HOSPICE-PALLIATIVE CARE IN HUNGARY

Kapunk tárva,a szívünk még inkább!

Mr. Miklós Lukacsnurse director, hospice expert

e-mail: [email protected],

Web: www.irgalmasokpecs.hu, www.hospice.hu

HOSPICE-PALLIATIVE CARE IN HUNGARY

Palliative Healthcare Symposium18.-21. April. 2013.


Greetings from Hungary




WHAT HAPPENS TO THE SYSTEM IF ONE MEMBER IS GOING TO DIE?


HOW TO THE SYSTEM SURVIVE IN THIS NEW SITUATION?


EVERY CRISIS IS A NEW SITUATION

4 „C”

► CONFLICT

► COHESION

► COMMUNICATION

► COMPLIANCE


P

E

P

S

I

•Physical•Emotional•Psychological•Spiritual•Inter Personal

Calman (1993)

WHY HOSPICE HOME CARE?

The reduction of costly hospital care The social care needs of humános conditions.


Statistical data in Hungary

►Number of population: 10.076.581

►Number of death:128.795

►Cancer death:32.670


The most frequent cancer illnesses

►Respiratory system cancers

►Digestive tract cancers

►Prostata cancer

►Breast cancer

►Head-neck cancer


Palliative care milestones•1991 - Hungarian hospice movement is founded.•1994/95 - Hospice teams with the help of the Soros Foundation.•1997 - Hungarian Health Law declares the human right of palliative care and defines hospice care.•2002 - Palliative care guideline is launched •2004 - Hospice minimum standards which gives official licences and special financing.•2004 - Hospice financing system by the National Health Insurance Service


THE HOSPICE SERVICES- 84 hospice organisation- 10 Inpatient Palliative Care Units, 162 beds- 69 Home care teams- 2 Nursing home 15 beds- 3 Consultant teams in Hospitals - 1 Hospice House, 10 beds


COVERAGE OF THE HOSPICE CARE ORGANIZATION

Hospice organization = umbrella organization Hungarian Hospice Palliative Association www.hospice.hu

Complex servicesBudapestMiskolcPecs

inpatient unit, hospice home care, hospital mobile team, day care centre, pain outpatient clinic, psycho-oncological outpatient clinic, telephone mental health service, bereavement service, education centre


PATIENTS IN HOSPICE CARE

HOSPICE CARE► Patients: 7019

► Inpatient Palliative Care Units: 2355

► Hospice home care: 4086

► Day centres: 449

► 94% of patients have a cancer diagnosis

► Averige care time: 36 day

► Using beds: 79,6%


EDUCATION PROGRAM FOR NURSE AND DOCTOR/theoretical and practical training/

NURSE PROGRAM

► basic course - 40 hours

► advanced course - 40 hours

► 1200 hours hospice nurse and coordinator training program to the certificate exam

DOCTOR PROGRAM► basic course - 40 hours

► advanced course - 40 hours

► practical course – 80 hours in hospice unit

► Palliative course for the medical students(Budapest, Pécs)

► 2013. october – palliative license exam


…és jegyzetek


STAFF IN HOSPICE CARE(multidisciplinary team) 1507 PERSONS

► 60,1% doctor► 69,7% nurse► 62,7% physiotherapists► 72,9% psychologists and

mental health experts► 73,7% volunteers► 31,4% priests► 41,8% social workers► 59,8% dietists► 69,5% coordinators► 44,4% occupational therapists► 78,5% bereavement

counsellors


ACCESS TO IN HOSPICE-PALLIATIVE CARE

HOSPICE CARE

► physician recommends

► GP’s ordered

► patient's or family consent, compliance


FINANCE IN HOSPICE-PALLIATIVE CARE

HOSPICE HOME CARE

► insurance pays for a day home care: 3840 HUF – 14 EUR – visit day, insurance-funded day vizit - 150 day

► insurance pays for a day hospice unit care: 9520 HUF – 34 EUR – care day

HOSPICE UNIT

The benefit to the patient free


TASKS IN HOSPICE CAREHOSPICE CARE

► nursing tasks

► physiotherapist tasks

► symptom management

► Dieticians tasks

► Social task

► Spiritual tasks

► Psychical tasks

► Physician tasks


AGREE?

► The serious illness of a serious impact on the family, care team► Flexible rate adaptive► The hospice palliative care in a family care► Bridge care► The family assessment begins when the patient is in the care► All members working in hospice care with the family► All members are family expert► Families and the patients are different► We work in different cultures► Assess the family environment► Family dynamics


Awareness-raising programs

Children planted flowers daffodil

Thank You for your attention!

Documents

HOSPICE-PALLIATIVE CARE IN HUNGARY