scholarly journals O ping-pong da pessoa mais velha: (Re)pensar a integração de Cuidados

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):  
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.


2006 ◽  
Vol 7 (2) ◽  
pp. 92-99
Author(s):  
Tamara Andreeva ◽  
Alexander Kozyrev ◽  
Stela Bivol

In Russia, charity started developing into a public welfare system after the transition to Christianity. Peter the Great played an important role in establishing the social welfare system. According to his decree from June 8, 1701, “charity houses for beggars, sick people, and elderly” started their existence. During the reign of Catherine II, also known as Catherine the Great, decrees about public welfare were approved at regional levels.


1978 ◽  
Vol 45 (4) ◽  
pp. 163-170
Author(s):  
Myra S. Kennedy

A description of a pilot project in daytime care for the elderly and its results will provide the background for the presentation of the theory named “The Four Wall Syndrome”. This phrase was coined by the author to assist in the evaluation of the Day Care candidates and in the projection of the number of interviews as well as the type of interview techniques used when assessing the candidates for admission to a Seniors' Day Care program. The project began in May 1976, under the auspices of the New Brunswick Provincial Department of Social Services. Statistical proof of the project's success ensured its continuance for a second year. When the grant funds for the second year had been used, the Social Service Department decided to perpetuate Seniors' Day Care in the new package deal of community based services for the elderly in three key areas of New Brunswick. The ability of the program co-ordinator to apply “The Four Wall Syndrome” theory to interviews of candidates would assist in the screening process for admission to the program. It is believed that such a theory could be applicable to other programs for the elderly.


2021 ◽  
Vol 7 (2) ◽  
pp. 194
Author(s):  
Galina V. Kolosova

The increase in life expectancy and the growth of the elderly population in the Russian Federation, including in St. Petersburg, dictates the need for changes in the areas of social services and health care. This is not surprising, aging today has become a global process that has different mechanisms of formation and differs by country and territory. But the sociological theoretical study of the topic of aging is still insufficient. European states rely on demographic trends, which determine a new approach to assessing the available resources, prospects for the development and improvement of social service systems in the direction of long-term care for the elderly. It is important, while maintaining continuity in the work of the social services established in the 1990s, to actively include the family, NGOs and volunteerism in the development of these institutions. The purpose of this article is to analyze the achievements and barriers to the institutional development of long - term care for the elderly in St. Petersburg. Methodically, the article is based on the analysis of legal acts regulating the development of long-term care, mainly in St. Petersburg. For the care system to take shape, it requires the participation of families, NGOs and volunteer resources, as well as the study of the best Russian and international experience.


2016 ◽  
Vol 31 (2) ◽  
pp. 169-182
Author(s):  
Thomas G. Long

AbstractChristian sermons characteristically result from the interaction of a biblical text and the social and cultural contexts in which the sermon is created and into which it is spoken. In this regard, biblical texts are understood not as containers of unchanging truth but as fields of meaning capable of yielding different insights in each new context, and sermons constitute oral performances of these insights. As a test case, American Christian sermons based upon the so-called fifth commandment (“Honor your father and your mother …”) were examined from two time periods: 1960–1980 and 2000–present. In the earlier period, a time of anxiety about changing norms of social authority, the sermons typically presented the fifth commandment as addressed to young children, calling them to obey their parents. In the later period, a time when the large baby boomer generation is increasingly assuming care for aging parents, the sermons typically presented the fifth commandment as addressed not to youth but rather to adults charged with the responsibility to care for the elderly. While understanding the fifth commandment as addressed to adult children is probably closer to the original meaning of the text, both audiences for the commandment (adult children and youthful children) are within the field of meaning of the text and, indeed, both understandings find expression elsewhere in scripture.


1996 ◽  
Vol 8 (S1) ◽  
pp. 137-139 ◽  
Author(s):  
Margareta Grafström

The general aims for the care of the elderly in Sweden are to ensure financial security, good housing, service, and care for the elderly. In this regard, two pieces of recent legislation apply: the Social Service Act of 1982 and the Health and Medical Services Act of 1983. The 1982 act emphasizes the right of the individual to receive public service and help at all stages of life; the 1983 act is intended to maintain a good standard of health and to provide care on equal terms for all. In summary, both laws emphasize that help is to be given to everyone who needs help to support himself or herself in everyday needs. Further, this help should be given in as normal a setting as possible. This means that society should help the elderly to remain in their homes for as long as possible, and that the integrity and autonomy of the elderly should be preserved in the home-care environment.


