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Zertifiziert nach KTQ
House 8 | The Huntington-Zentrum-Süd is located on the ground floor (unit N1)
Huntington-Zentrum-Süd
Seating facilities in the unit’s living room
Introduction
3 | Introduction
4 | Huntington’s Disease (HD)
6 | Drug Treatment Priorities and Nursing
8 | Treatments Offered
13 | Service
20 | A-Z of Services
23 | Contacts
Introduction
Huntington’s disease, first described in 1872 by the American physician, Dr. George
Huntington, is a relatively rare illness. According to estimates, it occurs at a frequency
of around 5-10:10,000. Two to four times this number are healthy carriers. In Germany
there are known to be about 8,000 sufferers.
For southern Germany (catchment area includes Bavaria, Baden-Württemberg, Thuringia,
Saxony and parts of Hesse and Saxony-Anhalt), with a wealth of experience of almost
15 years, the Huntington Centre’s 20-bed unit at the Klinik Taufkirchen (Vils) provides the
nearest, specialised, in-patient treatment centre for Huntington’s disease.
Taufkirchen (Vils) lies about 50 km north-east of Munich on primary road B 388, about
20 km from Erding or Landshut (B 15). There are local direction signs showing access to
clinical centre.
The wheelchair-friendly Unit N1, with direct access to the park, is located on the ground
floor of a hospital building (House 8) within the park-like grounds of the clinical centre.
Geronto-psychiatric wards are situated on the first and second floors of the house.
Patients are housed in 1- or 3-bed rooms, equipped with their own washing and toilet
facilities. Two rooms form the monitoring area for patients requiring monitoring. One of
these is specially padded for patients with severe motor restlessness. There is a living
room with an eating area and television as well as a smoking room for the patients.
Upon request, and in consultation with the resident treating physicians, we are happy to
advise you in advance of applying to your health insurers to cover the costs.
As an additional service, the clinic has an institutional outpatient clinic for counselling
outpatients from the local region and further afield. In view of the rarity of the disease,
for institutions involved in the further provision of inpatient and outpatient care, shad-
owing opportunities and external training are offered.
The hospital is supported by the municipal enterprise “Kliniken des Bezirks Oberbayern
(kbo-ku)”. IK: 260911251
2 3
Huntington’s Disease (HD) Huntington’s Disease (HD)
Huntington’s Disease (HD)
The cause of this inherited disease is the mutation (change) of a gene, which is located
on the short arm of chromosome 4. The disease affects men and women in equal
measure. Every carrier of the mutated gene will go on to develop the disease with 99%
certainty. Furthermore, this means that every child of a carrier has a 50% risk of having
inherited the mutant gene.
As a rule, the disease begins between the ages of 30 and 45 (although early and rarer
late manifestations are known), and runs its course for 15 to 25 years. Therefore, some
sufferers have already had children before symptoms of the disease become recognis-
able. Moreover, at the onset of the disease, those sufferers are often misdiagnosed due
to lack of information about HD in the family.
Imaging procedures show the brain to be smaller in volume overall, in particular, the core
areas of the basal ganglia (above all, the corpus striatum and caudate nucleus), which
regulate muscle tone, involuntary and coordinated movements and expression and
posture, are affected, as well as the frontal cortex (the fore-brain), which is responsible
for higher cognitive functions and controls drive and emotions.
The patients’ symptoms are very individual and often begin with psychological peculi-
arities. In the early stages, before the diagnosis has been made, sufferers are often not
aware of changes in themselves. Onlookers initially often regard irritability, nervousness
or stress as the causes of body twitching or jerking movements. Sufferers are often irrita-
ble, listless or moody, however, also sometimes overly exuberant. The reactive depression
that often occurs at the beginning of coming to terms with the disease can go hand in
hand with suicidal tendencies.
The involuntary movements initially perceived are often concealed as self-conscious
gestures; however, they can also be very erratic and pronounced. Grimacing or abnormal
movements of the lower jaw are evident (e.g. the masticator muscles and tongue may
be in constant motion). In some of those affected there are also oculomotor deficits.
Increased hyperkinesias when walking are also highly characteristic, so that the patients
soon become unsteady on their feet and need to be supported.
