The following palliative care services are known to exist in Poland:
Existing Services (2002)
Adult
Inpatient - Freestanding
25
- Hospital Unit
50
- Hospital mobile team
1
Nursing Home
0
Home Care
149
Day Care
8
Total
231
Paediatric
Inpatient
25
Home Care
5
Day Care
0
Unspecified
0
Total
30
Grand Total
261
Current Projects
The following palliative care projects are known to exist in Poland; these are not yet operational services
Known hospice/ palliative care projects (2002)
Adult
Inpatient - Hospital
0
- Hospice
0
Home Care
0
Unspecified
30
Total
30
Paediatric
Hospital
0
Hospice
0
Home Care
0
Unspecified
0
Total
0
Grand Total
30
The newly opened Hospicjum Palium complex in Poznan is an ambitious development that houses a number of services: a 14-bedded inpatient unit; a day care centre, bases for the home care team, on-call teams and the bereavement service; a palliative medicine clinic; chronic pain clinic and lymphoedema clinic. It also accommodates the palliative care resource centre and a residential training centre. As the centre was nearing completion Jacek Luczak looked forward to new possibilities for training:
'And we are now trying to start the work of the education centre in Hospice Pallium … We would like to provide people from eastern Europe with two weeks' training: we have 8 places in the accommodation, the rooms, guestrooms will be ready. We need still some money to finish everything, to give furniture and so on and so on, but we will be probably ready to start in the next few months. So it is history.'2
Warsaw Hospice for Children exemplifies Poland's paediatric home care services. Covering an area up to 100 kms from the hospice with a population of around 3.5 million inhabitants, 187 patients have been cared for to date: 100 patients with cancer, 87 patients with other diseases. The average number of patients at any one time in 2001 was 24. Hospice care (medical and nursing) is provided 24 hours a days, 7 days per week. To provide this service, nurses have a caseload of 4 patients; they usually visit 2 patients per day, spending around 2 hours per patient. Each nurse and doctor is provided with a car. General principles that underpin the Warsaw service have been incorporated into standards of paediatric hospice care currently placed before the Minister of Health.
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