{"id":111144,"date":"2024-12-19T10:48:15","date_gmt":"2024-12-19T09:48:15","guid":{"rendered":"https:\/\/kosovotwopointzero.com\/te-harruar-nga-sistemi-ne-duar-te-familjareve\/"},"modified":"2026-01-08T16:06:42","modified_gmt":"2026-01-08T15:06:42","slug":"forgotten-by-the-system-and-left-in-the-hands-of-family","status":"publish","type":"post","link":"https:\/\/archive.kosovotwopointzero.com\/en\/forgotten-by-the-system-and-left-in-the-hands-of-family\/","title":{"rendered":"Forgotten by the system and left in the hands of family"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"111144\" class=\"elementor elementor-111144 elementor-111078\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-56fab9a elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"56fab9a\" data-element_type=\"section\" 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lang=\"sr\">B\/C\/S<\/span><\/a>\n\t\t\t\t\t<\/li>\n\n\t\t\t\t\t\t\t<\/ul>\n\n\t\t<\/li>\n\n\t<\/ul>\n<\/div>\n<\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fe24e1d elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"fe24e1d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c72d5a0\" data-id=\"c72d5a0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-82d8b97 elementor-widget elementor-widget-image\" data-id=\"82d8b97\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img width=\"2100\" height=\"1476\" src=\"https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Feature-Photo-Qendresa-Kastrati.jpg\" class=\"attachment-full size-full wp-image-110536\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Feature-Photo-Qendresa-Kastrati.jpg 2100w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Feature-Photo-Qendresa-Kastrati-300x211.jpg 300w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Feature-Photo-Qendresa-Kastrati-1024x720.jpg 1024w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Feature-Photo-Qendresa-Kastrati-768x540.jpg 768w, 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class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d698f5f\" data-id=\"d698f5f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c3af5df elementor-align-center elementor-mobile-align-center elementor-widget elementor-widget-button\" data-id=\"c3af5df\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xs\" href=\"https:\/\/kosovotwopointzero.com\/en\/in-depth\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">IN DEPTH<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-77af5af elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"77af5af\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6fd7f1a\" data-id=\"6fd7f1a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6c8cb0e elementor-widget elementor-widget-heading\" data-id=\"6c8cb0e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Forgotten by the system and left in the hands of family<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-de7e91b elementor-widget elementor-widget-heading\" data-id=\"de7e91b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Without palliative care, people with advanced chronic and malignant diseases rely entirely on their family members.<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e9f536b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e9f536b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1d84c73\" data-id=\"1d84c73\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e008302 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"e008302\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-73cfd51 elementor-widget elementor-widget-heading\" data-id=\"73cfd51\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">By <a href=\"https:\/\/kosovotwopointzero.com\/en\/author\/dianabasholli\/\" style=\"border-bottom: 1.3px solid yellow;\" target=\"_blank\"> Diana Basholli <\/a>  | December 19, 2024<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7ec103d elementor-shape-square e-grid-align-left elementor-grid-0 elementor-widget elementor-widget-social-icons\" data-id=\"7ec103d\" data-element_type=\"widget\" data-widget_type=\"social-icons.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-social-icons-wrapper elementor-grid\">\n\t\t\t\t\t\t\t<span class=\"elementor-grid-item\">\n\t\t\t\t\t<a class=\"elementor-icon elementor-social-icon elementor-social-icon-facebook elementor-repeater-item-5e387e1\" href=\"https:\/\/www.facebook.com\/Kosovo2.0\/\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-screen-only\">Facebook<\/span>\n\t\t\t\t\t\t<i class=\"fab fa-facebook\"><\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"elementor-grid-item\">\n\t\t\t\t\t<a class=\"elementor-icon elementor-social-icon elementor-social-icon-twitter elementor-repeater-item-7ae3a81\" href=\"https:\/\/twitter.com\/kosovo2point0\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-screen-only\">Twitter<\/span>\n\t\t\t\t\t\t<i class=\"fab fa-twitter\"><\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"elementor-grid-item\">\n\t\t\t\t\t<a class=\"elementor-icon elementor-social-icon elementor-social-icon-instagram elementor-repeater-item-8daffd8\" href=\"https:\/\/www.instagram.com\/kosovo2point0\/\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-screen-only\">Instagram<\/span>\n\t\t\t\t\t\t<i class=\"fab fa-instagram\"><\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2664d45 elementor-widget-divider--view-line_text elementor-widget-divider--element-align-center elementor-widget elementor-widget-divider\" data-id=\"2664d45\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-23aef14 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"23aef14\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-98de8fc\" data-id=\"98de8fc\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-02d29d7 elementor-widget elementor-widget-text-editor\" data-id=\"02d29d7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">In his early 20s, Ismet Pajaziti began working at Prishtina\u2019s iconic landmark, the Palace of Youth and Sports, commonly known then and now as Boro-Ramizi. He was hired as a security guard in the building, which had opened its doors just five years earlier, in 1977, becoming one of the capital\u2019s most renowned structures.<\/span><\/p><p><span style=\"font-weight: 400;\">At his new job, he worked long hours \u2014 often up to 12 hours a day \u2014 with very few days off. However, the demanding schedule did not diminish his love for the job, which he recalls today with great nostalgia.<\/span><\/p><p><span style=\"font-weight: 400;\">\u201cI never got tired. If they asked me today, I would still come back,\u201d said Pajaziti, who is now 66 years old.<\/span><\/p><p><span style=\"font-weight: 400;\">However, in 2016, at the age of 58, Pajaziti began experiencing health problems. He started having difficulty breathing and soon needed an oxygen machine. Initially, the early signs of illness did not stop him from continuing his exhausting work \u2014 patrolling the stadium and the shopping mall for 12 hours a day without rest.<\/span><\/p><p><span style=\"font-weight: 400;\">\u201cBefore, I worked 12 hours and used the oxygen machine for only three,\u201d said Pajaziti. However, after COVID-19 affected his lungs, he had to retire early in 2021.<\/span><\/p><p><span style=\"font-weight: 400;\">\u201cAugust 25 of this year marks three years since I\u2019ve been in isolation,\u201d he said.<\/span><\/p><p><span style=\"font-weight: 400;\">Since then, Pajaziti has breathed through a nasal cannula connected to a long plastic tube attached to an oxygen machine. People with chronic lung conditions, such as respiratory insufficiency, often rely on oxygen delivered to their bloodstream through a nasal cannula connected to a portable oxygen concentrator. This device extracts air from the surrounding environment and converts it into condensed oxygen.