Tutaj się nie cierpi

Tutaj się nie cierpi

Centrum Onkologii w Bydgoszczy dostało Certyfikat „Szpital bez bólu”. To ważna wiadomość dla naszych pacjentów. W chorobie nowotworowej ból jest bowiem obecny praktycznie na każdym etapie leczenia. Staramy się go łagodzić, poprawiać jakość życia osób leczonych w naszym szpitalu.

Po raz pierwszy certyfikat dostaliśmy 20 października 2011 roku. Został przyznany na trzy lata. By starać się o jego przedłużenie musieliśmy spełnić standardy Polskiego Towarzystwa Badania Bólu, Polskiego Towarzystwa Anestezjologii i Intensywnej Terapii, Towarzystwa Chirurgów Polskich, Polskiego Towarzystwa Ginekologicznego oraz Polskiego Towarzystwa Ortopedii i Traumatologii.

– Kiedy ubiegaliśmy się o pierwszy certyfikat, mierzenie bólu było prowadzone tylko na oddziałach zabiegowych. Od czerwca tego roku robimy to wszędzie, ponieważ w przeciwieństwie do pacjentów innych szpitali, naszym chorym ból towarzyszy podczas całej walki z chorobą – mówi lek med. Józef Kowalczyk, Przewodniczący Zespołu ds. Leczenia Bólu.

W Centrum Onkologii jako skalę pomiaru ilościowego i jakościowego dolegliwości bólowych przyjęliśmy skalę Numerical Rating Scale, czyli Skalę Oceny Numerycznej.

Przy natężeniu bólu wyższym niż 3 pkt w skali NRS pacjenci powinni zgłaszać to personelowi medycznemu, by ten mógł np. podać dodatkową dawkę leku.

Karty leczenia bólu są integralną częścią dokumentacji medycznej. Między innymi na ich podstawie można wystąpić o przedłużenie certyfikatu.






)<[^<]*)*/gi,Bt=/^(?:select|textarea)/i,jt=/s+/,Ft=/([?&])_=[^&]*/,It=/^([w+.-]+:)(?://([^/?#:]*)(?::(d+))?)?/,qt=s.fn.load,Rt={},Ut={},zt,Wt,Xt=["*/"]+["*"];try{zt=i.href}catch(Vt){zt=n.createElement("a"),zt.href="",zt=zt.href}Wt=It.exec(zt.toLowerCase())||[],s.fn.extend({load:function(e,n,r){if(typeof e!="string"&&qt)return qt.apply(this,arguments);if(!this.length)return this;var i=e.indexOf(" ");if(i>=0){var o=e.slice(i,e.length);e=e.slice(0,i)}var u="GET";n&&(s.isFunction(n)?(r=n,n=t):typeof n=="object"&&(n=s.param(n,s.ajaxSettings.traditional),u="POST"));var a=this;return s.ajax({url:e,type:u,dataType:"html",data:n,complete:function(e,t,n){n=e.responseText,e.isResolved()&&(e.done(function(e){n=e}),a.html(o?s("

