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Palliative care

Name: К+31
Telephone: +7 (499) 999-31-31
Price range: ₽₽

The K+31 Clinic in Moscow offers comprehensive and professional palliative care to patients with severe incurable diseases. Our specialized department was created to ensure a dignified life, maximum possible comfort and comprehensive support

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What is palliative care and who needs it?

Palliative care is a special approach in medicine aimed not at curing the underlying disease, but at completely eliminating or maximally alleviating distressing symptoms, improving the quality of life of the patient and his or her loved ones. Its goal is to help the patient live as actively and comfortably as possible, despite a serious diagnosis. Palliative care focuses on maintaining the quality of life here and now.

The word "palliative" itself comes from the Latin "pallium" - pallium, and also from the French "palliatif" - palliative, which means a cloak or cover. This reflects the main principle of palliative care: just as a cloak protects from bad weather, palliative care creates protection from the manifestations of the disease, alleviating suffering and improving the quality of life, but does not aim to cure the disease, since this is impossible.

Palliative care is needed by patients with various incurable diseases, when therapy for the underlying pathology is impossible or inappropriate. This applies not only to oncological diseases, but also to severe cardiac, renal, hepatic failure, neurological degenerative diseases, terminal stages of chronic somatic pathologies and other conditions that significantly limit life.

What is palliative care and who needs it?

Basic principles of palliative care

The essence of palliative care is based on key principles:

Relieving the patient's suffering. Relieving pain, shortness of breath, nausea, anxiety and other distressing symptoms is the primary goal of therapy.
Maintaining activity. Palliative care professionals aim to maintain the patient's functionality and involvement in life as much as possible.
Recognition of life and death as natural processes. Well-organized palliative care helps seriously ill patients change their attitude towards death, consider it as one of the inevitable stages and accept it with dignity
Individual approach. The basis of assistance is respect for the patient's personality, values and wishes. Everyone may have their own wishes, for example, to stay at home in their own home or go to a hospice
Multidisciplinary. A team of specialists (doctors, nurses, psychologists, social workers, physiotherapists) work together to solve all the patient's problems
Support for loved ones. It is extremely important to help the family with care, psychological support during a serious illness and during the period of loss

When is palliative care recommended

Palliative care is indicated not only in the terminal stage. It can and should be started at earlier stages of a serious disease, as soon as severe symptoms appear that reduce the quality of life, or when it becomes clear that the disease is incurable and progressive. Early inclusion of palliative care often allows for better control of symptoms, improves psychological state, and can even positively affect the prognosis. In oncology, it can be used in parallel with antitumor therapy (for example, chemotherapy).

Diseases requiring palliative support

Palliative care is recommended for the following pathologies:

Oncological diseases (cancer) in the late stages or when the treatment is ineffective
Terminal stage of chronic heart failure
Severe chronic renal and hepatic failure
Terminal stage of chronic obstructive pulmonary disease (COPD)
Progressive neurological diseases: amyotrophic lateral sclerosis, multiple sclerosis, Parkinson's disease in the late stages, dementia
Terminal stage of HIV/AIDS
Genetic diseases with a severe course

Modern methods of palliative care in "K+31"

The specialists of the palliative care department of the K+31 clinic have at their disposal a wide range of methods aimed at alleviating symptoms and improving the patient’s condition.

Molecular genetic testing

This is one of the key diagnostic methods in modern oncology. It allows to identify specific mutations in the tumor for the selection of personalized targeted therapy or immunotherapy, which is especially important for inoperable or metastatic forms of cancer, when standard treatment is ineffective. This gives the doctor the opportunity to achieve control over the disease, reduce the intensity of symptoms and prolong the active life of the patient.

Chemoembolization of tumors

This is a minimally invasive procedure in which high doses of chemotherapy drugs are injected directly into the blood vessels that feed the tumor (for example, in the liver), blocking them. This allows for local action on the tumor, minimizing systemic side effects, reducing the size of the tumor, and relieving pain and other symptoms.

Radiofrequency ablation of metastases (RFA)

Under visual control (CT, ultrasound), an electrode is inserted into the tumor site, generating high-frequency currents that destroy cancer cells by local heating (up to 50-100°C). This method is used to destroy metastases in the liver, lungs, kidneys, and bones. It is relevant for patients for whom surgery is contraindicated.

Implantation of venous infusion port systems

The method involves installing a special port with a catheter into the central vein under the skin. Such an intervention is extremely important for patients who receive intravenous infusions (chemotherapy, painkillers, nutrient solutions) for a long time. It allows avoiding multiple painful vein punctures, reduces the risk of complications (phlebitis, infiltration) and makes the therapy more comfortable. Port replacement is rarely required. The design serves for more than five years.