In contrast to the usual clinical picture, in the juvenile form of HD, also known as the Westphal
variant, one finds increasing stiffness and inhibition of movement, which, in neurological
terms, is similar to Parkinson’s disease. In this form of the disease seizures may also occur.
In general, the clinical picture is characterised by psychological and neurological disorders.
Examples of psychological/psychiatric symptoms
• Memory and cognitive impairment
• Disinterest and social withdrawal
• Hysterical behaviour
• Emotional instability with some aggressive outbursts
• Depression
• Listlessness
• Impairment of higher cognitive functions (e.g. judgement)
• Psychotic experiences
Examples of neurological symptoms
• Irregular, involuntary twitching
• Impairment of the muscles controlling swallowing, speech and chewing
• Contortions of the limbs, torso and head
• Grimacing
• Incontinence
• Reduced pain and temperature sensitivity
Autonomic symptoms range from hyperhidrosis (excess sweating) and weight loss to
cachexia.
Since the discovery of the genetic mutation responsible for HD, confirmation of a suspected
diagnosis of HD is now possible by means of a simple blood test (genetic test). Thanks to
the discovery of the HD gene, for persons at risk there is also the possibility of having a
molecular genetic analysis of their risk of contracting the disease, based on International
Huntington Association guidelines. As the decision to have the genetic test raises many
questions, in addition to other preconditions (minimum age 18 years; volunteering for the
test), genetic counselling and psychological support are necessary.
Because the psychiatric symptoms of HD are, in part, similar to those found in depres-
sion, schizophrenic psychoses and Parkinson’s disease, diagnosis on the basis of psycho-
logical symptoms can prove problematic, particularly when the family history shows no
evidence of HD.
4 5
Halesworth chair (Photo: R. Limpert)
Drug Treatment Priorities and Nursing Drug Treatment Priorities and Nursing
Drug Treatment Priorities and Nursing
To date, there is no known causal treatment that can cure the disease or reverse the dis-
ease process. However, holistically-oriented treatment aimed at the symptoms can have
a positive effect on the disease process for patients and for relatives alike.
The professional efforts are targeted at the resources and requirements of the patients,
which result from the stage of the disease as well as the possibilities offered by the
social environment. Particular emphasis is given to establishing a workable relationship
with sufferers and their families.
Drug treatment of the psychiatric and neurological symptoms described, based on case
history and an individual treatment plan, lies at the forefront of inpatient treatment. In
the event of accompanying medical disorders we collaborate closely with surrounding
hospitals.
The objectives of each treatment are developed with the involvement of patients, their
families and, if applicable, carers and mediating institutions, and are discussed in the
process. Here we allow ourselves to be guided by the possibilities and limitations of the
patients as well as the environment. As a primary objective, by strengthening self-initia-
tive and personal responsibility, we strive to slow the loss of physical, mental and social
skills.
Here the objectives are, among other things, reduced restlessness, improved swallow-
ing action, improved gait (e.g. through Triaprid and Tetrabenazine) and treatment of
the mental disorders (e.g. using antidepressives or neuroleptics). Through daily doctor’s
rounds, the course of the drug treatment is assessed with regards to indication, efficacy,
dose adjustment, tolerance and side effects. Basically, drug treatment is restricted to that
which is necessary.
The nursing care is based on a specially developed nursing standard for Huntington’s
disease, which encompasses all relevant problems of the clinical picture and offers a
wide selection of possible interventions.
Our nursing care may be regarded as relationship management. It takes into account the
balance between closeness and distance, activity and passivity. Attention to and accept-
ance of the sufferers’ immediate situation form the basis of the nursing philosophy.
The nursing activities are geared towards the everyday realities of life and are aimed at
achieving a satisfactory quality of living by means of, among others, promoting commu-
nication with patients, training of movement, development and consolidation of the cir-
cadian rhythm and maintaining control over the withdrawal of sufferers in the advanced
stages of the disease. Furthermore, the focus is on meeting the needs for a safe living
environment, for rest and stimulation as well as for a varied and nutritious diet, which,
due to disease-dependent requirements, consist of around up to 6,000 kcal.