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9b58363 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9b58363\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-960b671\" data-id=\"960b671\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-488f648 elementor-widget elementor-widget-image\" data-id=\"488f648\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img width=\"2100\" height=\"1476\" src=\"https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-3-Photo-Qendresa-Kastrati.jpg\" class=\"attachment-full size-full wp-image-110521\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-3-Photo-Qendresa-Kastrati.jpg 2100w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-3-Photo-Qendresa-Kastrati-300x211.jpg 300w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-3-Photo-Qendresa-Kastrati-1024x720.jpg 1024w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-3-Photo-Qendresa-Kastrati-768x540.jpg 768w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-3-Photo-Qendresa-Kastrati-1536x1080.jpg 1536w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-3-Photo-Qendresa-Kastrati-2048x1439.jpg 2048w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-3-Photo-Qendresa-Kastrati-326x229.jpg 326w\" sizes=\"(max-width: 2100px) 100vw, 2100px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Ismet Pajaziti, resting against the sofa, spends his days between watching television and sitting on the small balcony overlooking the street in Prishtina's Taslixhe neighborhood. Photo: Qendresa Kastrati \/ K2.0<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-48035c1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"48035c1\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9ae44be\" data-id=\"9ae44be\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-58eb7ee elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"58eb7ee\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">The placement of these devices in Pajaziti&#8217;s apartment \u2014 one in the living room, one in the bedroom and one in the bathroom \u2014 also limits his space of movement. His days pass slowly, divided between time spent in front of the television and gazing at the world from a small balcony overlooking the street, accompanied by the voices of children from the school in front.<\/span><\/p><p><span style=\"font-weight: 400;\">\u201cWithout the oxygen cannula, I can stay for 40 minutes, an hour at most. When I walk without an oxygen mask, it drops to 65%,\u201d said Pajaziti. In healthy individuals, normal blood oxygen levels, or oxygen saturation, range from 95% to 100%. When levels drop below 90%, it signals that the body is not getting enough oxygen. A saturation of 65% indicates a critical lack of oxygen.<\/span><\/p><p><span style=\"font-weight: 400;\">The limited movement due to breathing difficulties has brought new health problems \u2014 he now also experiences fatigue and numbness in his legs. The lack of an elevator in his five-story apartment building in the Taslixhe neighborhood, across from the Gjergj Fishta primary school in Prishtina, further limits his mobility and increases his isolation.<\/span><\/p><p><span style=\"font-weight: 400;\">&#8220;At least when you&#8217;re in prison, you know you&#8217;re in prison and can&#8217;t get out,&#8221; he said.<\/span><\/p><p><span style=\"font-weight: 400;\">Due to his health condition and mobility restrictions, he receives home care services provided by the Family Medicine Center (FMC) XI in Prishtina. Almost every week, Pajaziti is visited by a medical team of family medicine specialists, general practitioners and nurses.<\/span><\/p><p><span style=\"font-weight: 400;\">They measure his blood pressure and oxygen levels and administer corticosteroid injections to reduce lung inflammation and ease breathing.<\/span><\/p><p><span style=\"font-weight: 400;\">Every other hour and day of the week, his wife, Salihje Pajaziti, who is also 66, takes care of him. They live alone and have been married for 44 years.<\/span><\/p><p><span style=\"font-weight: 400;\">&#8220;If I hadn&#8217;t had my wife, I don&#8217;t know what I would have done. I would have died alone,&#8221; said Ismet. &#8220;When someone visits us to relieve our boredom, we talk about the conversation with them for another two weeks.&#8221; Next to him, Salihje nods.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1809fcd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1809fcd\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2f39803\" data-id=\"2f39803\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-512996c elementor-widget elementor-widget-image\" data-id=\"512996c\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img width=\"2100\" height=\"1476\" src=\"https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-4-Photo-Qendresa-Kastrati.jpg\" class=\"attachment-full size-full wp-image-110515\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-4-Photo-Qendresa-Kastrati.jpg 2100w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-4-Photo-Qendresa-Kastrati-300x211.jpg 300w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-4-Photo-Qendresa-Kastrati-1024x720.jpg 1024w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-4-Photo-Qendresa-Kastrati-768x540.jpg 768w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-4-Photo-Qendresa-Kastrati-1536x1080.jpg 1536w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-4-Photo-Qendresa-Kastrati-2048x1439.jpg 2048w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-4-Photo-Qendresa-Kastrati-326x229.jpg 326w\" sizes=\"(max-width: 2100px) 100vw, 2100px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Salihja takes care of Ismet every day, being his only companion and support. Photo: Q\u00ebndresa Kastrati\/K2.0<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-694b44b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"694b44b\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9f2d072\" data-id=\"9f2d072\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3211f78 elementor-widget elementor-widget-text-editor\" data-id=\"3211f78\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Dealing with this health condition is overwhelming not only for patients but also for the family members who care for them. The need to assist with basic activities without external professional support creates social isolation and contributes further to dissatisfaction and fear.<\/span><\/p><p><span style=\"font-weight: 400;\">&#8220;For a woman, it&#8217;s very difficult to be both a woman and a man myself. I keep fearing, &#8216;Will he die now? Will he die now?'&#8221; said Salihja as she rubs Ismet&#8217;s swollen and heavy legs with both hands. &#8220;In the bathroom, when I place him to give him a bath, he doesn&#8217;t remove his oxygen [machine]. I tremble when his oxygen level drops to 60.&#8221;<\/span><\/p><p><span style=\"font-weight: 400;\">The noise of the oxygen equipment, echoing around the four walls of the room, along with the cannulas in his nostrils and around his face, make it difficult for Ismet to sleep.<\/span><\/p><p><span style=\"font-weight: 400;\">Ismet Pajaziti&#8217;s disease is classified as a chronic non-communicable disease (NCD), which, according to the World Health Organization (WHO), are conditions that tend to be long-lasting and generally progress slowly. Additionally, people with NCDs can advance to terminal illness when their condition worsens and curative treatment is no longer effective. Therefore, individuals with malignant diseases and advanced chronic conditions such as cancer, heart, respiratory, or neurological diseases, may benefit from palliative care. Palliative care can be provided anywhere \u2014 at home, in hospitals, or in specialized institutions.<\/span><\/p><p><span style=\"font-weight: 400;\">According to the WHO, palliative care aims to provide comprehensive care for patients whose disease is not responding to curative treatment. The four key components of palliative care \u2014 control of pain and other symptoms, and psychological, social and spiritual support \u2014 aim to enhance the quality of life for patients and their families.<\/span><\/p><p><span style=\"font-weight: 400;\">There is no dedicated palliative care unit in Kosovo. Only the medical and therapeutic aspects of palliative care are provided through the home care service. This leaves hundreds of patients with advanced malignant and chronic diseases that have no cure completely in the care of their families.