Joint Standing Committee on Health & Human Services Report Pursuant to Chapter 61: Resolve, To Ensure Proper Levels of Care for the Elderly and the Disabled

Author(s):  
Mårten Lagergren

RÉSUMÉLes modes de référence de patients entre différents niveaux de soins dans un système local de soins de longue durée pour personnes âgées et handicapées sont décrits et analysés à l'aide des données collectées de 1985 à 1991 dans la commune de Solna grâce au système de contrôle appelé ASIM. Ces références entre niveaux de soins avaient lieu dans les deux sens, mais la fréquence des transferts vers le bas était faible comparée au nombre de transferts vers le haut – en particulier pour les foyers-logements et les résidences-hôtels. Pour tous les niveaux de soins, on a constaté de grandes variations dans le degré d'incapacité des personnes prises en charge, suggérant le charactère non-systématique des procédés d'évaluation lors de l'admission dans les services de soins. Une analyse des changements intervenus avec le temps dans les modes de référence a illustré l'interdepéndence des différents niveaux des soins. La réduction des ressources des services de soins hospitaliers de longue durée a eu pour résultats un arrêt presque total des références à partir des résidences-hôtels et une augmentation générale de l'incapacité moyenne des patients pris en charge.


Author(s):  
Abolghasem Khodadi

At-risk groups are the elderly, the disabled, and women. Some of the reasons for the victimization of at-risk groups are due to their own characteristics. These include financial and emotional dependence, physical, mental and psychological weakness, inability to control and manage property and assets. Other causes of vulnerability and harassment are related to their relatives, social workers and nurses, such as costly care for the elderly and disabled, the inability of their relatives and social worker to care them. This article seeks to provide support for groups at risk of victimization. This article tries to provide health, financial and insurance services to improve the unfavorable situation of these people. With these strategies, the risk of victimization of vulnerable people is reduced.


2020 ◽  
Vol 8 (2) ◽  
pp. 189-202
Author(s):  
Takahiro Miyo

Some evolutionary genetic models that assume pleiotropic constraints among care for old parents and care for infants are developed, in order to examine the evolution of care for the elderly within a population, in which population aging coupled with a tendency toward a decrease in population size is in progress. Not only does this study suggest that high levels of care for old parents could evolve within the population if the cost of care of the elderly is not too heavy, but it also suggests that, if younger generations experience a high cost of elderly care, this behavior might be eliminated from the population, resulting in the loss of high levels of care for infants. It is also suggested that the benefit of the help from the elderly is essential, not only for the behavior of care for old parents to be maintained within the population, but also for population growth, even though there may be a high cost of elderly care. Based on the results obtained, some social issues that some countries, such as Japan, are now, or will be, faced with are discussed.


Background and Aim: This study aimed to understand and analyze the experiences and knowledge of various health professionals, the social area, and an informal caregiver on the integration of care for the elderly in a pandemic context. Method: a qualitative investigation was carried out in which seven participants with distinct but complementary roles in the essence of care participated. Data collection was carried out through the communications of the participants of the seminar “The ping-pong of our elderly – (Re)think, (re)build and Integrate Care” promoted by the Portuguese Association of Integrated Care (PAFIC) within the scope of the VIII Value Conference of the Portuguese Association of Hospital Administrators (APAH). Results: From the participants' perspective, the integration of care in the person's path is fundamental, and for this, it is necessary to strengthen the articulation between the National Health Service and the social. As well as centering care on the person, allied to the community matrix that leads to the transformation of the current organizational model of care, to the change in management models that have remained unchanged for many years. The integration of people's care depends not only on the activity in the health area but is also conditioned by other sectors of activity, and therefore it is important to assess the role that civil society can play in providing care. Conclusions: The COVID-19 pandemic allowed the reflection on the care of older people and how partnerships and articulation strategies between the different levels of care, health, social, and community could be enhanced.


Author(s):  
Pat Conaty

Public-cooperative partnerships – cooperative organisations acting in collaboration with government bodies to involve communities and meet their needs – offer many opportunities to strengthen state-citizen cooperation. This chapter reflects on lessons from past examples of associative democracy and reviews the evidence from new innovations from different countries. In Northern Italy, multi-stakeholder co-operatives provide social care for the elderly, the disabled and marginalised groups, with workers, volunteers, and service users all given a real say. New social contracts in support of public-cooperative partnerships have been drawn up and backed with local authority by-laws in cities such as Ghent and Bologna. In the US, community land trusts have flourished in Vermont and other parts of the country. In Wales, politicians and communities have jointly developed new forms of democratic housing. These diverse examples demonstrate how public-cooperative partnerships can be more widely developed to expand the scope and depth of state-citizen cooperation.


2020 ◽  
Vol 8 (2) ◽  
pp. 189-202
Author(s):  
Takahiro Miyo

Some evolutionary genetic models that assume pleiotropic constraints among care for old parents and care for infants are developed, in order to examine the evolution of care for the elderly within a population, in which population aging coupled with a tendency toward a decrease in population size is in progress. Not only does this study suggest that high levels of care for old parents could evolve within the population if the cost of care of the elderly is not too heavy, but it also suggests that, if younger generations experience a high cost of elderly care, this behavior might be eliminated from the population, resulting in the loss of high levels of care for infants. It is also suggested that the benefit of the help from the elderly is essential, not only for the behavior of care for old parents to be maintained within the population, but also for population growth, even though there may be a high cost of elderly care. Based on the results obtained, some social issues that some countries, such as Japan, are now, or will be, faced with are discussed.


2020 ◽  
Vol 1 (3) ◽  
pp. 43-50
Author(s):  
Firstyono Miftahul Aziz ◽  
Suratini Suratini

For some people, dementia is considered as a disease that is common in elderly, regardless the impact of dementia. Taking care for the elderly with dementia brings stress for the family. It can cause and increase the family burden. Brain vitalization gymnastics is one of the methods to improve memory. The study aims to investigate the effect of brain vitalization activity on dementia incidence in elderly at Budi Luhur Nursing Home of Yogyakarta. The study used Quasi Experimental with Pretest-Posttest control group and randomized sampling system. The samples were taken randomly as many as 26 respondents and were divided into two groups namely 13 respondents of experimental group and 13 respondents of control group. The statistical test used Wilcoxon Match Pairs Test. The result showed that Wilcoxon Match pairs test obtained p value 0,003, which is smaller than 0,005. There is an effect of brain vitalization activity on dementia incidence in elderly at Budi Luhur Nursing Home of Yogyakarta


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