In the article, we will consider how to get a seriously ill person to a hospice. This is the name of a medical institution where terminally ill patients are treated. Establishments of this nature provide care for people who are dying. In some cases, a hospice is a worthy alternative to home care or a place where an incurable patient can go if he has nowhere to go. These medical facilities may be public or private.
Before you get to the hospice, you need to prepare documents. It is much more difficult to issue paperwork in government institutions. To do this, you must fulfill certain conditions, collect a package of certain documents.
Indications for admission to hospice
There is an opinion in society that the hospice is an unworthy haven for a dying person who was abandoned by loved ones. This point of view is not correct. Modern hospices have everythingnecessary equipment, and the level of care and service provided there is similar to treatment in a clinic.
Such institutions provide all the conditions for terminally ill people who are on the verge of life and death. The hospice staff ensures that such patients are treated with dignity, in terms of symptomatic treatment and appropriate care. Patients suffering from:
- AIDS.
- Neuropathic pathologies.
- Heart defects.
- Cancer.
This list is not complete, but the main percentage of hospice patients are these people. It is important to note that the patient may be admitted to the hospice on a permanent basis. But if he suffers from severe stages of these diseases, when such pathologies are no longer amenable to therapy. We will tell you how to get to the hospice for free below.
Temporary content
It is worth noting that some institutions of the state type provide services related to the temporary maintenance of patients. For example, there are situations when a seriously ill patient has an exacerbation of the pathology. In such a case, he is recommended to stay in a hospice until the onset of remission. After that, the person is discharged or transferred to a regular state medical hospital.
In addition, seriously ill people whose relatives are currently unable to provide him with appropriate care can be placed in a hospice. Such a serviceconvenient when, for example, you have to urgently leave the city. In this case, the patient's relatives negotiate with the hospice management the terms of the patient's stay in the institution, and then take him home.
In order for a cancer patient to get into hospice, his relatives should collect the same package of documents as for any other patient in need of palliative care.
Services provided by the establishment
The list of services provided by the hospice depends on whether the patient will be in it periodically or permanently. Accommodation options are as follows:
- Inpatient - the patient is constantly in the hospice.
- Outpatient - the patient needs to visit the clinic periodically.
When an outpatient stay, the patient should be present at the hospice for procedures and medical manipulations. Then relatives can pick him up, and in cases where unforeseen situations arise, call the medical workers of the institution home. With the inpatient option, the patient is constantly in the hospice without leaving it.
Depending on what pathology is diagnosed in a patient, he is prescribed therapy, a complex of special medical procedures and manipulations (their quality undoubtedly depends on the level of the hospice). In addition, the patient is provided with continuous care, including hygiene and water procedures. How to get into a hospice according to the law?
Legislative provision
Hospice accommodationregulated by the Order of the Ministry of He alth of the Russian Federation dated April 14, 2015 No. 187n. The law specifies who exactly can be placed in an institution of this type, who should be provided with palliative care.
In addition, it is legally noted that such services can be provided by medical institutions not only of the state type, but also of a private nature. The latter provide, as a rule, a wider range of services than municipal he alth organizations, in which care is indicated for patients with the following problems:
- oncological diseases at 4 stages of development;
- organ failure, when transplantation is not possible;
- dysfunction of the spinal cord or brain due to impaired circulation;
- dementia;
- severe consequences of previous injuries;
- severe pathologies of the nervous system, mostly of a degenerative nature.
It is legally established that a therapist (if there is a confirming diagnosis), an oncologist, a doctor of a visiting institution or a hospice doctor can issue a referral for placement in a hospice.
Only with help
You can legally get into a hospice only if there is a certificate confirming the diagnosis. In addition, the results of instrumental and laboratory studies should be attached to the documents, which will also indicate the serious condition of the patient. Together with these documents, the he althcare professional must issue a letter of recommendation that contains a planfollow-up therapy and care of a sick person.
How to get to a hospice in Moscow for free?
Government-type hospices often lack space to accommodate patients, even if the case is very severe. But you should still collect the necessary documentation, as there is a possibility that the place will become free.
If there is no time to wait, then you can contact private establishments. The maintenance of a patient in such institutions is much more expensive, but, as a rule, there are no problems with finding, placing and registering in a hospice. How to get there and what documents are needed?
List of required documents
Palliative care can only be obtained after it is confirmed that the patient really needs it. To accommodate a person, you should collect a package of certain documents. They must confirm the diagnosis and the need for immediate hospice placement. The following documents will be required:
- Passport or any other document that can confirm the identity of the patient.
- Referral and letter of recommendation from a treating specialist.
- Extract from history.
- Patient's medical record, which contains all laboratory tests.
The first stage of registration is to obtain a certificate from a specialist who has been treating the patient. It can be obtained at the reception, but do not think that it will take only a few hours. The doctor will have to enter the diagnosis in the certificate, as well as indicatetherapeutic plan, recommendations regarding patient care, other nuances. As a rule, paperwork in the clinic takes up to one week.
Design process
How to get a patient to a hospice? Registration is a fairly simple process. First of all, you should find out if there are vacant places in the chosen medical institution. If the answer is positive, you should immediately start processing the necessary documents (obtaining certificates at the clinic, issuing a medical policy if necessary, etc.). After the papers are collected, they should be taken to the reception of the selected hospice in order to obtain the permission of the head physician.
The patient is re-examined upon admission. The results and data obtained are recorded in a new medical record. This allows you to monitor the patient's condition during his stay in the institution. Medical prescriptions, in particular, the regimen for the use of medicines and medical manipulations, are made on the basis of the recommendations of the doctor, but also take into account the current condition of the patient.
In addition to providing medical, public and private care services, hospice staff also provide moral support to the patient. Highly qualified psychiatrists and psychologists work in the medical institution, providing guests with a comfortable environment.
Features of staying in private hospices
The main difference between public and private organizationsis the service level. Private institutions receive funding not from the budget, but from the relatives of patients placed in them. Therefore, hospice staff are interested in providing the most comfortable conditions.
The main difference in conditions is food. In public institutions, it is not possible to draw up an individual dietary plan, while in private institutions, the patient's diet can be varied for an additional fee.
How to get to the Moscow hospice and how much will it cost? The cost of being in it starts from 800 rubles. The price is directly dependent on the number of additional services that will be provided to the patient, medical procedures, and time of stay. In addition, it is worth considering the cost of medicines that relatives can purchase on their own or order directly from the hospice.
Private organizations offer a fairly wide range of services. This may be the adoption of therapeutic water procedures, aromatherapy, physiotherapy. Of course, you will have to pay money for additional services. There are also many psychologists in private hospices, so you should not worry about the mental state of the patient.
In addition, you can pay for a separate room in which no one will interfere with the patient. Many private institutions of this nature are equipped with televisions and other equipment. So, how to get to a hospice in Moscow, what do you need to apply?
Howplace a patient in a private hospice
Private establishments tend to always have empty seats, so getting into them is pretty easy. The priority is money. If funds are available, the patient will be provided with the best medical care and additional procedures.
So all that remains is to find a similar institution in your city. There are a lot of such establishments in Moscow and St. Petersburg, but they are not always available in the regions. After finding a hospice in your area, you should collect the necessary documentation and place the patient in the facility.
Undoubtedly, the level of services in public institutions is far from desirable. But there is no need to question the competence of employees there. In any type of hospice, be it private or public, the patient will be provided with a comfortable stay.
