Papers by Małgorzata Krajnik
Background. Chronic pain is a major public health issue. Opioids have an important role in the ma... more Background. Chronic pain is a major public health issue. Opioids have an important role in the management of chronic cancer and non-cancer pain. Unfortunately, beliefs and myths about opioids are a serious obstacle to using them in pain relief. Material and methods. The study involved 28 patients who suffered from chronic cancer or non-cancer pain. The functional status was measured using Karnofsky Performance Scale and Edmonton Symptom Assessment System. Each patient was asked to complete a survey consisting of three parts, which determined patients medical characteristics, knowledge of analgesic drugs and the fears of using opioids. Results. Our study showed that over half of the surveyed patients (53%) had doubts about starting the opioids treatment. They were afraid of taking morphine and the patients who used tramadol feared of changing it into morphine. The most common reason given by the patients was the fear of addiction and death, which were believed to be associated with u...
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Journal of Pain and Symptom Management, 2009
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BMC Pulmonary Medicine
Background Respiratory medicine (RM) and palliative care (PC) physicians’ management of chronic b... more Background Respiratory medicine (RM) and palliative care (PC) physicians’ management of chronic breathlessness in advanced chronic obstructive pulmonary disease (COPD), fibrotic interstitial lung disease (fILD) and lung cancer (LC), and the influence of practice guidelines was explored via an online survey. Methods A voluntary, online survey was distributed to RM and PC physicians via society newsletter mailing lists. Results 450 evaluable questionnaires (348 (77%) RM and 102 (23%) PC) were analysed. Significantly more PC physicians indicated routine use (often/always) of opioids across conditions (COPD: 92% vs. 39%, fILD: 83% vs. 36%, LC: 95% vs. 76%; all p < 0.001) and significantly more PC physicians indicated routine use of benzodiazepines for COPD (33% vs. 10%) and fILD (25% vs. 12%) (both p < 0.001). Significantly more RM physicians reported routine use of a breathlessness score (62% vs. 13%, p < 0.001) and prioritised exercise training/rehabilitation for COPD (49% vs...
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Journal of Religion and Health
This study aimed to design, validate and standardize the Spiritual Supporter (SpSup) Scale, a too... more This study aimed to design, validate and standardize the Spiritual Supporter (SpSup) Scale, a tool designed to assess competency to provide spiritual care including knowledge, sensitivity to spiritual needs and spiritual support skills. This instrument can be used by all those engaged in or training for caregiving roles. The study was conducted in Poland in the Polish language. The SpSup Scale demonstrates high overall reliability (Cronbach’s α = 0.88), a satisfactory diagnostic accuracy (0.79), and a satisfactory discriminatory power of the items. Given the psychometric properties of SpSup Scale demonstrated here, the scale is recommended for the assessment of the competency to provide spiritual care in both clinical and research settings in Poland.
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Diagnostics, 2021
Neuropathic pain (NP) affects approximately 30% of patients with advanced cancer. The prevalence ... more Neuropathic pain (NP) affects approximately 30% of patients with advanced cancer. The prevalence of neuropathic pain related to peripheral neuropathy (NP-RPN) in these patients is not known. The aim of the study was to evaluate NP-RPN prevalence in hospice patients and to find out whether the absence of this pain is sufficient to rule out peripheral neuropathy. The study included a total of 76 patients with advanced cancer who were cared for at inpatient hospices. All patients were asked about shooting or burning pain (of the feet and hands), were examined systematically for sensory deficits and had a nerve conduction study performed. NP-RPN was found in 29% of the patients. Electrophysiologically-diagnosed peripheral neuropathy was found in 79% of patients, and the diagnostic electrophysiological criteria for neuropathy were met by one half of the patients without NP-RPN. The severity of NP-RPN was correlated with the clinically assessed severity of sensory neuropathy and the Karno...
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Advances in Palliative Medicine, 2009
Background and aims: Lymphoedema is a serious problem for many breast cancer survivors. It is a c... more Background and aims: Lymphoedema is a serious problem for many breast cancer survivors. It is a chronic condition, which can often limit patients’ activities and result in dramatic life changes. The aim of the study was to define problems the patients contended with. Material and methods: The clinical study involved 22 patients suffering from post-mastectomy lymphoedema. They were asked to fill in a special lymphoedema physiotherapy assessment form. Results: All the patients included in the study underwent physiotherapy within lymphoedema treatment. Only three patients (14%) used complex decongestive therapy and most of the patients (82%) had therapy only once a year for twenty days. The results of the study confirm the fact, that lymphoedema is a chronic condition. Fourteen patients (63%) described their lymphoedema as permanent and increasing in time and only three patients (14%) as periodically retreating. The post-mastectomy pain syndrome is another serious problem of patients a...
