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What
is hospice palliative care?
Is Victoria Hospice just for cancer patients? No. Approximately 70% of our registered patients have cancer. Other diagnoses include AIDS, circulatory, neurological, respiratory and other chronic and progressive diseases. Where is hospice palliative care provided? Hospice care is a philosophy of care, not just a place. Most Victoria Hospice patients receive care in their own homes. This is possible through our partnership with Vancouver Island Health Authoritys Home & Community Care Nursing and Home Support services. Our Victoria Hospice 24-hour Palliative Response Team (PRT) provides short-term crisis consultation and treatment for problems that might otherwise require admission to hospital. PRT is also available to support death at home. Victoria Hospice palliative care can also be provided in the beautifully refurbished homelike setting of our 17-bed in-patient unit at Royal Jubilee Hospital. On any given day, over 350 people are registered with Victoria Hospice. And our palliative care staff frequently provide specific medical consultations to patients in acute care and long term care facilities in the community. Where is the Victoria Hospice in-patient unit? Our in-patient unit is located on the third floor of the Richmond Pavilion (RP3) at the Royal Jubilee Hospital, Victoria, British Columbia, Canada. It is a 17-bed unit consisting of seven acute care or assessment beds, nine long term care beds, and one respite bed. The goal for admissions to acute care beds is to provide active symptom management so that patients can go back home. For patients admitted to long term care beds, our unit in effect becomes their home. As with other long term care beds in our region, there is a charge for these beds, the rate determined by the patients Long Term Case Manager. Our long term care respite bed is used for patients who need to come into our unit for symptom control or to give caregivers at home a break, usually for a one-week stay. Our unit is decorated to look as home-like as possible. There are 11 private rooms and three semi-private rooms. We also have a lounge, kitchen area, meditation room, solarium, rooftop garden and a ventilated smoking room (for patients only). Patients are encouraged to bring in personal items from home such as family portraits or a favourite quilt to make their rooms feel more comfortable. Visiting hours are unrestricted; children and pets are invited to visit as well (with family supervision). To contact our in-patient unit 24 hours a day, click here. How is Victoria Hospice care different from other types of health care?
Who pays for Victoria Hospice care? As a registered charitable organization, Victoria Hospice depends on community donations for about 50% ($3 million) of our annual operating budget ($6 million). Government funding and revenue from Victoria Hospice courses and publications support the balance of the program. Community donations support all Victoria Hospice services and programs not funded through government grants counselling, spiritual care, bereavement services, coordination and training of over 400 volunteers, and a significant portion of our Palliative Response Team. The Victoria Hospice and Palliative Care Foundation is responsible for raising funds required to meet the expanding need for hospice palliative care in our community. You can help us by making a donation to support end-of-life care for dying patients and those who love them. Who can refer a patient to Victoria Hospice? Victoria Hospice works in partnership with Home & Community Care Nurses. These nurses are responsible for initial registration of our patients and ongoing coordination of care at home. Patients may register with us before actually requiring services. If there is uncertainty about the appropriate timing of palliative care, a Hospice Medical consultation can be arranged before deciding on registration. If a patient does not have a Home Care Nurse, the family physician can contact Central Intake and request a Home Care Nurse visit. If a family physician does not mention hospice palliative care, people in Greater Victoria wishing to explore this option can access community resources such as the Vancouver Island Health Authority General Enquiries toll-free telephone line: 1 888 533-CARE (2273) or Victoria Hospice Community Office (250) 370-8715 (Hours 8:30 a.m. 4:30 p.m. Pacific Standard Time, Monday Friday). The general public is also invited to attend one of our free monthly Hospice Palliative Care Information Evenings for more information about end-of-life care options in Greater Victoria. What does the Victoria Hospice registration process involve? A Home & Community Care Nurse provides detailed information to the patient about the services Victoria Hospice offers, and makes sure that the patient and family members understand that hospice care is palliative (aimed at comfort and symptom relief, not a cure). After consulting with the patient and family, she will request the appropriate Victoria Hospice services and will leave a "Palliative Care At Home" binder with the patient. This manual serves as the official health record and chart for recording care information, and informs the patient and family about services, care and the impact of progressive illness. For more information, read our Victoria Hospice Guide to Services brochure or our current Annual Report. Would you like to have your questions answered in person? Victoria Hospice presents a Hospice Palliative Care Information Evening: Tuesday, February 19, 7-8:30 pm at the Salvation Army Citadel Church, 4030 Douglas at Mackenzie, off Pat Bay Highway. A panel discussion led by a nurse and counsellor from Victoria Hospice as well as a Home & Community Care Nurse will address audience questions about end-of-life care in our community. Free admission, open to all, refreshments served, and volunteer drivers are available for rides there and back. Call our Volunteer Office at (250) 370-8727 to arrange a ride. These Information Evenings are held on the second Tuesday of each month. For more information about these public events, or other community events from Victoria Hospice, contact our Communications Coordinator Carolyn Thomas at (250) 370-8813.
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