21.10.2021 18:45 | Press Release
The Prague Ambulance (ZZS HMP) will now provide patients in the metropolis of mobile palliative care. It will consist of setting up a special team which, in the event of problems with people who are in the final stages of an incurable disease, would provide primary acute care directly at the place of residence and would not transport them on the basis of an emergency call to medical facilities.
In some cases, he has no acute hospitalization for the benefit of patients; on the contrary, transport and change of environment can reduce their comfort. At the same time, patients often have the last days or even hours of life left. The aim will be to provide adequate care to patients in their home environment, or to transport it to specialized workplaces so that it is as short and as stressful as possible.
The capital in cooperation with the Medical Rescue Service of the capital m. Prague providing mobile specialized palliative care in the metropolis. The purpose of this team is to improve the care of patients in the final stage of incurable disease after an emergency call to 155. The goal is to provide specialized palliative care in accordance with the patient’s wishes and reduce the number of hospitalizations in healthcare facilities that no longer benefit patients.
“Eighty percent of people want to spend the last moments of their lives with their loved ones, but only twenty percent of people will be fulfilled. By launching a new mobile palliative care service through the Prague ambulance, we want to reverse this disparity and enable people to leave this world with dignity, without unnecessary stress for their families, “says Milena Johnová, Councilor. of the City of Prague for Social Policy and Health Care.
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A mobile palliative care team would travel to these patients and try to provide them with the best possible care at their place of residence without having to transport them to hospital facilities. In some cases, hospitalization is no longer medically beneficial for the patient and the change of environment due to his comfort.
“In our work, we meet patients lying close to the state of health, medical medicine no longer cures the disease and they do not benefit from acute hospitalization. The establishment of a mobile palliative team will help these people to spend the last moments of their life with dignity, without pain as little complication as possible, ideally in the family circle, if the patient so wishes, “describes Petr Kolouch, director of the Medical Rescue Service. of Prague.
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The Prague Ambulance will provide the service in such a way that the operator of the emergency medical center 155 identifies the patient as “palliatively relevant” using three target areas. A palliative team with an emergency and palliative medicine doctor would then be sent to him, who, on the basis of an on-site examination, study of available medical documentation and confirmation that the patient was really palliatively relevant, made the most of stabilizing the patient at home. He determined the appropriate medication, provided patients and close necessary information about the provision of follow-up care with a hospice care provider. They would, if necessary, bring patients a bed in their facilities or come home for the patients.
Within the seven weeks of the pilot verification, the dispatchers of the City of Prague Emergency Medical Service evaluated 69 patients as palliatively relevant when receiving emergency calls. After examination and treatment, 31 patients were transported to hospital, 32 patients were left at home in the care of the family after treatment, and six patients who died at home already in the provision of pre-hospital emergency care.
“The ambulance service goes to palliative patients repeatedly in the last phase of her life. When our palliative teams or outreach groups provide these patients with proper care, they can ensure that the emergency services do not go to them again and at the same time have the patient the necessary comfort and medication, for example to relieve pain, “adds Marek Brožek, who will serve as one from the doctors of the new palliative team.
In the case of transporting a patient to a medical facility, the team will direct the patient to a cooperating teaching hospital with a palliative team. On the spot, the nursing care facility of patients would be directly in the palliative ward with the shortest possible transport so that the new environment would be as stressful as possible for him and thus avoid possible complications. The assumption is that the establishment of the team would cost the capital 5.3 to 6 million crowns a year.
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