Installation of stents

When the lumen of hollow organs (esophagus, bile ducts, trachea, bronchi, intestines, ureters) narrows due to pressure from a growing tumor, self-expanding stents are installed - expanders that serve as a frame. This procedure allows you to quickly restore patency, eliminate life-threatening conditions, such as suffocation, return the ability to eat, normalize the outflow of bile or urine.

Forms of palliative care in "K+31"
Use of transfusion equipment
Procedure for providing palliative care
Managing complications during palliative care

Forms of palliative care at K+31

We offer various options for providing palliative care for seriously ill patients:

In-person consultations with doctors (oncologist, therapist, neurologist, psychologist) at the palliative care center
Stay in the day hospital of the palliative care department for procedures (chemotherapy, blood transfusion, RFA, port installation) with the possibility of returning home
Placement in a hospice with round-the-clock care, pain control, psychological support and help with everyday issues.
A visit by a visiting palliative care service to provide care at home (monitoring the condition, adjusting the pain relief regimen, dressings, psychological support)
A visit by an emergency team in urgent cases - to relieve an attack of pain, including using potent drugs, or transport the patient to a hospital to provide therapeutic support

Стоимость паллиативной терапии

Стоимость паллиативной терапии в медицинском центре «К+31» рассчитывается индивидуально в каждом конкретном случае и зависит от разных факторов. На цену влияют:

Форма оказания помощи: консультация, дневной стационар, круглосуточное пребывание в хосписе, поддержка на дому
Объем необходимых процедур и манипуляций
Объем медикаментозной терапии
Длительность оказания услуг
Необходимость привлечения узких специалистов и психолога

Мы понимаем, что решение о паллиативном лечении принимается в сложный период. Наши администраторы и врачи всегда готовы предоставить подробную информацию о возможных вариантах помощи и их стоимости после оценки индивидуальных потребностей пациента. Получить предварительную консультацию можно по телефону клиники.

Паллиативная терапия в «К+31» – это не просто уход, а активная поддержка жизни с максимально возможным качеством, достоинством и комфортом для пациента и его близких. Наша команда готова предоставить профессиональную и чуткую помощь на каждом этапе лечения и после его завершения.

Our doctors

Experience 16 years

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Sypkova
Zarina Igorevna

Deputy chief physician for inpatient care, anesthesiologist-resuscitator, palliative medicine physician

Experience 9 years

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Tatarenko
Alena Igorevna

Neurologist, parkinsonologist, psychiatrist

Experience 14 years

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Dibrivnaya
Ksenia Andreevna

Palliative care physician

Experience 4 years

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Khailova
Maria Sergeevna

Oncologist

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Kuznetsova
Yulia Vladimirovna

Oncologist

All specialists

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Reviews 10

I really liked the clinic. I had an appointment with neurologist Tatarenko Alena Igorevna, an excellent specialist, I recommend her. And when conducting pulse therapy, I want to express special gratitude to the nurse Andreeva Marina Mikhailovna, she set up the IV perfectly, I have never seen such an approach.

08.08.2025

Anonymously

About doctor:

Tatarenko Alena Igorevna

Ценю комфорт и стараюсь экономить своё время, поэтому уже почти год наблюдаюсь в клинике К+31. Работают ежедневно, и всегда можно подобрать удобное время для приёма. Оборудование новейшее, так что в результатах нет сомнений. Весь персонал клиники всегда отзывчив и добродушен, что для меня очень важно. Хотела бы выразить отдельную благодарность врачу-онкологу Кузнецовой Юлии Владимировне за профессионализм в разработке схемы обследования.

08.03.2025

Татьяна Т.

About doctor:

Kuznetsova Yulia Vladimirovna

Юлия Владимировна Кузнецова оказалась очень внимательным специалистом. Она спокойно и подробно объяснила мне методы лечения и необходимые процедуры. В процессе лечения возникали некоторые сложности, но доктор всегда находила способы их решения без лишних комментариев и нареканий. В целом, я полностью доволен её профессиональным подходом.

06.03.2025

Роман К.

About doctor:

Kuznetsova Yulia Vladimirovna

Алёна Игоревна — мой лечащий врач. Подтверждение диагноза "рассеянный склероз" стало настоящим шоком. Паника, страх, непонимание — эти чувства переживает каждый, столкнувшийся с тяжёлой болезнью. Алёна Игоревна смогла успокоить меня, нашла правильные слова и очень грамотно, развёрнуто ответила на все мои, порой истеричные и глупые, вопросы. От неё выходишь с внутренним спокойствием и уверенностью, что всё будет хорошо. Назначенное лечение даёт свои результаты, и я уверена, что наступивший период ремиссии будет продолжительным. Мой любимый доктор с большой буквы. Огромное человеческое спасибо ей за всё, что она делает, и за помощь в преодолении тяжёлых диагнозов.

26.02.2025

Ева Е.

