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    Helping others is a passion, not worthy of aggression
    (Maltepe Üniversitesi, 2020) Tahirova, Syulbie; Georgieva, Yanita; Dimitrova, Teodora
    Introduction: The topic of violence against medics is quite popular in Bulgaria and around the world. Many doctors and nurses have been victims of verbal and physical aggression by patients and their loved ones. In fact, healthcare accounts for nearly as many serious violent injuries as all other industries combined. 90% of Bulgarian healthcare specialist were victims of violence. Most often, they are part of Emergency medical services. In order to be part of the healthcare system, a person needs to be responsible, caring and often puts the needs of others before his or her own. The people who save lives and take care of sick patients don’t deserve to be physically and verbally abused. To protect them and to prevent more violence in the healthcare system, we need to speak about the problem and find a solution openly. Materials and Methods: A review of the literature was completed. The search items included the following terms: violence, health, nursing. Articles without information on a number of reported cases of violence were excluded. Most of the data were collected from the sites of National statistical institute of Bulgaria and the Ministry of health. Results: The research shows that for 2018 the reported cases of verbal abuse were 214 and for physical-33. For the first half of 2019, there were 116 reported cases of verbal abuse and 8 of physical. In the Emergency room reported cases of abuse were 396 for 2018.for the first half of 2019 227 verbal attacks and 34 physical. In our capital Sofia alone, 30 gun attacks against paramedics were reported in the period from January 2017 to December 2019. Many more assaults or threats go unreported. Workplace violence comes at a high cost; however, it can be prevented. At the beginning of 2020, Bulgarian Medical Association launched an information campaign for the implementation of measures against aggression against medics. Conclusion and Discussion: Raising awareness of patients` rights and obligations through joint initiatives of patient organizations and Bulgarian Medical Association- materials, seminars, and events. The society needs to restore its trust in the medics. There must be clear penalties for violence against healthcare professionals.
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    Significance of palliative care in patients with cardiovascular diseases and the key role of the nurse
    (Maltepe Üniversitesi, 2019) Ilieva, Joana; Ilieva, Vyara; Georgieva, Yanita
    SUMMARY: Palliative care aims to achieve the best possible quality of life for patients and their families by focusing on reducing and preventing suffering. Palliative medicine uses a multidisciplinary approach, which allows palliative care teams to meet the patient’s needs. Nurses play a key role in the use of palliative care, by possessing the necessary competencies and professional skills. Cardiovascular diseases are the leading cause of mortality and disability worldwide. The data shows that in Bulgaria every 2 out of 3 people die from cardiovascular diseases. GOAL: The aim of this report is to highlight the importance of palliative care in patients with cardiovascular diseases and the role of the nurse in improving the quality of life. Material and methods: A documentary method has been used to identify the need for palliative care in patients with cardiovascular disease. A study has been conducted based on the WHO database, regarding the access to palliative care, as well as a prognosis on cardiovascular-related mortality for the period of 2015-2030. RESULTS AND DISCUSSION: Palliative care places emphasis on relieving pain and other symptoms, integrating the mental, spiritual and social aspects of care. The results of the analyses show that approximately 40 million people each year need palliative care, only 14% receive them, and 83% of the world’s population has no access to painkillers. Of these 40 million, 39% have cardiovascular diseases. In Bulgaria, more than 62-65% of mortality is cardiovascularrelated and cancers. A significant portion of these patients needs palliative care. The nurse has a place in this process when monitoring the patient’s condition, including assessing the pain and other symptoms. CONCLUSIONS: The global need for palliative care will continue to grow as a result of the increase in non-infectious diseases and the aging population. Early palliative care reduces the risk of complications and the need for frequent hospitalizations. It is necessary to overcome a number of barriers to not only administer palliative care in the provided health facilities but also in the patient’s home in order to improve the quality of life of those in need.