Palliativteam Hochtaunus

Palliative care at home, on an outpatient basis or in a hospice

+ 49 (0) 6172/499 763 0

  • slide
  • slide
  • slide
  • slide
  • slide

Offers

Services

Our multi-professional team offers:

  • Specially trained physicians for palliative care as well as palliative care professionals
  • 24-hour on-call service
  • Regularly scheduled home visits as well as visits on short notice in case of acute problems
  • Symptom control and timely treatment of symptoms
  • Adaptation of drug therapies to meet current symptoms
  • Advice on treatment approaches as well as impact of further therapies
  • Implementation of a living will
  • Recommendation for further support possibilities i. e. nursing or hospice services
  • Organisation of aid supply
  • Coordination of medicine and treatment plans with the family doctor and nursing services

Classical homeopathy & palliative care

Classical homeopathy & palliative care

In palliative care, the most important role of a classical homeopath is to alleviate - effectively and without side-effects - the suffering of severely ill patients who often experience violent attacks of pain, insomnia, restlessness, etc. To be successful, a patient must be open and ready to experience homeopathic treatment.

Initially, the homeopath meets with the patient for a 1 to 2- hour patient history, preferably held in the patient’s familiar surroundings. During this exchange, the homeopath obtains valuable insights into the patient’s daily life and environment.

The patient is not required to answer questions that he would prefer not to, but it is important that he always answer truthfully to the best of his knowledge, so that the homeopath can subsequently determine the best treatment option.

Using open-ended questions, the homeopath begins by asking what is the main complaint? What has been done so far to help? What makes things worse? How does this affect the patient’s overall well-being?

When the exchange between the homeopath and the patient goes well, trust begins to develop and the patient steps away momentarily from his illness. The patient begins to open up and share things that are close to his heart. This is where a patient’s unique personality begins to come forth. While patients are often exhausted after this first meeting, they also feel relaxed and satisfied at finally ‘having everything on the table!’.

The elements gathered by the homeopath at this first meeting are a kind of ‘puzzle’, leaving the homeopath to find a ‘red thread’ of important keywords and sentences that constitute a complete ‘patient picture’ and help determine the most suitable ‘remedy’ rooted in animal, plant or mineral bases.

In subsequent shorter follow-up exchanges, the homeopath reviews again elements of the initial meeting. This results in a patient picture either closely corresponding to the first remedy, or reflects another patient picture requiring the homeopath to determine another corresponding remedy.

This accompanying and targeted support enables the patient to optimize his remaining ‘life force’ to focus on living, even when recovery is no longer possible.

Psycho-oncology

Psychological support and biographical exploration

Within the multi-disciplinary team, psycho-oncology services offer support to respond to questions, problems and wishes that go beyond medical and nursing interventions.

The focus is on improving the quality of life by establishing a trusting, sincere communication with patients and relatives about their needs and desires.

Psycho-oncology support focuses on personal coping strategies and individual resources when stress, such as unexpected events, conflicts with close caregivers, questions surrounding the meaning of life, concern for family members, etc. cannot be managed alone. Taking time to address a patient’s personal concerns is the most important building block to developing a close and supportive patient relationship.

For patients who want to address their own life history in the context of their life-limiting illness, the psycho-oncologist, in conjunction with Dignified Centered Therapy (WZT), can offer the creation of a life chart. This chart addresses a patient’s existential questions about the meaning of life in general, but also addresses the very personal questions a patient is thinking while providing them with the chance to look back, and also encourage them to look ahead.

This carefully guided biography work under the aspect of "honor life and honor one's life achievement", enables a patient’s life sheet to emerge. In this sheet, important aspects of one's life are recorded for the patient and for reference persons named in the document, serving as a source of empowerment for the patient.Psychological support and biographical exploration

Within the multi-disciplinary team, psycho-oncology services offer support to respond to questions, problems and wishes that go beyond medical and nursing interventions.

The focus is on improving the quality of life by establishing a trusting, sincere communication with patients and relatives about their needs and desires.

Psycho-oncology support focuses on personal coping strategies and individual resources when stress, such as unexpected events, conflicts with close caregivers, questions surrounding the meaning of life, concern for family members, etc. cannot be managed alone. Taking time to address a patient’s personal concerns is the most important building block to developing a close and supportive patient relationship.

For patients who want to address their own life history in the context of their life-limiting illness, the psycho-oncologist, in conjunction with Dignified Centered Therapy (WZT), can offer the creation of a life chart. This chart addresses a patient’s existential questions about the meaning of life in general, but also addresses the very personal questions a patient is thinking while providing them with the chance to look back, and also encourage them to look ahead.

This carefully guided biography work under the aspect of "honor life and honor one's life achievement", enables a patient’s life sheet to emerge. In this sheet, important aspects of one's life are recorded for the patient and for reference persons named in the document, serving as a source of empowerment for the patient.

Social Services

Social service support

Social work support services cover counseling and legal guidance. Our social worker assists with clarifying claims between healthcare insurance companies, the pension office, the social welfare office and the pensioner. Our social worker helps and supports patients in completing all the relevant forms and applications.