About doctor:

Tatarenko Alena Igorevna

Наблюдаюсь у этого доктора, и именно она настояла на наиболее эффективном лечении во время консилиума, которое дало положительный результат. Доктор очень приятная, вежливая и профессиональная. Среди её пациентов нет тех, кто остался бы недоволен её работой. Она умеет не только использовать традиционные методы лечения, но и предлагает дополнительные виды терапии и реабилитации. К сожалению, среди неврологов таких специалистов сейчас довольно мало. Хотелось бы, чтобы их было больше.

23.01.2025

Александр К.

About doctor:

Tatarenko Alena Igorevna

Мне очень понравилось общение с врачом-онкологом Кузнецовой Юлией Владимировной. Она не назначает мне лишние таблетки, если в этом нет необходимости. Когда я захожу в её кабинет, она всегда улыбается, и я тоже ухожу с улыбкой. Юлия Владимировна объясняет, что моё заболевание не страшное и не смертельное, и что всё будет хорошо. Её оптимизм и вера в благоприятный исход лечения для меня очень важны. Когда мы, пациенты, приходим к врачу, испытываем страх и неопределённость, именно такое отношение – понимание, внимание, лечение и настрой на хороший результат – нам и нужно. Я не посетила много врачей, но мне есть с кем сравнить, и я с уверенностью могу рекомендовать именно Кузнецову Юлию Владимировну.

20.01.2025

Татьяна С.

About doctor:

Kuznetsova Yulia Vladimirovna

Я обращалась к Алене Игоревне несколько раз в год по основному диагнозу. Она всегда внимательно изучает мои анализы и исследования, отвечает на все вопросы, дает рекомендации по дополнительным обследованиям и назначениям. Лечение всегда проводится вовремя, без лишней траты времени и нервов, что для меня очень важно. За время лечения я восстановила зрение, чувствительность в конечностях и способность обслуживать себя. В 2022 году, благодаря внимательности и тщательной подготовке Алены Игоревны, я смогла родить, несмотря на мои опасения. Благодарю Вас, Алена Игоревна, за всё!

12.01.2025

Ариана П.

About doctor:

Tatarenko Alena Igorevna

Более 10 лет меня беспокоили головные боли, тревога и напряжение в мышцах. Я прошла множество неврологов в Москве, потратила много времени и денег, но только Алена Игоревна смогла мне помочь. Её компетентность, грамотный подход, чуткость и внимательность ко всем деталям быстро решили проблему. Назначенная терапия дала результат уже через месяц, а спустя ещё пару месяцев проблема ушла почти совсем. Однозначно рекомендую этого доктора!

29.12.2024

Анастасия К.

About doctor:

Tatarenko Alena Igorevna

I would like to express my gratitude to my attending physician - the wonderful otorhinolaryngologist Anastasia Vladimirovna Varvyanskaya for his professionalism, attentiveness and kindness! And also to all employees of the K+31 West clinic who took part in the operation and the pre/postoperative period, these are: head of the ENT department Zalina Muratovna Tetsoeva, anesthesiologist Kristina Inalovna Siukaeva, head of the anesthesiology and resuscitation department Zarina Igorevna Sypkova, all nurses, secondary and to the junior medical staff, Alexander, who drove me to the operating room and back, hospitalization managers, administrators and everyone, everyone, everyone! I had surgery on March 14, 2024 for a deviated nasal septum and hypertrophied nasal turbinates (septoplasty + osteoconchotomy). I have been suffering from difficulty breathing through my nose for a long time. I got an appointment with Dr. A.V. Varvyanskaya. I immediately realized that I was ready for surgery with this specialist. The surgery and recovery went flawlessly. Finally, after many years of torment, my nose could breathe freely. Thank you!

01.05.2024

Gorlachev Pavel Dmitrievich

About doctor:

Sypkova Zarina Igorevna, Tetzoeva Zalina Muratovna, Siukaeva Kristina Inalovna, Varvyanskaya Anastasia Vladimirovna

I would like to express my deep gratitude and admiration for a true professional, a person who knows and loves his job, a very positive person (which is important in the preoperative period) SYPKOVA ZARINA IGOREVNA. She competently prepared me for the operation, joked and encouraged me before it. I woke up with a very clear head, as if there was no anesthesia at all. Thank you very much, Zarina Igorevna!!!

22.04.2024

Gaponova Elena Vladimirovna

About doctor:

Sypkova Zarina Igorevna

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Почему К+31?

К + 31 — full-cycle multidisciplinary medical centers, including the possibility of providing medical services of European quality level.

К + 31 — are leading doctors and diagnostics using high-tech equipment from world manufacturers (Karl Storz, Olympus, Siemens, Toshiba, Bausch&Lomb, Technolas, Zeiss, Topcon).

К + 31 — is ethical. The staff of K+31 clinics maintain open relationships with patients and partners. An individual approach to each patient is the basis of our service standards.

К + 31 — is modernity. On call 24/7: call center operators will answer your questions at any time and book you an appointment with doctors. Contact us by phone, through the feedback form on the website and WhatsApp.