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Department of Supportive and Palliative Care

Palliative care is comprehensive care for people with serious illness and their families, focused on quality of life. Its aim is to address the manifestations accompanying such illness, not only physical problems, but also psychological, social, spiritual, legal. It seeks to improve the quality of life of the patient and his/her family with full respect for their wishes and values. At Hospital Hořovice we care for adult and paediatric palliative patients, both as outpatients and during hospitalisation.

Palliative and support team

Our palliative care is provided by a multidisciplinary team of nurses, physicians, social workers, psychologists and chaplains.
We strive to be a good guide to the sick and their loved ones in a difficult life situation. Our goal is to provide care according to the wishes and capabilities of the patient and family. Our job is to communicate with the patient his/her medical condition, diagnosis and prognosis if he/she wishes, and an integral part of our work is to manage the pain and other physical difficulties that a terminal illness brings.

Together with the patient and family, we draw up a care plan, help navigate the health and social system options and organise quality care at home or in an inpatient facility.

Outpatient care

In the palliative care outpatient clinic, we identify the needs of the patient and family, plan further care, meet patients for check-ups, but also arrange home visits by a nurse or physician according to the patient's needs and organise care at home in collaboration with home care agencies

Concierge services

We work closely with colleagues in all departments of Hospital Hořovice, together we care for patients in the form of a consular service to provide the highest possible quality of life and create a care plan acceptable to the patient and their family. Patients or their relatives can request the involvement of the palliative care team in their care by contacting the attending physician in each ward.

Symptomatic care

We help to set up treatment for the unpleasant symptoms that may accompany the illness - shortness of breath, indigestion, anxiety , depression restlessness and other problems.

Psychological care

We can provide both rapid crisis intervention and ongoing support for patients and their loved ones, including care for patients' children or for seriously ill children themselves

Social counselling

We concentrate on providing follow-up care in the home environment (home health care, home hospice care, support services or outreach social services) or institutional care (hospice, aftercare beds, respite/relief stays). We help you to navigate the system of social benefits and financial support, as well as planning and providing compensatory aids.

Spiritual support

We offer a space for sharing, psychological support and guidance for patients, loved ones and care staff with respect for personal beliefs. Hospital chaplains can support with conversation, silent presence, prayer.

Counselling

Bereavement counselling develops the possibility of continuity of care for the bereaved, we would like to support them through the difficult period following the death of a loved one

Outpatient Palliative Care

  • NH Hospital a.s. – Hospital Hořovice
  • You can schedule an appointment at the palliative care outpatient clinic through the coordinator, Mgr. Jitka Lacinová, at 720 044 014, or directly with the outpatient clinic at 311 552 227
  • The outpatient clinic is located on the fourth floor, to the left of the elevator in the right-hand hallway

 

MUDr. Mahulena Exnerová – chief physician of the Department

Mgr. Jitka Lacinová – Nurse and Chief Team Coordinator

MUDr. Magda Zálešáková – Adult Care

MUDr. Kateřina Machková – paediatric care

Mgr. Vendula Hakenová – Clinical psychologist

B.Th. Zbyšek Jonczy – Chaplain, Crisis Intervener

Mgr. et Mgr. Petra Kašperová – chaplain, crisis intervention specialist

Mgr. Marta Zemánková – chaplain

Kateřina Krausová, DiS. – social worker

PALLIATIVE CARE BROCHURE OF THE Hospital Hořovice

FINANCE FORMS

  • Application for care allowance:

https://www.mpsv.cz/documents/20142/1442408/Zadost-o+prispevek-na-peci.pdf/aaf67406-9435-330c-14bf-6e268ea3ca9f

  • Provider Notification:

https://www.mpsv.cz/documents/20142/1442389/Oznameni-o-poskytovateli-pomoci.pdf/6a37496a-ba35-9b43-500b-2af4f81acbc3

  • Proposal to change the amount of care allowance awarded:

https://www.mpsv.cz/documents/20142/1442370/Navrh-na-zmenu-vyse-priznaneho-prispevku-na-peci.pdf/a583509f-c478-23a1-d7e5-98ae7e958a78

  • Application for a disabled person's card

https://www.mpsv.cz/documents/20142/1442475/Zadost-o-priznani-prukazu-osoby-se-zdravotnim-postizenim.pdf/7de658f1-842b-f4ce-3eee-cdbbd82b9c81

