In 2019, the Consular Support and Palliative Care Team was established at the University Hospital in Motol - the adult part consisting of selected employees. Its establishment was made possible by support from the project "Support of palliative care - increasing the availability of health services in the field of palliative care in acute and aftercare hospitals (reg. Number: CZ.03.2.63 / 0.0 / 0.0 / 15_039 / 0007277)", implemented by the Ministry of Health of the Czech Republic under the Operational Program Employment, funded by the European Social Fund.
Palliative care improves the quality of life of both people facing life-threatening illnesses and their families. It prevents suffering and reduces its strength, soothes physical and mental pain and spiritual anguish. In its Strategic Plan, the Capital City of Prague undertook to care for citizens in times of illness, to support the integration of health and social services, including palliative care. The municipality of the capital city of Prague, in cooperation with a team of experts, created the Plan for the development of palliative care in the territory of the capital city of Prague for the years 2020-2025. The supportive and palliative care team for adults at Motol Hospital joined this program in 2021. Thanks to the financial support of the capital city of Prague, we are improving the availability and quality of care for patients with incurable, life-threatening diseases both at Motol Medical Center and in Prague.
The team consists of a number of experienced professionals who offer a specialized palliative approach to chronically and terminally ill patients. In the following paragraphs, we will introduce you to the expertise that the team has at its disposal.
After receiving a request for a council, the physician of the palliative care counseling team (hereinafter referred to as KTPP) first specifies with the attending physician what specific help or support the patient needs. After visiting the patient and often his loved ones in accordance with the attending physician, he decides whether it is appropriate to extend the existing general palliative care of the primary workplace with more intensive, specialized care provided by KTPP members. The involvement of specific specialties then depends on the needs of the patient. The palliative care physician provides, for example, consultations on effective therapy of accompanying symptoms of advanced diseases (pain, anxiety, restlessness, etc.), clarification of goals and care plan with the patient, his loved ones and the attending physician (eg necessity of planned examinations, necessity of considered medical procedures or various types of intensive therapy, prognostic outlook of the patient, etc.), or specification of health care limitations (eg indications not to resuscitate or not to introduce intensive care in a monitored bed), including the possibility to compile and make so-called "previously expressed wishes".
The nurse in the palliative care team tries to look at the person not only with regard to his health problems, but also emphasizes the quality of the patient's life through his eyes, shows him the possibilities to be able to participate in meeting his needs.
It helps the patient to understand his illness, finds out what information and to what extent he wants and needs to know, communicates with his family. It ensures continuous contact with the patient with regard to his needs, passes on information about the current state and changes to other team members. Receives consilia, registers patients, cooperates with the primary nursing team.
The social worker in the adult palliative team starts caring for palliative patients on the basis of the indication of a doctor - paliatra. The first step is to map the overall social situation and the needs of the patient and his caregivers. After finding out information about the social situation and health status, he and his colleagues in the palliative team determine the further procedure of patient care according to his wishes, but also the real possibilities. C
We always try to involve carers in care planning, who are often an important source of support. We provide patients and carers with basic and professional social counseling in the field of health and social services, social benefits and foundations. Based on the current state of health, we provide the necessary follow-up care:
- in the home environment (home health care, mobile hospice care)
- in a medical facility (aftercare beds, palliative care department)
- in the "stone" hospice event. in other residential social facilities
Part of our work is also the care and support of the bereaved. Our aim is to make this difficult situation easier for the patient and his caregivers.
Psychological care at FNM is provided by two psychologists, who divide their work between the palliative team and the Department of Clinical Psychology. Thanks to this, they are in close contact with the tribal psychologists of individual clinics, they can communicate with them and flexibly adjust patient care to best suit their individual needs. If the patient has already established a therapeutic relationship before starting the care of the palliative team
with the tribal psychologist of the clinic, the continuation of their cooperation is supported. The palliative psychologist can provide care to the patient's family members and consult with a colleague from the appropriate clinic to develop therapy.
The way a palliative psychologist works always depends on the needs and wishes of the patient. The psychologist connects to the patient where it can be useful to him, provides space for expression and processing of emotions, continuously verifies the patient's understanding of current events and mediates and supports communication between the primary care and palliative team, as well as between health professionals, patients and their loved ones.
MUDr. Sergei Gricaev, doctor - email@example.com
MUDr. Petr Urie, doctor - firstname.lastname@example.org
Bc. Barbora Šašková, social worker - email@example.com, phone: 601 359 333
Kateřina Petříčková, coordinator - firstname.lastname@example.org
Mgr. et. Mgr. Romana Machová, psychologist - email@example.com
Mgr. Filip Gärtner, chaplain - firstname.lastname@example.org
Terezia Zezuláková, DiS – email@example.com
M.Sc. Blanka Richterová, general nurse – firstname.lastname@example.org
CONTACT THE ENTIRE TEAM
Tel. +727 972
MUDr. Sergei Gricaev
Certified physician in the fields of geriatrics and palliative medicine. Since 2004, he has been working at the Motol University Aftercare Center. Since 2017, he has been building hospital palliative care. Since June 2019, he has been the chief physician of the Motol support and palliative care team for adult patients.
