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Presentation of the palliative care
What is hospice care
A hospice unit provides palliative care, not a cure. The hospice team offers modern
methods of pain control and other medical help to terminally ill people, giving patients a better quality of life.
The hospice team helps when the disease is in an advanced form and the patient needs specialist care.
The hospice team treats the patients, not the diseases.
The general medical health of a terminally ill patient tends to be complex, the hospice teams job is to address all the patients needs (medical, psychological, emotional, spiritual and social).
The hospices philosophy is to consider the family as a “care unit”. Both patients and their families are part of the decision making process, and after the death of a beloved one, the family also benefits from both moral support and counseling that the hospice staff are able to offer.
A hospice regards the quality of life as its most important function.
The hospice philosophy is to emphasis the fact that human values are as important, not only to the physical needs but the complex care needs of a terminally ill patient.
Hospice of Hope presentation
- 1992:
- the first Medical Palliative Care Conference (held in Poiana Brasov) launches the idea of hospice services in Brasov;
- initiation and training of a doctor from Brasov in the palliative care (with the help of “Directia Sanitara” of the county);
- a specialized nurse from Great Britain starts the training of another nurse in Brasov;
- in June the first home-care palliative services are provided;
- 1993:
- more and more medical personnel is hired and trained;
- the first charity event for the hospice - World Concert “Voices for the Hospice”;
- 1994:
- opening of the administrative headquarters for the home-care and counseling team in Poarta Schei Street, Brasov;
- 1995:
- the hospice team consists of two doctors and five medical assistants coordinated by a british specialist;
- 1996:
- the first pediatric hospice service is founded (1 pediatric doctor, 1 pediatric assistant);
- the personnel is 100% romanian;
- 1997:
- the official opening of the Training Center for Palliative Medicine, within the foundation;
- start of the first training programs for doctors, medical assistants and volunteers;
- 1998:
- official recognition of the training center by the Ministry of Health, as National Resources and Training Center in Palliative Care;
- official registration of the National Association for Palliative Care (ANIP);
- 1999:
- the local authorities donates a piece of land to built the first hospice in Romania for oncology patients;
- 2000:
- the building of the new hospice starts;
- the Training Center becomes regional resources center, organizing the first training courses for medical personnel of Eastern-European countries;
- 2001:
- the interdisciplinary team consists of doctors, medical assistants, social assistants, psychologist, priest;
- 2002:
- the official opening of the Hospice “Casa Sperantei”, Sitei Street, nr.17A.
- recognition of the Foundation as one of 5 Palliative Care Excellence Centres in Eastern Europe (together with Warszaw, Poznan, Budapest and Sankt Petersburg)
- 2003:
- the hospice is now officially recognized as home medical care supplier and it close the contract with Health Insurrance House in Brasov
- the hospice gets Sister Frances Domenica award for children care innovative programs at the 15th Childern’s Hospice International World Congress the hospice closes the contract with the National Centre for Medical Improvement in order to organize medical competence courses
- palliative care courses for medical personnel in Albania, Macedonia, Modavia and Serbia
- attendance at the World Concert “Voices for Hospices”
- 2004
- the first year when the Hospice gets financial support from Local Municipal Council of Brasov
- launch of the EDU educational programme for children with special needs in palliative care
- opening of the Resource Centre for Hospice and Palliative Care “Nicholas Edeleanu” in Bucharest
The hospice includes the home-care service, day center, adults and children centers with beds, ambulatory center.
Beacon Project
In 2001, the Open Society Institute commissioned an important research project entitled “Transition in End of Life Care” (Hospice and related developments throughout Eastern Europe and Central Asia) in order to evaluate palliative care services development. There were checked 476 hospice services from 28 countries in Central and Eastern Europe and Asia. The Project was undertaken by Professor David Clark and Rev. Dr. Michael Wright from the University of Sheffield, UK. In its conclusion, the report identified Hospice Casa Sperantei Brasov as a 'Palliative Care Beacon” in South Eastern Europe.
The Report says:
....“like a beacon, Hospice Casa Sperantei's services provide illumination in the form of educating and training; they are also recognized from afar for their innovation, enterprise and quality”.
The Report recommends that...”Hospice Casa Sperantei should further develop its regional role in the Balkans”.
The Challenge Ahead...
..is to now ”shine” the care developed in Brasov into other parts of Romania and the Balkan regions, so that many people as possible can have access to specialist hospice/palliative care services.
How to meet this challenge...
The Hospice of Hope (charity organization from UK who aims to support palliative care in Romania and Eastern Europe) will continue the sustaining and developing of Hospice Casa Sperantei Brasov as a Center of Excellence and Training, establishing regional training centers, setting up a mobile training team and supporting new projects in key cities, among them Bucharest and Cluj.
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