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a0f5951 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a0f5951\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ccf35cc\" data-id=\"ccf35cc\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-03570ed elementor-widget elementor-widget-image\" data-id=\"03570ed\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img width=\"2100\" height=\"1477\" src=\"https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-9-Photo-Qendresa-Kastrati.jpg\" class=\"attachment-full size-full wp-image-110530\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-9-Photo-Qendresa-Kastrati.jpg 2100w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-9-Photo-Qendresa-Kastrati-300x211.jpg 300w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-9-Photo-Qendresa-Kastrati-1024x720.jpg 1024w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-9-Photo-Qendresa-Kastrati-768x540.jpg 768w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-9-Photo-Qendresa-Kastrati-1536x1080.jpg 1536w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-9-Photo-Qendresa-Kastrati-2048x1440.jpg 2048w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-9-Photo-Qendresa-Kastrati-326x229.jpg 326w\" sizes=\"(max-width: 2100px) 100vw, 2100px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">A daily or weekly visit from Kosovo\u2019s home health service often remains the only support for patients with advanced chronic and malignant diseases. Photo: Q\u00ebndresa Kastrati\/K2.0<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d40dbd2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d40dbd2\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d85f689\" data-id=\"d85f689\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9868592 elementor-widget elementor-widget-text-editor\" data-id=\"9868592\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><b>Lack of law on palliative care leaves burden on families<\/b><\/p><p><span style=\"font-weight: 400;\">Every day of the week, the home medicine service team, wearing uniforms labeled \u201cChronic Service,\u201d visit citizens who are bedridden or immobile due to their health condition. In Prishtina, this service dates back to 1986 as a separate unit within the Main Center for Family Medicine.<\/span><\/p><p><span style=\"font-weight: 400;\">The medical team provides services to patients, including therapy visits, measuring glycemia and oxygen levels, checking vital parameters, assessing neurological reflexes, performing catheterizations and dressing, cleaning, or bandaging wounds. They serve all villages and neighborhoods of Prishtina from 7 a.m. to 7 p.m., including weekends and holidays.<\/span><\/p><p><span style=\"font-weight: 400;\">In addition to patients with malignant and chronic diseases, the service team also cares for patients with diabetic foot conditions, lower limb amputations, surgical interventions, injuries from accidents and specific developmental needs.<\/span><\/p><p><span style=\"font-weight: 400;\">During July and August 2024 alone, the number of visits to this service reached 200. The high demand from citizens has overloaded the four medical teams, which operate in 12-hour shifts. As a result, visits are brief, and for patients with malignant diseases or advanced chronic conditions that require comprehensive palliative care, only the medical component \u2014 primarily therapy administration \u2014 is provided.<\/span><\/p><p><span style=\"font-weight: 400;\">Health professionals use an official classification system to assess a person\u2019s level of functioning. If individuals cannot use the toilet, eat, dress, bathe, get out of bed or rise from a chair and walk independently, they lack the basic ability for physical independence. Similarly, if they cannot shop, prepare food, maintain their home, do laundry, manage medications, make phone calls, travel independently, or handle their finances, they lack the ability to live safely on their own.<\/span><\/p><p><span style=\"font-weight: 400;\">A patient&#8217;s level of functioning determines the appropriate level of palliative care, whether it involves coordination with primary care providers, care at the secondary hospital level or hospice care. Hospice is a 24-hour care center staffed by nurses, doctors, religious counselors and social workers, dedicated to supporting individuals with terminal illnesses whose life expectancy is typically limited to three to six months. In such cases, the primary goal is to ensure freedom from pain and distress while preserving mental awareness for as long as possible.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-dcf06be elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"dcf06be\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ace2598\" data-id=\"ace2598\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d69b314 elementor-widget elementor-widget-image\" data-id=\"d69b314\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img width=\"2100\" height=\"1476\" src=\"https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-1-Photo-Qendresa-Kastrati.jpg\" class=\"attachment-full size-full wp-image-110518\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-1-Photo-Qendresa-Kastrati.jpg 2100w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-1-Photo-Qendresa-Kastrati-300x211.jpg 300w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-1-Photo-Qendresa-Kastrati-1024x720.jpg 1024w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-1-Photo-Qendresa-Kastrati-768x540.jpg 768w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-1-Photo-Qendresa-Kastrati-1536x1080.jpg 1536w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-1-Photo-Qendresa-Kastrati-2048x1439.jpg 2048w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-1-Photo-Qendresa-Kastrati-326x229.jpg 326w\" sizes=\"(max-width: 2100px) 100vw, 2100px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Every day, the home care service team visits patients across the Municipality of Prishtina from 7 a.m. to 7 p.m., including weekends and holidays. Photo: Qendresa Kastrati \/ K2.0<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6892e9a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6892e9a\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-577e4aa\" data-id=\"577e4aa\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9c81694 elementor-widget elementor-widget-text-editor\" data-id=\"9c81694\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><a href=\"https:\/\/msh.rks-gov.net\/Documents\/DownloadDocument?fileName=UA%2004-202046929520.6693.pdf\" target=\"_blank\"><span style=\"font-weight: 400;\">In Kosovo, palliative care is regulated by Administrative Instruction No. 04\/2020<\/span><\/a><span style=\"font-weight: 400;\"> and is provided through primary health care institutions. The Ministry of Health, via the Specific Health Grant, allocates funds to municipalities specifically for palliative care. However, beyond this instruction, there is no dedicated law governing palliative care, making Kosovo the only Western Balkan country without such legislation.<\/span><\/p><p><span style=\"font-weight: 400;\">This law would regulate the provision of palliative care not only at the primary level but also at the secondary and tertiary levels. The Ministry of Health told K2.0 that, although palliative care is not specifically governed by any law, this does not mean healthcare institutions are restricted from offering such care. &#8220;On the contrary, they are encouraged to provide palliative care to our patients,&#8221; the ministry\u2019s communications office stated via email.<\/span><\/p><p><span style=\"font-weight: 400;\">The lack of legal regulation for palliative care undermines its delivery \u2014 which should include not only medical care, but also support from psychologists, psychiatrists, social workers and religious counselors \u2014 leaving close family members as the sole support system for patients.<\/span><\/p><p><span style=\"font-weight: 400;\">Such is the case of 50-year-old Kujtim Sahiti, who was diagnosed with multiple sclerosis 13 years ago. Rapid muscle weakness and difficulties with coordination and balance, the primary symptoms of the disease, gradually forced him to transition from using a cane to relying on a wheelchair.\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">In multiple sclerosis, dependence on another person is inevitable and essential. Sahiti receives home care services, including infusion therapy for infections or pain. The responsibility for the rest of his care falls to his 77-year-old mother, with whom he lives.