www.skp-centrum.cz
Investment projects in
the field of geriatric and
palliative care
Kateřina Filipová and Vlasta Doušková
SKP-CENTRUM (Czech Republic)
www.skp-centrum.cz
About us
The SKP-CENTRUM public benefit company is currently the
largest provider of social services in the Pardubice region.
• provides a wide range of residential, outpatient and
outreach social services in this region, some of which are
unique in their place of operation and have no other
alternative provider
• provides 19 services
www.skp-centrum.cz
The Mission of SKP-CENTRUM
The mission of the SKP-CENTRUM public benefit
company is to aid persons in distress and those at risk of
social exclusion “TO STAND UP”. This includes the
elderly, disabled, people in crisis, homeless, victims of
domestic violence, children and young adults from
dysfunctional families and members of minority groups.
www.skp-centrum.cz
History
• The SKP-CENTRUM was founded in 1992.
• A small circle of several volunteers, who
worked in one office, has developed a
professional organization providing a wide
range of social services.
www.skp-centrum.cz
Services provided
Simeon Home
– respite service
– home for the disabled
Seniors
Horní Jelení and
surroundings Day Care
Service
Home Health Care
www.skp-centrum.cz
City Sanctuary for Women and Mothers
with Children
City Sanctuary for Women and Mothers
with Children- Emergency Assistance (residential)
Families
and
children
Sanctuary for Women and Mothers with children
in Vysoké Mýto
Low-threshold Facility for Children and Youth –
EMKO Vysoké Mýto
Low-threshold Facility for Children and Youth –
Free club Pardubice
www.skp-centrum.cz
Intervention Centre –
(domestic violence)
Outreach programme in
Socially Excluded Roma
Localities in Ústí nad
Orlicí
Probation programme
www.skp-centrum.cz
Halfway House
Sanctuary for Men
People in
crisis
Night Shelter for Men
(the homeless)
Night Shelter for Women
Low-threshold Day Care
Low-threshold Day Care –
Outreach Service
www.skp-centrum.cz
NURSING HOME SIMEON
• Nursing Home Simeon in Horní Jelení is a
residential respite facility for 16 clients
and a home for another 4 physically
challenged persons. Our clients are
accommodated in 10 en-suite double
rooms with modern equipment including
TV. The barrier-free building is located in
a quiet place and the staff aims at the
creation of home-like environment.
www.skp-centrum.cz
History
The civilian association SKP-CENTRUM, o.s. prepared a project
application for FM/EHP Norway which was approved in 2006.
The objective of Nursing Home Simeon – a respite service
facility for 20 clients – was the development and improvement
of social service in the given region. The plan further intended
to improve insufficient capacity of respite care in the
Pardubický Region. The project was completed with the aim to
create 10 new jobs in a higher unemployment area. The Nursing
Home Simeon started its operation in 2009. Overall building
costs were roughly 18 million CZK.
www.skp-centrum.cz
Our team
The clients are taken care by a highly professional team
consisting of:
• a coordinator
• a nurse
• a social worker
• a caregiver
• a technical worker
• a cleaning staff
www.skp-centrum.cz
Respire service
The mission of Nursing Home Simeon is
to provide social care, accommodation
and full board to adults who have a
limited capacity to take care of
themselves due to their age, physical
handicap or a long-term inability and
who temporarily (for a maximum of
three months) appear to be without any
assistance and support of their family or
friends who normally take care of them.
The facility enables the family or friends
to take time for a necessary rest.
www.skp-centrum.cz
The Home Simeon offers its clients accommodation, full board,
24-hour care and a limited scope of healthcare service. We
approach each client individually. Our clients enjoy everyday
activation programme, such as training fine and gross motor
skills
, memory training, assisted newspaper reading and
rehabilitation walking. They regularly go for walks in the
nearby vicinity, bake pastry, do handicraft, sing, play games,
go for canistherapy, assisted reading, Monday religious service
in the local chapel, they are visited by children from the local
school and they can opt for work in the herb garden. Our
clients often enjoy performances by students of the
elementary school of Horní Jelení and many more social
events.
www.skp-centrum.cz
Payment for the servies and financing
• Each client of the respite service (or his/her family) pays the full amount of the service. The
price according to the current tariff is 200.- CZK for accommodation and 160.- CZK for all
day meals. We further charge service rendered to each client according to their health and
mental state and demands (2.- CZK/ minute). We do not claim any fee for care.
• Clients of the home for the physically challenged (or their family) pay a monthly amount of
10,950.- CZK for accommodation and full board. This type of service claims the contribution
for care.
• Clients can draw contributions from their health insurance for the care provided by a nurse
(e.g. re-bandage, application of insulin) as prescribed by the client´s physician.
• Financing: the Pardubický Region
www.skp-centrum.cz
Statistical data
• The respite service in 2015 was rendered to
93 new users (62 women and 31 men). We
made 181 agreements of service). Average
bed occupancy rate in 2015 was 81%.
• We rendered service of the home for the
physically challenged to 5 users (4 women
and 1 man). Average bed occupancy was
100%.
www.skp-centrum.cz
HOME HEALTHCARE
geriatric and palliative care
www.skp-centrum.cz
www.skp-centrum.cz
History in Czech Republic
Home Health Care Agencies started in 1991as an experiment of
the Ministry of Health
Reasons:
• provision of healthcare outside institutions = deinstitucionalisation
• attention to health needs of patients at home
• effective decrease of public spending
Generali Health Insurance was founded In 1992 – contract with Home Health Care
Agencies – funding home care
496 agencies with 3 000 nurses existed in 2013
www.skp-centrum.cz
Home care
• The Czech Republic has an organizational model in which
the “health”component of home care forms a part of
healthcare system
• The “social” component is a part of social system.
www.skp-centrum.cz
Home healthcare in our agency
• 2015:
350 pacients
25 000 visits
• 80% in the given age-bracket are clients of over
65 years
• 7 RN on full time, 12 RN on part time
• Lending medical or non-medical devices out – e.g.
infusion or injection pumps, oxygen concentrator
and suction device, pulse oxymeter, wheelchairs,
hospital beds, airbeds and many more
www.skp-centrum.cz
Some of devices and mobility aids
www.skp-centrum.cz
Contents of registered nursing work
• Medication Management, Iv Therapy, Pain Management
• Diet, Diabetic Management, Enteral Diet Administration
• Anticoagulant Education And Monitoring
• Cardio/Pulmonary Assessment, Ventilator management
• Wound Care, Wound V.A.C. Therapy, Post Surgical Care
• Picc Line Care, Port catheter care
• Tracheostomy Care, stomy Care
• Foley Catheter Care
www.skp-centrum.cz
www.skp-centrum.cz
www.skp-centrum.cz
Palliative care - support care or
symptom management
• Palliative care is the care given to improve the quality of life of
patients with serious diseases, such as cancer.
• The goal of palliative care is to prevent or treat, as early as
possible, symptoms and side effects of the disease and its
treatment, in addition to the related psychological, social, and
mental problems.
• RN Home care coordinated with general practicioner, pain-clinic
out-pacients, chemotherapy and anyone else involved in the
patient care plan
www.skp-centrum.cz
Palliative patients in our agency
www.skp-centrum.cz
Thank you for your attention
www.skp-centrum.cz
I pass my nurses greeting to you