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Medycyna Paliatywna W Praktyce, 2009
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Pharmacological Reports, 2010
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Journal of Yoga & Physical Therapy
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Advances in Palliative Medicine, 2007
Background. Mental health can be defined as a process of searching and maintaining balance in the... more Background. Mental health can be defined as a process of searching and maintaining balance in the face of the strain constantly being imposed on an organism by its environment. Medical practitioners, whose work is the source of significant stress, are considered to be especially prone to deterioration in mental health. The aim of the study was to evaluate the mental health of palliative care specialists in comparison with other medical practitioners. Material and methods. For the evaluation of mental health, the General Health Questionnaire (GHQ) was applied. The results of prior studies on personality traits in accordance with the Five Factor Theory of Personality and the patterns of coping measured by the AVEM questionnaire were used to determine the predictors of poor mental health in palliative care specialists. Results. The study sample group consisted of 518 medical practitioners of different specializations, including 79 palliative care specialists, 74 surgeons, 77 psychiatri...
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Advances in Palliative Medicine, 2012
Prolonged opioid treatment reveals problems, like opioid tolerance and opioid induced hyperalgesi... more Prolonged opioid treatment reveals problems, like opioid tolerance and opioid induced hyperalgesia. On every stage of disease it should be remembered to use procedures that can have opioid dose sparing effect. We describe a patient with severe mixed neuropathic and nociceptive pain who despite complex medication embracing high dose of morphine suffered from untractable pain. He responded to opioid antagonist with sequential opioid rotation and a simple minimally invasive procedure.
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Advances in Palliative Medicine, 2008
Background. The aim of our study was to assess how relatives remember the dying of lung cancer pa... more Background. The aim of our study was to assess how relatives remember the dying of lung cancer patients several years after their death. Methods. The family members of 45 non small-cell lung cancer patients who died up to 7 years after radical surgical treatment were telephoned and asked to meet the research team. Only 20 of them agreed to talk about the dying and death of their relatives; for the rest the issue was still too painful. During the meeting with 2 researchers, participants were asked to comment freely on the points of the Assessment of Dying in Lung Cancer Patients questionnaire and to score the Quality of Dying Apgar. Results. Family members of 15 of the patients stated recognizing the dying of their loved one. They concluded this on the basis of exacerbation of symptoms, "typical" appearance, change in behaviour or particular words the patient said to them. The median score of the quality of dying was 6.5/10 (range 3-9). Lower scoring was observed for patien...
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Oncology in Clinical Practice, 2009
W Polsce na nowotwory zlośliwe umiera w ciągu roku ponad 80 000 chorych. Bol moze pojawiac sie na... more W Polsce na nowotwory zlośliwe umiera w ciągu roku ponad 80 000 chorych. Bol moze pojawiac sie na kazdym etapie choroby nowotworowej i wystepuje średnio u 50%, a w zaawansowanym okresie choroby - u ponad 75% chorych. Bol towarzyszący nowotworom jest roznorodny, podobnie jak mechanizmy jego powstawania. W zalezności od czynnika etiologicznego wyroznia sie bole spowodowane procesem nowotworowym, bole powstale w wyniku leczenia przeciwnowotworowego, bole spowodowane wyniszczeniem nowotworowym i bole niezwiązane z nowotworem (wspolistniejące). Podstawową metodą leczenia bolu u chorych na nowotwor jest farmakoterapia. W 1986 r. Światowa Organizacja Zdrowia (WHO) zaproponowala i wprowadzila prosty schemat farmakologicznego leczenia bolu w przebiegu nowotworow, ktorego zastosowanie jest skuteczne u 85-90% pacjentow i ktorego zasady przedstawiono w niniejszym opracowaniu. Omowiono takze inne niefarmakologiczne metody leczenia bolu (modyfikujące przebieg choroby, fizykalne, psychologiczne, m...
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Advances in Palliative Medicine, 2007
Rehabilitation provision for the palliative patient is of great importance to the process of symp... more Rehabilitation provision for the palliative patient is of great importance to the process of symptom treatment. It minimizes the complications and effects of the disease and optimizes, at least in the short term, the patients’ level of physical condition and both psychological and social functions. The aim of this study was to evaluate the influence of rehabilitation on patients’ quality of life in the terminal phases of cancer. The study involved 15 patients with advanced cancer and limited physical conditions. The Edmonton Functional Assessment Tool (EFAT) was used to measure the quality of life and control the symptoms. During the 28-day study significant improvement was observed in over 50% of the patients in the following: balance, mobility, activities of daily living and motivation, which are inseparable elements of improving the quality of life.