<\/span><\/p><p><span style=\"font-weight: 400;\">&#8220;My hands are numb and weak, especially my right hand and wrist. My hands are very thin,&#8221; said Sahiti. &#8220;I have trouble swallowing, I can&#8217;t hold a spoon with my left hand. My mother feeds me, washes me and moves me from the bed to the wheelchair, and from the wheelchair back to the bed.&#8221;<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a97dec5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a97dec5\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d92760d\" data-id=\"d92760d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9aac6fd elementor-widget elementor-widget-image\" data-id=\"9aac6fd\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img width=\"2100\" height=\"1477\" src=\"https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-6-Photo-Qendresa-Kastrati.jpg\" class=\"attachment-full size-full wp-image-110524\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-6-Photo-Qendresa-Kastrati.jpg 2100w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-6-Photo-Qendresa-Kastrati-300x211.jpg 300w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-6-Photo-Qendresa-Kastrati-1024x720.jpg 1024w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-6-Photo-Qendresa-Kastrati-768x540.jpg 768w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-6-Photo-Qendresa-Kastrati-1536x1080.jpg 1536w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-6-Photo-Qendresa-Kastrati-2048x1440.jpg 2048w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-6-Photo-Qendresa-Kastrati-326x229.jpg 326w\" sizes=\"(max-width: 2100px) 100vw, 2100px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Kujtim Sahiti is cared for by his 77-year-old mother, who lives with him. Photo: Q\u00ebndresa Kastrati \/ K2.0<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-eac0401 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"eac0401\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-23f42f6\" data-id=\"23f42f6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9303ceb elementor-widget elementor-widget-text-editor\" data-id=\"9303ceb\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Meanwhile, pain, chronic fatigue and leg muscle cramps are constant symptoms. Sahiti says he spends most of his time in bed. Due to prolonged immobility, he has developed skin wounds from decubitus, also known as pressure ulcers. These occur when an individual remains in a fixed position for an extended period, causing pressure on specific areas of the body that can narrow blood vessels. Without adequate blood circulation, tissues begin to deteriorate. The appearance of decubitus in immobile individuals is common and can be accompanied by pain, burning or discomfort.<\/span><\/p><p><span style=\"font-weight: 400;\">Additionally, Sahiti experiences urinary and fecal incontinence, which is the loss of muscle control over his bowel and bladder functions. As a result, he needs to wear diapers. To avoid bladder overload, he uses catheters to help remove urine from his body in a controlled manner.<\/span><\/p><p><span style=\"font-weight: 400;\">According to the WHO, although there is currently no cure for multiple sclerosis, treatments can help manage symptoms and improve the quality of life for patients. In multidisciplinary palliative care, the role of the physiotherapist is crucial for patients with multiple sclerosis. As the disease progresses, a physiotherapist assists with exercises to maintain strength, as well as using massage and other techniques to manage muscle spasms and reduce pain. Physiotherapy sessions also help prevent pressure ulcers, by encouraging frequent position changes while in bed.<\/span><\/p><p><span style=\"font-weight: 400;\">Deteriorating physical abilities have made it impossible for Sahiti to move without a wheelchair and have necessitated the adaptation of his home environment. These adaptations include ramps, a railing near the ramps, a makeshift bathroom, a wash cart, wide doors and an electric wheelchair. All were made possible through the efforts of neighbors and the community, who raised funds.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c21782d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c21782d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-017d4ff\" data-id=\"017d4ff\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b0aac8e elementor-widget elementor-widget-image\" data-id=\"b0aac8e\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img width=\"2100\" height=\"1477\" src=\"https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-7-Photo-Qendresa-Kastrati.jpg\" class=\"attachment-full size-full wp-image-110527\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-7-Photo-Qendresa-Kastrati.jpg 2100w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-7-Photo-Qendresa-Kastrati-300x211.jpg 300w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-7-Photo-Qendresa-Kastrati-1024x720.jpg 1024w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-7-Photo-Qendresa-Kastrati-768x540.jpg 768w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-7-Photo-Qendresa-Kastrati-1536x1080.jpg 1536w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-7-Photo-Qendresa-Kastrati-2048x1440.jpg 2048w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-7-Photo-Qendresa-Kastrati-326x229.jpg 326w\" sizes=\"(max-width: 2100px) 100vw, 2100px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Due to mobility difficulties, Kujtim Sahiti's house has been adapted with the help of his neighbors and the community. Photo: Q\u00ebndresa Kastrati \/ K2.0<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3611b27 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3611b27\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8e89240\" data-id=\"8e89240\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4feb05e elementor-widget elementor-widget-text-editor\" data-id=\"4feb05e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Taking care of patients with advanced malignant and chronic diseases often requires significant daily financial expenses, which fall almost entirely on families.<\/span><\/p><p><b>Heavy financial burden<\/b><\/p><p><span style=\"font-weight: 400;\">55-year-old Burbuqe Ruhani, who is from Prishtina, spoke about her 86-year-old mother Nezakete\u2019s battle with metastatic breast cancer. Nezakete passed away in August 2024, just a few days after Ruhani spoke to K2.0.<\/span><\/p><p><span style=\"font-weight: 400;\">At the end of July 2023, Nezakete was diagnosed with breast cancer for the first time. Due to her age and other health issues, doctors recommended immediate surgery.<\/span><\/p><p><span style=\"font-weight: 400;\">However, within a year of surgery to remove a breast tumor, a residual skin lesion grew over time in the affected area, and her health began to deteriorate. During this phase, her left hand developed significant swelling, known as lymphedema, primarily caused by damage to the lymphatic system during surgery.<\/span><\/p><p><span style=\"font-weight: 400;\">She said that the most difficult part of this period was seeing her mother struggle with cognitive disorders, including dementia and hallucinations.<\/span><\/p><p><span style=\"font-weight: 400;\">For Ruhani, the lack of information on how to approach her mother&#8217;s condition made it difficult to care for her. She also spoke about other challenges of going through this experience. &#8220;In general, no one can go through this situation without experiencing stress,&#8221; Ruhani said.<\/span><\/p><p><span style=\"font-weight: 400;\">According to a study published in 2012 on the <\/span><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0749208112000575\" target=\"_blank\"><span style=\"font-weight: 400;\">impact of caregiving on the psychological well-being of family caregivers and cancer patients<\/span><\/a><span style=\"font-weight: 400;\">, a terminal illness can significantly affect the physical, mental and financial well-being of family members. These family members often have unmet needs for information, support and communication.