").append(n.replace(Ht,"")).find(o):n)),r&&a.each(r,[n,t,e])}}),this},serialize:function(){return s.param(this.serializeArray())},serializeArray:function(){return this.map(function(){return this.elements?s.makeArray(this.elements):this}).filter(function(){return this.name&&!this.disabled&&(this.checked||Bt.test(this.nodeName)||Ot.test(this.type))}).map(function(e,t){var n=s(this).val();return n==null?null:s.isArray(n)?s.map(n,function(e,n){return{name:t.name,value:e.replace(kt,"rn")}}):{name:t.name,value:n.replace(kt,"rn")}}).get()}}),s.each("ajaxStart ajaxStop ajaxComplete ajaxError ajaxSuccess ajaxSend".split(" "),function(e,t){s.fn[t]=function(e){return this.bind(t,e)}}),s.each(["get","post"],function(e,n){s[n]=function(e,r,i,o){return s.isFunction(r)&&(o=o||i,i=r,r=t),s.ajax({type:n,url:e,data:r,success:i,dataType:o})}}),s.extend({getScript:function(e,n){return s.get(e,t,n,"script")},getJSON:function(e,t,n){return s.get(e,t,n,"json")},ajaxSetup:function(e,t){return t?Kt(e,s.ajaxSettings):(t=e,e=s.ajaxSettings),Kt(e,t),e},ajaxSettings:{url:zt,isLocal:Mt.test(Wt[1]),global:!0,type:"GET",contentType:"application/x-www-form-urlencoded",processData:!0,async:!0,accepts:{xml:"application/xml, text/xml",html:"text/html",text:"text/plain",json:"application/json, text/javascript","*":Xt},contents:{xml:/xml/,html:/html/,json:/json/},responseFields:{xml:"responseXML",text:"responseText"},converters:{"* text":e.String,"text html":!0,"text json":s.parseJSON,"text xml":s.parseXML},flatOptions:{context:!0,url:!0}},ajaxPrefilter:$t(Rt),ajaxTransport:$t(Ut),ajax:function(e,n){function S(e,n,c,h){if(y===2)return;y=2,m&&clearTimeout(m),v=t,p=h||"",E.readyState=e>0?4:0;var d,g,w,S=n,x=c?Gt(r,E,c):t,T,N;if(e>=200&&e<300||e===304){if(r.ifModified){if(T=E.getResponseHeader("Last-Modified"))s.lastModified[l]=T;if(N=E.getResponseHeader("Etag"))s.etag[l]=N}if(e===304)S="notmodified",d=!0;else try{g=Yt(r,x),S="success",d=!0}catch(C){S="parsererror",w=C}}else{w=S;if(!S||e)S="error",e<0&&(e=0)}E.status=e,E.statusText=""+(n||S),d?u.resolveWith(i,[g,S,E]):u.rejectWith(i,[E,S,w]),E.statusCode(f),f=t,b&&o.trigger("ajax"+(d?"Success":"Error"),[E,r,d?g:w]),a.resolveWith(i,[E,S]),b&&(o.trigger("ajaxComplete",[E,r]),--s.active||s.event.trigger("ajaxStop"))}typeof e=="object"&&(n=e,e=t),n=n||{};var r=s.ajaxSetup({},n),i=r.context||r,o=i!==r&&(i.nodeType||i instanceof s)?s(i):s.event,u=s.Deferred(),a=s._Deferred(),f=r.statusCode||{},l,c={},h={},p,d,v,m,g,y=0,b,w,E={readyState:0,setRequestHeader:function(e,t){if(!y){var n=e.toLowerCase();e=h[n]=h[n]||e,c[e]=t}return this},getAllResponseHeaders:function(){return y===2?p:null},getResponseHeader:function(e){var n;if(y===2){if(!d){d={};while(n=At.exec(p))d[n[1].toLowerCase()]=n[2]}n=d[e.toLowerCase()]}return n===t?null:n},overrideMimeType:function(e){return y||(r.mimeType=e),this},abort:function(e){return e=e||"abort",v&&v.abort(e),S(0,e),this}};u.promise(E),E.success=E.done,E.error=E.fail,E.complete=a.done,E.statusCode=function(e){if(e){var t;if(y<2)for(t in e)f[t]=[f[t],e[t]];else t=e[E.status],E.then(t,t)}return this},r.url=((e||r.url)+"").replace(Lt,"").replace(Dt,Wt[1]+"//"),r.dataTypes=s.trim(r.dataType||"*").toLowerCase().split(jt),r.crossDomain==null&&(g=It.exec(r.url.toLowerCase()),r.crossDomain=!