The nursing care measures are supported by suitable, specific medical aids such as, for
example, the special Huntington chair (Halesworth chair) from Kirton Healthcare (-->
Service), walking frames (--> Service), padded beds and padding in the toilet area and
washing facilities in the room.
Quality assurance is ensured by weekly consultant’s rounds and discussions between the
treatment team and the senior physician, supervision and multidisciplinary team case
conferences.
6 7
Hip bath with side entry
Treatments Offered Treatments Offered
Treatments Offered
Patients come to us in all stages of the disease or contact us. We can offer a comprehen-
sive programme that is tailored to meet their needs. As an overview, we have published
a summary of the treatments offered by the unit.
Even before it comes to hospitalisation, family members, people seeking advice and insti-
tutions can obtain information about the clinical picture and about the services offered
by the unit.
In discussions locally, questions such as “Will I be subjected to human genetic screening?”,
”What effect will a positive diagnosis have on my life and family planning?” or “How can I
deal with the illness?” form the focus of individual consultations. The unit physician and/or
psychologist are available to answer those questions. Appointments can also be arranged
with the clinic’s medical director and founder of the Huntington Unit, Prof. Matthias Dose
(appointments made through the office on (Phone +49 8084 934-212).
As part of outpatient treatment (our institutional outpatient department is permitted by all
health insurance companies) psychological examinations of cognitive performance, e.g. in
relation to fitness to drive, ability to concentrate and remember, are possible. Alongside this,
social and educational counselling services can be used to answer questions regarding, e.g.
continuation of employment (disabled person’s pass), sick leave or making pension claims.
Endeavours are made to forward needs-based services locally (e.g. outpatient psycho-
therapeutic and/or neurological support and (pension) advisory centres.
In the case of hospitalisation during the early stages of the disease, the focus lies on drug
treatment of the psychological disorders (e.g. depression and anxieties), of movement
disorders and cognitive losses. We also offer scientifically proven treatments that delay onset
of the disease or slow disease progression. Further emphasis is placed on speech therapy and
physiotherapy support, clarification of the fitness to work (nature, extent) as well as determin-
ing resources. By means of the treatments offered, such as occupational and art therapy (e.g.
in the areas of wood, metal, gardening, cookery groups), ergotherapy, sport music and relaxa-
tion, the patient’s own interests should be added to and, in a relaxed atmosphere, they should
provide suggestions for meaningful structuring of the day within the home environment.
If necessary, a consultation takes place with regard to social security, e.g. disabled
person’s pass, recommendations of day care centres, secondary institutions and services
(meals on wheels, welfare centres) and social-psychiatric services in the patient’s home
region but also regarding rejoining the workforce. A big part is played by presenta-
tions offered to carers and family members. From the medical side, with the help of a
neuropsychological diagnosis by the psychologist, the need for the introduction of legal
assistance is ascertained.
For patients in the advanced stages of Huntington‘s disease, in addition to drug treat-
ment, nursing care is a priority. In addition to psychiatric and neurological treatment,
value is placed on the treatment of accompanying medical symptoms or other diseases.
Ergotherapy, physiotherapy and speech therapy are used as treatments to activate and
improve movement, speech and swallowing processes. The current care situation is as-
sessed and is adjusted if necessary (recommendations for medical aids, such as Rollator
( Service), Halesworth chair ( Service), dietary supplements ( Service) and nursing in
care facilities).
Beyond the individual treatment, institutions involved are advised on the clinical picture
and on dealing with specific behaviour and family members are given advice on coping
with progression of the disease.
8 9
Snoezelen room – waterbed Snoezelen room – oil wheel
Treatments Offered Treatments Offered
Basal Stimulation® in nursing care Snoezelen – conjuring up a smile
The concept of Basal Stimulation uses the simplest and most basic ways to reach another
person and to get through to them. Basal Stimulation can be regarded as stimulating
patients to develop without placing demands on them. Through this means of looking at it,
the dialogue between the sufferer and the carer is key. This can be achieved using speech,
non-verbal communication but also using touch, movement or breathing.
