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西城区德胜社区
临终关怀病房门前。北京晨报记者 李木易/摄
样本1 德胜社区卫生服务中心
特点:全市唯一一家社区设临终关怀病房机构
6年前,本市首次在社区试点居家一医院模式的临终关怀服务。在德胜社区卫生服务中心的4层,一个名为“生命关怀病房”的温馨病区被改造为最后的港湾。六年来,本着让更多癌症患者能够在家门口的社区平静、温暖地走完最后一段人生路的理念,这里的医护人员默默送走了一批又一批患者,他们说“生命的质量和生命的长度同等重要。”今年3月,市卫计委已遴选确定北京市隆福医院等15家医疗机构成为首批北京市临终关怀试点单位。
护士在为癌症晚期患者清理褥疮。北京晨报记者 李木易/摄
每个病室播放舒缓音乐
德胜社区卫生服务中心主任韩琤琤告诉记者,2009年德胜社区卫生服务中心在与西城区老卫协、西城区医学会的一次联合入户调查中发现,社区居家患者有很多是癌症晚期患者,他们因失去治疗价值只能躺在家中的床上等死,大量腹水、皮肤破溃、恶液质、无法进食、严重贫血……生存条件令人堪忧,而当时社区内根本没有相应的医疗机构给予帮助。
德胜社区卫生服务中心为此进行了五年的探索研究,2011年5月经区卫生局批准,在德胜社区卫生服务中心成立“临终关怀科”,正式将缓和医疗服务直接纳入社区卫生服务功能中。截至目前,德胜社区卫生服务中心还是全市唯一的一家在社区设立临终关怀病房的机构。
德胜社区卫生服务中心护士长王凌云告诉记者,目前,他们这里的人手足够,22张床位,配了10个护士,6个医生,护士的流动性并不大。相比民营机构的那些类似临终关怀机构来说,社区既开展居家也设有病房,还有远程会诊支持。居家照顾方面,医护人员会定期上门入户,进行生活指导、控制疼痛、指导用药、心理疏导等服务。
生命关怀病房护士长刘晓惠介绍,目前,病房配备了沐浴室,为患者提供平板电脑,开通了无线网络,病室安装了音乐播放系统,病房环境温馨、整洁舒适、贴近家庭化。每个病室可以播放舒缓音乐,帮助患者放松心情,缓解心理压力。
没一个病人是被“吓死”的
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