Medical and pharmaceutical law: features of palliative care to the pharmaceutical correction of patients with pain syndromes
Journal Title: Фармацевтичний журнал - Year 2015, Vol 3, Issue 3
Abstract
Reform of the modern health care system is aimed at improving access to medicines for patients of different clinical and pharmacological classification, regulatory and legal nomenclature groups. It acquires special importance in the provision of health medical and pharmaceutical care those patients whose disease is incurable, and accompanied by the development of pain. For theese categories of patients (and their in Ukraine more than 400 thousand) at the legislative level, a dedicated view of the medical and pharmaceutical care - palliative care. Therefore, the aim of the work was to study the features of palliative care as a separate pharmaceutical correction of patients with pain from a position of medical and pharmaceutical law. To achieve this goal we used the following materials research: health legislation (Constitution, laws, orders of the Ministry of Health of Ukraine, forms of medicines at all levels), medical and technological documentation regarding the provision of palliative care. The study used the following methods: regulatory, documentary, method of systematic data and forensic pharmaceutical analysis. The study highlighted the category of patients in need of palliative care. The basic clinical and pharmacological group of drugs that are used to pharmaceutical correction pain in palliative patients and their distribution over the levels of anesthesia. It was established that in the provision of palliative care possible use of adjuvant drugs that target potentiating and prolongation of action of drugs with direct analgesic effect. The systematization of clinical and pharmacological groups adjuvant drugs in accordance with international anatomical-therapeutic and chemical classification system ATC. The study authors have outlined the main directions of improvement of palliative care, in particular adjuvant pharmaceutical correction by forming an official list of drugs that can be used as part of adjuvant pharmaceutical correction followed by corresponding changes in their instructions for medical use.
Authors and Affiliations
O. A. Ryschenko
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