The quality of life of patients with diabetic foot ulcer reflects the conditions and healthcare system in each of the Visegrad countries. We have to respect socio-demographic factors and clinical characteristics in nursing care. This could have an impact on managing patient care not only with regard to their diabetic foot ulcer but also with regard to the patient as a personality with their own problems in relation to physical, psychosocial and environmental conditions.

Słowa kluczowe: jakość życia, depresja, owrzodzenie w przebiegu zespołu stopy cukrzycowej, funkcjonowanie. AbstractNowadays, diabetes constitutes a significant medical, social and economic problem. According to the World Health Organization in 2025 the incidence of this disease will double in both developed and developing countries. Incidence of diabetes in Poland is 2-5% depending on the region. This disease leads to numerous restrictions in patient functioning. The need for continuous therapy and medical supervision as well as various complications exert a negative influence on the quality of life (QOL) in this group of patients. One of those complications -the diabetic foot -is a particularly important problem. In many cases it leads to foot ulceration and, in consequence, amputation. These unfavorable aftermaths of diabetes not only cause limitations in physical functioning, but also negatively influence patients' psychosocial functioning and require multidisciplinary support from a therapeutic care team. StreszczenieCukrzyca stanowi obecnie istotny problem medyczny, społeczny i ekonomiczny. Według Światowej Organizacji Zdrowia w 2025 r. zapadalność na to schorzenie zarówno w krajach uprzemysłowionych, jak i rozwijających się wzrośnie dwukrotnie. W Polsce liczba zachorowań na cukrzycę wynosi 2-5% i zależy od regionu kraju. Cukrzyca jest schorzeniem, które powoduje liczne ograniczenia w funkcjonowaniu człowieka. Konieczność ciągłej terapii i kontroli medycznej, a także liczne powikłania wpływają niekorzystnie na jakość życia tej grupy chorych. Wśród powikłań szczególnie istotny jest zespół stopy cukrzycowej. W wielu przypadkach prowadzi on do owrzodzenia stopy, a w konsekwencji do jej amputacji. Te niekorzystne następstwa cukrzycy powodują ograniczenie w funkcjonowaniu fizycznym, a także negatywnie wpływają na funkcjonowanie psychospołeczne chorych i wymagają wielokierunkowego wsparcia ze strony zespołu terapeutyczno-opiekuńczego.

Ból jako czynnik determinujący stan emocjonalny kobiet po radykalnym leczeniu chirurgicznym raka piersi oraz chemioterapii

One of the main problems associated with the phenomenon of multiculturalism of modern society is the question of intercultural education and its role in preparing secondary school graduates and employees to work and coexist in a multicultural environment. A particularly important aspect of its activities is in the sphere of the development of appropriate human attitudes and cultural and legal awareness, as well as respect for the standards and the rules of social interaction arising from cultural diversity. Developing intercultural competence including improving knowledge, developing skills and attitudes regarding relationships and human functioning in a culturally diverse society is therefore an important area of activity in schools, universities and centres of postgraduate education. The aim of this paper is to discuss issues related to multicultural societies and the challenges for education and lifelong learning that result from the phenomenon of multiculturalism.

Słowa kluczowe: satysfakcja z życia, czynniki zdrowotne, osoby w wieku podeszłym. AbstractIntroduction: The period of late adulthood is a period in which many actions for the purpose of summing up and evaluating the life so far are taken. One of the aspects of life which is then evaluated is its quality. Under the influence of many factors, the quality of life decreases among the elderly and thus it influences their life satisfaction level. Aim of the research: To evaluate the influence of socio-living and health factors on the level of life satisfaction of the elderly. Material and methods: The research was conducted through a diagnostic survey, using an opinion poll technique. The applied research tool was a copyrighted questionnaire and life satisfaction scale -SWLS (the Satisfaction with Life Scale). The examined group consisted of persons in older age, benefiting from nurse care in various health facilities. Results: The majority of those examined showed a mean rate (satisfaction with life). There are major discrepancies among the studies on the extent of influence according to such factors as housing conditions, income and professional activity. Health factors, namely suffering from multiple diseases, the chronic character of the disease, handicap and disability correlate with the feeling of satisfaction with life. The more factors -health problems, the lower is the rate of satisfaction with life. Conclusions: The socio-living conditions to a major extent influence the evaluation of satisfaction with life of the examined persons. Health factors play a major role in the feeling of satisfaction with life. There are no major differences in the evaluation of the life lived so far between inhabitants of cities and the countryside.