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Query: UMLS:C0015672 (fatigue)
 51,768 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Depression is a frequent comorbidity in palliative care with significant impact on self perceived quality of life of patients and family members. Distinct phenomena in palliative care situations can be observed: from "normal" response to the diagnosis of a life threatening illness (sadness, anger, despair) to severe depressive episodes. Due to symptom overlap in regard of somatic disease and depression (e.g. fatigue, lack of appetite) current criteria for depression from ICD- 10 (or DSM IV) may not be applicable in palliative situations. Consecutive symptoms of far advanced illness/ disease therefore need to be excluded or carefully taken into consideration. There is evidence that best palliative care is one of most promising interventions to prevent depression. Drug therapy with antidepressants or other medication alone cannot be recommended but need to be complemented by non- pharmacological interventions. Apart from treatment goals survival prognosis is one of the major factors for any care plan.
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PMID:[Depression in palliative care]. 2233

The aim of this study was to identify and analyse professional stressors, evaluate the level of stress in nurses in Intensive Care Units (ICU), and assess the correlation between the perception of stress and psychological and somatic symptoms or diseases shown by nurses. The research, designed as a cross-sectional study, was carried out in the Intensive Care Units (ICU), in health centres in Serbia. The sample population encompassed 1000 nurses. Expanded Nursing Stress Scale (ENSS) was used as the research instrument. ENSS revealed a valid metric characteristic within our sample population. Nurses from ICUs rated situations involving physical and psychological working environments as the most stressful ones, whereas situations related to social working environment were described as less stressful; however, the differences in the perception of stressfulness of these environments were minor. Socio-demographic determinants of the participants (age, marital status and education level) significantly affected the perception of stress at work. Significant differences in the perception of stressfulness of particular stress factors were observed among nurses with respect to psychological and somatic symptoms (such as headache, insomnia, fatigue, despair, lower back pain, mood swings etc.) and certain diseases (such as hypertension, myocardial infarction, stroke, diabetes mellitus etc). In view of permanent escalation of professional stressors, creating a supportive working environment is essential for positive health outcomes, prevention of job-related diseases and better protection of already ill nurses.
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PMID:Professional stress and health among critical care nurses in Serbia. 2272 99


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