  • Application for mobility allowance

https://www.mpsv.cz/documents/20142/1442456/Zadost-o-prispevek-na-mobilitu.pdf/076a4d69-a01a-8862-c2c0-162fcdc19d20

  • Application for a change of entitlement to a disability card

https://www.mpsv.cz/documents/20142/1442494/Zadost-o-zmenu-naroku-na-prukaz-osoby-se-zdravotnim-postizenim.pdf/b5d1f9d0-25bf-9d39-1f1f-6de05871e4fa

SERVICE FORMS

  • Palliative inpatient ward of Příbram Hospital

www.nemocnicepribram.cz/oddeleni/paliativni-centrum

  • Hospice of St. Lazarus Pilsen

www.hsl.cz/nase-sluzby/

  • Hospice of the Good Shepherd Čerčany

www.hospic-cercany.cz/sluzby/luzkovy-hospic-dobreho-pastyre

  • Hospital of the Sisters of Charity of St. Charles Borromeo in Prague

www.nmskb.cz/pro-pacienty/oddeleni/paliativni-pece

  • Hospice Strasbourg Prague

www.hospicstrasburk.cz/postup-prijeti-pacienta-klienta/

  • Hospice Malovicka Prague

www.hospicmalovicka.com/pro-klienty

Compensatory aids

CENTRAL BOHEMIAN REGION, DISTRICT BEROUN:

Compensatory aids rental Hořovice
Address: Municipal Office, Palackého náměstí č.p. 640, 268 01 Hořovice
Phone: 734 130 797, 605 503 281
www.custodium.cz/zarizeni/pujcovna-kompenzacnich-pomucek-horovice

Union of the Physically Handicapped in the Czech Republic, o.s. District Organisation Beroun
Address: Na Parkáně 111, 266 01 Beroun
Phone: 736 282 467
www.socialnisluzby-beroun.cz/zdravotni-postizeni/pujcovna-pomucek

Rehabilitation and compensatory aids rental, Žebrák
Address: House of Nursing Services with Social Assistance Centre in Žebrák, District Beroun, contributory organisation, Pražská 118, 267 53, Žebrák
Phone: 311 533 181, 775 595 206
www.mestozebrak.cz/dps

TGM Senior Citizens Home, Beroun
Address: Pod Studánkou 1884, 266 01 Beroun
Phone: 311 517 982
www.seniori-beroun.cz/default/pujcovna

The palliative care outpatient clinic has 2 home oxygenators and linear dispensers

Care at home
To maintain continuity of care in the home environment, we aim to provide palliative care in the home environment in close collaboration with palliative medicine outpatient clinics and home health agencies and physicians, or transfer the patient to the care of a mobile hospice

Home care Včelka Berounsko s.r.o.
Pivovarská 170/3, Beroun, 266 01
www.pecevcelka.cz
Branch Hořovice: Mgr. Veronika Toušová, tel. 602 280 381, e-mail: tousova@pecevcelka.cz
Branch Berounsko: Michaela Krejčí, tel. 737 944 826, e-mail: krejci@pecevcelka.cz
Rokycany Branch: Monika Pátková, tel. 601 152 163

Complex Care, s.r.o. - Home Care Centre
Address: Politických vězňů 40, Beroun, 266 01
www.centrumdomacipece.cz
Phone No. 607 098 798
E-mail: info@centrumdomacipece.cz

Dignity of Departure, Hospice Mobile Service
Address: Politických vězňů 40, Beroun, 266 01
www.dustojnyodchod.cz
Head nurse Ivana Růžičková, tel. no.: 725 519 173

Compensation aids .pdf

Care in the "hospital"
The Hospital Hořovice has beds for adult patients in palliative care (terminal stage) in the internal ward; the beds are often used before arranging residential or outreach hospice care. We cooperate with palliative care providers in Pilsen, Příbram, Prague and other locations to provide palliative care for adults in the inpatient facility:

Regional Hospital Příbram, a.s.
Gen. R. Tesaříka 80, 261 01, Příbram I
318 641 567, 318 641 568
www.nemocnicepribram.cz/oddeleni/paliativni-centrum

