{"id":11412,"date":"2013-03-11T00:00:00","date_gmt":"2013-03-10T23:00:00","guid":{"rendered":"http:\/\/web-server-devel.mgc.es\/reflexions-dun-metge-de-familia\/"},"modified":"2019-11-22T12:43:46","modified_gmt":"2019-11-22T11:43:46","slug":"reflexions-dun-metge-de-familia","status":"publish","type":"post","link":"https:\/\/www.mgc.es\/ca\/blog\/reflexions-dun-metge-de-familia\/","title":{"rendered":"Reflexions d&#8217;un metge de f\u00e0milia"},"content":{"rendered":"<p><strong>Un metge de fam\u00edlia \u00e9s la base sanit\u00e0ria, la primera l\u00ednia d\u2019atac davant la malaltia o la defensa per al pacient, que no nom\u00e9s s\u2019enfronta a la patologia m\u00e8dica, sin\u00f3 tamb\u00e9 a la psicosocial del malalt, veient-lo en el seu nucli familiar i social.<\/strong><\/p>\n<p>El coneixem pel seu nom i sabem de la seva vida quotidiana, de l\u2019abs\u00e8ncia de familiars, l\u2019arribada de nous membres a la llar, dels viatges planejats tota una vida, de jubilacions que no arriben o de feines que aclaparen. Un element important en la nostra funci\u00f3 \u00e9s la continu\u00eftat en l\u2019atenci\u00f3 m\u00e8dica. El metge de fam\u00edlia \u00e9s el punt de refer\u00e8ncia per al pacient. \u00c9s una consulta a la que torna despr\u00e9s de les visites a l\u2019especialista, despr\u00e9s de la intervenci\u00f3 quir\u00fargica (encara que nom\u00e9s quedi per ensenyar una petita cicatriu). \u00c9s el regulador i l\u2019organitzador de la farmaciola en la que, de vegades, es converteix la seva tauleta de nit (colors, formes, indicacions, dosis, pautes), i si la mem\u00f2ria falla, l\u2019alarma que et recorda que cal que visitis el ginec\u00f2leg cada any, o a l\u2019ur\u00f2leg, encara que la pr\u00f2stata ja no et molesti.<!--more--><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-957\" title=\"Handsome doctor talking with his patient for the annual check-up\" src=\"https:\/\/www.mgc.es\/wp-content\/uploads\/2013\/03\/metge_fam_OK.jpg\" alt=\"\" width=\"332\" height=\"260\" \/>El metge de fam\u00edlia surt de la facultat amb totes les eines te\u00f2riques per realitzar el diagn\u00f2stic i tractament de nombroses malalties, per\u00f2 necessita els coneixements que atorga la rutina di\u00e0ria de la feina ben feta per fer-ne l\u2019\u00fas m\u00e9s e\ufb01ca\u00e7; i tamb\u00e9 la destresa per aplicar-los amb habilitat, tenint en compte les possibilitats quotidianes de la visita, les demandes del propi pacient i les proves complement\u00e0ries, que realment seran d\u2019utilitat diagn\u00f2stica, realitzant un dif\u00edcil equilibri entre l\u2019e\ufb01ci\u00e8ncia i la equitat en la despesa. En els darrers temps hem vist modi\ufb01car-se el paper del metge, que ha anat deixant de banda el seu per\ufb01l paternalista, o dictatorial en alguns casos, per assumir-ne un altre de m\u00e9s proper, actuant com a conseller, assessor, i \ufb01ns i tot de mediador entre el pacient i el seu entorn, adquirint sempre un paper de comprom\u00eds amb el malalt.<\/p>\n<p>Aquestes modi\ufb01cacions socials tamb\u00e9 ens obliguen a estar sempre preparats i en situaci\u00f3 d\u2019alerta, prestant atenci\u00f3 als canvis culturals, de religi\u00f3 i creences, els conceptes morals i el nivell d\u2019instrucci\u00f3 que poden afectar la salut, els canvis demogr\u00e0\ufb01cs, com s\u00f3n l\u2019ampli percentatge de gent gran o la creixent immigraci\u00f3; canvis epidemiol\u00f2gics, com ara l\u2019aparici\u00f3 de noves malalties, l\u2019eradicaci\u00f3 d\u2019altres i la reaparici\u00f3 d\u2019algunes ja oblidades en el temps, i a aquests reptes ens hem d\u2019enfrontar amb qualitat, amplis coneixements i eines \u00fatils i e\ufb01caces.<\/p>\n<p>Altres vegades \u00e9s qui canalitza les depend\u00e8ncies familiars, essent consultat abans de prendre decisions davant el pacient gran, l\u2019inici d\u2019addiccions, desequilibris en el nucli familiar&#8230;, fent valdre el seu paper en el sistema familiar com a recurs terap\u00e8utic, detectant a temps situacions de risc.