The target group for Basal Stimulation in nursing includes, among others, people with diso-
rientation and impaired perception, but also people with neurological impairment such as in
the case of those suffering from Huntington’s disease. In working with Huntington patients,
Basal Stimulation enables structuring of the confusing plethora of stimuli for sufferers, to make
them understandable and to seem less daunting. For example, using vibrations nurses can
reach patients where language is no longer able to penetrate. At the same time, vibrations can
support body awareness because sufferers lose their physical boundaries due to the continuous
changes in physical sensations. Therapeutic washing and stroking serve the same purpose.
All Basal Stimulation in nursing treatments offered serve to enable the Huntington patient
to improve sensations of self and to reduce restlessness, and to thereby ensure relaxa-
tion for a time or to recreate, as far as possible, the lost active perception of multi-sensory
environmental information, albeit only partially.
Originally, the word “Snoezelen” came from the Dutch and means “to sniff” and to
“doze”. This method of relaxation and sensory stimulation was developed there.
Our goal is not only to ensure the greatest possible treatment success to Huntington
patients, but also to contribute to their feeling of well-being throughout their entire stay.
We offer a white room, since this colour permits variable illumination. It has a heated
waterbed with a canopy over it that can be illuminated, a waterfall light curtain, three
mirrored water column lights, a lighting effect wheel, an oil wheel, a luminous hemi-
sphere and sound system.
In different situations the Snoezelen treatment is intended to be helpful, useful and
versatile. By means of this room, we have created a comforting atmosphere for our pa-
tients, with the possibility to relax. Away from the daily routine, the intention is to create
positive experiences and adventures here. This also provides an opportunity to retreat,
particularly during longer periods of hospitalisation.
This room plays a very important role in crisis intervention. In this context the nurse
works with aspects of Basal Stimulation®, for which she has a special qualification.
10 11
Snoezelen room – water columns Snoezelen room (Photos: R. Dengler)
Service Treatments Offered
In principle, drug treatment should be supported by this therapy. As patients come to us
with different symptoms and problems, the Snoezelen is adjusted to suit each individual.
During the Snoezelen, the stimuli chosen are offered, which improve the ability to per-
ceive and experience even in those patients who are heavily care-dependent.
Snoezelen should be enjoyable for the user and, in the best case scenario, should conjure
up a smile.
Snoezelen is fully integrated into the unit’s daily routine. No matter what the time of day
the room is accessible to and usable by everyone.
Service
Hospitalisation is associated with many changes and some sacrifices. In order to make
the stay in our hospital pleasant and therapeutically meaningful for you or your relatives,
we have drawn up a short list of instructions below. Should you have any additional
questions, the unit’s staff will be pleased to assist you on Phone +49 8084 934-242. On
the day of admission, patients should arrive at the unit before 2:00 p.m.
Within the context of the treatments offered, activating therapy and maintaining
maximum independence in the various areas of life take precedent. During the day, as
far as possible, patients participate in the therapies prescribed by the physicians. For this
reason, during hospitalisation you will require everyday clothing, leisure and sportswear.
The laundry should have name tags whenever possible.
Towels and flannels are supplied by the unit. Should personal laundry not be washed by
family members due to, for example, great distance from the place of residence, for a fee
we offer a laundry service as part of the occupational therapy.
For patients who are admitted due to Huntington’s disease, sturdy footwear is recom-
mended (e.g. running or training shoes with Velcro fasteners, sandals with ankle straps).
Open shoes, which do not provide the foot with adequate support, are unsuitable.
12 13
Service Service
As part of the sports therapy, during the summer months we offer “swimming” at the
Taufkirchen Waldbad (outdoor pool with hot water pool). We recommend, therefore, that
you bring swimwear with you.
Money may be deposited in the trust of the house for patients. There is also the possibil-
ity of leaving money for the patients in trust at the unit up to a certain amount.
By giving the patient’s name and the purpose of use you may transfer money to the fol-
lowing accounts:
Bank für Sozialwirtschaft (sort code: 700 205 00, A/C no.: 8 890 400)
Kreis- und Stadtsparkasse Erding-Dorfen (sort code: 700 519 95, A/C no.: 200 535)
For smaller purchases there is a kiosk available at the hospital. Other shops are about
5 minutes’ walk away (clothing, food, drugstore, opticians).