MUDr. Petr Urie, doctor
Since graduating from the 1st Medical Faculty of Charles University in Prague, he has been working at the internal department. at Thomayer Hospital and in Benešov. In 2003 he passed the attestation in internal medicine. In 2004 on a mission for Médecins Sans Frontières. From 2005 he worked until 2017 at the Oncology Clinic of the Motol University Hospital, in 2010 he passed the attestation exam in clinical oncology. From 2018 to mid-2019 he worked as an outpatient oncologist and doctor in the home hospice of St. Hedwig in Kladno. In June 2019, he passed an exam in palliative medicine. Since June 2019, he has been working back at the Oncology Clinic of the Motol University Hospital and as a counseling team of the hospital team.
Mgr. Blanka Richterová, general nurse
She graduated from a secondary medical school in the field of general nursing, obtained a bachelor's degree in Nutrition and Hygiene at the 3rd Medical Faculty of Charles University, completed a master's degree in General Anthropology at Charles University and 8 semesters of PGS Preventive Medicine at the 3rd Medical Faculty of Charles University. As part of her PG studies, she worked as a researcher at the Institute of Physical Medicine. He has extensive experience with home early and terminal palliative care. She worked as a station nurse in the geriatric ward. Since 2021 she has been working as a general nurse of the counseling support and palliative team, the adult part.
Bc. Barbora Šašková, social worker
She graduated in Social Pathology and Prevention at the Silesian University in Opava, and subsequently obtained a certificate to practice the medical profession without professional supervision in the field of health and social work. She completed an intensive ELNEC training course. She also studied in the field of palliative care - courses Steps to good communication (Basic, Advanced), Steps to legal certainty and Research in palliative care. She has been working in the Consular Team of Supportive and Palliative Care for Adult Patients at the University Hospital in Motol as a health and social worker since June 2019.
Kateřina Petříčková - coordinator
After passing the school-leaving examination at the humanities grammar school, she gained knowledge at the JABOK High School in the field of social pedagogy and theology. She has experience in the job position of assistance officer in material need from the Office of the City District of Prague 14 and in the Center for Comprehensive Assistance at the DMO. In this center, as a social worker, she helped solve current user problems in the form of social work with individuals and groups. She completed a certified course in Communication and Communication Skills, Emotional Intelligence, etc. She also worked as a teacher of primary prevention of social pathological phenomena. He gained education and experience in the field of palliative care within the courses Steps to Good Communication (Basic, Advanced), Steps to Legal Security in Palliative Care and the Course of Palliative Care in Hospital.
Mgr. et. Mgr. Romana Machová - psychologist
She studied single-subject psychology at the Prague University of Psychosocial Studies, and also studied Social and Charitable Work at Charles University. She completed a self-experienced part of psychotherapeutic training in Dasein Analysis, a number of seminars focused on Dasein Analysis and Logotherapy. Prior to joining the palliative team for adults at the Motol University Hospital, she worked at the Duha Company with people with mental disabilities and later on maternity leave, among other things, engaged in consultations in the organization Smile of the Mother. During her practice, she also actively addressed topics in the areas of psychotic disorders, neuroses, dual diagnoses and addictions.
Mgr. Filip Gärtner - chaplain
He studied Evangelical Theology at the Evangelical Theological Faculty of Charles University in Prague, during his studies he worked as a social worker at the Asylum House for Families with Children in Prague 9 (SKP HOPO). Subsequently, he founded a chaplain's service here and provides spiritual care to families, focusing on the Roma ethnic group. He also worked as a therapist and supervisor at the Maják low-threshold youth facility in Prague 2. He is a clergyman of the Evangelical Methodist Church and is interested in pastoral accompaniment, psychotherapy, inner prayer, liturgy, interfaith dialogue and the introduction of supervision in the church. He completed self-experiential training in psychoanalytic psychotherapy (500 hours + 200 hours of theory, IAPSA). At FN Motol, he works as a hospital clergyman in the spiritual care team and has been working as a chaplain in the Counseling team of support and palliative care for adult patients since September 2021. He accompanies patients and their families in their life story, based on their beliefs in spiritual support. It supports patients in the borderline experience of a serious illness and helps them to discover and consolidate life values and find meaning in life.
Terezia Zezuláková, Dis. - Social Worker
She graduated from a social and legal higher vocational school, majoring in social work.
In 2016, she completed an accredited health and social worker qualification course, as well as an intensive ELNEC educational course organized by the Center for Palliative Care.
Since 2014, she has worked as a health and social worker at the Faculty Hospital of Královské Vinohrady and at the same time was a member of the multidisciplinary palliative team, where she gained her experience.
Since October 2022, he has been working as a health and social worker in the palliative care team of FN Motol.
Recording from an online conference