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-062a553 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"062a553\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8974eab\" data-id=\"8974eab\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e6a36ed elementor-widget elementor-widget-image\" data-id=\"e6a36ed\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img width=\"2100\" height=\"1477\" src=\"https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-10-Photo-Qendresa-Kastrati.jpg\" class=\"attachment-full size-full wp-image-110533\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-10-Photo-Qendresa-Kastrati.jpg 2100w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-10-Photo-Qendresa-Kastrati-300x211.jpg 300w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-10-Photo-Qendresa-Kastrati-1024x720.jpg 1024w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-10-Photo-Qendresa-Kastrati-768x540.jpg 768w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-10-Photo-Qendresa-Kastrati-1536x1080.jpg 1536w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-10-Photo-Qendresa-Kastrati-2048x1440.jpg 2048w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-10-Photo-Qendresa-Kastrati-326x229.jpg 326w\" sizes=\"(max-width: 2100px) 100vw, 2100px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">To care for their immobile mother, Burbuqe Ruhani and her family committed to 24-hour caregiving. Photo: Q\u00ebndresa Kastrati \/ K2.0<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7065dc3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7065dc3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3b47ff8\" data-id=\"3b47ff8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-218bead elementor-widget elementor-widget-text-editor\" data-id=\"218bead\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">A palliative care unit would provide important support not only for patients with advanced diseases but also for their families. Psychological support and access to appropriate information regarding the treatment and management of the patients&#8217; symptoms can reduce the burden on family members and improve the quality of life for everyone. In the absence of a comprehensive palliative care service in Kosovo, family members are left to find support on their own.<\/span><\/p><p><span style=\"font-weight: 400;\">After her mother\u2019s cancer advanced, Ruhani and her family took over 24-hour care to stay close to and support her immobile mother. Ruhani, an economist at the Swiss embassy, a mother of two and most recently a grandmother, said that this journey kept her away from her close family and social circle.<\/span><\/p><p><span style=\"font-weight: 400;\">Faced with this difficult task, Ruhani and her family coordinated the care. Ruhani\u2019s sister Lulja took care of their mother from 8 a.m. to 8 p.m., while Ruhani took over from 7 p.m. to 8 a.m..<\/span><\/p><p><span style=\"font-weight: 400;\">Lulja Ruhani mentioned that in addition to her older sister, she also shared 24-hour care with her brother and his wife.<\/span><\/p><p><span style=\"font-weight: 400;\">As a result of a sharp cut to the arm and chest area, the wounds had to be carefully cleaned several times a day. Ruhani said that due to frequent wound drainage, she and her family took over the cleaning themselves and stopped the home care services, which they had previously used for wound management, including cleaning, bandaging and binding. With a limited team, the home care service could not provide assistance more than once a day. Ruhani\u2019s mother needed this service multiple times a day, and the home care service could not meet these needs.<\/span><\/p><p><span style=\"font-weight: 400;\">For patients classified as palliative care, like Pajaziti, Sahiti and Ruhani\u2019s mother, another problem remains: access to full health services. For those who are immobile, transportation to medical visits with specialists, or for specific tests, presents a challenge.<\/span><\/p><p><span style=\"font-weight: 400;\">Ruhani explained how challenging it was to visit doctors and get imaging tests done per their recommendations. If a lung X-ray was required, the whole family would come together to help. In a conversation this summer, Ruhani shared that her family used a taxi service with larger vehicles, as they couldn&#8217;t fit the wheelchair in their own cars. &#8220;My mother is immobile; it takes four of us just to lift her from the bed to the wheelchair,&#8221; she said.<\/span><\/p><p><span style=\"font-weight: 400;\">The head of the Patients&#8217; Rights Association in Kosovo (PRAK), Besim Kodra, said that access to health institutions is difficult, while transportation-related expenses are often not calculated, further burdening family members with additional costs.<\/span><\/p><p><span style=\"font-weight: 400;\">&#8220;It is necessary to ensure access to healthcare institutions, despite the fact that the patients are bedridden. Otherwise, it leads to expenses, and some may even face catastrophic costs,&#8221; said Kodra.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0f8a66f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0f8a66f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-053f7ab\" data-id=\"053f7ab\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c590359 elementor-widget elementor-widget-image\" data-id=\"c590359\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img width=\"2100\" height=\"1477\" src=\"https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-9-Photo-Qendresa-Kastrati.jpg\" class=\"attachment-full size-full wp-image-110530\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-9-Photo-Qendresa-Kastrati.jpg 2100w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-9-Photo-Qendresa-Kastrati-300x211.jpg 300w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-9-Photo-Qendresa-Kastrati-1024x720.jpg 1024w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-9-Photo-Qendresa-Kastrati-768x540.jpg 768w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-9-Photo-Qendresa-Kastrati-1536x1080.jpg 1536w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-9-Photo-Qendresa-Kastrati-2048x1440.jpg 2048w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-9-Photo-Qendresa-Kastrati-326x229.jpg 326w\" sizes=\"(max-width: 2100px) 100vw, 2100px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Expenses for medication, medical visits and other health needs are often covered by family members. Photo: Q\u00ebndresa Kastrati \/ K2.0<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a098898 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a098898\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1fbcf60\" data-id=\"1fbcf60\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ccd9aae elementor-widget elementor-widget-text-editor\" data-id=\"ccd9aae\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">As a result, visits to specialist doctors are often substituted with telephone consultations, explains Sahadete Kelmendi, head of the home medicine unit at Family Medicine Center XI in Prishtina. According to her, this practice often leads to the overprescription of medications and repeated use of the same antibiotic therapy, all without the patient&#8217;s presence or a direct assessment of their condition.<\/span><\/p><p><span style=\"font-weight: 400;\">Istref Plakolli, a family medicine specialist in Podujeva, highlighted the same issue. According to him, specialist doctors prescribe infusion therapy for terminally ill patients over the phone, without prior examinations, sometimes even repeating the same therapy two to three times a day.<\/span><\/p><p><span style=\"font-weight: 400;\">In Kosovo, municipalities such as Obiliq, Drenas, Ka\u00e7anik, Gjakova, Gjilan, Artana and Shtime provide ambulance services to transport immobile patients from their homes to specialist consultations and back.<\/span><\/p><p><span style=\"font-weight: 400;\">But beyond transportation, expenses that family members must cover often exceed their income.<\/span><\/p><p><span style=\"font-weight: 400;\">For Plakolli, a 66-year-old man suffering from respiratory insufficiency, the need for frequent servicing of oxygen equipment to ensure it functions properly adds to the burden of purchasing prescribed medications. This results in expenses that exceed his and his wife\u2019s modest 240 euro pension. Even for Sahiti, accessing healthcare is not always easy.