Chronic Obstructive Pulmonary Disease (COPD) is an example of a disease contributing to more and more frequent deaths all over the world. As far as the mortality rate is concerned, COPR is in fourth position. However, predictions about the next decade reveal a further worsening of the death rate from this disease. The factors which contribute to the development of COPD are individual and environmental. The most important individual factor is alpha1- antitrypsin deficiency (AATD). The environmental factors include smoking, pollution of work environment in terms of dust and chemicals, air pollution. Other reasons for the development of COPD are recurrent pulmonary and respiratory infections in early childhood as well passive smoking.

The concept of depression includes clinical conditions whose main disorder concerns mood or affect. Traditionally, this group includes depressive disorders, mania and submaniacal states, and anxiety disorders. A light form of depression is often unrecognized. The person feels chronic fatigue, weariness and discouragement to life. Depression caused by reactive factors is manifested by a smaller number of psychosomatic symptoms. According to the WHO (World Health Organization) report, by 2020 depression may become the second largest health risk after cardiovascular disease. The clinical picture of depression is dominated primarily by the depressed mood, which is felt by the patient as a state of gloom, resignation, and sadness. The patient is unable to experience joy, happiness and satisfaction. Anhedonia appears, or inability to feel any pleasures. A separate problem is the recognition of depression in the elderly age, when symptoms characteristic to depression are very often considered a normal manifestation of the body aging or as an inherent element of the somatic disease. Currently, it is estimated that as many as 40% of cases of depression in people over 65 remain undiagnosed.

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Among diseases of the 21st century, intestinal tumours are frequently mentioned. Colon cancer is a serious and growing health problem not only in Poland, but also in the world. As the most common result of fighting for one's own health and often even life is the consent to the intestinal stoma. Intestinal stoma is made by exteriorisation of the preserved intestinal end by abdominal incision outside the abdominal cavity, the incision of the mucous membrane and suturing it to the skin. The three main groups of indications for exteriorisation of stoma are: (a) inflammatory disease of intestines, (b) colitis, rectal and colonic trauma, (c) colorectal cancer. Properly exteriorised stoma on the large intestine should be located on the smooth surface of the skin away from the navel, hip bone, skin folds, scars and also at least 4 cm away from the main surgical cut. Patients should see the fistula well because it is the basis of proper self-care. Dermatological complications are the most common complication of stoma and occur in nearly 80% of patients. It comes to them as a result of irritation of the skin by the intestinal contents that come out of it and causes inflammation. This is usually the result of incorrect stoma care or improper use of stoma equipment. Despite medical advances towards minimizing invasive procedures and limiting the severity of the disease, the problem of the great stress experienced by every person undergoing surgical treatment is still valid and relevant to the outcome of the whole therapy. Choosing intestinal stoma is one of the most stressful treatments, so in this case, not only medical care but also psychological over the patient seems to be a priority.

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The tests used to diagnose chronic obstructive pulmonary disease (COPD) can be divided into three groups. These a functional examination, imaging examinations and other tests helpful in the assessment of the disease's advancement. The basic test for suspicion of COPD is spirometry. It can be used to assess lung function noninvasively and quickly. Spirometry allows evaluation of volume components and components of air flow velocity in the lungs. Blood gas measurement is also helpful. Imaging examinations used in the diagnosis of COPD include chest radiograph and computed tomography. The results of these studies show above all the advancement of emphysema and the location of airspace. Additional tests to help diagnose COPD include electrocardiography, echocardiography, morphology and sputum culture. Their results, even though they do not give a clear diagnosis of COPD, can facilitate to make a correct diagnosis.

The key symptom of depression is lowering the mood, but this is not the only sign of depression. Depression is a disease in which the symptoms reach various intensities and occur in many configurations. We distinguish the following types of depression: reactive, endogenous, neurotic, anankastic, agitated, large and small, morning (subclinical and subliminal), seasonal, masked, psychotic, postpartum, drug resistant, in children and adolescents, in the elderly, involutional, organic , in bipolar disorder, dysthymia, depression and anxiety, and in somatic diseases. Psychotherapy is now a popular and effective method of treating depression. The effects of treatment after the use of antidepressants appear only after a few weeks from the beginning of therapy. Old-generation medicines: these are tricyclic antidepressants (TLPDs), inhibitors of neuromediator reuptake and monoamine oxidase enzyme (IMAO) inhibitors. The new generation of drugs is distinguished by selective serotonin reuptake inhibitors (SSRIs), selective serotonin and noradrenaline reuptake inhibitors (SNRIs), four-ring drugs, noradrenaline reuptake inhibitors, selective reversible MAO inhibitors, and drugs with other mechanisms of action. Phototherapy (treatment of light) is currently a widely accepted method of winter depression therapy. Other treatments for depression include electroconvulsive therapy and transcranial magnetic stimulation.

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