24-hour availability
We are available around the clock, including weekends.
Specialist outpatient palliative care
Professional support.
Familiar surroundings.
We support seriously ill people and their families with expertise, time and humanity. Our aim is to relieve symptoms, provide reassurance and preserve quality of life.
What we do
Support when care becomes complex
SAPV complements care provided by family doctors, nursing and hospice services when symptoms are severe or change rapidly.
Relieving symptoms
For example pain, breathlessness, anxiety, restlessness, nausea or vomiting.
Advice and support
We support patients and relatives with decisions and during crises.
Coordinating care
We coordinate medicines, medical aids and participating services.
Staying at home
We help to avoid burdensome hospital admissions whenever possible.
Connecting partners
We work with family doctors, nursing services, hospice services and other specialists.
How we work together
A person remains a person.
The patient is at the centre of our care. We listen, explain clearly and respect personal decisions, even when a recommendation is not accepted immediately.
Serious situations require seriousness, but not every minute has to feel heavy. A kind word, a light-hearted moment or gentle banter can have a place when it feels right for everyone involved.
When SAPV may help
Typical severe symptoms
These examples provide a simple overview. The medical assessment, legal requirements and the health insurer’s decision are decisive.
Severe pain
Pain remains difficult to control despite treatment or changes significantly.
Neurological, psychological or emotional distress
For example confusion, anxiety, agitation, seizures or severe emotional distress.
Breathing or cardiovascular symptoms
For example breathlessness, fear of suffocation, chest tightness or severe circulatory problems.
Gastrointestinal symptoms
For example nausea, vomiting, bowel obstruction, swallowing problems or distressing abdominal fluid pressure.
Complex wounds or ulcerating tumours
For example open, odorous, bleeding or difficult-to-treat wounds.
Urogenital symptoms
For example urinary problems, bleeding, fistulas or severe kidney problems.
Other severe symptoms
For example severe itching, metabolic imbalance or persistent distressing hiccups.
i Admission is governed by statutory rules and the SAPV directive. A medical prescription is required. The health insurer decides whether the service is approved and may seek advice from the Medical Service, known as MD and formerly MDK. For people with statutory health insurance, approved SAPV services are paid for by the health insurer.
How to reach us
One call is enough to make initial contact.
- Call us.Use our 24-hour number, including at weekends.
- We advise you.A specialist nurse discusses the situation and can visit you if needed.
- We clarify eligibility.We coordinate the requirements with the prescribing practice and the health insurer.
- You retain a familiar contact.Outside a nurse’s duty hours, calls are automatically forwarded to the nurse on duty.
Our team
Committed, qualified and approachable
Our core team consists of eight specialist nurses and three doctors. Additional doctors, specialists and cooperation partners support care. The high level of qualification of our nurses enables short communication channels and flat hierarchies. For many patients, the nurses are their trusted contacts.
Specialist nurses
Depending on the duty rota, another colleague may support you. This allows you to get to know the team and perhaps discover a friendly nickname or two, always respectfully and only when it feels right for everyone.
Medical team
Monique Salchow-Gille
Specialist in Internal Medicine · Palliative Medicine · Social Medicine · Geriatrics · Rehabilitation Medicine · Emergency Medicine · Medical Quality Management
Dr. med. Christian Bauer
Specialist in General Practice · Palliative Medicine · Emergency Physician · Travel Medicine · Lieutenant Colonel (Reserve)
Dr. med. Uwe Kohn
Specialist in General Practice · Palliative Medicine · Homeopathy · Natural Medicine · Manual Therapy · Occupational Medicine · Addiction Medicine · Lieutenant Colonel (Retired)
Also supporting us: resident doctors, cooperating doctors, specialists and healthcare service providers.
Why SAPV Friedland?
Many people wish to remain in familiar surroundings for as long as possible. Our team helps patients and families gain confidence and reduce burdens. Together, we look for solutions that suit the individual situation.
FAQ
Frequently asked questions
Who can receive SAPV?
People with an incurable, progressive illness, limited life expectancy and particularly complex care needs may be eligible. Each case is assessed individually.
Do I need a hospital admission?
No. SAPV is outpatient care designed to support care in familiar surroundings.
Do I have to change my family doctor?
No. SAPV complements existing care and coordinates with the professionals already involved.
Are there any costs?
For people with statutory health insurance, approved SAPV services are paid for by the health insurer.
Can I call at weekends?
Yes. Our 24-hour number is also available at weekends.
Can I choose another SAPV team?
Your right to choose matters to us. Please clarify the specific service and area with your health insurer and chosen team.
How does the on-call service work?
Call the central number. Calls to a nurse’s personal work phone are automatically forwarded to the nurse on duty outside working hours.
Work with SAPV Friedland
Work independently. Carry responsibility together.
We value professional expertise, autonomous work, short decision paths and respectful cooperation. Training and teamwork are part of good palliative care.
Your feedback
What would you like to tell us?
Please do not submit medical findings, diagnoses, emergencies or particularly sensitive health data. For medical matters, use our 24-hour number.