| Current services in Ukraine |
| The following palliative care services are known to exist in Ukraine: |
| |
Existing Services (2002) |
| Adult |
Inpatient - Freestanding |
2 |
| - Hospital Unit |
2 |
| - Hospital mobile team |
0 |
| Nursing Home |
0 |
| Home Care |
1 |
| Day Care |
0 |
| Total |
5 |
| Paediatric |
Inpatient |
1 |
| Home Care |
1 |
| Day Care |
0 |
| Unspecified |
0 |
| Total |
2 |
| Grand Total |
7 |
|
| Current Projects |
| The following palliative care projects are known to exist in Ukraine; these are not yet operational services: |
| |
Known hospice/ palliative care projects (2002) |
| Adult |
Inpatient - Hospital |
0 |
| - Hospice |
0 |
| Home Care |
0 |
| Unspecified |
2 |
| Total |
2 |
| Paediatric |
Hospital |
0 |
| Hospice |
0 |
| Home Care |
0 |
| Unspecified |
0 |
| Total |
0 |
| Grand Total |
2 |
|
| Zubov and Mykhalsyy2 have described in detail the provision of hospice and palliative services in the Ukraine in the spring of 2000. This can be summarised as follows: |
| L'viv: 30 bedded hospice run by a city church with doctors, nurses and a psychologist. Attempts to develop home care are underway. Among the 200 patients per year, mortality is 80%; the mean length of stay is 8-10 days in the days before death. A family doctor working there comments: |
| |
'I am working at the Hospice hospital (30 beds). This is the first hospice in Ukraine. It is owned by the Lviv City Department of Health Care. Our patients (adults only) are oncological (70%) and somatic (30%) with pain syndrome (eg after cerebral stroke). Many of them have no relatives. [The] main indication for hospitalisation is the terminal stage (IV) of disease with the pain syndrome. Acute stage is [the] main contraindication. All our doctors are physicians of general practice. We often lack doctors [or]consultants able to perform some surgical manipulations. As a rule our nurses don't want to work here for a long time, so we often must recruit the new ones just graduated from the nurse school and teach them … as we are the first Hospice in Ukraine, many doctors who want to organize the same hospitals in other regions of our country come to me and I share my documentation and experience with them.3 |
|
| Kiev: 30 palliative care beds caring for 80 patients per year within a 65 bed hospital therapeutic unit, covering 5 districts. Staff include physicians (1 trained in Krakow and Uljanovsk) and volunteers from the evangelical church. |
St Barbara Hospice for Children, founded as an NGO in Kiev in 1999, with the support of the Ukrainian Orthodox Church, providing inpatient facilities and home care.
VALE Hospice International was able to found Ukraine's first free hospice for cancer patients in April 2001, with the help of the municipal health administration and a deputy of the Ukrainian Parliament, and it was officially opened on September 5 of the same year.
(http://www.valehospice.org/rus/index.html) |
| Donestk: at the Donetsk Regional Oncological Centre, there is a nursing team for patients with advanced disease and a volunteer home care team, begun in 1999. This has now become a hospice service with doctors, nurses, a manager and volunteers4. It is also the base for the first Ukrainian Palliative Care Teaching Center, at the Donetsk State Medical University, which has been developed as part of a project with the British-Russian Hospice Society, begun in 2000 (an application to OSI was unsuccessful). A number of seminars and courses have now been organised. |
| Belogorod-Dnestrovsky: in the Odessa region, a home care team run by the evangelical church with medical assistants/nurses serving 20-25 patients. |
| Irano-Frankirsk: in-patient hospice, supported by the Board of Health, with 25 beds, with 2 physicians, 13 medical nurses and 12 junior medical nurses. 'Our hospice is a budget institution to provide assistance to incurable oncologically diseased patients and other patients at their terminal stages, whose disease progression is defined as apocalyptic, based on clinic and diagnostic methods.'5 |
| In addition there are hospice projects in Dzerzhinsk (Donetsk region), Kherson and some other cities. |
|
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