Transcript In-patient unit services at St.Clare Hospice. 2010.

 The In-patient unit, is only one part of the
organisation .
 The multi-disciplinary team consists of
doctors, nurses, therapists, a social-worker
and volunteers.
 It is an 8 bedded unit, with single bedrooms
all with en-suite facilities.
 Patients are admitted for symptom
management or end of life care.
Hospice.
•HOS
•PIS
:
:
Host.
Guest.
• A Place where pilgrims and travellers could find food and
refuge.
•The Religious orders also cared for the sick, dying and
destitute.
History.
•Syrian hospices.
•Early 4th Century.
?When
Fabiola (Roman Matron)
‘Christian works of mercy.’
•11th Century.
•1842.
Jerusalem.
Mme. Jeanne Garnier.
(Lyons- France)
Our Lady’s Hospice
(Dublin.)
•1879
History -2.
 1905.
 1967.
 1950+
St.Josephs Hospice,
Hackney.
St. Christopher’s Hospice.
Organised Development.
Independent Hospices, Marie Curie Services , Sue Ryder
Homes, Clinical Specialist Nurses, IPU, Day Hospice,
Hospice at Home.
Abbas SQ, Abbas SZ. Palliative medicine, an emerging discipline. JPMA 2002; 52: 129-131
Palliative Medicine.
 An approach which improves QUALITY OF LIFE of
PATIENTS and their FAMILIES facing LIFETHREATENING ILLNESS through prevention and
RELIEF OF SUFFERING by means of early
identification and impeccable assessment and
treatment of pain and other problems, physical,
psychosocial and spiritual.
Cancer pain relief and palliative care. Geneva; World Health Organization: 2002
 From April until March of last year, we admitted 295
patients, to the in-patient unit.
177 of those were new to the service.
163 patients had primary diagnosis of cancer.
Of the 14 others, they had conditions such as,
MND, MS , CCF and COPD.
 We consider admissions for symptom management or
end of life care.
 All referrals are discussed at the multi-disciplinary
team meeting at 08:45 each morning. Monday-Friday.
Why would you refer a
patient for specialist
palliative care?
For complex symptom
management, such as:
Pain Management.
Nausea and vomiting.
Psychological support.
Intermittent Intestinal
Obstruction.
Breathlessness.
For end of life care, usually in the last
days/week of life.
This may be because the patient has
expressed a wish to die at the hospice.
(Completed a PPC)
Or there are other complex issues.
HOW?
It’s Easy! 
Just, download our 2 page user-friendly referral form
from our website, complete all the boxes and fax on
the number given.
www.stclarehospice.org.uk