of 2009
On prophylactic examinations at 0,8% increase in the
proportion identified in I-II stages of disease
Decreased rate of neglect among newly diagnosed patients
malignant neoplasms at 0,5%
a one-year mortality rate - 1,7%


Registered in Kazan Oncology Center consisted of
20528 persons, or each of the 48 th inhabitant of
Kazan
Cancer incidence in the city grew, reaching 3994 in
2009 human
Self-help groups − regular
meetings held to exchange
experience
and
moral
support to members of each
other;
collective
organization,
which consists of people
with similar needs and
challenges that unite or to
search for solutions or to
manage a difficult situation.





Groups help people experiencing
a serious problem, get rid of
feelings of isolation, loneliness
and
misunderstanding
surrounding
Groups
give
people
the
opportunity to more objectively
assess your situation
Helping others help themselves
Practical
assistance
and
emotional support
Optimism
Unfortunately, our country
hasn’t experience of social work with
oncology patients. There are no
specific methods of social work with
such clients. Students do not have
practice in the oncology departments
of hospitals. There is no such a
model using as support groups for
cancer patients in institutions in
Russia, or it is developed at the level
of charitable organizations. The rates
of social worker in oncology clinics
are not available. Concerning social
work in oncology, as such, there is
nothing to speak. Here the important
role is played by expert knowledge
of social work on the medical aspects
of the disease. Thus, a different form
of social work is medical-social one.
Nevertheless, in the Republic of Tatarstan made the
first attempts at social support of citizens with cancer:
are non-governmental organizations to combat cancer,
carried out to implement forms of social assistance to
such persons.
Last year at the Republican
Oncological Dispensary of
Tatarstan there was a “School of
Patients”, organized by the AllRussian association "Movement
Against Cancer," in which I also
took part.Clinic doctors came
for a meeting with people who
had got that terrible diagnosis,
but cured of the disease, as well
as a lawyer and a psychologist.
School participants learnt from
practitioners about the features
of malignant tumors, and also
took a look at the advanced
treatment methods.
I saw how it was hard and
scary
to
those
people.
Unfortunately,
histological
examination and confirmation
of the diagnosis of malignant
formation take 2 weeks. All
this time, patients are at the
clinic alone with their fears in
a society of the same
woebegone and frightened
people. It was at this moment
− a moment of uncertainty,
when they needed the most
qualified psychological and
social assistance.






Ministry of Health and Social Development of Russian Federation, Ministry of
Health of the Republic of Tatarstan, Management of Health Kazan organize,
coordinate and supervise social work with people with cancer.
Ministry of Health and Social Development of Russian Federation, Ministry of
Health of the Republic of Tatarstan, Management of Health Kazan develop
organizational and legal framework for working with cancer patients in human
beings.
Compulsory introduction of a social worker in hospitals cancer Kazan.
Interaction of a social worker with psychologists hospitals cancer Kazan.
Teaching specialists of social worker to organization groups for cancer patients
people.
Involvement of volunteer students of the Kazan Medical University, majoring in
social work for the mutual support groups with people with cancer.
It is important to note that, despite all the variety of
positive changes and the factors contributing to them, help for
this category of citizens can be truly effective only with creating
a system that includes a well-elaborated, organized regulatory
system, sources of stable funding, training, involvement and
organization of volunteers and necessary introduction to the
state hospital rate specialist of social work.
Only such a comprehensive statement of objectives
will complement the efforts of doctors working by the
interdisciplinary teams that include psychologists,
social workers, teachers and professionals of related
areas, and also will effectively mitigate the most severe
situation in which there is the origin of the modern
treatment of oncological diseases, and improve quality
of life for these patients and their families.