For € 5 per day a telephone and television can be installed in the patient’s own room. It
is also possible to watch television in the living room and smoker’s room. Patients can
be reached over the patient’s telephone on Phone +49 8084 934-8010 (payphone in the
unit’s corridor).
The unit doctors can be reached on Phone +49 8084 934-305 or via the unit room on
Phone +49 8084 934-242. Due to patient admissions, consultations, examinations and
ward rounds we ask for your understanding that a contact person will not always be
available immediately.
The senior physician, Prof. Matthias Dose, is available to talk to daily between 8:00 and
8:30 a.m. or 1:30 and 2:00 p.m. on Phone +49 8084 934-212.
Taking into consideration the unit’s large catchment area and the resulting long travel-
ling distances, there are no fixed visiting times at the unit. However, please note that
participation in a treatment takes precedent and, therefore, particularly during unan-
nounced visits, waiting times should be allowed for. Please talk to our staff.
During your admission, please bring along the prescription for hospitalisation from your
referring physician. If your place of residence lies outside the districts of Erding and Freis-
ing, and if an ambulance is required, some health insurance companies can sometimes
be awkward regarding reimbursement of transport costs because the nearest hospital
should have been considered. Therefore, obtain a declaration to meet transport costs
from your health insurance provider in advance. Should statutory health insurance com-
panies create problems during the reimbursement of costs for treatment at the Hunting-
ton-Zentrum Süd, the advice centre of the AOK Bayern (Bavarian health insurance fund)
can provide advice (Phone +49 89 630030).
14 15
Munich
Stuttgart
Garmisch-Partenkirchen Innsbruck
Lindau
Nuremberg Regensburg
Passau
Burg- hausen
Salzburg
DeggendorfCzech Republic
Landshut
Erding
Munich Airport
Haag
Rosenheim
Mühldorf
Dorfen
Taufkirchen (Vils)
Velden Vilsbiburg
A 92
A 94
A 95
A 96
A 8
A 8
A 93
A 9
B 15
B 12
B 388
Service Service
How to reach us Advice on the purchase of medical aids
Taufkirchen (Vils) lies at the junction between primary roads 15 (Landshut-Rosenheim)
and 388 (Erding-Passau). You can see the main access routes on the map. You will find
links to route planners on our websites in order to plan your individual journey.
Using public transport, Taufkirchen can be reached by bus or taxi. From Munich you can
take the S -Bahn S6 to Erding, then bus route 561 or 562 to Taufkirchen. Alternatively,
take the train from Munich (East) – Mühldorf to Dorfen. There, take RVO bus route 9403
in the direction of Velden to Taufkirchen bus station. You can get detailed departure
times at www.mvv-muenchen.de
We have had very good experiences with the medical
aids we employ. We are, therefore, pleased to pass on
the details of where to buy them from:
The walking aid we use for immobile patients is the
RCN Walker GW 130 from the manufacturer
RCN-Medizin- und Rehatechnik
Hauptstraße 4
55471 Sargenroth
Phone +49 6761 4158
Fax +49 6761 12974
Web: www.rcn-medizin.de
E-Maill: [email protected]
We recommend the GW 130 pictured because this has
side supports that strengthen the chair and prevent it
from tipping over. You can obtain current prices from the
manufacturer.
On the right: Toilet and shower chair; wide design with
anti-tilt protection
The Halesworth chair, with which our patients are
integrated into unit life, can be ordered directly from the
manufacturer:
Kirton Healthcare Group Ltd.
23 Rookwood Way, Haverhill
Suffolk, CB9 8PB, England
Phone +44 (0) 1440 705352
Fax: +44 (0) 1440 706199
Web: www.kirton-healthcare.co.uk
E-Maill: [email protected]
Detailed product information may be obtained by fol-
lowing the “Adult Seating” link.
Parkplätze
Bräuhausstr.
Veldener Straße
Bräu
haus
str.
