Working Hours



Switchboard +420 597 371 111

+420 597  371  111
+420 738  141  111


Old age is the period of life during which the development of human personality should continue. Mostly, elderly people are self-sufficient and keep good psychical condition until the last days of their life. Dependency on other person's assistance comes due to a disease, which may be both psychic and somatic (physical).

Nevertheless, even in the situation of dependency on other person's care it is necessary that elderly citizens keep no only all their rights and freedoms but also that they have the opportunity to exercise them like the other citizens. They should remain in their original environment, in contact with other generations.

The purpose of this privilege charter is to remind of and recognize the dignity that should be enjoyed by elderly citizens with limited self-sufficiency, It should remind of their rights and recognize them.

Article I (freedom to choose)

Each citizen with limited self-sufficiency has the right to choose his/her style of life. They must use the autonomies according to their physical and psychical possibilities even at the price of certain risk. It is necessary, however, that they are informed of the risk and adapt to it the environment they live in. The family and nursing persons should respect their choice.

Article II (household and environment)

The environment in which an elderly citizen with limited self-sufficiency lives (whether their household or other facility) should respect their choice and should be adapted to their needs.

It is necessary that these people can remain in their domestic environment as long as possible. The arrangement, equipment and furnishing of their household should correspond accordingly.

The possibility to stay at home may reach its limits, it is therefore necessary that these people may decide for an alternative decision, which is most frequently the stay in an institution. The frequent cause of why it is necessary to choose the stay at institution is a psychic disease (most frequently demency). In this case it is necessary that the patient and their family always choose based on the patient's needs. The objective is to provide for both psychic and mental comfort and quality life. Therefore, these facilities should be arranged to meet the needs of private life. The facility should be accessible, safe and should provide for good orientation.

Article III (social life with a handicap)

All the people who are in consequence of their disease dependent on assistance and care of others should have the guarantee of freedom to communicate freely, to move around without restrictions and participate in social life.

City planners should take the ageing of population into consideration when planning the city development. Public transport and areas should be adapted to modified needs of handicapped persons.

All elderly citizens should be clearly, understandably and accurately informed about their social rights and legislative amendments that are important for them.

Article IV (presence and role of close persons and relatives)

For citizens with limited self-sufficiency it is essential that they may keep and maintain the existing friendly and relative bonds.

The role of families providing care should be respected socially; they should be supported, particularly from psychological point of view. Institutions as well should care for co-operation with families of the patients, which is necessary for improvement of the quality of their life. Where there is no family, it is necessary that professionals or volunteers take over its role.

It is necessary that these people may choose and live their intimate relationships as well.

Article V (property)

All elderly persons with limited self-sufficiency have their indisputable right to retain their personal and real property.

They may dispose of such property alone except for cases where the court has decided otherwise. If these people are unable to bear the cost of their handicap, assistance should be given to them.

Article VI (active life)

It is necessary to enable all elderly citizens dependent on assistance and care of other persons to preserve their existing activities as long as possible.

The need of creative expression and involvement persists even in a situation of heavy physical and mental disorder. It is necessary to create centres to deal with this issue. Activities should not be a stereotype; they should respect the wishes of elderly citizens. Degrading elements should be avoided when drafting the activities.

Article VII

Each elderly person with limited self-sufficiency must have the opportunity to participate in religious or philosophical activities according to their own will and choice.

Each facility should respect this need and allow for it both as to room and access of representatives of various churches and religions.

Article VIII

Old age is a physiological - normal condition. Lack of self-sufficiency is always a consequence of physical or psychical disease. Some of these conditions of disease may be prevented. Therefore, it is necessary to advocate such medical procedures that result in prevention of the lack of self-sufficiency.

Methods using which it is possible to prevent these conditions should be the subject of information intended to wide public, particularly to elderly citizens.

Article IX

Each person with affected self-sufficiency should have access such services they need and which are useful for them.

By no means should they become mere passive recipients of services, either at the facility or at home. Approach to services should be subject to individual needs of the patient. No age discrimination may occur. Services include all medical and other expert health-related activities; they should be adapted to elderly people's needs, not the other way round.

The objective is the improvement of the patient's quality of life and alleviation of bothering symptoms, such as pain, improvement or maintenance of good mental condition, return of hope.

Institutions in general (hospitals as well) should have staffing, material and architectural equipment adequate for admission of elderly citizens, even those mentally ill.

All administrative measures resulting in unnecessary waiting for the relevant service must be eliminated - they are in fact on of the forms how elderly people are mistreated.

Article X

Anyone working with elderly patients should be trained in gerontology on the level adequate to their profession. The training must be initial and continuous, it should deal with specialities of the diseases and needs of elderly patients.

All professionals should have the opportunity to analyse their attitudes and practical approaches in co-operation with a psychologist.

Article XI (respect at the end of life)

The patient in terminal phase of disease as well as their family should be given care, assistance and support.

As a matter of course, serious conditions must not be replaced for conditions unavoidably leading to death. Refusal of therapy by patients having hope of curing is the same mistake as bothering and redundant treatment of a person in terminal phase of an incurable disease. When the death approaches inevitably, the patient must be surrounded with care and attention adequate to their condition. It means sensitive accompanying, alleviation from all unpleasant psychic and physical symptoms accompanying this condition. Dying people should end their life as naturally as possible, in circle of their close persons, with respect to belief and wishes of the dying.

Nursing persons should be able to accompany the patient, but also their family during the period before and after the death.

Article XII (research: priority and obligation)

Multidisciplinary research of ageing and all aspects and connections of ageing should be the priority.

Only research will allow for better knowledge of disorders and diseases relating to ageing; this will also lead to their better prevention. Research should include, apart from biomedical disciplines, also humanist and economic aspects. Development of such research should result in improved quality of life of persons with limited self-sufficiency, in alleviation of their suffering. It should also result in economic effect.

Article III (exercise of right and legal protection of persons with limited self-sufficiency)

Every person with limited self-sufficiency must enjoy the protection of their rights and personality.

Article XIV (information, the best means of fighting the exclusion)

The public should be effectively informed of difficulties that people with limited self-sufficiency encounter.

This information should be distributed as much as possible. Ignorance and lack of knowledge too often result in social exclusion of people who could and wish to use their preserved abilities to participate in social life.

Exclusion may result firstly in disrespecting of rightful needs of the patients, but secondly also in redundant infantilising and disabling care.

Often the possibilities or types of services are not known, not even to the professionals. To give title to the real situation, point out this problem in its entire complexity and make the public acquainted with it is a significant step to prevention of social exclusion of elderly people with limited self-sufficiency.

If our society and all its members respect that elderly people with limited self-sufficiency have absolutely the same rights and the same dignity of human life as the other adult members of the society, the mission of this charter will be fulfilled.

The charter of rights and freedoms of elderly citizens in need of care and assistance of other person has been prepared by the French National Foundation for Gerontology in co-operation with the French Ministry of Labour and Social Affairs in 1966.

Where you can find us?


Fakultní nemocnice Ostrava
17. listopadu 1790, 708 52 Ostrava-Poruba
GPS: 49° 49' 36" N / 18° 09' 40" E
Phone: +420 597 371 111, E-mail:

Visiting hours

Each day from 3.00 p.m. to 6.00  p.m.

Map of the Premises