Hospice of St. Lazarus
Adrea: Sladkovského 2472/66a, Plzeň, 326 00
Phone: 377 431 381
www.hsl.cz

Hospital of the Sisters of Charity of St. Charles Borromeo in Prague
Address.
Phone: 257 197 118, 257 197 116
www.nmskb.cz/pro-pacienty/oddeleni/paliativni-pece

Hospice Strasbourg
Address: Bohnická 12/57, Prague 8, 181 00
Phone: 283 105 511
www.hospicstrasburk.cz

Tři, o.p.s., Hospice of the Good Shepherd
Address: Sokolská 584, Čerčany, 257 22
Phone: 317 777 381
www.hospic-cercany.cz/o-nas/

Long-term intensive nursing care

MUDr. Mahulena Exnerová

/ Chief physician of the Department of Supportive and Palliative Care and Consultant for Multidisciplinary Care for Children with Complex Health Needs

Consultant for Multidisciplinary Care of Children with Complex Health Needs

The purpose of this role is to provide professional and methodological support within the hospital for the development of coordinated, care for children with complex health needs, based on the needs of the child and their family; to promote continuity of care across health, social, educational and other services; and to contribute to the sharing of specialist knowledge and the development of multidisciplinary collaboration.

The consultant reports directly to the Deputy Director for Paediatric Care; they are not part of the line management of the Paediatric Department and have no direct managerial, personnel, operational or financial authority over the chief physician, heads of the programmes or their staff. Their role in relation to individual programmes is professional and methodological; the extent of their mandatory involvement in decision-making is defined by the framework of competences.

Consultancy activities in the following areas:

  • children with palliative care needs (life-limiting or life-threatening illnesses or conditions as defined by the GO-PPaCS Standards),
  • children with chronic complex conditions (children with medical complexity),
  • children with psychosomatic and mental health difficulties within paediatric care,
  • the application of the principles of integrative paediatrics,
  • coordination of care between hospitals, outpatient clinics and the home environment,
  • support for families and shared decision-making (Family-Centred Care, Shared Decision-Making).

Scope of duties

  • providingexpert support and methodological guidance on the coordination of multidisciplinary care for children with complex needs and ensuring continuity of care between the hospital and community health, social and educational services,
  • specialist consultations on the care of children with complex health needs,
  • methodological and educational activities,
  • supporting the implementation of the principles of family-centred care and integrative paediatrics,
  • development of interdisciplinary and multidisciplinary collaboration and quality of care

 

Highest level of education attained:

  • Second Faculty of Medicine, Charles University, Prague, 1997

Postgraduate education and courses:

  • Paediatrics, Level I, 2000 – certification
  • Paediatrics, Level II – 2003, certification
  • Intensive Care Medicine, 2008 – certification
  • General Practice for Children and Adolescents, 2012 – specialist qualification
  • Paediatrics 2012 – specialist qualification
  • Palliative Medicine 2017 – specialist qualification
  • 1998 Neonatology, Salzburg-Philadelphia Seminar, Salzburg 1998
  • 2004–2005 Training programme: ‘Video to aid communication in hospital – support
    Communication between healthcare staff, parents and children
  • 2007–2008 Series of seminars on communication and systems theories
  • 2013–2014 Volunteer training for the ‘Cesta domů’ mobile hospice

Practice at Hospital Hořovice:

  • Chief physician of the Supportive and Palliative Care Department 2026–present
  • Chief physician of the Paediatric Department 2015–2025
  • Deputy chief physician of the Paediatric Department 2011–2012

Previous experience:

  • Department of Paediatric Surgery, Motol University Hospital, 1997–2011, Consultant in Paediatric Intensive Care
  • Cardiology Centre, Motol University Hospital, 1998, 3-month placement in the Intensive Care Unit
  • Paediatric Clinic, Motol University Hospital, 1999, 10-month placement
  • Neonatology, General University Hospital, Prague, 2000, one-month placement in the ICU
  • PLDD Surgery of Dr Nízká, Prague 6, 2005 – present, 1 day a week
  • Department of Paediatric Surgery, Motol University Hospital, 2013 – May 2015, consultant in paediatric intensive care
  • Cesta domů Hospice, 2014 – present, external paediatrician for the mobile hospice

 

 

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