<\/span><\/p><p><span style=\"font-weight: 400;\">Until September 2024, Sahiti received a pension of 150 euros under the Law on the Status and Rights of Paraplegic and Tetraplegic Persons. However, this amount did not cover the cost of a physiotherapist or hygiene products such as diapers, which are very expensive. Additionally, he incurred expenses for changing catheters, paid through private services, as well as for regular drug therapy. After a three-year legal battle, he now receives the full 375 euros provided under this category of the social scheme: 150 euros for himself, 150 euros for his caregiver and 75 euros for medications.<\/span><\/p><p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25680378\/#full-view-affiliation-1\" target=\"_blank\"><span style=\"font-weight: 400;\">According to a 2015 study published in the journal Palliative Medicine<\/span><\/a><span style=\"font-weight: 400;\">, which conducted in-depth interviews with caregivers of terminally ill patients, the costs of caring for a terminally ill patient often push families into debt and, in some cases, bankruptcy. Direct costs to families include transportation, food, and medication, while indirect costs involve loss of employment or absence from work due to caregiving responsibilities.<\/span><\/p><p><span style=\"font-weight: 400;\">Ruhani\u2019s case was similar.<\/span><\/p><p><span style=\"font-weight: 400;\">\u201cWe spend 30 euros a day, as if it were nothing,\u201d she said, listing the items she often needs to have on hand, such as wound cleaning products, waterproof plasters, hygiene products like adult diapers, catheters, painkillers, chronic medications and sometimes, based on doctors\u2019 recommendations, even albumin \u2014 an expensive prescription.<\/span><\/p><p><span style=\"font-weight: 400;\">\u201cWe received 250 euros from the Municipality of Prishtina as aid allocated for cancer patients. That\u2019s how much we spent for just one week on albumin,\u201d Ruhani said. Since 2023, the<\/span><a href=\"https:\/\/insajderi.org\/komuna-e-prishtines-ndan-250-euro-per-grate-me-kancer-te-gjirit-dhe-paciente-me-semundje-kronike\/\" target=\"_blank\"> <span style=\"font-weight: 400;\">Municipality of Prishtina has allocated 250 euros per year<\/span><\/a><span style=\"font-weight: 400;\"> for people suffering from cancer and other serious chronic diseases.<\/span><\/p><p><span style=\"font-weight: 400;\">The director of the oncology clinic at the University Clinic Center of Kosovo (UCCK), Ilir Kurtishi, said that the lack of comprehensive palliative services from public institutions has a significant psychological, physical and financial impact on patients and their families. \u201cIf home services do not provide continuous assistance, which often happens, families in some cases have to resort to private services operating in Kosovo, which come with additional costs,\u201d said Kurtishi.<\/span><\/p><p><span style=\"font-weight: 400;\">Kodra added that the association has received numerous complaints on this matter and that the government should intervene to improve the comprehensive approach to healthcare. Then, patients would be the ones to decide whether they want to use public or private services.<\/span><\/p><p><span style=\"font-weight: 400;\">\u201cWhen the state fails to do its job, it becomes attractive to businesses, and doing business with people who are on the verge of death is, to me, unethical and inhumane \u2014 that&#8217;s what I would call it,\u201d he said.<\/span><\/p><p><span style=\"font-weight: 400;\">Recently, there has been a surge in the offering of private home health services. Over seven operators are advertised on social media, providing home visits by doctors and nurses. Among them, one private operator also has an oncologist on their medical team.<\/span><\/p><p><span style=\"font-weight: 400;\">Meanwhile, <\/span><a href=\"https:\/\/neighbourhood-enlargement.ec.europa.eu\/document\/download\/760aacca-4e88-4667-8792-3ed08cdd65c3_en?filename=SWD_2023_692%20Kosovo%20report_0.pdf\" target=\"_blank\"><span style=\"font-weight: 400;\">the European Commission&#8217;s 2023 Progress Report on Kosovo<\/span><\/a><span style=\"font-weight: 400;\"> estimated that nearly a third of Kosovo&#8217;s population has limited access to healthcare services.<\/span><\/p><p><b>Municipalities without home medical service<\/b><\/p><p><span style=\"font-weight: 400;\">According to the Ministry of Health, home medical service is offered in 30 municipalities nationwide, providing medical care to palliative patients. However, some municipalities do not have this service at all.<\/span><\/p><p><span style=\"font-weight: 400;\">To identify separate units for home medical service, K2.0 conducted a questionnaire for health directorates in all municipalities in Kosovo. The responses revealed that some municipalities do not have a separate unit for home medical service. In these municipalities, immobile patients who need this service are assisted by the emergency department.<\/span><\/p><p><span style=\"font-weight: 400;\">An example is the Municipality of Gjakova, which provides home care services through a 24\/7 emergency service. A similar situation exists in Shtime. Meanwhile, in Drenas, the home care team operates from 8 a.m. to 3 p.m. for palliative care patients.<\/span><\/p><p><span style=\"font-weight: 400;\">According to Kodra, providing emergency home treatment services in certain municipalities risks the treatment of urgent cases.<\/span><\/p><p><span style=\"font-weight: 400;\">&#8220;On both sides, you have two patients at risk \u2014 on one hand, patients with an emergency who have to wait because of a case involving pain, and on the other hand, patients in pain whose emergency treatment may be delayed due to other cases,&#8221; said Kodra.<\/span><\/p><p><span style=\"font-weight: 400;\">Meanwhile, the recommendations from the patients&#8217; association and the home medicine service in Prishtina remain unanimous: palliative care should be established as a separate unit, distinct from chronic care services. The lack of a specific law on palliative care, and the special unit\u2019s dysfunction, separate from both chronic and emergency services, highlight the greatest shortcomings in ensuring full access to healthcare and palliative medications.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2d141e5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2d141e5\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5f424b7\" data-id=\"5f424b7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-114d72c elementor-widget elementor-widget-image\" data-id=\"114d72c\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img width=\"2100\" height=\"1400\" src=\"https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-2-Photo-Qendresa-Kastrati.jpg\" class=\"attachment-full size-full wp-image-110539\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-2-Photo-Qendresa-Kastrati.jpg 2100w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-2-Photo-Qendresa-Kastrati-300x200.jpg 300w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-2-Photo-Qendresa-Kastrati-1024x683.jpg 1024w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-2-Photo-Qendresa-Kastrati-768x512.jpg 768w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-2-Photo-Qendresa-Kastrati-1536x1024.jpg 1536w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-2-Photo-Qendresa-Kastrati-2048x1365.jpg 2048w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-2-Photo-Qendresa-Kastrati-326x217.jpg 326w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/Paliatiave-care-Intext-2-Photo-Qendresa-Kastrati-450x300.jpg 450w\" sizes=\"(max-width: 2100px) 100vw, 2100px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Some municipalities in the country lack a home health service unit altogether. Photo: Q\u00ebndresa Kastrati \/ K2.0<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-813c604 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"813c604\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e283fba\" data-id=\"e283fba\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6ad3941 elementor-widget elementor-widget-text-editor\" data-id=\"6ad3941\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">According to the Law on Local Government Administration, the provision of primary health care services falls under the competence of municipalities. However, the absence of a strategic plan for palliative care from the Ministry of Health, as defined by the legal framework, reveals mismanagement of home care services at the municipal level by non-health institutions. Private companies and religious organizations often fill this gap.