The purpose of the study was to determine the main directions in the activity of a medical assistant for early detection of breast cancer based on the analysis of the organization of the disease diagnosis at the present stage. Results. It was found that structuring the diagnostic process taking into account risk factors will allow the medical assistant to independently organize early detection of pathology, which will reduce the number of advanced forms of breast cancer and save the lives of patients. Conclusion. At the stage of training a mid-level specialist in the specialty 31.02.01 Medical Care, it is necessary to form professional competence to detect precancerous diseases and malignant neoplasms, determine visual and palpatory localization and refer patients with suspected malignancy and precancerous diseases to the primary oncological office of a medical organization in accordance with the procedure for providing medical care to the population in the "Oncology" profile.
Currently, the heads of nursing services are delegated to perform new professional tasks, in particular, they have to make decisions in conditions of extreme instability and a constant shortage of all resources. Managerial competence, leadership qualities, communication skills, optimism, and a vision of the future are necessary for the head nurse in order to successfully perform professional tasks. At present, serious attention is paid to the study of the personality of the head of the nursing service, since their qualities significantly affect the efficiency of management activities.
The article presents the stages of implementation of the principles of lean production in the healthcare of the Russian Federation, outlines the goals and prospects of projects to optimize the quality and safety of medical care, emphasizes the role of nursing specialists in improving the ideology of a patient-oriented medical organization.
Alcohol abuse and the resulting alcoholic liver disease (ALD) are the leading cause of disease and death worldwide. The absence of symptoms of the disease at the early stages explains the diagnosis at the late stages. Better identification of life history and prognostic factors, as well as the search for reliable non-invasive techniques for detecting ALD, are required. The main therapy for patients with ALD, regardless of the stage of the disease, is long-term alcohol abstinence. In compensated patients, the end results are the normalization of abnormal laboratory tests and reduction of liver fibrosis. These end results can be controlled non-invasively, but modern medical interventions are largely limited and ineffective. Maintenance therapy is the basis of treatment, in which it is worth paying special attention to herbal preparations as less toxic.
The goal is to develop and study an experimental method for acquiring competencies by middle medical personnel and to prove its effectiveness in an inpatient Medical Department. Material and methods: analysis of the data obtained during the implementation of this method in the work of employees from among the middle medical personnel of Psychiatric Phthisiology Department No. 14 of the State Budgetary Healthcare Institution Samara Regional Clinical Psychiatric Hospital. Results: an innovative method of acquiring competencies by middle medical personnel has been developed and introduced into the practice of Psychiatric Phthisiology Department No. 14 of the SBHI SRCPH. The positive influence of the method on the medical activity of nurses of the Medical Department has been proven.
An important issue in the prevention of postoperative complications, including the prevention of infection in the area of surgical intervention, is the low level of knowledge of our patients. In the article, the authors share their experience in solving priority problems of patients after cardiac surgeries.
The solution to the problem of training highly qualified middle medical personnel for practical healthcare provides for the need for educational and methodological units (offices) of medical organizations. The creation and operation of such units is due to the necessity to promptly bring innovative knowledge to the personnel of a medical organization, to improve professional competence and professional adaptation of nursing staff.
Currently, the shortage of personnel in medical organizations is one of the urgent problems. The natural level of turnover is 3–5 % of the headcount; everything over 5 % is an increased level. One of the solutions to this issue is the organization of personnel adaptation in the organization and the development of a program of «entry into office».