Parkplätze
Park
plät
ze
Haus 3a
Haus 2
Haus 1
Haus 4
Haus 4a
Haus 6/6a
Haus 5
Haus 7
Haus 8
Haus 34
Haus 32
Haus 31
Haus 33
Haus 9Haus 10
Haus 11
Haus 18
Haus 19
Haus 17
Haus 12
Haus 14
Haus 15Haus 16
Haus 13
Gutshof Gutshof
Wasserschloss
Haus 3b
Map of the grounds
16 17
Service
A subsequent model was developed under the name Omega (06/04).
Contacting Kirton is very easy. Via email, for example, you can enquire how production
is progressing or find out when delivery will occur. The chair costs around €1,700 and an
additional fleece cover about €150 (as of 02/04). A recommendation from the treat-
ing physician, who prescribes this chair as a medical aid (in the sense of taking part in
community life, stabilisation of drug treatment to prevent falls etc.), is advantageous for
obtaining reimbursement from the health insurers. Please note that the chair is (still) not
contained in the catalogue of recognised medical aids. The NRW as well as the Bavar-
ian State Associations of Deutsche Huntington-Hilfe (German Huntington Help) have
purchased a few chairs to be loaned out. Please contact the DHH centre in Duisburg
(?0203-22915) to enquire about current availability and terms and conditions.
Some health insurance providers have however already approved the chair in the contest
of individual claims settlements (we know of two grants for use in the home and one for
use during hospitalisation – as of 02/04).
On request, we will send you information documents about the chair, a sample order fax
as well as some helpful arguments to use when applying to the health insurers. If you
have any questions regarding this, please call us on ??08084 934-242.
For patients with severe motor restlessness we recom-
mend padding around the bed and, if necessary, the
toilet and washing area. Here we like to work with one
of the local interior decorators. Please contact us for
more details.
On the left: Examples of padding
Supplementary dietThe increased calorific requirements due to Huntington’s disease must be met. A bal-
anced vitamin- and nutrient-rich diet is important. If a conventional diet is insufficient or
if a PEG feeding tube has been inserted, we recommend a liquid supplementary diet. If
necessary, the doctor will attest to the increased calorific requirements of our inpatients
and outpatients and will inform the relevant health insurer about the supplementary diet
(e.g. Fresubin® and Nutrison®).
Persons currently making claims for assistance with living costs may be granted an ad-
ditional greater needs payment (§ 23 (4) BSHG · German Federal Social Security Act).
On the Huntington Zentrum’s website you will find sample forms, which you can discuss
with a doctor you trust.
Advising institutions (in-house training and shadowing)Often there are uncertainties about the clinical picture, about dealing with the behav-
iours of patients or regarding nursing care. We want to bring you closer to our philoso-
phy of “If it helps it’s allowed” and, upon request, we can offer you in-house training in,
for example, using behavioural therapy to deal with individual behaviours or in the key
points of nursing care. We request the current terms and conditions from the unit man-
ager, Mr. Limpert, on Phone +49 8084 934-242. He has already given presentations in
many institutions. We are pleased to arrange in-house observation/shadowing sessions
for institutions. Here you will learn about the operation of the unit and, on request, get
to know the treatments offered. On request, and at a cost, we can reserve a room in the
staff accommodation block for you.
Rooming-in/overnight accommodationWhen medically indicated and when the costs are met by the appropriate health insurer,
family members can be accommodated in the patient’s room. There is an apartment avail-
able for family members from overseas in the staff accommodation block adjacent to the
clinic. Please contact our staff member, Mrs Geilersdorfer, (Phone +49 8084 934-319) to
inquire about the current price of accommodation (bed and breakfast; direct payers).In
addition, the tourist information office in Erding (Phone +49 8122 558488) can provide
information about accommodation in the local area.
More information
Service 18 19
A-Z of Services
Apartment for accompanying personsOvernight accommodation during visits;
please ask for the currently valid room
price (B&B, direct payers)
Occupational therapyWorkshop facilities with materials includ-
ing fabric/sewing, handicrafts, ceramics,
wood, metal, leather and paper; life skills
training (cooking and shopping training);
out-group, newspaper group;
Handicrafts available: masonry, garden-
ing, painting, electrician, metalworking,
dispatcher and catering
ErgotherapyCognitive stimulation, perception training,
coordination as well as practical life and
social skills, orientation training, writing
and endurance exercises, practising
behavioural sequences
Cognitive trainingTraining of attention, concentration,
learning and memory skills as well as
skills in planning and taking action
PhysiotherapyPhysiotherapy focuses on training of pos-
tural control, balance and coordination
training and learning falling techniques.
