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Relacja z XI Opolskich Warsztatów Medycznych: „Musimy kształcić nie tylko sami siebie, ale również pacjentów”

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W dniach 28-29 listopada 2020 r. odbyły się XI Opolskie Warsztaty Medyczne. Spotkaniu przewodniczył dr n. med. Grzegorz Krasowski Wiceprezes Stowarzyszenia Naukowego Leczenia Ran oraz zaproszeni goście, m.in. prof. dr hab. n. med. Marzenna Bartoszewicz. Organizatorem szkolenia była firma Nutrikon sp. z o.o. Patronem wydarzenia zostało Stowarzyszenie Naukowe Leczenia Ran oraz portal Forum Leczenia Ran.

Spotkanie było okazją do zapoznania się z najnowszymi badaniami i nowoczesnymi metodami z zakresu leczenia trudno gojących się ran.

– To, że mamy pandemię COVID-19, nie zwalnia nas z obowiązku stałego podnoszenia naszych kompetencji – podkreślił podczas XI Opolskich Warsztatów Medycznych dr n. med. Grzegorz Krasowski. Jak Państwo doskonale wiecie, medycyna to schody ruchome, które jadą w dół, a my musimy wspinać się po nich do góry. Kształcenie jest naszym obowiązkiem – musimy kształcić nie tylko sami siebie, ale również pacjentów, którzy są coraz bardziej świadomi tego, jak przebiega proces leczenia – dodał.

dr n. med. Grzegorz Krasowski Wiceprezes Stowarzyszenia Naukowego Leczenia Ran

Pierwszy dzień konferencji

Podczas pierwszego dnia wydarzenia zostały poruszone takie tematy jak, m.in. „Leczenie płynami – jak to zrobić bezpiecznie” czy „Organizacja domowego leczenia żywieniowego”. Ponadto odbyły się tego dnia warsztaty, podczas których eksperci podjęli się przedstawienia problematyki m.in. opieki nad dostępem dojelitowym i pozajelitowym w warunkach domowych, wykonania dostępu dojelitowego i pozajelitowego, czy też tego jak rozpoznać niedożywienie.

Uczestnicy spotkania mieli okazję uczestniczyć tego dnia w dwóch panelach dyskusyjnych, podczas których eksperci rozmawiali o roli leczenia żywieniowego oraz problemach, jakie pojawiają się w tego rodzaju leczeniu.

Leczenie żywieniowe stanowi największy postęp w historii medycyny w ostatnich latach – zaznaczył organizator spotkania dr n. med. Grzegorz Krasowski. Można je porównać do wprowadzenia antybiotyków bądź znieczulenia ogólnego w chirurgii. Jest użyteczne w każdej dziedzinie medycyny, jednak obecnie stosuje się je tylko w niektórych specjalizacjach, takich jak onkologia, chirurgia, leczenie terminalne i hospicyjne. Tymczasem osiągnięcia leczenia żywieniowego są do wykorzystania we wszystkich dyscyplinach medycyny, w tym także w leczeniu ran.

 

Jaka problematyka została poruszona podczas drugiego dnia konferencji?

Drugi dzień XI Opolskich Warsztatów Medycznych obfitował w tematy dotyczące nowych możliwości zamykania ran przewlekłych, skutecznego skracania czasu gojenia ran, jak również ubezpieczenia, które ma być niejako „polisą świętego spokoju”.

Jak zaznaczyła podczas swojego wykładu prof. Marzenna Bartoszewicz, prawie 6 proc. społeczeństwa choruje na cukrzycę. Jedna czwarta z nich będzie miała powikłania w postaci stopy cukrzycowej, oprócz której są jeszcze inne postaci zakażonych ran przewlekłych. Wśród nich ekspertka wymieniła m.in. zakażenie owrzodzenia goleni, zakażenie odleżyny czy zakażenie oparzenia.

– Zwracam Państwa uwagę na fakt, iż pandemia COVID-19 spowodowała (szczególnie w tych ciężkich postaciach ran przewlekłych), że pacjenci boją się wizyty u lekarza, wizyty u pielęgniarki. To natomiast powoduje, że obecne w ranie zakażenie się pogłębia.

