A 21-year-old obese male with multiple hypertensive crises was diagnosed with non-ST-elevation myocardial infarction (NSTEMI), leading to heart failure due to uncontrolled hypertension and medication noncompliance. The patient's morbid obesity likely contributed to undiagnosed chronic hypertension, increasing the risk of atherosclerosis and cardiovascular diseases. Morbid obesity leads to increased interleukin-6 levels, promoting plaque accumulation and rupture. Obesity also triggers a pro-inflammatory and prothrombotic state, characterized by elevated levels of serum high-sensitivity C-reactive protein (hs-CRP), plasminogen activator inhibitor 1 (PAI-1), and other cytokines. This inflammatory state contributes to atherosclerosis development and renders plaques more prone to rupture. Additionally, obesity has been shown to increase the size of coronary thrombosis once the plaque ruptures. Treating obesity is crucial for the patient's well-being and reduces the burden on healthcare systems and society. Establishing a strong physician-patient relationship is essential for motivating lifestyle modifications, which are often the primary treatment approach for obesity and its complications.
Introduction. In modern global times, the answer to the question of how to live well is palliative care. It is a type of care that is dedicated to creating circumstances in which the process of dying, and death itself, becomes a dignified and acceptable moment. The palliative approach is based on empathy, understanding, preserving the dignity of the patient, open two-way communication, but also caring for the patient's family. Objective. This article comprises three aims. First aim refers to introducing our professional milieu to the basic concepts and philosophy of palliative care. Second aim points out to the importance of multidisciplinary and comprehensive care (physical, psycho-social and spiritual) in palliative care in general and third aim was to critically consider various obstacles and resistance that exists in our environment regarding the organization of palliative care, through the prism of various models of palliative care around the world, particularly in Europe and in the regional countries. To search the literature, we used the following databases: Web of Science, PubMed, SCIndeks, Google Scholar; by keywords: palliative care; neonatal palliative care; nursing; palliative pain; national palliative care program. We presented the analyzed data using a descriptive method. Conclusion. If the right to palliative care is seen as a special human right, it can be concluded that our country lags significantly behind developed countries in this regard. Hence, the preoccupation of the author in this paper is the theoretical foundation of palliative care, with special emphasis on the multidisciplinary team. The purpose of this paper is to point out the connection between palliative care and the phenomenon of quality of life, as something that is extremely important not only for each individual but for society as a whole.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2025 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.