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Palliative Care at Home 緩和醫療居家療護簡介(兒童醫院)

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Palliative Care at Home 緩和醫療居家療護簡介(兒童醫院)

2024/12/13

Major service items of palliative care at home

  1. Pain control: including patches, oral medicine, injection.
  2. Management and control of discomfort symptoms, such as nausea, vomiting and discomfort caused by treatment.
  3. Treatment and guidance of defecation: such as drug and enema use.
  4. Guidance for physical cleanliness and care.
  5. Dietary guidance and nutritional assessment.
  6. Psychological support and family counseling.
  7. Spiritual or religious counseling and guidance.
  8. Arrangement or referral of social welfare resources.
  9. Assistance in fulfilling your wish.
  10. Death preparation and grief counseling.
  11. Injection, blood drawing, specimens collection and simple blood glucose assay.
  12. Various catheter replacement and nursing: such as urethral catheters, nasogastric tubes, etc.
  13. Nursing and guidance of wounds and stomas.
  14. Steam inhalation, postural drainage and sputum aspiration.
  15. Assistance in the rental of various instruments.
  16. Contact, hospitalization and referral to other hospitals.

Service objects and conditions for admission

  1. Those who have been diagnosed by a physician as unable to undergo curative treatment.
  2. Those whose daily self-care ability depends partly on others.

Service area

  • Within a 60-minute drive time from the home to the hospital.

Service time and mode

  • Visits by hospice home care nurses and doctors: 1-2 times per week.
  • Monday-Friday 8a.m. - 6p.m.
  • Saturday-Sunday : 8a.m. - 4p.m.

Members of a palliative home-care team

  • Nurses, physicians, social workers, religious teachers, volunteers, etc.

Charging methods

  1. Patients under National Health Insurance: Those who meet the admission criteria of palliative care at home for severe injuries and illnesses will be free from copayments for medical visits by physicians, nurses and social workers.
  2. Registration fees are charged according to our hospital's rates.
  3. Family members should pay the taxi fares to and from the hospital or drive patients to the hospital or home.

Admission methods

  1. Inpatients: Those who meet the admission criteria should ask the doctor to issue a palliative care notice as soon as possible so as to make discharge preparations and return to the original attending physician for follow-up consultation.
  2. Outpatients: Please register with the "palliative care clinic."
  • Those who do not have the medical records of our hospital should bring an abstract with them for the first-time visit.
  • If the patient is currently hospitalized in another hospital, he needs to register at his own expense.
  • Patients who are unable to come to the clinic in person may be represented by the principal decision maker or caregiver.

Reference
  • 財團法人中華民國安寧照顧基金會(2022,12月1日).安寧療護基本概念介紹。https://www.hospice.org.tw/care
製作單位:護理部6B病房護理站 編碼:HE-EC001-E
若有任何疑問,請不吝與我們聯絡
電話:(04) 22052121 分機 12690、12691
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