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U chorych terminalnych czestym problemem są zakazenia ukladu moczowego. Sok z zurawin moze zmniej... more U chorych terminalnych czestym problemem są zakazenia ukladu moczowego. Sok z zurawin moze zmniejszyc czestośc objawowych infekcji drog moczowych. Mechanizm jego dzialania wiąze sie przede wszystkim z hamowaniem przylegania bakterii do ściany pecherza moczowego.
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Pneumonologia i alergologia polska, 2012
1. Ewa Jassem, Klinika Alergologii, Gdański Uniwersytet Medyczny — przewodnicząca 2. Halina Batur... more 1. Ewa Jassem, Klinika Alergologii, Gdański Uniwersytet Medyczny — przewodnicząca 2. Halina Batura-Gabryel, Katedra i Klinika Pulmonologii, Alergologii i Onkologii Pulmonologicznej, Uniwersytet Medyczny im. Karola Marcinkowskiego, Poznań 3. Szczepan Cofta, Katedra i Klinika Pulmonologii, Alergologii i Onkologii Pulmonologicznej, Uniwersytet Medyczny im. Karola Marcinkowskiego, Poznań 4. Anna Doboszyńska, Wydział Nauk o Zdrowiu, Warszawski Uniwersytet Medyczny 5. Małgorzata Farnik, Klinika Pneumonologii, Śląski Uniwersytet Medyczny, Katowice 6. Dorota Górecka, II Klinika Chorób Płuc, Instytut Gruźlicy i Chorób Płuc, Warszawa 7. Maria Korzeniewska-Koseła, Zakład Epidemiologii i Organizacji Walki z Gruźlicą, Instytut Gruźlicy i Chorób Płuc, Warszawa 8. Jerzy Kozielski, Klinika Chorób Płuc i Gruźlicy, Śląski Uniwersytet Medyczny, Zabrze 9. Małgorzata Krajnik, Katedra i Zakład Opieki Paliatywnej, Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika, Toruń 10. Piotr Krakowiak, K...
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Advances in Palliative Medicine, 2007
Background. The medical profession is very often connected with high levels of job stress and the... more Background. The medical profession is very often connected with high levels of job stress and the risk of its negative consequences concerning the mental and physical health of medical practitioners, as well as the quality of help they deliver. The aim of the study was to evaluate whether there is a specific personality profile for medical practitioners in palliative care and whether it is different from the personality profile for other specialists and from norms adequate to age and sex. Material and methods. A sample of 302 medical practitioners took part in the study: 79 with specialization in palliative medicine or at a final stage prior to specialization; 84 specialists in general practice; 74 surgeons and 65 anaesthetists. Each participant was asked to complete a sociodemographic questionnaire and NEOFFI Inventory. The level of personality traits for medical practitioners from the above mentioned specializations was marked. Results. In comparison with normal values, palliative...
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Mechanizm dzialania gabapentyny i pregabaliny polega na redukcji ośrodkowej sensytyzacji. Leki te... more Mechanizm dzialania gabapentyny i pregabaliny polega na redukcji ośrodkowej sensytyzacji. Leki te są stosowane w leczeniu takich stanow, jak napady cześciowe oraz bol neuropatyczny. Jednakze w ciągu ostatniego dziesieciolecia leki te z powodzeniem wykorzystywano rowniez przy leczeniu wielu innych objawow, jak: świąd, uderzenia gorąca i poty u kobiet w wieku pomenopauzalnym oraz czkawka oporna na inne metody leczenia. Prawdopodobnie wymienione leki są skuteczne takze wobec licznych innych objawow, ktore są związane z ośrodkową sensytyzacją, ale niedostatek danych uniemozliwia sprawdzenie tych hipotez. Zarowno w przypadku gabapentyny, jak i pregabaliny potwierdzono bezpieczenstwo stosowania tych lekow.
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Advances in Palliative Medicine, 2007
Background and aim. Difficult-to-treat asthma is characterized by uncontrolled symptoms occurring... more Background and aim. Difficult-to-treat asthma is characterized by uncontrolled symptoms occurring in spite of intensive treatment (corticosteroids and long-acting β2-agonists) for at least 6 months and is connected with severe obturation in the bronchotracheal tree. It still creates an important global medical and economical problem. The aim of the study was to evaluate the occurrence of persistent symptoms, exacerbating factors and co-morbidities in patients with difficult-to-treat asthma. It was also a challenging idea to apply palliative medicine to help patients with this type of asthma. Material and methods. Twenty-seven patients (21 women and 6 men, ages ranging from 23 to 60) diagnosed with difficult-to-treat asthma were included in the study. Data were collected from the internet database of severe, difficult-to-treat asthma, introduced to the Department of Allergology in 2005. All patients’ spirometries and additional factors were assessed. Results. The median predicted val...
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Papers by Małgorzata Krajnik