Many people want to spend their last time at home. They often die in the hospital. It would be different – if the obstacle to timely palliative care was not so high.
Death, an unpleasant subject for many. The elderly doctor Philipp von Trott knows that not only medical qualities are required in a palliative care unit: "Several times I saw a wife telling me:" I know I will die, but I do not tell my husband ". Https : //www.Good king News/ "
Then the husband said, "I know he is going to die, but don't tell my wife – he doesn't know." Von Trott then organizes an open conversation with the two. The relief after the exchange is usually indescribable.
Because more people die in the hospital than it should be
A palliative care unit such as the Havelhöhe Community Hospital in Berlin is home to people whose illness is no longer curable. "Our task is to ensure that patients have the best possible quality of life for as long as possible," said von Trott. On average, patients spend nine days in the ward. Here it is considered: an additional chemotherapy is useful? How to help against pain? What needs to be clarified at the organizational level?
An interdisciplinary team of doctors, therapists, health workers, social workers and volunteers deals with these concerns. It is not primarily the illness, but the healthy resources in the man. When they are mobilized, they return home. Not infrequently for years – if the patient shows up early enough.
But that's exactly where the problem lies. "Palliative care combines many with a terminus," says Philipp von Trott. "If I go there once, I will never leave him again." As a result, patients turn to palliative care or medical specialists too late. So more people die in the hospital than they should be.
Alternative palliative care units
Palliative care is also very good at home. The mobile teams arrive at the bedside. Once again, it is symptom control, pain therapy and care for relatives. Alexandra Scherg of the Düsseldorf University Hospital knows: "Our task is also to take care of relatives and tell them they can go out for a change".
Those who do not require close medical treatment, but in any case specialized care, can also be well cared for in a hospice. "Hospitals are home to patients with a limited life expectancy of a few months," explains Scherg. There you are not alone, there is always someone there.
Hospitals also relieve relatives. "If a child is in the family of the seriously ill, many wonder if it is reasonable to die at home," says Scherg. So a hospice can be an excellent solution. This can happen even if the health deteriorates rapidly and can be badly managed at home. Or if there are no more relatives.
The last wishes come true
"Dying is a process", describes von Trott. Even with much experience and diagnosis, it is difficult to give a concrete prognosis for life expectancy. However, it is important to answer the questions of patients and relatives as openly as possible and be available for discussion.
Sometimes the last wishes play an important role. "We have already brought horses to the clinic park," says Scherg. In some cases, the courage machine continues to rise: the specially equipped transporters of the Arbeiter-Samariter-Bund (ASB) bring the sick where they want to be again. Desires are implemented by donations.
When the last day arrived
At some point it arrived, but, the last day: if the dying takes his last breath, he is in palliative care for both the dying and his relatives. From the medical point of view it is made as simple as possible. It is often seen from the heartbeat and breathing that the dying person perceives emotional assistance. Make yourself comfortable and radiate the peace that works. Relatives should not be too stressed.
Dealing with suffering is different. Von Trott has lived everything from mute sadness to collective shouts in the family circle. It's all human, he says. It was important that there was time for goodbye and the deceased a last honor. In the anthroposopically guided Havelhöhe this means rubbing the corpse with rose oil, the bedding of the deceased and opening the window so that the soul can fly out of the window.