<\/span><\/p><p><span style=\"font-weight: 400;\">For example,<\/span><a href=\"https:\/\/zka-rks.org\/Reports\/ReportDetails?reportId=4831\" target=\"_blank\"> <span style=\"font-weight: 400;\">according to the National Audit Office (NAO) for the period 2018-2022<\/span><\/a><span style=\"font-weight: 400;\">, municipalities have paid over 14.5 million euros to religious nongovernmental organizations such as Caritas Kosova (CIK) and Islamic Relief Kosova (IR) to employ health personnel in public centers to provide home care services. The municipalities that purchased home care services from CIK and were included in the audit are Prizren, Ferizaj, Fush\u00eb Kosov\u00eb, Shtime and Obiliq. Meanwhile, the municipality of Gjilan has a partnership with IR. The audit <\/span><a href=\"https:\/\/www.koha.net\/arberi\/nje-komision-i-msh-se-ia-mundeson-kompanise-se-palicencuar-te-ofroje-sherbime-shendetesore\" target=\"_blank\" target=\"_blank\"><span style=\"font-weight: 400;\">highlighted irregularities and a lack of transparency<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p><p><span style=\"font-weight: 400;\">Meanwhile, the Municipality of Drenas purchased home medicine services from a pharmaceutical distributor. However, this distributor<\/span><a href=\"https:\/\/www.koha.net\/arberi\/nje-komision-i-msh-se-ia-mundeson-kompanise-se-palicencuar-te-ofroje-sherbime-shendetesore\" target=\"_blank\" target=\"_blank\"> <span style=\"font-weight: 400;\">was not licensed by the Ministry of Health to provide these services<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p><p><span style=\"font-weight: 400;\">\u201cThis cannot be in accordance with the law,\u201d said Naim Bardiqi, secretary general of the Ministry of Health. \u201cIt is a violation. The municipality must be held accountable for this. Religious organizations and pharmaceutical distributors are not health institutions and are not licensed to provide health services.\u201d<\/span><\/p><p><b>Without sufficient medicines and without hospice<\/b><\/p><p><span style=\"font-weight: 400;\">Another problematic aspect is access to medicines. According to the WHO, a key component of palliative care is access to opioid analgesics for pain relief. Article 11 of the Charter on Patients&#8217; Rights in Kosovo emphasizes the right to avoid suffering and pain: &#8220;Every citizen has the right to avoid, as much as possible, pain and suffering at every stage of their illness.&#8221;<\/span><\/p><p><span style=\"font-weight: 400;\">In Kosovo, the Ministry of Health has managed the supply of palliative medicines through the Essential Medicines List (EML) since 2019. The list includes non-steroidal anti-inflammatory analgesics (non-opioids) and opioid analgesics for pain relief, as well as medications for alleviating terminal symptoms such as inflammation, shortness of breath, constipation, diarrhea, anxiety and reducers of excessive secretions like mucus and saliva.<\/span><\/p><p><span style=\"font-weight: 400;\">In the Municipality of Prishtina, the supply of medicines for patients receiving home care is generally satisfactory. In Drenas, however, the Ministry of Health only supplied 36.42% of the medicines it intended to supply in the first quarter, and it decreased by 20% in the second quarter.<\/span><\/p><p><span style=\"font-weight: 400;\">Meanwhile, in Gjakova, the supply of medicines is 30-40% of the amount targeted in the EML. In Gjilan, there is also no full coverage of medicines, while Artana has confirmed that the level of medicine supply is unsatisfactory. However, with the health directorate&#8217;s budget, they have purchased the necessary quantities of medicines.<\/span><\/p><p><span style=\"font-weight: 400;\">The Ministry of Health provides satisfactory coverage of medicines in Prizren and Podujeva, while Obliq and Ka\u00e7anik reported coverage as \u201cto some extent\u201d and \u201cpartially.\u201d<\/span><\/p><p><span style=\"font-weight: 400;\">The lack of palliative services has forced hundreds of patients to rely on their families for care, and authorities have used this reliance as an excuse for not establishing a hospice center for terminally ill patients.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1b87278 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1b87278\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d3dc94f\" data-id=\"d3dc94f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-623de75 elementor-widget elementor-widget-image\" data-id=\"623de75\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img width=\"2560\" height=\"1800\" src=\"https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/8-1-1-scaled.jpg\" class=\"attachment-full size-full wp-image-111055\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/8-1-1-scaled.jpg 2560w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/8-1-1-300x211.jpg 300w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/8-1-1-1024x720.jpg 1024w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/8-1-1-768x540.jpg 768w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/8-1-1-1536x1080.jpg 1536w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/8-1-1-2048x1440.jpg 2048w, https:\/\/archive.kosovotwopointzero.com\/wp-content\/uploads\/2024\/12\/8-1-1-326x229.jpg 326w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Patients often experience loneliness and isolation, in the absence of a dedicated palliative care unit. Photo: Q\u00ebndresa Kastrati \/ K2.0<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-878cb8e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"878cb8e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-49853cb\" data-id=\"49853cb\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-017dfd9 elementor-widget elementor-widget-text-editor\" data-id=\"017dfd9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">The construction and management of a hospice center involves high costs, and the lack of prioritization for such a center has been justified by the concept of \u201clarge families,\u201d where family members are dedicated to caring for the terminal patient until the last days of life, as was the case for Ruhani\u2019s mother. However, this justification does not consider that families are becoming smaller and smaller, and there are patients who live alone. It also overlooks the fact that family members often provide care because they do not have safer, institutionally guaranteed options.<\/span><\/p><p><span style=\"font-weight: 400;\">In the absence of hospice care, when the deterioration of terminal patients can no longer be managed by primary health care through 12-hour home care and secondary care at the regional hospital level, the only option remains the tertiary level \u2014 UCCK.<\/span><\/p><p><span style=\"font-weight: 400;\">Kurtishi, the oncology clinic director, stated that managing terminal cases alongside those in the curative phase has been a major challenge. &#8220;The oncology clinic is overwhelmed by terminal cases. Since we have limited space and few beds, we have to place patients receiving curative treatment and those in a terminal condition in the same room, and for some privacy, we have separated them with a curtain,&#8221; said Kurtishi.<\/span><\/p><p><span style=\"font-weight: 400;\">Bardiqi, an oncologist and former chairman of the board of UCCK, said that the overload of patients in the oncology clinic is &#8220;wrong and unethical.&#8221;<\/span><\/p><p><span style=\"font-weight: 400;\">&#8220;This should not happen; measures should be taken,&#8221; said Bardiqi. &#8220;This is demotivating. If, for example, an emergency case is received during the night, that cannot be managed, but holding them there for a second and third day is unacceptable to me.&#8221;<\/span><\/p><p><span style=\"font-weight: 400;\">Since 2017, the Ministry of Health has requested that the Western Balkans Investment Framework (WBIF) conducts an evidence-based assessment of palliative care needs at the secondary and tertiary levels for hospice care.