The National Health Service informs that "from January 1, 2024, palliative care mobile team services will be provided at the patient's residence. These services include health care (treatment and prevention of disease symptoms) as well as social care and psychosocial rehabilitation services (hospice care, psychological, social, and spiritual support, and support for the patient's relatives and others during the mourning period after losing a loved one)."
One of the service providers in Riga is the social enterprise "Hospiss Māja", which has been implementing the Ministry of Welfare-funded pilot project "Hospice Care at Home for Adults and Support for Their Family Members" since autumn 2021.
"We are delighted that the state has taken this very important step, listening to our advocacy for the necessity of this care at the patient's residence. Our experience, and that of the world, shows that people prefer to die not in hospitals, but in their own homes, cared for and pain-relieved. Now, this will be possible," expresses Žanete Jansone, the head of "Hospiss Māja".
"It must be noted that there are strict rules and limitations for receiving the service. However, the main point is that dying people and their relatives no longer have to wait for repeatedly postponed promised dates," continues Ilze Zosule.
To be eligible for state-funded palliative care at home, the patient will need a decision from the IV and V level hospital medical council regarding the need for this service. This decision must include a statement that the patient's life expectancy is predicted to be up to six months. "This requirement, that the patient has a limited life expectancy, may be a 'stumbling block' for many," admits Žanete Jansone. Therefore, doctors also need to explain its necessity, because without it, access to the state-funded service is not possible. A discharge summary from a family doctor or hospital stating, for example, stage 4 oncology and a need for palliative care at home, will not be sufficient. It must include the statement: "Council decision on indicated palliative care (terminal stage) at home with a predicted life expectancy of 6 months."
The patient can be referred to the council by a family doctor or a specialist. After receiving the decision, they should contact the service provider's coordinator (tel. no.: 80700022), who will organize the doctor and social worker's visit to the patient's residence for an initial assessment of health, environment, and social conditions, and to develop a multiprofessional palliative care plan.
Given that not all cities in Latvia have level IV and V hospitals, obtaining this council's decision can be time-consuming. Therefore, Žanete Jansone urges the relatives of patients, who often seek help, not to wait until the last moment but to inquire in time about the possibilities of receiving the service. "The sooner a person seeks help, the sooner we can get involved, and there will be much greater benefit not only for the patient but also for the entire family involved in the care."
Especially since previous experience shows that in many situations, care is needed immediately, and the patient does not have so much time to wait for the conclusion of the medical council. "For those who, due to bureaucratic or complicated life circumstances, fail to obtain all the necessary documents in time, the charity organization Hospiss LV will continue to help through donations, because humanity and compassion are things that stand above everything else," emphasizes Ilze Zosule.
If you need help, call:
80700022