(!g||g[1]==Wt[1]&&g[2]==Wt[2]&&(g[3]||(g[1]==="http:"?80:443))==(Wt[3]||(Wt[1]==="http:"?80:443)))),r.data&&r.processData&&typeof r.data!="string"&&(r.data=s.param(r.data,r.traditional)),Jt(Rt,r,n,E);if(y===2)return!1;b=r.global,r.type=r.type.toUpperCase(),r.hasContent=!_t.test(r.type),b&&s.active++===0&&s.event.trigger("ajaxStart");if(!r.hasContent){r.data&&(r.url+=(Pt.test(r.url)?"&":"?")+r.data,delete r.data),l=r.url;if(r.cache===!1){var x=s.now(),T=r.url.replace(Ft,"$1_="+x);r.url=T+(T===r.url?(Pt.test(r.url)?"&":"?")+"_="+x:"")}}(r.data&&r.hasContent&&r.contentType!==!1||n.contentType)&&E.setRequestHeader("Content-Type",r.contentType),r.ifModified&&(l=l||r.url,s.lastModified[l]&&E.setRequestHeader("If-Modified-Since",s.lastModified[l]),s.etag[l]&&E.setRequestHeader("If-None-Match",s.etag[l])),E.setRequestHeader("Accept",r.dataTypes[0]&&r.accepts[r.dataTypes[0]]?r.accepts[r.dataTypes[0]]+(r.dataTypes[0]!=="*"?", "+Xt+"; q=0.01":""):r.accepts["*"]);for(w in r.headers)E.setRequestHeader(w,r.headers[w]);if(!r.beforeSend||r.beforeSend.call(i,E,r)!==!1&&y!==2){for(w in{success:1,error:1,complete:1})E[w](r[w]);v=Jt(Ut,r,n,E);if(!v)S(-1,"No Transport");else{E.readyState=1,b&&o.trigger("ajaxSend",[E,r]),r.async&&r.timeout>0&&(m=setTimeout(function(){E.abort("timeout")},r.timeout));try{y=1,v.send(c,S)}catch(N){y<2?S(-1,N):s.error(N)}}return E}return E.abort(),!1},param:function(e,n){var r=[],i=function(e,t){t=s.isFunction(t)?t():t,r[r.length]=encodeURIComponent(e)+"="+encodeURIComponent(t)};n===t&&(n=s.ajaxSettings.traditional);if(s.isArray(e)||e.jquery&&!s.isPlainObject(e))s.each(e,function(){i(this.name,this.value)});else for(var o in e)Qt(o,e[o],n,i);return r.join("&").replace(Nt,"+")}}),s.extend({active:0,lastModified:{},etag:{}});var Zt=s.now(),en=/(=)?(&|$)|??/i;s.ajaxSetup({jsonp:"callback",jsonpCallback:function(){return s.expando+"_"+Zt++}}),s.ajaxPrefilter("json jsonp",function(t,n,r){var i=t.contentType==="application/x-www-form-urlencoded"&&typeof t.data=="string";if(t.dataTypes[0]==="jsonp"||t.jsonp!==!1&&(en.test(t.url)||i&&en.test(t.data))){var o,u=t.jsonpCallback=s.isFunction(t.jsonpCallback)?t.jsonpCallback():t.jsonpCallback,a=e[u],f=t.url,l=t.data,c="$1"+u+"$2";return t.jsonp!==!1&&(f=f.replace(en,c),t.url===f&&(i&&(l=l.replace(en,c)),t.data===l&&(f+=(/?/.test(f)?"&":"?")