International Journal Rehabilitation and Palliative Medicine. 2023. 1(8): 111-115; doi 10.15574/IJRPM.2023.8.111
Mykhaylov B., Mishiyev V., Postrelko V., Galachenko A., Vasilyieva A.
Shupyk National Healthcare University of Ukraine, Kyiv

Palliative medicine is aimed at achieving the best possible in a particular situation the level of quality of life of the patient.
Purpose – to investigate that the grief reaction is one of the strongest and most painful human experiences.
Materials and methods. There were 120 cancer patients observed. The reaction of grief consists of 4 stages: shock and protest – numbness, disbelief and acute dysphoria; absorption – acute longing, search and anger; disorganization – a sense of despair and acceptance of loss and decision.
Results. The initial reaction of grief – shock, emotional numbness and disbelief. The excitement is most pronounced within about two weeks, followed by symptoms of depression, which reach its peak 4-6 weeks. Eventually, the former intense pain of severe loss begins to subside. In addition to the reaction of grief, there is a pathological, which is divided into suppressed (inhibited), delayed (delayed) and chronic. The role of the psychotherapist at this stage is to provide psychological support and assistance to both the patient and his environment to cope with this situation.
Conclusions. The principle of the concept of palliative care is the need to ensure the psychological comfort of the patient.
The research was carried out in accordance with the principles of the Helsinki Declaration. The informed consent of the patient was obtained for conducting the studies.
No conflict of interests was declared by the authors.
Keywords: palliative care, hospice, the cancer patients, psychotherapy.

REFERENCES

1. Erugina MV, Krom IL, Shmerkevich AB. (2016). Dostupnost palliativnoy meditsinskoy pomoschi dlya naseleniya. Pravovyie vopr. v zdravoohranenii. 1: 54-61.

2. Gnezdilov AV. (1991). Put na Golgofu. SPb: Klint: 136.

3. Kniazevych VM, Tsarenko AV, Yakovenko IV, Bratsiun OP. (2013). Stan, problemy i perspektyvy vprovadzhennia Natsionalnoi stratehii rozvytku systemy paliatyvnoi dopomohy v Ukraini do 2022 roku. Fitoterapiia. 4: 4-7.

4. Knyazevych V, Tsarenko А, Bratsyun O. (2013). Palliative and hospice care on the right track in Ukraine. European Journal of Palliative Care. 20 (4): 202-205.

5. Novikov GA. (2020). Metodologicheskie podhodyi k okazaniyu spetsializirovannoy palliativnoy meditsinskoy pomoschi. Metodicheskie rekomendatsii. Pod red professora GA Novikova. Moskva: Meditsina za kachestvo zhizni: 208.

6. Ukrstat. (2022). Derzhavnyi komitet statystyky Ukrainy. URL: http://www.ukrstat.gov.ua/.

7. Voronenko YuV, Hubskyi YuI, Tsarenko AV. (2014). Stvorennia systemy paliatyvnoi ta khospisnoi dopomohy v umovakh reformuvannia okhorony zdorov’ia v Ukraini: medychni ta sotsialni aspekty. Nauka i praktyka. Mizhvidomchyi med. zhurn. 1 (2): 63-75.

8. VOZ. (2005). Palliativnaya pomosch. Pod red E Davies, IJ Higginson: 32.

9. Vvedenskaya ES, Varenova LE. (2012). Kompleksnyiy podhod pri vyibore optimalnoy organizatsionnoy formyi palliativnoy pomoschi v kontse zhizni. Sovremennyie problemyi sotsialno-demograficheskogo razvitiya. Moskva: 67-84.