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Milan Parmar from Southend was one of the first patients with The J's Hospice. He passed away in late 2010 in his own home, surrounded by his loving family. His mother Trusha Parmar has given us permission to use his story.
Milan had severe cerebral palsy and needed 24 hour care. He defied all the odds and medical opinion by living to 23 years old.
At 19 years old, patients like Milan are too old for children's hospice care. So what happens to them then?
Due to better treatment, these adults are living longer, yet there is national recognition that the care for this age group is lacking. Adult hospices are available and do a fantastic work in terms of providing end of life symptom care. However, they may not be the right environment for someone like Milan, a young adult who was alert, funny, lively and affectionate, and who loved spending time with his sister who was close to his own age.
Milan's family always wanted to provide the very best care for him and that included encouraging him to make choices about his care and treatment. That's where the J's@Home service stepped in to help.
"I know I can trust the J's Hospice with Milan's care. I can talk to Bev whenever I need her and I have quick access to make decisions." Trush Parmar, Milan's Mum.
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The J's Hospice provides care and support to young adults with life limiting conditions. The Hospice is registered with the Care Quality Commission. The J's team will offer medical, psychosocial, educational and spiritual care within an age appropriate environment. The young people will always be involved in making informed decisions and choices regarding their treatment.
Life limiting conditions:
1. Life threatening conditions for which curative treatment may be feasible but can fail. Palliative care may be necessary during periods of prognostic uncertainty and when treatment fails. Eg. Cancer, irreversible organ failure of heart, liver, kidney.
2. Conditions where there may be long periods of intensive treatment aimed at prolonging life and allowing participation in normal childhood activities, but premature death is still possible. Eg. Cystic fibrosis.
3. Progressive conditions without curative treatment options, where treatment is exclusively palliative and may commonly extent over many years. Eg. Batten's disease, muscular dystrophy, mucopolysaccharidosis.
4. Irreversible but non-progressive conditions with complex healthcare needs leading to complications and likelihood of premature death. Eg. Severe multiple disabilities including severe cerebral palsy.
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