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Public health institution Gerontology Institute 13 November Hospices Sue Ryder Care Republic of Macedonia

Introduction. Gerontology Institute was founded in 1958. Departments - today: Department for specialists consultative servicesDepartment for outpatients admissionDepartment of Geriatrics unit for intensive care and post intensive

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Public health institution Gerontology Institute 13 November Hospices Sue Ryder Care Republic of Macedonia

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    1. Public health institution Gerontology Institute 13 November Hospices Sue Ryder Care Republic of Macedonia D-r Lenche Neloska Director 15th September 2010 Prague, Czech Republic

    2. Introduction Gerontology Institute was founded in 1958. Departments - today: Department for specialists consultative services Department for outpatients admission Department of Geriatrics unit for intensive care and post intensive care unit for chronic patients Department for palliative care - hospices : Hospice Sue Ryder Care Skopje was established in 1998; Hospice Sue Ryder Care Bitola was established in 2005. Department Mother Tereza- home for the elderly people Hospice Sue Ryder Care Skopje, is based in the capital city Skopje. Hospice Sue Ryder Bitola is based in the city of Bitola. All institutions are serving patients from the entire territory of Republic of Macedonia

    4. Unit for intensive care

    5. Unit for physiotherapy

    8. Introduction - continued Total number of employees in the Gerontology Institute is 241 persons, and number of volunteers is 50 persons. Administrative staff is consisted from 26 staff members, others are medical staff. Department of Geriatrics has 118 staff members. Hospice Sue Ryder Skopje has 37 staff members. Department Mother Tereza has 25 staff members Hospice Sue Ryder Bitola has 35 staff members

    9. Introduction - continued The interdisciplinary team in the Institution is consisted from: Medical Staff: Doctors specialists (internal medicine, neurology, psychiatry, medical biochemistry, physiotherapy, dermatology) Medical nurses Physiotherapists Social workers Psychologist

    10. Introduction - continued How many beneficiaries: Hospice Sue Ryder Care Skopje has served total of 2851 patients from its opening, from which: - 2213 patients were admitted for in-hospital treatment , - 106 patients visited the out-patient ward of the hospice, - 532 patients were treated at home by the service for Domiciliary palliative care. Hospice Sue Ryder Care Bitola has served 1353 patients admitted for in-hospital treatment

    11. Introduction - continued The Hospice Sue Ryder - Skopje offers the following services from the palliative care: In hospital care in the hospice with capacity of 75 beds. Domiciliary palliative care, through the specialized unit. Out patient care capacity: 6 beds The Hospice Sue Ryder Bitola offers in-hospital palliative care with capacity of 72 beds. Number of current projects: Establishment of Alzheimer Centre Main Donors: The Gerontology Institute is Public health institution, thus the main funds for its operation are from the State health budget, obtained through the Health insurance fund and the Ministry of health.

    12. Introduction - continued Other donors are the following: World Medical Relief Detroit, USA Prime minister of the Republic of Macedonia President of the Republic of Macedonia Red Cross (Nurnberg, Freiburg) Germany NGO - MPDL Aragon, Saragossa Spain Rotary Club Macedonia Pharmaceutical companies Alkaloid, Krka, Lek, Kemofarm Skopje, Macedonia Stikting Help, Macedonia Holland

    13. Donations

    15. Hospice Sue Ryder Care Skopje (period 1999 2010)

    16. Hospice Sue Ryder Care Skopje (period 1999 2010)

    17. Hospice Sue Ryder Care Skopje (period 1999 2010)

    18. Hospice Sue Ryder Care Skopje (period 1999 2010)

    19. Hospice Sue Ryder Care Skopje: Unit for domiciliary palliative care (period 2005 2010)

    20. Hospice Sue Ryder Care Skopje (period 1999 2010)

    21. Hospice Sue Ryder Care Bitola (period 2005 2010)

    22. Hospice Sue Ryder Care Bitola (period 2005 2010)

    23. Hospice Sue Ryder Care Bitola (period 2005 2010)

    24. Hospice Sue Ryder Care Bitola (period 2005 2010) Distribution of the admitted patients according to the diagnosis

    25. Hospice Sue Ryder Care Bitola (period 2005 2010)

    26. Completed projects Projects for education of the staff regarding palliative medicine and palliative care: Conference for palliative care, with training for doctors and nurses (Ohrid, 2004). Training for palliative care conducted by Ms. Helen Cleis (Great Britain) and Dr. Vesna Velic Stefanovska, MD PhD (Medical faculty Skopje), (Skopje, 2005). Training for palliative care and study visit in the Hospice in Bydgoszcz Poland. (2005) Study visit in the St. Christopher's Hospice Great Britain (2009). Workshop for palliative care conducted by Ms. Key Lidman from Sue Ryder London, Great Britain (Skopje, 2010) Training for palliative care and study visit of the Hospice Casa Sperantei Brasov, Romania (2010)

    27. Current projects & activities II. Hospital renovation of the Geriatric department Total renovation and refurbishment of the 4 floors in the Geriatric department Investor: Ministry of health Cost: 800.000 Euro

    28. Budget overview current financial year Fiscal year 2010 2.500 000

    29. Budget overview current financial year

    30. Fundraising Fundraising is a new concept in Republic of Macedonia, and is not very well developed. We are currently working on a plan to develop the fundraising The general economic crisis represents an obstacle for the development of the fundraising.

    31. Sue Ryder Family cooperation Gerontology Institute is interested very much for cooperation with Sue Ryder Foundation Family, mostly for education and exchange of experience

    32. What next 1? In the coming years the need for palliative treatment and care will gradually increase in Macedonia. The statistics from the hospices shows that there is a growing need among the population for palliative in-hospital care and domiciliary care of the terminally ill patients. The experience from the hospices show that for the proper care and treatment of these patients multidisciplinary teams are needed, trained for palliative medicine and palliative care. In year 2010 the Government has adopted the National strategy for palliative care The Action plan in accordance with the National strategy is currently being prepared. Development of a Strategy for social inclusion of elderly in Macedonia. Development of a Program for combating violence against elder people

    33. What next 2 ? Future project: Establishment of Alzheimer centre Development of a centre for care of the patients with Alzheimers disease, with capacity of 100 beds Beneficiaries: People suffering from Alzheimer and their family members. Donors: Main donor is the Government. Currently we are seeking for an investment partner

    34. What next 3 ? Establishment of a new Department for care of elderly people, aimed for elder people that need care. Joint project with American College Skopje. There is a need for information of the general population and medical staff from the primary, secondary and tertiary health care, regarding the services offered and the referral to our Institute.

    35. Other Important Business Gerontology Institute is the only Public health institutions that posses certificates for ISO 9001:2000 standard. The Institute posses certificate for HACCP standard. In 2009 the Institute has been awarded with Hospital of the year award for investments from own funds, by the Ministry of health. The Institute is the only educational unit for Geriatric and Palliative medicine in Macedonia, serving the students from the Medical faculty - Skopje

    39.

    40. Contacts D-r Lenche Neloska Director Adress: str. 4 Juli no. 129, 1000 Skopje, Republic of Macedonia. Phone: + 389 2 2031 238. E-mail: lneloska@gerontology.org.mk

    41. Thank you! ?? ??????????! www.gerontology.org.mk

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