They sit down with the patient to discuss power of attorney and / or living will issues and can assist patients in filling in the forms. They can also assist in organizing a home emergency call system, a stair lift, and also a needs-based conversion of the patient’s living environment if required.

Spiritual Care

Spiritual Care

In addition to medical, nursing, social and psychological care, spiritual care is another key pillar in overall palliative care support.

In particular, deeply-rooted pain symptoms are treated here. This refers to pain stemming from mental anguish, when the patient’s "life backpack" is simply too heavy to carry alone.

Questions surrounding:

Destiny, homeland, self-esteem?

Which beliefs and rituals give you strength?

Which "life backpack" do you wear?

Where do I come from, why am I here?

Where do I go?

Why me?

A spiritual care giver talks to patients about these questions of meaning and shows them ways to create resources that will make it easier to process the disease.

"Spiritual Care is a scientific discipline between medicine, theology, and hospital pastoral care," according to the World Health Organization (WHO) definition.

Spiritual Care also means the cross-profession, empathic attitude with transparency and acceptance for all people, combined with a passionate presence in the here and now.

If you would like to use this support or would like to know more, please contact our team.

Brief introduction to the Tibetan Buddhist dying process by Khenpo Tenpa Yungdrung Rinpoche, abbot of the taster Triten Norbutse in Kathmandu.

Pastoral Accompaniment

Courage to hope and believe

Our pastoral support encourages patients to ask questions about their illness and treatment and to make therapy decisions with their doctors.

We also strive to encourage patients, regardless of how encouraging their actual diagnosis and prognosis is.

Miracles don’t happen “on demand”, but patients can be encouraged to hope for them. People of faith can also be supported in praying for miracles.

Accompaniment in faith

When faced with a potentially life-threatening illness, day-to-day life events lose importance while other aspects of life, which may have not yet been considered until now, gain importance.

A changing body and limited life force also present the mind with new challenges. Spiritual accompaniment and pastoral care help guide the search of a separate or common path forward. Where words may be lacking to express thoughts and feelings, symbols can sometimes bridge the gap between speechlessness and dialogue. Dialogue seeks to find out how personal concerns can be expressed. When something unvoiced is named, there is often a change of perspective, making it possible to understand the new life context and formulate future expectations.

People who belong to religious communities are accompanied in their religious traditions. People with other philosophical orientations are encouraged to take part in an open conversation exchange to identify personal sources of power.

Art Therapy

Educational and art therapy support

We offer various forms of educational and art therapy support. Our Art Therapist takes time to speak with patients and their families. Images and works of art created by patients and their younger and/or older children are met with interest, appreciation and openness, free from criticism or expectations. Our Art Therapist orients herself to patients’ needs and the individual circumstances of each situation. Creative work can be accompanied by relaxation exercises. But relaxation can also stem from the creative process itself, leading to a picture or object that, as an inner source of experience and refuge, is associated with pleasurable feelings and memories. Even reading a story can help to harmonize and complete the painting and artwork together.

Often particular attention is given to the children affected by a serious illness in the family or where palliative care is taking place in the children’s home environment. Thoughts and concerns usually arise as to if and how children should be involved. Our Art Therapist helps patients and relatives talk with children and assist in identifying their needs.

A home visit by our Art Therapist helps patients determine how they want to proceed in harmony. For children, it is important that they be able to ask their own questions and have their own specific feelings while finding their place in the care process unfolding around them. Creative expressions and playful experimentation that accompanies Art Therapy sessions can be relieving, provide a moment of deep joy and encourage conversation on important topics that concern children.

All art materials are brought by our Art Therapist and can be used in all settings with no specific preparation needed. For example, safe eco-friendly paints and papers or soft clays are offered, which are also commonly used in kindergartens, schools and aftercare clinics.

Requirements

We can work with all patients once a "medical prescription" has been provided. This is sometimes issued in the hospital and is valid for seven days to cover the transition from the hospital to home. Usually, however, the prescription is issued by the family doctor or a general practitioner. They can also issue a prescription for a longer period of time.

Our work is complementary to home and specialist doctors, nursing services and volunteer hospice helpers, with whom we work closely together. We look after patients with the most severe symptoms and complex needs with a 24-hour on-call service. Our goal is to relieve symptoms and improve quality of life. When a patient’s health situation stabilizes, we, as an outpatient palliative team, pause our support services.

In 2007, the government stipulated that SAPV costs should be covered by health insurance companies for all insured persons. For private patients, the health insurance company reserves a case-by-case review, but usually follows the benefits of the statutory health insurance funds.

These funds unfortunately cover only the work of two occupational groups - those of palliative care and palliative doctor. Other treatment options that ensure our holistic patient care services - such as psychological support, homeopathy, social work, art therapy, spiritual accompaniment and pastoral care - are funded by donations. If you would like to support us with a donation, you will greatly help to ensure our full variety of services and care. Thank you in advance!

We look forward supporting you with any of our palliative care services - always with one goal in mind: To ensure the best possible quality of life for all those affected!

 

Sincerely - your Hochtaunus palliative team