In the advanced stages of the illness, the
therapy concentrates on tonus regula-
tion, respiration therapy and relaxation.
Various concepts and techniques are used
in the treatments, for example, Bobath,
Hanke E-technique, Schaarschuch-Haase
releasing therapy, McKenzie and FBL
Art therapyStimulation of individually tailored
creative development; mediation of non-
verbal expression; stimulation through
colours and shapes; introspection stimu-
lus; art therapy biography work
Speech therapyTraining of voice and speech functions,
optimisation of the respiratory, phonation
and articulation functional circuits;
Treatment of chewing and swallowing
disorders
Music therapyTargeted training of communication abil-
ity through the medium of music; music-
therapy-based relaxation options promote
self-awareness and the ability to relax;
expression of one‘s own feelings through
the instruments used
Psychological supportPsychotherapy offered in individual and
group sessions for coping with disease,
promoting and acquiring skills, improving
psychosocial skills;
use of relaxation techniques, e.g. auto-
genic training and muscle relaxation;
Neuropsychological diagnosis;
Preparation of behavioural therapy plans
Rooming-inFor relatives upon request when cost are
met by heath insurance company
Pastoral care (on request)Help with coping with illness; personal
assistance with feelings, questions and
doubts
Social counsellingWith assessment of the social case his-
tory, motivational work and, if necessary,
arrangements for continuing treatments;
social counselling (Spectrum); disabled
person’s pass, workplace counselling,
e.g. attempts at reintegration, help with
claiming pensions, planning continuing
care (meals on wheels), day care, care
facilities;
Advice to institutions about clinical pic-
ture and cover for medical aids
Sports therapyObjectives: maintaining and improving
physical well-being; training of circulatory
and respiratory function, mobility, body
posture and balance; Increase in social
contacts depending on disease stage
Methods: stretching exercises, swimming,
apparatus fitness training, posture exer-
cises and lifting exercises while sitting on
exercise mats and passive exercises
A-Z of Services A-Z of Services 20 21
Ther
apy
Tim
etab
le W
ard
N1
Nam
e: _
____
____
____
____
____
____
__
Fro
m: _
____
____
____
____
__
To: _
____
____
____
____
_
Mon
day
Tues
day
Wed
nesd
ayTh
ursd
ayFr
iday
7:30
a.m
.Br
eakf
ast
Brea
kfas
tBr
eakf
ast
Brea
kfas
tBr
eakf
ast
8:30
– 1
1:30
a.m
. OT
Afte
r con
sulta
tion
with
sta
ff8:
30 –
11:
15 a
.m. O
TAf
ter c
onsu
ltatio
n w
ith s
taff
8:30
– 1
1:30
a.m
. OT
Afte
r con
sulta
tion
with
sta
ff8:
30 –
11:
15 a
.m. O
TAf
ter c
onsu
ltatio
n w
ith s
taff
8:30
– 1
1:30
a.m
. OT
Afte
r con
sulta
tion
with
sta
ff
9:15
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peec
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ter c
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10:3
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m.
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war
d10
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– 11
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imm
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11:3
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10:0
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11:3
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m.
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min
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nly
in s
umm
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ter c
onsu
ltatio
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ith s
taff)
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m.
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hLu
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nch
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h
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:30
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00 –
2:3
0 p.
m. O
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ter c
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ith s
taff
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p.m
. OT
Afte
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sulta
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with
sta
ff1:
00 –
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0 p.
m. O
TAf
ter c
onsu
ltatio
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taff
1:00
– 4
:30
p.m
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Afte
r con
sulta
tion
with
sta
ff
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– 2
:00
p.m
.Sh
oppi
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kery
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upAf
ter c
onsu
ltatio
n w
ith s
taff
1:00
– 3
:00
p.m
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oker
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oup
on w
ard
Afte
r con
sulta
tion
with
sta
ff
2:00
– 3
:30
p.m
.Er
goth
erap
y on
war
d1:
00 –
3:0
0 p.
m.
