Sex education as part of the valeological discipline "Health Pedagogy"

Shevchenko, A.S.; ,; Aliieva, T.D.; ,; ,

doi:10.35339/msz.2024.93.1.sha

MTT

2024

DOI: 10.35339/msz.2024.93.1.sha

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Sex education as part of the valeological discipline "Health Pedagogy"

A.S. Shevchenko,

T.D. Aliieva

Abstract: The valeological discipline "Health Pedagogy" was developed and implemented in the educational process of Ukrainian higher non-medical education institutions in 2019. The discipline is intended for the formation of valeological competence, which consists in the ability to lead a healthy lifestyle, practice safe behavior and provide emergency assistance in critical situations. The medical component of the topic of sex education and family planning of the valeological discipline "Health Pedagogy" includes issues… Show more

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2024

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Cited by 4 publications

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Medical and social aspects of euthanasia of palliative patients in the Netherlands, Belgium and Germany

Nesterenko

2024

ECM

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In the palliative and hospice medicine of Ukraine, there are a number of unresolved legal and organizational problems that stand in the way of a dignified existence of hopelessly ill patients in the last days and months of their lives. First of all, these are unresolved issues with the coverage of treatment and care of a sufficient number of categories of patients: palliative care is provided mainly to patients with oncological, cardiovascular and neurological profiles of treatment. Secondly, it is the lack of adequate analgesia for a significant number of inpatients and the vast majority of patients receiving treatment at home. Availability of recently legalized medical cannabis remains low for palliative care patients, and palliative care euthanasia is not legalized. In our previous research, we found out that Ukrainian society is not ready for a dialogue about the need to legalize euthanasia, and that the best model of preparing society for euthanasia is the Canadian one, which is based on a comprehensive study of the opinions of the general public and direct participants of the Medical Assistance in Dying (MAiD), as well as on the implementation of decisions federal court. The article is devoted to legal procedures and socio-medical aspects of euthanasia and MAiD in the Netherlands, Belgium and Germany. Certain aspects of legalization, its context and circumstances, compared with the conditions of Ukraine. The article is an original theoretical study performed using the method of systematic analysis, comparative and bibliosemantic methods. Note that we are clarifying the terminology of the previous stages of the study: MAiD is performed by the patient himself, euthanasia is performed by the doctor. In our opinion, Ukraine needs the legalization of euthanasia and MAiD for all age categories, and with the implementation of special additional consent procedures for adult incapacitated patients. In the experience of the countries of the current comparison, we paid special attention to the prevention of abuses in the implementation of these procedures, in the conditions of frequent disregard for the norms of the law since the beginning of the war. Keywords: palliative and hospice care, suicides of palliative patients, Medical Assistance in Dying, right to life, right to die.

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Medical and social aspects of euthanasia of palliative patients in the Netherlands, Belgium and Germany

Nesterenko

2024

ECM

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Justification of the model of optimized system of providing palliative and hospice care to the population of Ukraine

Nesterenko,

Burzynska

2024

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Background. National systems of Palliative and Hospice Care (PHC) are an important part of holistic systems of public health care. According to ratings (modified Wright М., Lynch T. and Clark D. country rating system, 2008/2011; Quality of Death Index, 2015), the PHC system of Ukraine is such that it does not have signs of systemic organization at the state level, provides low coverage of treatment and care of palliative patients (approximately 30% of the need) and the low quality of treatment (especially analgesia) of predominantly the majority (nearly 80%) of the covered patients. Aim. To substantiate the model of the optimized PHC system of Ukraine on the basis of the generalized experience of countries with developed PHC systems and the results of own scientific research; evaluate the developed model. Materials and methods. System analysis and comparative methods were used in the study. To evaluate the developed model, a sociological method was used: a survey of specialists in the organization of health care and PHC was carried out. The results of the survey are evaluated on a quartile scale (Q1–Q4). Results and conclusions. A model of the optimized system of providing PHC to the population of Ukraine was developed, which outlines the subjects and objects of management, the goal, strategy, tactics, functions of the improved management system, directions, methods, measures, resources, and the system of scientific regulation. Scientific, legal, economic and administrative solutions are proposed to improve the existing order of PHC organization. According to the parameters of reasonableness and consistency, the model was recognized by experts as high-quality (the assessment is within Q4[75–100]%). By parameters predictability, correlativeness and resistance to changes, as well as according to the general assessment, the model is recognized by experts as high-quality (the assessment is within Q3[50–75]%). The evaluation of the developed model allows us to propose it for use in the organization of health care in the conditions of long-term reform of the health care system and the uncertainty of wartime. Keywords: health care system reform, qualimetry, expert assessment.

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Medical and social aspects of euthanasia of palliative patients in Ukraine, Switzerland, Canada, the USA and Israel

Nesterenko

2024

MTT

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Medical Assistance in Dying (MAiD) is legally used in such countries as the Netherlands, Belgium, Luxembourg, Switzerland, Colombia, Canada, Australia, Spain, Germany, and the USA. Portugal and New Zealand are considering legal euthanasia laws. MAiD is performed by injecting a lethal substance into a terminally ill person by a doctor or the patient himself. Euthanasia is one of the services that palliative patients need in the last months and days of their lives. The availability of MAiD increases the country's ranking in the Quality of Death Index and reduces the need for euthanasia tourism. Ukraine needs the legalization of MAiD, as well as the improvement of the palliative and hospice care system in general. The research was conducted using the methods of systematic analysis, the comparative method and the bibliosemantic method with the search for literary sources and legal acts in Google, Google Scholar and PubMed, with an emphasis on Ukraine, Switzerland, the USA, Canada and Israel. During the comparative analysis, it was concluded that the Canadian model of the MAiD is optimal for Ukraine, taking into account the experience of its construction, society's perception and problems related to the application of the legislative norms of the MAiD. The Canadian health care system, the MAiD practice is guided by the social perception of its work models. Legislators respond sensitively to thorough scientific research and court decisions, which respect state and social institutions. The analyzed results of scientific research in Switzerland, the USA and Israel warn researchers and legislators against possible abuses in the implementation of MAiD. But at the same time, they attest to the importance of an accessible MAiD procedure for terminally ill palliative patients, which should be available for the realization of the right to a dignified death along with quality palliative medicine for the realization of the right to a dignified life. Keywords: palliative and hospice care, health care system reform, Medical Assistance in Dying, Quality of Death Index, right to life, right to die.

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Sex education as part of the valeological discipline "Health Pedagogy"

Cited by 4 publications

References 25 publications

Medical and social aspects of euthanasia of palliative patients in the Netherlands, Belgium and Germany

Medical and social aspects of euthanasia of palliative patients in the Netherlands, Belgium and Germany

Justification of the model of optimized system of providing palliative and hospice care to the population of Ukraine

Medical and social aspects of euthanasia of palliative patients in Ukraine, Switzerland, Canada, the USA and Israel

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