Therapy companion dogs in mobile palliative care

Countries

Austria

Policy areas

Organisation name FSW-Wiener Pflege- und Betreuungsdienste GmbH

Contact person: Elisabeth Jirikowski

elisabeth.jirikowski@fsw.at

The experience shows that the most important thing for dying or terminally ill people is to find comfort and peace. Animal contact offers basal stimulation (regular and quiet breathing, warm fur) with its relaxing and comforting effect, reduces stress and increases well-being. It often is the patient’s wish to see animals again, and people suffering from dementia suddenly remember the dog they had once. All these positive effects meet the main goal of palliative care: enabling people to lead a dignified life until the end.

The Vienna Social Fund (Fonds Soziales Wien – FSW), based in Vienna takes care of people with difficulties, disabilities and illness. It also has a mobile palliative care team including qualified nursing staff, doctors, graduate social workers, physiotherapists and psychologists trained to care for dying or terminally ill people in their domestic environment. Specially trained volunteers offer additional support through hospice care. They support patients and their relatives in organisational questions and spend time on walks or reading to them.

In May 2018, the FSW-mobile palliative and hospice team implemented a new and unique offer for its patients: in cooperation with the dogs team of the ‘Worker’s Samaritan Federation’ (ArbeiterSamariter-Bund Österreichs – Gruppe Favoriten – ASB Favoriten), it is possible to be visited in the domestic environment by specially trained and accompanied therapy companion dogs. This additional support has a direct and strong effect on the quality of life and well-being of the affected people. Due to basal stimulation, it is possible to see physical improvements such as a lowering of the heart rate and reduced stress. This has a relaxing and comforting effect, and increases well-being while anxiety and pain experiences are reduced. Moreover, the relatives benefit by the offer too, as it promotes verbal as well as non-verbal communication.

As a permanent implemented offer, the therapy companion dogs will stay as a resource of the Vienna Social Fund, so the offer of ASB Favoriten can be taken by clients/patients every other week. Within the framework of the cooperation, a special price to cover expenses was agreed. These costs are covered by the palliative care team and are annually budgeted, making this project financially sustainable in the long run.

The experience shows that both organisations – such as FSW – and patients, can benefit from the offer. On one hand there are the evident positive effects on patients’ health, on the other hand the project contributes to media relations and good publicity for the offer provider.

The main challenge is the fact that often, the patients take up palliative care at an advanced stage of their disease, therefore in most cases it is too late to take the offer of therapy companion dogs. In addition, for reasons of animal protection, because of the voluntary nature of the dog teamwork and also considering their service to other disadvantaged categories, only limited assignments can be taken up. Moreover, it also takes time to prepare these visits (45 minutes each), as each one needs to be planned and customised according to the client. For example, it is essential to decide which dog is the best match with the patient (e.g. small dogs for bedridden people).

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