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Aging population in Lithuania determinates the demand for integrated services, oriented in solving problems of senior, disable citizens and growing needs of home nursing. At the present time, Lithuania are only at the beginning of analysis for demand of integrated health care as well as nursing and psychosocial services for long care patients. Although more and more attention are paid for management of providing integrated nursing and psychosocial help for chronically ill patients at home, the real patient care burden still lies with patients family. The lack of attention for the needs of patient’s relatives in health care and psychosocial services was noticed. Public institution Centro poliklinika is the almost the only institution in Vilnius, providing integrated home nursing, palliative medicine and social services. This article assess the integrated nursing and psychosocial services demands for Centro poliklinika chronically ill patients and their relatives. The survey was conducted in 2013, by implementing public health program “Ensuring of safe environment at home for patients and social, psychological and spiritual help for their relatives”. 431 chronic severe disease patients with a specific set of permanent nursing or palliative care needs, as well as 220 of their family members were interviewed. It was found that the chronically ill, long term home nursed patients need an integrated comprehensive support and care provided by a multidisciplinary team of specialists, using a specific patient case management principles in organizing and providing diverse on the individual patient and his family members‘ needsoriented services. Psychosocial services are not organized for the patient‘s relatives in Lithuania, however, study has showed that patients‘ family members who are constantly taking care of them, particularly needs recreational services allowing them to rest from the day to day care of the patient.

sveikatos mokslai

INTEGRUOTŲ SLAUGOS IR PSICHOSOCIALINIŲ PASLAUGŲ POREIKIS NAMUOSE SLAUGOMIEMS SUNKIOS BŪKLĖS PACIENTAMS IR JŲ ŠEIMOS NARIAMS. ATVEJO ANALIZĖ VŠĮ CENTRO POLIKLINIKOJE