Palliative care (supportive care) and home hospice is a medical support service, designed for patients with incurable diseases in advanced stages, who choose to stay at this period of their lives at home, surrounded by loved ones.
Zabar Refuah operates a dedicated system nationwide that provides the full range of palliative care in the patient's home. The service is provided to patients of all ages, with full staff availability all year round, to provide care and support to the patient and family members. Home hospice service is provided by Zabar Medicine fully funded by the HMOs to the HMOs insured in the arrangement. Patients not included in the arrangement can receive the service privately.
The palliative care is to assist terminally ill patients and their family members in the process of coping with an incurable disease in its advanced stages, and enable them to remain in their most natural and comfortable surroundings - their home. The purpose of palliative treatment (and the private home hospice service) is to improve the quality of life and comfort as far as possible, prevent suffering, ease the physical pain, anxiety and other symptoms caused by the illness such as: fatigue, respiratory difficulties, loss of appetite, sleeplessness etc.
By law, home hospitalization in Israel is financed by the HMOs and is part of the basic rights of all citizens, especially those dealing with an incurable disease in its advanced stages, according to the Law of National Health Insurance. The Law for Patient Rights secures a professional, high quality and full-availability Home Hospital service for every patient, that is in no way inferior to that provided in hospitals. Home Hospital is provided with the choice and consent of the patient. The patient is surrounded by those closest to him, who look out for his interests and wellbeing, and the members of the household can continue with their daily routine.
The role of staff members in Home Hospice
Who is the treatment for?
ALS patients
Multiple sclerosis patients
Parkinson’s Disease patients
Patients with dementia and Alzheimer’s Disease
Oncology patients
Individuals coping with any incurable disease in its advanced stages
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Advantages of Home Palliative Care
- Quality of life and comfort – Our team will do everything it can to prevent suffering and pain to your loved one and yourselves, and will endevor to make this difficult period one that is as relaxed and calm as possible for you all.
- A permanent team that accompanies your dear one and yourselves gets to know all members of the household, their priorities and choices.
- Availability 24/7 all year round – Our staff is available to you by telephone at any time, for any query, problem or change in the condition of the patient.
- It is best at home – Your dear one will stay with you, in their own bed, in their natural surroundings, alongside their family, with familiar scents and foods, in a comfortable and relaxed atmosphere.
- Relief to the family – Treatment of your loved one at home also makes it easier of you, saves on rushing around, shopping, bothering the patient to take them for tests, loss of work days and more. Additionally, our staff will help you make the most of your rights and coping with bureaucracy, as well as assisting with emotional subjects, closure etc.
What does palliative care at home include?
If your dear one is coping with a terminal illness in its advanced stages, it is important that you know that he has the right to receive supportive palliative care at home, as well as a full treatment program for the illness at home. The service is provided by the HMO, in accordance with Israeli law, such that neither you nor your dear one will be required to pay for it. The law states that you and your dear one can choose should you wish to receive home palliative care.
Within 24 hours of acceptance of the Sabar Health service, a professional team will be assigned to you, including a doctor, nurse and a social workder, who will conduct a visit to receive you. Following a full medical examination, a personal treatment program will be devised for your dear one, and from that moment on, the team assigned to you will accompany you and your dear one for the entire duration of treatment. medical and social care required, as well as to assist you in all emotional and bureaucratic aspects connected with taking care of them.
Remember – receiving palliative treatment and supportive care at home is a lawful right, and every patient with a terminal condition has the right and must receive the treatment to the extent that he wishes it.
The conditions for establishing Home Palliative Care (Hospice) according to the State Health Law
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The establishment of a palliative program in the patient’s home, with availability 24 hours a day, all year round.
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The presence of a main carer in the home.
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A palliative team with the appropriate training.
How does the service operate?
Patients who are found to be suitable and that are entitled to Home Hospice will be referred to Sabar Health by a professional at the HMO or the hospital.Within 24 hours of the authorization of the referral to Sabar Health, a treatment team will meet at the patient’s home to meet and receive the patient
Questions and Answers
If the patient is in the hospital, you should contact the HMO representative at the hospital and ask to come to the home hospice of Zabar Medicine. If the patient is at home, you should see your family doctor to get a referral to a home hospice. The referral will be forwarded by the doctor to the HMO’s home care unit, and through this unit you will be able to receive the referral to our service. It is important for you to know – the law in the State of Israel requires the health funds to provide palliative care that supports full availability 24/7 to every person who has a serious illness and is in the final stages of his life.
In any case of distress, we are available to you 24/7 including on weekends and holidays. The nurses will leave you their mobile phone number and another phone number of standby during the weekend. For backup, we have a call center active 24/7 all year round for any need.
for sure. The treatment we give is supportive palliative care, and it is possible and even desirable to receive it at any stage of the disease, even at the same time as receiving active treatment of the disease (radiation, chemotherapy, ..). The goal of palliative care is to reduce the physical, emotional, and spiritual suffering of the patient, resulting from the disease or treatment of the disease, through balancing pain and other symptoms. Receiving palliative care allows the patient to continue daily life in the best possible comfort of life.
The team that treats you provides you with prescriptions that are respected in the pharmacies of all the HMOs and there is no need to convert them at the family doctor. You must go with the prescriptions to the pharmacy that recognizes your HMO prescriptions, and purchase the medicines there.
We can give any medication for any symptom, including morphine use. Our team specializes in balancing symptoms such as pain, constipation, depression, difficulty sleeping, weakness and any other side effect that accompanies people who are seriously ill.
We will honor your request and that of your grandfather. In the accompaniment process, we check at each stage what the patient knows and wants to know, and according to his answer, we conduct the dialogue with him. We respect the wishes of the patient and his family in every request, and we will act accordingly.