In the article, we will consider how to get into a hospice for a seriously ill person. This is the name of the medical institution, where terminally ill patients are assisted. Institutions of this nature provide care to people who are dying. In some cases, hospice is a worthy alternative to home care or a place where an incurable patient can turn if he has nowhere to go. Such medical facilities may be public or private.
Before you get into the hospice, you need to prepare documents. It is much more difficult to draw up paper in government institutions. For this, it is necessary to fulfill some conditions, to collect a package of certain documents.
Indications for placing the patient in a hospice
There is an opinion in society that hospice is an unworthy refuge for a dying person who has been abandoned by loved ones. This view is not true. Modern hospices have all the necessary equipment, and the level of assistance and services 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 provides a decent content for such patients, namely treatment, which is aimed at eliminating symptoms, as well as appropriate care. Being in these medical facilities is indicated for patients suffering from:
- AIDS.
- Neuropathic pathologies.
- Heart defects.
- Oncological diseases.
This list is not complete, but the main percentage of patients in the hospice are precisely these people. It is important to note that the patient may end up in the hospice on an ongoing basis. But if he suffers from the severe stages of these diseases, when such pathologies are no longer amenable to therapy. We will talk about how to get into the hospice for free below.
Temporary content
It is worth noting that some state-type institutions provide services related to the temporary detention of patients. For example, there are situations when a seriously ill patient has an exacerbation of pathology. In such a case, he is advised to remain in the hospice until remission occurs. After this person is discharged or transferred to a regular state medical hospital.
In addition, seriously ill people whose relatives do not currently have the opportunity to provide him with appropriate care may be placed in the hospice. Such a service is convenient when, for example, you have to urgently leave the city. In this case, the patient’s relatives discuss 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 enter a hospice, his relatives should collect the same package of documents as for any other patient who needs palliative care.
Services provided by the institution
The list of services provided by the hospice depends on whether the patient will be in it periodically or permanently. The accommodation options are as follows:
- Inpatient - the patient is constantly in the hospice.
- Outpatient - the patient needs to visit the clinic periodically.
When outpatient, the patient should be present in the hospice for procedures and medical procedures. Then relatives can pick it up, and in cases when unforeseen situations arise, call the institution’s medical staff home. In the inpatient setting, the patient is constantly in the hospice without leaving it.
Depending on what pathology is diagnosed in the patient, he is prescribed therapy, a set of special medical procedures and manipulations (their quality, of course, 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 the hospice under the law?
Legislative support
Placement in a hospice is regulated by Order of the Ministry of Health of the Russian Federation dated 04.14.2015 No. 187n. The law says who exactly can be placed in an institution of this type, who should receive palliative care.
In addition, it is legislatively noted that such services can be provided by medical institutions not only of a state type, but also of a private nature. The latter usually provide a wider range of services than municipal health 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, mainly of a degenerative nature.
It is legally established that a physician (if there is a confirming diagnosis), an oncologist, a doctor of a patronage institution or a hospice doctor can give a referral to a hospice.
Help only
You can legally enter the hospice only if there is a certificate confirming the diagnosis. In addition, the results of instrumental and laboratory studies, which also indicate the serious condition of the patient, must be attached to the documents. Together with these documents, the healthcare provider must issue a letter of recommendation containing a plan for follow-up therapy and care for the sick person.
How to get a hospice in Moscow for free?
State-style hospices often lack places to accommodate patients, even if the case is very severe. But collecting the necessary documentation still follows, since there is a possibility that the place will be vacated.
If there is no waiting time, then you can contact a private type of institution. Maintaining a patient in such institutions is much more expensive, but, as a rule, there are no problems with the search, placement and registration in a hospice. How to get there and what documents are needed?
List of required documents
Palliative care can be obtained only after it is confirmed that it is really necessary for the patient. To accommodate a person, you should collect a package of certain documents. They must confirm the diagnosis and the need for immediate placement in the hospice. Documents will be required as follows:
- Passport or any other document that can confirm the identity of the patient.
- Referral and a letter of recommendation from the attending specialist.
- Extract from the anamnesis.
- A medical record of the patient, in which there are all laboratory tests.
The first stage of registration is obtaining a certificate from a specialist who was involved in patient therapy. It can be obtained at the reception, but do not think that it will only take a few hours. The doctor will have to enter the diagnosis in the certificate, as well as designate a therapeutic plan, recommendations regarding patient care, other nuances. As a rule, paperwork in the clinic takes up to one week.
Clearance process
How to get a patient in a hospice? Design is a fairly simple process. First of all, you should find out if there are free places in the selected medical institution. If the answer is yes, you should immediately begin issuing 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 registry 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 are recorded in a new medical record. This allows you to monitor the condition of the patient during his stay in the institution. Medical appointments, in particular, the regimen for the use of medicines and medical manipulations are compiled on the basis of the recommendations of the doctor, but also take into account the current state of the patient.
In addition to providing medical and public and private care services, hospice staff also provide moral support to the patient. Psychiatrists and highly qualified 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 organizations is the level of service. Private institutions receive funding not from the budget, but from relatives of patients placed in them. Therefore, hospice employees are interested in providing the most comfortable conditions.
The main difference in conditions is nutrition. In public institutions, it is not possible to draw up an individual dietary plan; in private institutions, the patient’s nutrition can be varied for an additional fee.
How to get to the Moscow hospice and how much will it cost? The cost of staying 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, time of stay. In addition, it is worth considering the cost of medicines that relatives can purchase on their own or order directly in 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 patient’s mental state.
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 the hospice in Moscow, what is needed for registration?
How to get a patient to a private hospice
In private institutions, as a rule, there are always empty seats, so getting into them is quite simple. The priority is the monetary issue. If there are funds, then the patient will be provided with the best medical care and additional procedures.
Therefore, all that remains is to find a similar institution in your city. In Moscow and St. Petersburg there are a lot of such institutions, but in the regions they are not always there. After finding a hospice in your area, you should collect the necessary documentation and place the patient in the institution.
Undoubtedly, the level of services in state institutions is far from desired. But to question the competence of employees there is not necessary. In a hospice of any type, whether private or public, the patient will be provided with a comfortable stay.