<\/p>\n<p>S\u2019enfronta en primera l\u00ednia al maneig de les patologies cr\u00f2niques, davant les quals les respostes que poden oferir-se no tenen resultats espectaculars, per la qual cosa la con\ufb01an\u00e7a en la bona feina del metge de fam\u00edlia \u00e9s primordial. No obstant, i en contraposici\u00f3 a aix\u00f2, tenim grans tractaments capa\u00e7os de solucionar amb gran eric\u00e0cia nombrosos problemes de manera r\u00e0pida i espectacular.<\/p>\n<p>Un altre paper de recent incorporaci\u00f3 al metge de fam\u00edlia ha estat l\u2019\u00e0rea psicosocial del pacient. Aspectes com la depressi\u00f3, l\u2019ansietat, l\u2019adolesc\u00e8ncia, la menopausa o la vellesa s\u00f3n situacions \u201cquasi \ufb01siol\u00f2giques\u201d, l\u2019abordatge de les quals nom\u00e9s \u00e9s possible amb una mirada \u00e0mplia i global que nom\u00e9s s\u2019aconsegueix en comprendre el pacient dins el seu entorn familiar i social (mai convertir\u00edem en f\u00f2bia social la timidesa d\u2019un jove).<\/p>\n<h2>Atenci\u00f3 integral i cont\u00ednua<\/h2>\n<p>La nostra atenci\u00f3 ha d\u2019estar orientada a la resoluci\u00f3 dels problemes de salut de cada comunitat i individu, i han de ser contemplats des de la perspectiva de promoci\u00f3, prevenci\u00f3, tractament i rehabilitaci\u00f3, potenciant alhora l\u2019\u00fas de t\u00e8cniques de salut individualitzades com els m\u00e8todes d\u2019autoajuda simples, que el pacient ha d\u2019assumir de manera f\u00e0cil i quotidiana.<\/p>\n<p>Cal tenir present que les possibilitats de prevenci\u00f3 de moltes de les malalties m\u00e9s importants radiquen en la modi\ufb01caci\u00f3 de factors de risc determinats per l\u2019entorn social i cultural, el que fa necessari realitzar campanyes enfocades a la modi\ufb01caci\u00f3 de determinats h\u00e0bits i actituds, amb la \ufb01nalitat de vigilar i millorar la nostra salut.<\/p>\n<p>Molt relacionada amb l\u2019atenci\u00f3 integral i cont\u00ednua del pacient hi ha un darrer aspecte consistent en el servei d\u2019atenci\u00f3 telef\u00f2nica com a soluci\u00f3 a dubtes puntuals, per orientaci\u00f3 m\u00e8dica iinformaci\u00f3 sobre l\u2019acc\u00e9s a determinats serveis o consultes que no precisin una visita al consultori.<\/p>\n<p>L\u2019acc\u00e9s telef\u00f2nic al metge permet transmetre una seguretat especial davant d\u00b4un dubte que no va sorgir a la consulta, d\u2019un s\u00edmptoma nou que apareix en una patologia consultada o una con\ufb01rmaci\u00f3 de la dosis davant d\u00b4un nou tractament. M\u00e9s enll\u00e0 del motiu concret de la consulta, sempre s\u2019inclou un component important: con\ufb01rmar que el seu metge est\u00e0 sempre al seu servei malgrat les seves ocupacions, refor\u00e7ant l\u2019efecte positiu que produeix el contacte amb ell.<\/p>\n<p>Si l\u2019emerg\u00e8ncia \u00e9s de certa magnitud, l\u2019atenci\u00f3 s\u2019haur\u00e0 de realitzar al domicili del pacient o en un centre amb els mitjans tecnol\u00f2gics adequats per a la seva avaluaci\u00f3 i tractament. Enaltres ocasions, els avisos telef\u00f2nics s\u00f3n atesos per metges que orienten el pacient, responen les seves preguntes o solucionen la urg\u00e8ncia enviant un metge al domicili.<\/p>\n<h3>M\u00e9s informaci\u00f3:<\/h3>\n<p><a href=\"http:\/\/www.mgc.es\/ca\/centre_medic\/index_html\">Centre M\u00e8dic M\u00fatuta General de Catalunya<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Un metge de fam\u00edlia \u00e9s la base sanit\u00e0ria, la primera l\u00ednia d\u2019atac davant la malaltia o la defensa per al pacient, que no nom\u00e9s s\u2019enfronta a la patologia m\u00e8dica, sin\u00f3 tamb\u00e9 a la psicosocial del malalt, veient-lo en el seu nucli familiar i social.<\/p>\n","protected":false},"author":15,"featured_media":13592,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,15],"tags":[402,413,460],"class_list":["post-11412","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualitat","category-salut","tag-centre-medic","tag-destacat","tag-metge"],"featured_image_src":"https:\/\/www.mgc.es\/wp-content\/uploads\/2019\/11\/metgeFamilia_cast_ready.jpg","author_info":{"display_name":"Dra. 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