Palliative care (from French palliatif from Latin pallium – coverlet, raincoat) is an approach that improves the quality of life of patients and their families who are faced with

Inpatient palliative care

Palliative care (from fr. palliatif from lat. pallium cloak) is an approach to improve the quality of life of patients and their families facing problems associated with a life-threatening disease, by preventing and alleviating suffering through early detection, careful assessment and treatment of pain and other physical symptoms, as well as providing psychosocial support [1] .

main goal Department is the provision of palliative care to terminally ill patients with significantly limited physical or mental capabilities and in need of symptomatic therapy, psychosocial assistance, long-term care.

tasks Department is the implementation of the whole range of measures to provide medical and qualified nursing care to patients, the introduction of modern methods of treatment and technologies for patient care into the practice of the department for the care of patients.

The provision of palliative care is carried out by palliative care physicians, in cooperation with specialist doctors in the profile of the patient's underlying disease and other specialist doctors.

Hospitalization patients in the palliative care department is carried out in a planned manner by appointment, daily, except for weekends and holidays in the direction of outpatient and inpatient health care facilities in the presence of:

• indications for hospitalization;
• referral containing information about the patient's social status, the presence of relatives, the patient's ability to self-service and the purpose of hospitalization, certified by the decision of the medical commission.
• outpatient card of the patient or an extract from the outpatient card, with a note on the surveys:
• blood test for RW
• general urine analysis
• x-ray or fluorography of the chest cavity
• electrocardiography
• blood sugar test

The transfer of inpatients from other hospitals in the city to the palliative care department is carried out if there are indications for hospitalization, a properly executed transfer epicrisis and the availability of free places.

To consider the issue of the terms of hospitalization in the department of palliative care, the following documents must be submitted:

• original and copy of the passport of a citizen of the Russian Federation;
• original and copy of the CHI policy;
• a discharge epicrisis from the medical record of an outpatient or inpatient patient with the results of a comprehensive examination;
• referral for hospitalization;
• Relatives or legal representatives must be present.

Documents must be submitted on business days, except weekends and holidays, from 10.00 to 12.00 at the address: Irkutsk, Profsoyuznaya st., 21, office of the head of the department.

The main indications for hospitalization of patients in the palliative care department:

• patients with organ failure in the stage of decompensation, if it is impossible to achieve remission of the disease or stabilize the patient's condition;
• patients with chronic progressive diseases of a therapeutic profile in the terminal stage of development;
• patients with severe irreversible consequences of cerebrovascular accidents in need of symptomatic treatment and provision of care during the provision of medical care;
• patients with severe irreversible consequences of injuries in need of symptomatic treatment and provision of care during the provision of medical care;
• patients with degenerative diseases of the nervous system in the late stages of the development of the process;
• patients with various forms of dementia, including Alzheimer's disease, in the terminal stage of the disease.

Contraindications for referral patients in the palliative care unit are:

• Active forms of tuberculosis;
• Acute psychoses;
• Acute infectious diseases;
• Venereal diseases.

The scope of assistance provided includes:

• correction of hemodynamic disorders;
• therapy of gastrointestinal disorders (nausea, vomiting, diarrhea, constipation);
• nutritional support;
• correction of respiratory disorders by pharmacological means;

RULES OF THE PATIENT'S STAY IN THE HOSPITAL

During inpatient treatment, the patient can use personal underwear, clothes and change of footwear, receive visitors at the set hours in a specially designated place, except for the quarantine period, and if this does not contradict the sanitary and epidemiological regime.
Visiting patients who are on strict bed rest is allowed subject to the availability of removable shoes, a gown and a pass issued by the attending (duty) doctor. The assortment of grocery programs should be consistent with the prescribed diet.

During treatment (examination) in a hospital the patient must: comply with sanitary and hygienic standards for the use of household communications (refrigerator, shower, bathroom); observe the medical and protective regime, including those prescribed by the attending physician; promptly inform the medical staff on duty about the deterioration of health.
Unauthorized leaving by a patient of a hospital is regarded as a refusal of medical care with corresponding consequences, for which the institution is not responsible.
Patients are discharged by the attending physician in agreement with the head of the hospital department.

OPERATING MODE:

The Palliative Care Department is open 24/7, including weekends and holidays. Visiting Patients during weekdays from 16.00 to 18.00 hours;

Weekend and holidays from 10.00 to 12.00 and from 16.00 to 18.00 hours;

Contact phone 8 (3952) 38-78-84 (ext. 344), from 08.00 to 16.00

Skipping visiting to patients is carried out through the post of receiving office with the registration of visitors in the journal on the basis of a document certifying the identity.

The heads of OPPP works daily on weekdays from 08.00 to 16.00 hours; Reception of the head of the family of relatives of patients who are on hospitalization and on hospitalization issues every day from 10.00 to 11.00, from 11.00 to 12.00 hours reception on personal matters.

Medical staff on weekdays: from 08.00 to 16.00 hours;

The duty officer, on weekdays: from 16.00 to 08.00 hours, on weekends and holidays: around the clock;

Planer meetings in the branch on weekdays from 08.00 to 08.30 hours;

The reception of patients to hospitalization is carried out by appointment;

Experienced and friendly health workers will provide proper care and attention, will help to overcome the ailments and helplessness.