Panele dyskusyjne ekspertów

Tego dnia odbyły się również panele dyskusyjne i warsztaty, które dotyczyły m.in. problematyki odciążeniowego zaopatrzenia w zespole stopy cukrzycowej, w tym metody FREMS – nowego rozwiązania dla pacjentów z neuropatią bólową. Ponadto eksperci przekazali również praktyczną wiedzę z zakresu stosowania opatrunków kompresyjnych przy użyciu bandaży oraz tego jak dobrać nowoczesny gotowy wyrób kompresyjny.

Uczestnicy mieli okazję obejrzeć i wysłuchać warsztaty dotyczące sposobów oczyszczania ran, jak również dowiedzieć się więcej m.in. o tym, jakie korzyści przynosi stosowanie opatrunków zawierających srebro czy hydroterapia.

Podczas paneli dyskusyjnych eksperci podjęli się dialogu w zakresie tego, jak przekonać pacjenta do kompresjoterapii i ruchu, jak również jak ważny jest dobór odpowiedniego opatrunku do fazy i rodzaju rany.

„Musimy kształcić nie tylko sami siebie, ale również pacjentów, którzy są coraz bardziej świadomi tego, jak przebiega proces leczenia”

„Procedury medyczne są linią obrony personelu medycznego”

Podczas jednego z paneli dyskusyjnych dr n. med. Grzegorz Krasowski odniósł się do roli procedur medycznych tworzonych w szpitalach. Zaznaczył, iż praca włożona w to, aby te procedury medyczne zostały stworzone jest linią obrony personelu medycznego, która niejako chroni, zabezpiecza i zdejmuje tę odpowiedzialność, przenosząc ją na pracodawcę, w imieniu którego zostały te procedury stworzone. „Istnienie procedur medycznych i ich przestrzeganie jest bardzo ważne” – zaznaczył.

Prof. Marzenna Bartoszewicz zapytana podczas panelu dyskusyjnego o bakterie, które mają pozytywny wpływ na proces gojenia rany, przypomniała, że rana nie jest przewodem pokarmowym.

– Te bakterie w ranie, które są mikrobiotą fizjologiczną np. gronkowiec skórny własny pacjenta w niewielkiej ilości to jest ta grupa bakterii, które wspomagają epitelializację i proces gojenia rany. Natomiast wszystkie inne drobnoustroje obecne w ranie, szczególnie Pseudomonas aeruginosa czy Streptococcus pyogenes należy mieć na uwadze, że mogą one wyprodukować toksyny. Dlatego dbamy o antyseptykę i obniżanie miana bakterii – dodała specjalistka w zakresie mikrobiologii, sekretarz Stowarzyszenia Naukowe Leczenia Ran.

Wystawa firm podczas XI Opolskich Warsztatów Medycznych

Jak zaznaczył podczas konferencji dr n. med. Grzegorz Krasowski, spotkanie odbyło się również dzięki udziałowi sponsorów wydarzenia, m.in. firmom Hartmann, Baxter, Pierre Fabre Medicament, Medi, Urgo Medical, Fresenius Kabi, Olimp Labs, Smith Nephew, BBraun, Anmar, Aspironix.

Partnerem wydarzenia było Stowarzyszenie Naukowe Leczenia Ran, Polpharma, iCast, Podiatech, VIGO-Ortho Polska, Mölnlycke Health Care, Lohmann&Rauscher, Solinea, Oxy LifeMED i Zinzino.

XI Opolskie Warsztaty Medyczne zostały certyfikowane znakiem INFARMA

Uczestnicy spotkania mieli możliwość wzięcia udziału w wystawie firm, które prezentowały swój najnowocześniejszy i najlepszy asortyment niezbędny w leczeniu ran przewlekłych. Ponadto istniała możliwość zadawania pytań ekspertom, którzy w szczegółowy sposób starali się odpowiedzieć na każde pytanie osób biorących udział w szkoleniu.

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