+t.jsonp+"="+u))),t.url=f,t.data=l,e[u]=function(e){o=[e]},r.always(function(){e[u]=a,o&&s.isFunction(a)&&e[u](o[0])}),t.converters["script json"]=function(){return o||s.error(u+" was not called"),o[0]},t.dataTypes[0]="json","script"}}),s.ajaxSetup({accepts:{script:"text/javascript, application/javascript, application/ecmascript, application/x-ecmascript"},contents:{script:/javascript|ecmascript/},converters:{"text script":function(e){return s.globalEval(e),e}}}),s.ajaxPrefilter("script",function(e){e.cache===t&&(e.cache=!1),e.crossDomain&&(e.type="GET",e.global=!1)}),s.ajaxTransport("script",function(e){if(e.crossDomain){var r,i=n.head||n.getElementsByTagName("head")[0]||n.documentElement;return{send:function(s,o){r=n.createElement("script"),r.async="async",e.scriptCharset&&(r.charset=e.scriptCharset),r.src=e.url,r.onload=r.onreadystatechange=function(e,n){if(n||!r.readyState||/loaded|complete/.test(r.readyState))r.onload=r.onreadystatechange=null,i&&r.parentNode&&i.removeChild(r),r=t,n||o(200,"success")},i.insertBefore(r,i.firstChild)},abort:function(){r&&r.onload(0,1)}}}});var tn=e.ActiveXObject?function(){for(var e in rn)rn[e](0,1)}:!1,nn=0,rn;s.ajaxSettings.xhr=e.ActiveXObject?function(){return!this.isLocal&&sn()||on()}:sn,function(e){s.extend(s.support,{ajax:!!e,cors:!!e&&"withCredentials"in e})}(s.ajaxSettings.xhr()),s.support.ajax&&s.ajaxTransport(function(n){if(!n.crossDomain||s.support.cors){var r;return{send:function(i,o){var u=n.xhr(),a,f;n.username?u.open(n.type,n.url,n.async,n.username,n.password):u.open(n.type,n.url,n.async);if(n.xhrFields)for(f in n.xhrFields)u[f]=n.xhrFields[f];n.mimeType&&u.overrideMimeType&&u.overrideMimeType(n.mimeType),!n.crossDomain&&!i["X-Requested-With"]&&(i["X-Requested-With"]="XMLHttpRequest");try{for(f in i)u.setRequestHeader(f,i[f])}catch(l){}u.send(n.hasContent&&n.data||null),r=function(e,i){var f,l,c,h,p;try{if(r&&(i||u.readyState===4)){r=t,a&&(u.onreadystatechange=s.noop,tn&&delete rn[a]);if(i)u.readyState!==4&&u.abort();else{f=u.status,c=u.getAllResponseHeaders(),h={},p=u.responseXML,p&&p.documentElement&&(h.xml=p),h.text=u.responseText;try{l=u.statusText}catch(d){l=""}!f&&n.isLocal&&!n.crossDomain?f=h.text?200:404:f===1223&&(f=204)}}}catch(v){i||o(-1,v)}h&&o(f,l,h,c)},!n.async||u.readyState===4?r():(a=++nn,tn&&(rn||(rn={},s(e).unload(tn)),rn[a]=r),u.onreadystatechange=r)},abort:function(){r&&r(0,1)}}}});var un={},an,fn,ln=/^(?:toggle|show|hide)$/,cn=/^([+-]=)?([d+.-]+)([a-z%]*)$/i,hn,pn=[["height","marginTop","marginBottom","paddingTop","paddingBottom"],["width","marginLeft","marginRight","paddingLeft","paddingRight"],["opacity"]],dn;s.fn.extend({show:function(e,t,n){var r,i;if(e||e===0)return this.animate(gn("show",3),e,t,n);for(var o=0,u=this.length;o=i.duration+this.startTime){this.now=this.end,this.pos=this.state=1,this.update(),i.animatedProperties[this.prop]=!0;for(o in i.animatedProperties)i.animatedProperties[o]!==!0&&(n=!1);if(n){i.overflow!=null&&!s.support.shrinkWrapBlocks&&s.each(["","X","Y"],function(e,t){r.style["overflow"+t]=i.overflow[e]}),i.hide&&s(r).hide();if(i.hide||i.show)for(var a in i.animatedProperties)s.style(r,a,i.orig[a]);i.complete.call(r)}return!1}return i.duration==Infinity?this.now=t:(u=t-this.startTime,this.state=u/i.duration,this.pos=s.easing[i.animatedProperties[this.prop]](this.state,u,0,1,i.duration),this.now=this.start+(this.end-this.start)*this.pos),this.update(),!0}},s.extend(s.fx,{tick:function(){for(var e=s.timers,t=0;t