<\/span><\/p><p><span style=\"font-weight: 400;\">Bardiqi, who heads the working group for palliative care within the Ministry of Health, said that the WBIF returned an initial report that included comments on the country&#8217;s existing infrastructure for palliative care and the barriers that need to be overcome in this regard.<\/span><\/p><p><span style=\"font-weight: 400;\">According to Bardiqi, the process is currently under approval at the Investment Fund, and the comments mainly relate to the creation of warm corridors and channels to prevent outside infections, as well as the lack of rational use of medical equipment.<\/span><\/p><p><span style=\"font-weight: 400;\">While there is no initiative to create a separate law for palliative care and the establishment of hospice care is still in its initial stages, patients with advanced malignant and chronic diseases must rely on their families and their willingness to continue a life that is at least somewhat normal.<\/span><\/p><p><span style=\"font-weight: 400;\">Sahiti, after a morning burst of energy that lasts one to two hours, tries repeatedly to move from his home in the Kat\u00ebr Llullat neighborhood, to the Pishat cafe in Prishtina for an espresso, using the help of an electric wheelchair.<\/span><\/p><p><span style=\"font-weight: 400;\">As he mutters, hunched in his armchair and clutching his knees, he stares at the wheelchair in the living room. When he stretches his legs out on the table, which he usually does with his mother&#8217;s help, a spasm like an electric shock jolts his muscles, shaking his body strongly.<\/span><\/p><p><span style=\"font-weight: 400;\">&#8220;This is what I experience daily,&#8221; he said as he asked to be left alone.<\/span><\/p><p>\u00a0<\/p><p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p><p><b style=\"letter-spacing: -0.1px;\">Lead editor: Gentiana Pa\u00e7arizi.<\/b><\/p><p><b>Feature Image: Q\u00ebndresa Kastrati \/ K2.0<\/b><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6fecf8d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6fecf8d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b5787f5\" data-id=\"b5787f5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-dace080 elementor-widget elementor-widget-text-editor\" data-id=\"dace080\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p style=\"padding-bottom: 10px; letter-spacing: -0.1px;\"><img loading=\"lazy\" class=\"wp-image-127283 alignnone\" src=\"https:\/\/admin.kosovotwopointzero.com\/wp-content\/uploads\/2025\/10\/EN-Funded-by-the-EU-POS-1.png\" alt=\"\" width=\"229\" height=\"48\" \/><\/p><p style=\"padding-bottom: 10px; letter-spacing: -0.1px;\"><em><span style=\"font-size: 16px;\">This article was published with the financial support of the European Union as part of the project \u201cDiversifying voices in journalism.\u201d Its contents are the sole responsibility of Kosovo 2.0 and do not necessarily reflect the views of the European Union.<\/span><\/em><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7ee595f elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"7ee595f\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9edad77\" data-id=\"9edad77\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7e83493 elementor-widget-divider--view-line_icon elementor-view-default elementor-widget-divider--element-align-center elementor-widget elementor-widget-divider\" data-id=\"7e83493\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon elementor-divider__element\">\n\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" id=\"Layer_1\" x=\"0px\" y=\"0px\" viewBox=\"0 0 659 627\" style=\"enable-background:new 0 0 659 627;\" xml:space=\"preserve\"><style type=\"text\/css\">\t.st0{fill:#FDE801;}\t.st1{fill:#363635;}<\/style><g>\t<path class=\"st0\" 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elementor-element elementor-element-4f52c71 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4f52c71\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-b76d7a7\" data-id=\"b76d7a7\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d8a3944 elementor-widget elementor-widget-global elementor-global-104647 elementor-widget-text-editor\" data-id=\"d8a3944\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong><em>D\u00ebshironi t\u00eb mb\u00ebshtetni gazetarin\u00eb ton\u00eb?<\/em><\/strong><\/p><p>N\u00eb Kosovo 2.0, p\u00ebrpiqemi t\u00eb jemi shtyll\u00eb e gazetaris\u00eb s\u00eb pavarur e me cil\u00ebsi t\u00eb lart\u00eb, n\u00eb nj\u00eb epok\u00eb ku \u00ebsht\u00eb gjithnj\u00eb e m\u00eb sfiduese t\u2019i mbash k\u00ebto standarde dhe ta ndjek\u00ebsh t\u00eb v\u00ebrtet\u00ebn dhe llogaridh\u00ebnien pa u frik\u00ebsuar. P\u00ebr ta siguruar pavar\u00ebsin\u00eb ton\u00eb t\u00eb vazhdueshme, po prezantojm\u00eb HIVE, modelin ton\u00eb t\u00eb ri t\u00eb an\u00ebtar\u00ebsimit, i cili u ofron atyre q\u00eb e vler\u00ebsojn\u00eb gazetarin\u00eb ton\u00eb, mund\u00ebsin\u00eb t\u00eb kontribuojn\u00eb e b\u00ebhen pjes\u00eb e misionit ton\u00eb.<\/p><p><em>An\u00ebtar\u00ebsohuni n\u00eb \u201cHIVE\u201d ose konsideroni nj\u00eb donacion.&nbsp;<\/em><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-76e3923\" data-id=\"76e3923\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-95486e7 elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"95486e7\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/kosovotwopointzero.com\/en\/complete-support\/?type=subscription&#038;package_id=basic&#038;duration=three-month\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Basic<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-32de59a elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"32de59a\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/kosovotwopointzero.com\/en\/complete-support\/?type=subscription&#038;package_id=standard&#038;duration=three-month\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Standard<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cca500d elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"cca500d\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/kosovotwopointzero.com\/en\/complete-support\/?type=subscription&#038;package_id=premium&#038;duration=three-month\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Premium<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e173e83 elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"e173e83\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/kosovotwopointzero.com\/en\/support-us\/\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">One time donation<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>ENG SHQ B\/C\/S IN DEPTH Forgotten by the system and left in the hands of family Without palliative care, people&#8230;<\/p>\n","protected":false},"author":958,"featured_media":110537,"comment_status":"open","ping_status":"open","sticky":false,"template":"elementor_header_footer","format":"standard","meta":[],"categories":[4,1774],"tags":[367,1758],"_links":{"self":[{"href":"https:\/\/archive.kosovotwopointzero.com\/en\/wp-json\/wp\/v2\/posts\/111144"}],"collection":[{"href":"https:\/\/archive.kosovotwopointzero.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/archive.kosovotwopointzero.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/archive.kosovotwopointzero.com\/en\/wp-json\/wp\/v2\/users\/958"}],"replies":[{"embeddable":true,"href":"https:\/\/archive.kosovotwopointzero.com\/en\/wp-json\/wp\/v2\/comments?post=111144"}],"version-history":[{"count":10,"href":"https:\/\/archive.kosovotwopointzero.com\/en\/wp-json\/wp\/v2\/posts\/111144\/revisions"}],"predecessor-version":[{"id":125119,"href":"https:\/\/archive.kosovotwopointzero.com\/en\/wp-json\/wp\/v2\/posts\/111144\/revisions\/125119"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/archive.kosovotwopointzero.com\/en\/wp-json\/wp\/v2\/media\/110537"}],"wp:attachment":[{"href":"https:\/\/archive.kosovotwopointzero.com\/en\/wp-json\/wp\/v2\/media?parent=111144"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/archive.kosovotwopointzero.com\/en\/wp-json\/wp\/v2\/categories?post=111144"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/archive.kosovotwopointzero.com\/en\/wp-json\/wp\/v2\/tags?post=111144"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}