Bridge sister

from Wikipedia, the free encyclopedia

Brückenschwester is a brand of the Onkological Focus Stuttgart eV Association. It includes health care services for seriously ill and dying patients with chronic diseases, especially those with tumor diseases, by nursing staff with state recognition and appropriate training and experience . In general, the term bridge nurse or bridge nurse is used for professions in the care transfer , especially the care of seriously ill tumor patients in the home environment.

It is a concept that has been supported in Baden-Württemberg since the 1990s by the responsible ministry of social affairs , the health insurance companies and the state hospital society. In 1999, the hospital plan for Baden-Württemberg determined a need for fifty bridge nurses . Ten years later, the state government stated that bridge maintenance was a proven interface between the facilities for the care of palliative patients.

activities

As part of a palliative care team, bridge nurses optimize home care and support relatives. The aim is to improve and guarantee the quality of life of patients and relatives through cooperation in an interdisciplinary team. This palliative care is intended to shorten and avoid hospital stays by aligning patient care at home with that of a hospital. Bridge nurses only take on the direct nursing care of the patients in exceptional cases, but are active in organizing and coordinating.

Bridge nurses ensure that pain therapy is carried out correctly , provide pain pumps or other necessary medical equipment and, together with the attending physician, help with symptom control . You look after those affected and relatives through regular contact in the form of telephone calls and house calls. In addition, they help in the event of an acute deterioration in the situation through crisis intervention, for example if the caring relatives are physically or psychologically overwhelmed or in the case of suddenly occurring illness-related complications. This is ensured by 24-hour availability and on-call duty. They also document the course of the disease. A bridge nurse should be a fixed reference person for all those affected. According to an evaluation study published in 1992, this can improve patient and family member satisfaction.

education

Bridge nurses are health and nursing staff with many years of professional experience who have received special training; Most have a basic course in palliative care, some have also completed the case management training course.

financing

One of the main concerns of palliative care is that all services are free of charge for seriously ill patients. The costs for bridge care are not covered by all statutory health insurances, as it is only partly treatment care, but mostly psychosocial care. Services for oncological patients in the terminal phase who were reported to the bridge nurses as part of a hospital stay have so far been billed in Baden-Württemberg via the daily care rate of the hospital involved, in particular via the budgets of the oncological focus areas and tumor centers . The situation is different if bridge nurses have concluded a SAPV contract with the health insurance companies or are active as a cooperation partner of a palliative care team, which in turn is a contractual partner as a SAPV service provider. Nevertheless, some of the costs still have to be covered by donations, and the bureaucratic effort due to special documentation systems and the requirements of the SAPV and the Medical Service of the Health Insurance (MDK) has increased considerably.

Web links

Individual evidence

  1. ↑ a b The word mark Brückenschwester was registered with the German Patent and Trademark Office on March 15, 1999 under the registration number 39868981 and the file number 398689814. The owner of the brand is the Onkological Focus Stuttgart eV, Rosenbergstr. 38, 70176 Stuttgart.
  2. ↑ Eberhard Aulbert, Friedemann Nauck, Lukas Radbruch: Textbook of Palliative Medicine, p. 114 . Schattauer Verlag, Stuttgart 2006, ISBN 978-3-7945-2361-0 . Online: limited preview in Google Book search
  3. ^ Hospital plan 2000 Baden-Württemberg. (pdf) pp. 61–63 , accessed on June 14, 2011 .
  4. ^ Hospital plan 2010 Baden-Württemberg. (PDF; 699 kB) (No longer available online.) P. 11 , formerly in the original ; Retrieved June 14, 2011 .  ( Page no longer available , search in web archives )  Info: The link was automatically marked as defective. Please check the link according to the instructions and then remove this notice. @1@ 2Template: Toter Link / www.sozialministerium-bw.de   , Part 2
  5. ↑ a b c Gabriele Matschke: Expert standard discharge management in hospitals and rehabilitation facilities - aspiration and reality, p. 62 . Diplomica Verlag, Hamburg 2010, ISBN 978-3-8366-8579-5 ( limited preview in Google book search).
  6. ^ German Cancer Research Center Heidelberg: Cancer Research Today: Reports from the German Cancer Research Center 2002, p. 267 . Birkhäuser, Heidelberg 2002, ISBN 978-3-7985-1339-6 ( limited preview in Google book search).
  7. ^ Sabine Dörpinghaus: Transition and Case Management in Nursing, p. 73; in: Series of publications by the German Institute for Applied Nursing Research eV Schlütersche Verlagsbuchgesellschaft, Hanover 2004, ISBN 978-3-89993-128-0 ( limited preview in Google book search).
  8. ↑ Annual report 2013 Oncological Focus Stuttgart eV, p. 19 u. 21 ( Memento of the original from June 29, 2015 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. , accessed May 20, 2015  @1@ 2Template: Webachiv / IABot / www.osp-stuttgart.de
  9. ^ Elisabeth Jentschke: The necessity of palliative medicine in old age provision; in: Erlangen Contributions to Gerontology Volume 8 . LIT Verlag, Münster 2007, ISBN 978-3-8258-0267-7 ( limited preview in the Google book search).
  10. ^ Christoph Drolshagen: bridge maintenance. In: Lexicon Hospice. , edited by Chr.Drolshagen, Gütersloher Verlagshaus 2003, p. 30
  11. ↑ Annual Report 2013 Onkological Focus Stuttgart eV, p. 21 ( Memento of the original from June 29, 2015 in the Internet Archive ) Info: The archive link has been inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. , accessed May 20, 2015  @1@ 2Template: Webachiv / IABot / www.osp-stuttgart.de