{"id":228396,"date":"2020-03-03T10:00:45","date_gmt":"2020-03-03T09:00:45","guid":{"rendered":"https:\/\/slf.dgstage.se\/sylf\/moderna-lakare\/?p=228396"},"modified":"2020-06-08T17:29:28","modified_gmt":"2020-06-08T15:29:28","slug":"228396-2","status":"publish","type":"post","link":"https:\/\/slf.se\/sylf\/moderna-lakare\/228396-2\/","title":{"rendered":"Dr Fredrika no1 2020"},"content":{"rendered":"<p><strong>En bekant, som<\/strong> sj\u00e4lv inte arbetar inom v\u00e5rden, fr\u00e5gade h\u00e4romdagen varf\u00f6r jag valt att g\u00f6ra min ST inom geriatrik. Oftast n\u00f6jer jag mig med det korta svaret; att patientgruppen \u00e4r s\u00e5 intressant och varierad. Men ibland kan man inte hejda sig, och med ens ville jag delge min samtalspartner vad jag uppfattar som den stora nyttan av ett geriatriskt f\u00f6rh\u00e5llningss\u00e4tt.<\/p>\n<p><strong>Det \u00e4r ju<\/strong> s\u00e5 l\u00e4tt att g\u00e5 vilse i v\u00e5rden av den \u00e4ldre patienten. En rutinprovtagning avsl\u00f6jar i m\u00e5nga fall diverse avvikelser, och en DT buk kan f\u00f6rutom svar p\u00e5 aktuell fr\u00e5gest\u00e4llning ocks\u00e5 ge ov\u00e4ntad information, till exempel om en cysta i pankreas eller en f\u00f6rtjockning i urinbl\u00e5sans v\u00e4gg. L\u00e4kemedelsbehand\u00adling kan bland annat \u00f6ka k\u00e4nsligheten f\u00f6r dehydrering samt orsaka fall i hemmet. I samband med operationer \u00e4r komplikationsrisken inte s\u00e4llan f\u00f6rh\u00f6jd.<\/p>\n<p><strong>\u201dVad \u00e4r m\u00e5let?\u201d<\/strong> fr\u00e5gar ofta en av \u00f6verl\u00e4karna p\u00e5 min hemklinik. Den fr\u00e5ge\u00adst\u00e4llningen \u00e4r absolut central i omh\u00e4ndertagandet av sk\u00f6ra \u00e4ldre. Svaret \u00e4r alltid samma \u2013 att patienten ska m\u00e5 s\u00e5 bra som m\u00f6jligt. I teorin enkelt, men i praktiken missas det ofta. Ist\u00e4llet skiftar fokus till att st\u00e4lla korrekt diagnos, f\u00f6rl\u00e4nga patientens liv, normalisera derangerade prover eller f\u00f6lja v\u00e5rd\u00adprogram f\u00f6r utredning av olika under-<br \/>\ns\u00f6kningsfynd.<\/p>\n<p><strong>\u201dS\u00e5 du menar<\/strong> att man ibland avst\u00e5r att utreda och behandla?\u201d fr\u00e5gar min v\u00e4n efter den l\u00e5nga monologen. Hon ser n\u00e4stan lite skakad ut.<\/p>\n<p>\u201dVi f\u00f6rs\u00f6ker fokusera p\u00e5 vad som \u00e4r till nytta f\u00f6r patienten\u201d, svarar jag, men ser att hennes tvivel finns kvar.<\/p>\n<p><strong>Min v\u00e4n \u00e4r<\/strong> inte ensam om sin reaktion. Att h\u00f6g konsumtion av sjukv\u00e5rd inte automatiskt leder till en b\u00e4ttre h\u00e4lsa k\u00e4nns kanske kontraintuitivt. I den politiska debatten f\u00f6rordas ofta effektivisering och specialisering. Men p\u00e5 geriatriken har jag till\u00e5telse att sl\u00e4ppa taget om v\u00e5rdprogrammen och l\u00e5ta patienten vara i centrum. P\u00e5 riktigt.\u2002\u2022<\/p>\n","protected":false},"excerpt":{"rendered":"<p>En bekant, som sj\u00e4lv inte arbetar inom v\u00e5rden, fr\u00e5gade h\u00e4romdagen varf\u00f6r jag valt att g\u00f6ra min ST inom geriatrik. Oftast n\u00f6jer jag mig med det korta svaret; att patientgruppen \u00e4r s\u00e5 intressant och varierad. Men ibland kan man inte hejda sig, och med ens ville jag delge min samtalspartner vad jag uppfattar som den stora &hellip; <a href=\"https:\/\/slf.se\/sylf\/moderna-lakare\/228396-2\/\">L\u00e4s hela<\/a><\/p>\n","protected":false},"author":5,"featured_media":228399,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5],"local_restriction":[],"class_list":["post-228396","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-basfackligt"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Moderna L\u00e4kare<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/slf.se\/sylf\/moderna-lakare\/228396-2\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dr Fredrika no1 2020\" \/>\n<meta property=\"og:description\" content=\"En bekant, som sj\u00e4lv inte arbetar inom v\u00e5rden, fr\u00e5gade h\u00e4romdagen varf\u00f6r jag valt att g\u00f6ra min ST inom geriatrik. 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