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HOSPICE-PALLIATIVE CARE IN HUNGARY

Palliative Healthcare Symposium 18.-21. April . 2013. HOSPICE-PALLIATIVE CARE IN HUNGARY. Mr. Miklós Lukacs nurse director, hospice expert e-mail: lukacsmik@gmail.com, Web: www.irgalmasokpecs.hu, www.hospice.hu. Greetings from Hungary.

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HOSPICE-PALLIATIVE CARE IN HUNGARY

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  1. PalliativeHealthcareSymposium 18.-21. April. 2013. HOSPICE-PALLIATIVE CARE IN HUNGARY Mr. Miklós Lukacs nurse director, hospice expert e-mail: lukacsmik@gmail.com, Web: www.irgalmasokpecs.hu, www.hospice.hu

  2. Greetings from Hungary

  3. What happens to the system if one member is going to die?

  4. HOW To the systemsurvive in this new situation?

  5. Every crisis is a new situation4 „C” • CONFLICT • COHESION • COMMUNICATION • COMPLIANCE

  6. WHY HOSPICE HOME CARE? P E P S I • Physical • Emotional • Psychological • Spiritual • Inter Personal • Calman (1993) The reduction of costly hospital care The social care needs of humános conditions.

  7. Number of population: 10.076.581 Number of death:128.795 Cancer death:32.670 Statistical data in Hungary

  8. The most frequent cancer illnesses • Respiratory system cancers • Digestive tract cancers • Prostata cancer • Breast cancer • Head-neck cancer

  9. 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

  10. - 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 THE HOSPICE SERVICES

  11. COVERAGE OF THE HOSPICE CARE ORGANIZATION Complex services Budapest Miskolc Pecs 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 Hospice organization = umbrella organization Hungarian Hospice Palliative Association www.hospice.hu

  12. 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%

  13. EDUCATION PROGRAM FOR NURSE AND DOCTOR/theoretical and practical training/ NURSE PROGRAM 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 • basic course - 40 hours • advanced course - 40 hours • 1200hours hospice nurse and coordinator training program to the certificate exam

  14. …és jegyzetek

  15. 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

  16. ACCESS TO IN HOSPICE-PALLIATIVE CARE HOSPICE CARE physician recommends GP’s ordered patient's or family consent, compliance

  17. FINANCE IN HOSPICE-PALLIATIVE CARE HOSPICE UNIT 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 The benefit to the patient free

  18. TASKS IN HOSPICE CARE HOSPICE CARE nursing tasks physiotherapist tasks symptom management Dieticians tasks Social task Spiritual tasks Psychical tasks Physician tasks

  19. 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

  20. Awareness-raisingprograms Children planted flowers daffodil

  21. Thank You for your attention!

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