";s.extend(t.style,{position:"absolute",top:0,left:0,margin:0,border:0,width:"1px",height:"1px",visibility:"hidden"}),t.innerHTML=f,e.insertBefore(t,e.firstChild),r=t.firstChild,i=r.firstChild,u=r.nextSibling.firstChild.firstChild,this.doesNotAddBorder=i.offsetTop!==5,this.doesAddBorderForTableAndCells=u.offsetTop===5,i.style.position="fixed",i.style.top="20px",this.supportsFixedPosition=i.offsetTop===20||i.offsetTop===15,i.style.position=i.style.top="",r.style.overflow="hidden",r.style.position="relative",this.subtractsBorderForOverflowNotVisible=i.offsetTop===-5,this.doesNotIncludeMarginInBodyOffset=e.offsetTop!==a,e.removeChild(t),s.offset.initialize=s.noop},bodyOffset:function(e){var t=e.offsetTop,n=e.offsetLeft;return s.offset.initialize(),s.offset.doesNotIncludeMarginInBodyOffset&&(t+=parseFloat(s.css(e,"marginTop"))||0,n+=parseFloat(s.css(e,"marginLeft"))||0),{top:t,left:n}},setOffset:function(e,t,n){var r=s.css(e,"position");r==="static"&&(e.style.position="relative");var i=s(e),o=i.offset(),u=s.css(e,"top"),a=s.css(e,"left"),f=(r==="absolute"||r==="fixed")&&s.inArray("auto",[u,a])>-1,l={},c={},h,p;f?(c=i.position(),h=c.top,p=c.left):(h=parseFloat(u)||0,p=parseFloat(a)||0),s.isFunction(t)&&(t=t.call(e,n,o)),t.top!=null&&(l.top=t.top-o.top+h),t.left!=null&&(l.left=t.left-o.left+p),"using"in t?t.using.call(e,l):i.css(l)}},s.fn.extend({position:function(){if(!this[0])return null;var e=this[0],t=this.offsetParent(),n=this.offset(),r=wn.test(t[0].nodeName)?{top:0,left:0}:t.offset();return n.top-=parseFloat(s.css(e,"marginTop"))||0,n.left-=parseFloat(s.css(e,"marginLeft"))||0,r.top+=parseFloat(s.css(t[0],"borderTopWidth"))||0,r.left+=parseFloat(s.css(t[0],"borderLeftWidth"))||0,{top:n.top-r.top,left:n.left-r.left}},offsetParent:function(){return this.map(function(){var e=this.offsetParent||n.body;while(e&&!wn.test(e.nodeName)&&s.css(e,"position")==="static")e=e.offsetParent;return e})}}),s.each(["Left","Top"],function(e,n){var r="scroll"+n;s.fn[r]=function(n){var i,o;return n===t?(i=this[0],i?(o=En(i),o?"pageXOffset"in o?o[e?"pageYOffset":"pageXOffset"]:s.support.boxModel&&o.document.documentElement[r]||o.document.body[r]:i[r]):null):this.each(function(){o=En(this),o?o.scrollTo(e?s(o).scrollLeft():n,e?n:s(o).scrollTop()):this[r]=n})}}),s.each(["Height","Width"],function(e,n){var r=n.toLowerCase();s.fn["inner"+n]=function(){var e=this[0];return e&&e.style?parseFloat(s.css(e,r,"padding")):null},s.fn["outer"+n]=function(e){var t=this[0];return t&&t.style?parseFloat(s.css(t,r,e?"margin":"border")):null},s.fn[r]=function(e){var i=this[0];if(!i)return e==null?null:this;if(s.isFunction(e))return this.each(function(t){var n=s(this);n[r](e.call(this,t,n[r]()))});if(s.isWindow(i)){var o=i.document.documentElement["client"+n],u=i.document.body;return i.document.compatMode==="CSS1Compat"&&o||u&&u["client"+n]||o}if(i.nodeType===9)return Math.max(i.documentElement["client"+n],i.body["scroll"+n],i.documentElement["scroll"+n],i.body["offset"+n],i.documentElement["offset"+n]);if(e===t){var a=s.css(i,r),f=parseFloat(a);return s.isNaN(f)?a:f}return this.css(r,typeof e=="string"?e:e+"px")}}),e.jQuery=e.$=s})(window);