Ergo
ther
apy
on w
ard
1:00
– 2
:00
p.m
.Er
goth
erap
y on
war
d
2:00
– 3
:00
p.m
.Er
goth
erap
y on
war
d14
:15
– 15
:00
Mus
ic th
erap
y on
war
d
5:00
p.m
.D
inne
rD
inne
rD
inne
rD
inne
rD
inne
r
The
ther
apy
in w
hich
you
sho
uld
take
par
t can
be
reco
gnise
d by
the
colo
ured
mar
king
s. O
n M
onda
y an
d Th
ursd
ay m
orni
ngs
spee
ch th
erap
y ta
kes
plac
e in
indi
vidu
al s
essio
ns. T
imet
able
s fo
r rel
axat
ion
exer
cises
and
phy
sioth
erap
y
are
draw
n up
on
an in
divi
dual
bas
is. If
you
are
par
ticip
atin
g in
the
occu
patio
nal t
hera
py (O
T) y
ou w
ill fi
nd o
ut in
ple
nty
of ti
me
in w
hich
gro
up y
ou a
re a
ble
to w
ork.
Fol
low
ing
cons
ulta
tion,
indi
vidu
al e
rgot
hera
py s
essio
ns ta
ke
plac
e in
the
mor
ning
; you
will
rece
ive
the
timet
able
s in
goo
d tim
e.
Our
em
ploy
ees
are
at y
our
disp
osal
in o
rder
to
answ
er a
ny q
uest
ions
.
Therapy Timetable Ward Contacts
| Phone
Prof. Matthias Dose is the hospital’s medical director and
is a psychiatrist and psychotherapist. He is spokesman on
the scientific advisory board for Deutsche Huntingtonhilfe
(German Huntington Help) as well as a member of the World
Federation of Neurology’s Huntington research group.
| +49 8084 934 212
Dr. Ralf Marquard, senior physician and psychiatrist | +49 8084 934 307
Ward physician | +49 8084 934 305
Psychological care | +49 8084 934 449
Limpert Roy, unit management
(Mon, Wed and Fri from 12:30 – 1:00 p.m.)
| +49 8084 934 242
Social counselling | +49 8084 934 269
| or +49 8084 934 242
For outpatient clarification and consultation,
our institutional outpatient department is available
| +49 8084 934 455
WebsitesPlease visit the hospital’s website | iak-kt.de
Please send us an email should you have any questions
or comments: | [email protected]
Please also visit the Deutsche Huntingtonhilfe | dhh-ev.de
(German Huntington Help), where you will find other links
to websites in English.
You can obtain up-to-date scientific information at | www.hdbuzz.net
22 23
© k
bo-IA
K KT
Apr
il 20
12
kbo-Isar-Amper-Klinikum Taufkirchen (Vils)Huntington-Zentrum-Süd (unit N1)
Bräuhausstraße 5
84416 Taufkirchen (Vils)
Germany
Phone | +49 8084 934 242
Fax | +49 8084 934 510
E-Mail | [email protected]
Web | iak-kt.de
Web | huntington-sued.de
Bank details: Bank für Sozialwirtschaft | Sort code: 700 205 00 | A/C no.: 8 890 400
Kreis- und Stadtsparkasse Erding-Dorfen | Sort code: 700 519 95 | A/C no.: 200 535
Authors:Prof. Matthias Dose is the hospital’s medical director and is a psychiatrist and psycho-
therapist. He is spokesman on the scientific advisory board for Deutsche Huntingtonhilfe
(German Huntington Help) as well as a member of the World Federation of Neurology’s
Huntington research group.
Rudolf Dengler (BBA) – nursing manager and long-standing unit manager of the
Huntington Centre.
Carsten Rapsch – the unit’s former graduate social pedagogue.
Michele Schuierer – unit manager of the Huntington Centre from 2005 – 2010.
Roy Limpert – unit manager of the Huntington Centre.
Monika Lackner – nurse and Basal Stimulation® specialist.