{"id":4523,"date":"2020-03-10T10:42:31","date_gmt":"2020-03-10T08:42:31","guid":{"rendered":"https:\/\/xrcb.cat\/ca\/?post_type=podcast&#038;p=4523"},"modified":"2020-11-18T11:16:19","modified_gmt":"2020-11-18T09:16:19","slug":"c-a-p-sant-andreu-mrc","status":"publish","type":"podcast","link":"https:\/\/xrclab.cat\/es\/podcast\/c-a-p-sant-andreu-mrc\/","title":{"rendered":"MRC"},"content":{"rendered":"<p>La prevalen\u00e7a actual de MRC en el nostre pa\u00eds s\u2019estima al voltant del 9.2% de la poblaci\u00f3 adulta, amb una prevalen\u00e7a global en els graus 3-5 del 6.8%, augmentant al 20.6% en individus majors de 64 anys. Aquest increment es justifica per l\u2019envelliment de la poblaci\u00f3, per la major exist\u00e8ncia de factors de risc cardiovascular i per un diagn\u00f2stic preco\u00e7.<\/p>\n<p>En el moment que un pacient \u00e9s diagnosticat d\u2019una MRC avan\u00e7ada (MRCA) comen\u00e7a una etapa en la que ha de prendre decisions que canviaran la seva qualitat de vida. En aquest per\u00edode \u00e9s necessari el desenvolupament d\u2019un Programa Integral de Cures Pal\u2022liatives Renals (PICPR) que inclogui:  Cures de suport renal (CSR), maneig renal conservador, TRS, proc\u00e9s de retirada de di\u00e0lisi, control de situaci\u00f3 de darrers dies.<\/p>\n<p>L\u2019aplicaci\u00f3 de la medicina pal\u2022liativa en pacients amb MRC-5 implica desenvolupar estrat\u00e8gies de comunicaci\u00f3 en escenaris complicats com la retirada de TRS o el no inici, fins al control de s\u00edmptomes, maneig dels \u00faltims dies i prevenci\u00f3 del dol complicat.  <\/p>\n","protected":false},"author":14,"template":"","podcast_category":[],"podcast_tag":[898],"podcast_programa":[440],"class_list":["post-4523","podcast","type-podcast","status-publish","hentry","podcast_tag-temes-socials-i-voluntariat","podcast_programa-c-a-p-sant-andreu"],"acf":[],"_links":{"self":[{"href":"https:\/\/xrclab.cat\/es\/wp-json\/wp\/v2\/podcasts\/4523","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/xrclab.cat\/es\/wp-json\/wp\/v2\/podcasts"}],"about":[{"href":"https:\/\/xrclab.cat\/es\/wp-json\/wp\/v2\/types\/podcast"}],"author":[{"embeddable":true,"href":"https:\/\/xrclab.cat\/es\/wp-json\/wp\/v2\/users\/14"}],"wp:attachment":[{"href":"https:\/\/xrclab.cat\/es\/wp-json\/wp\/v2\/media?parent=4523"}],"wp:term":[{"taxonomy":"podcast_category","embeddable":true,"href":"https:\/\/xrclab.cat\/es\/wp-json\/wp\/v2\/podcast_category?post=4523"},{"taxonomy":"podcast_tag","embeddable":true,"href":"https:\/\/xrclab.cat\/es\/wp-json\/wp\/v2\/podcast_tag?post=4523"},{"taxonomy":"podcast_programa","embeddable":true,"href":"https:\/\/xrclab.cat\/es\/wp-json\/wp\/v2\/podcast_programa?post=4523"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}