Hospice is a medical institution in which incurable patients are assisted in the last stage of the disease. The word itself comes from the Latin “hospitum”, which denotes hospitality. Since the VI century were called holiday destinations for travelers. The first hospices were along the roads, along which pilgrims-Christians marched. In these institutions tired and exhausted people stopped.
At present, incurable patients live in these institutions, which official medicine can not help with anything. In the CIS countries, hospices are usually placed in hospices. These institutions are extremely cautious, and sometimes even disgusting attitude. Meanwhile, they are very popular in the West. It’s time to debunk the basic myths about hospices and understand how much they really need society.
Hospices appeared in Russia recently.
In Moscow, a profile establishment of such a plan for cancer patients appeared in 1903. The initiative came from the famous oncologist, Professor Levshin. He collected money for several years with the help of charity. On the street Pogodinskaya appeared four-story building with 65 seats. For that time, it was the foremost institution, here drugs with radium were tested. But in the 1920s the institution lost its original functions, turning into a research clinic. In our time, the first hospice opened in St. Petersburg in 1994.
The patient’s entry into the hospice means his imminent death.
Do not take this institution as a house of death. Palliative care can improve the quality of life. It is about eliminating the pain syndrome, proper nursing care, psychologist support. Staying in a hospice is not a preparation for death, but an attempt to make life as dignified as possible until its very end.
попа Only oncological patients get to the hospice.
Access to palliative care is needed by everyone who has a chronic disease that limits life time. International studies have proven that 70% of patients with such problems can qualitatively improve their lives through palliative support. People who have heart disease, kidney disease, lungs, dementia, or kidney failure come here. Even patients with chronic diseases find support here, learn to struggle daily with their problem, stay active and feel better.
In the hospice, pain syndromes are reduced only with the help of drugs.
Palliative care involves a whole range of measures. People are taught to manage pain through spiritual and psychosocial care. The term “all-consuming pain”, which is used in hospices, includes suffering not only physical, but also psychological, spiritual, social. This is the total voltage and should be removed. In palliative care, there is a place for narcotic painkillers, but they alone do not limit the course.
Palliative care is provided only in the hospice.
There is a visiting hospice service that provides palliative care at home. Doctors and nurses can teach relatives to competently care for the sick, to impart to them the philosophy of the hospice. The fact that a person can no longer be saved does not mean that he can not be helped.
Hospices are designed for the elderly.
Hospices along with a program of palliative care are available to patients of all ages. I do not want to think that children can suffer from incurable diseases. In practice, a significant part of hospice care refers to babies who have deadly or life-limiting illnesses. The programs of palliative treatment should ideally be prepared for patients of any age. There are some shelters that are designed specifically for children.
All those in need receive palliative care.
The World Alliance of Palliative Care Organizations shows that only one out of every ten patients receives the required support. And this is the average for the world, in Russia it’s still worse.Currently, in Moscow hospices, palliative care is only 40% of patients. Without a full-fledged support, the system of rendering medical care in the country can not be considered full-fledged. Incurable patients should be able to receive hospice care from specialists.
People live in hospices for a few days.
It seems that patients manage to live in hospices only a few days, the account at best goes for weeks. But the world’s largest insurance companies offer hospice services for six months. If the patient managed to save his life, then he can stay here and on, or return here at any time. Sometimes the departure of a team of professionals works wonders. Here people are seen in patients, and not a serious diagnosis. As a result, good care allows many to live longer than predicted by the doctors.
Getting into the hospice means giving up the fight.
Hospice patients never give up. Employees continue to struggle for the life of the patient, offering and relatives to do it. Care focuses on hope. People are trying to be persuaded that they will not feel pain, that they will soon be able to go out on the streets, see their grandchildren on the weekend, celebrate the coming anniversary. You should always hope for recovery, but you also need to prepare for a probable future.
The hospice speeds up the death of the patient.
Many are afraid of falling into the hospice, believing that there they will end their lives faster than at home. In fact, numerous studies have shown that people with the same diagnosis live in hospice longer, unlike those who refused such a service. The institution gives an opportunity to live more than the last days, besides it is more qualitative.
Hospice requires a receipt to refuse resuscitation.
Some hospices require such a receipt, others do not. To obtain a place in the hospice, such paper is not at all obligatory. In fact, the document says that in the event of cardiac arrest, the patient refuses to try to start the organ with the help of an electric current. The fact is that it is fraught with broken ribs. Such a paper allows you to give permission to go to a person without hurting the staff and yourself. But the signature can always be withdrawn. The purpose of the hospice is to help a person, and not to demand something from him.
It is better to die at home, and not in a hospice, hospital or nursing home.
Hospice is not a place, but support from a team of professionals. They work with people wherever they are. Hospices can be located in houses, apartments, trailers, shelters for the homeless, nursing homes and in special hospitals. Hospice should be in the place that the patient himself considers his home.
Hospices stop giving medicines.
Often people even in their last days take medicine from a long list. Rejection of some of them is really capable of increasing well-being or improving appetite. If there is a diagnosis that leaves a few months of life, then there is no point in lowering cholesterol or treating osteoporosis. Being in hospice, you can eat as many eggs or ice cream as you want! Why not let yourself feast on whipped cream with strawberries? In any case, doctors will give recommendations on what medicines are no longer worth taking, but the final decision remains for the patient himself.
Hospice makes patients addicted to drugs.
In very small doses, drugs can be effective in removing pain syndromes and improving breathing. The medical team has a lot of experience in using narcotic drugs, giving them so much that the patient can feel better and maintain the old way of life. The doses are given small so that they do not lead to a loss of consciousness and do not lead to addiction. Those who are afraid of taking drugs may ask the nurse to stay next to them after the first dose, assessing comfort.
Hospice is an expensive treat.
In the West, hospice services are covered by private insurance companies.Many shelters have their own funds to cover expenses or are looking for some ways of finding funds.
Contacting the hospice means that you can no longer communicate with your doctor.
Doctors in hospice work in close cooperation with treating doctors. Together they will create the best treatment plan, optimal for the patient. You just need to tell the hospice that consultations will continue with your doctor.
Hospice means giving up your own decisions completely.
The hospice is built around the person’s plan. The patient seems to be traveling in the transport, choosing his own way. All around help to make the stroke of the car smoother.
Hospice provides round-the-clock care.
In hospice, the team is available in 24/7 mode, providing assistance and medical care. But the team never takes responsibility for care and does not promise to provide permanent care, immediately reacting to all problems. Not all hospices are able to constantly monitor their patients, it is worth considering.
All hospices are the same, regardless of whether they are commercial projects or charitable.
Each hospice must provide certain services, but often the ways are different. As there are many business models for running a restaurant, there are also options for providing care in such establishments. And families sometimes it is important to know whether they are dealing with a commercial enterprise or charitable organization. The content of the patient in the hospice can be very expensive in the absence of insurance.