2011 ◽  
Vol 5 (8) ◽  
pp. 1905 ◽  
Author(s):  
Luciana Araújo dos Reis ◽  
Alessandra Campos Brasileira ◽  
Gilson De Vasconcelos Torres ◽  
Luana Araújo dos Reis ◽  
Claudio Henrique Meira Mascarenhas

ABSTRACT Objective: to ascertain the relationship between caring for the elderly and the social status and health of the caregiver. Method: it`s about a descriptive character study with transversal delineation, with 20 guards of aged ones registered in the extension project: “Aged`s health in the family, asylum and community: living in a social support net in the care to the aged one”, from the Southwestern State University of Bahia. As instrument was used a Questionnaire of Evaluation of the Guard. The data were analyzed and grouped into three categories: the elderly and the need for caution, care and its influence on the caregiver's life, and management of care for the elderly. This research was approved by the Ethics in Research of the State University of Southwest Bahia (Protocol No. 061/2007). Results: it was verified that 18 of the guards were of the feminine sex, 13 of the guards never had time to take care of themselves, 12 felt negative influence of the care process in their health, and 16 presented some limitation in their social life. Conclusions: in this perspective, it`s necessary that strategies of care to the guard`s health are created to improve the life`s quality of these people and, surely, the aged ones attended for them. Descriptors: aged one; guard; daily life.RESUMO Objetivo: averiguar a relação entre o cuidado ao idoso e o estado social e de saúde do cuidador. Método: trata-se de um estudo de caráter descritivo com delineamento transversal, com 20 cuidadores de idosos cadastrados no projeto de extensão: Saúde do idoso na família, asilo e na comunidade: vivenciando rede de suporte social no cuidado ao idoso, da Universidade Estadual do Sudoeste da Bahia. Como instrumento foi utilizado um Questionário de Avaliação do Cuidador. Os dados foram analisados e agrupados em três categorias: o idoso e a necessidade de cuidado, o cuidado e a sua influencia na vida do cuidador, e o gerenciamento do cuidado ao idoso. Esta pesquisa foi aprovada pelo Comitê de Ética em Pesquisa da Universidade Estadual do Sudoeste da Bahia (Protocolo nº061/2007). Resultados: os dados foram analisados de maneira descritiva e agrupados em três categorias: o idoso e a necessidade de cuidado, o cuidado e a sua influência na vida do cuidador, e o gerenciamento do cuidado ao idoso. Verificou-se que 18 dos cuidadores eram do sexo feminino, 13 dos cuidadores nunca tinham tempo para cuidar de si, 12 sentiam influência negativa do processo de cuidar em sua saúde, e 16 apresentavam alguma limitação em sua vida social. Conclusão: nesta perspectiva, faz-se necessário que estratégias de cuidado à saúde do cuidador sejam criadas no sentido de melhorar a qualidade de vida destes indivíduos e, consequentemente, dos idosos assistidos por eles.  Descritores: Idoso; cuidador; vida cotidiana.RESUMENObjetivo: determinar la relación entre el cuidado de los ancianos y la situación social y la salud del cuidador. Método: este es un estudio descriptivo, con diseño cruzado, con 20 cuidadores de adultos mayores inscritos en el proyecto de ampliación: la salud de las personas mayores en la familia, el asilo y la comunidad: la experiencia de apoyo social en el cuidado de ancianos, la Universidad Estatal del Oeste Bahía. Instrumento fue utilizado como un cuidador de Evaluación Cuestionario. Los datos fueron analizados de forma descriptiva y se agrupan en tres categorías: los ancianos y la necesidad de cuidado, atención y su influencia en la vida del cuidador, y la gestión de la atención a las personas mayores. Resultados: se encontró que 18 de los cuidadores eran mujeres, 13 de los médicos nunca han tenido el tiempo para cuidar de sí mismos, el 12 consideró el impacto negativo de cuidar de su salud, y el 16 tienen alguna limitación en su vida social. Conclusiones: desde esta perspectiva, es necesario que las estrategias de atención de la salud de su cuidador que se creó para mejorar la calidad de vida dede las personas y, en consecuencia, los ancianos que atienden. Descriptores: ancianos; encargado del cuidado; la vida cotidiana.


1981 ◽  
Vol 139 (3) ◽  
pp. 226-229 ◽  
Author(s):  
Irene M. K. Ovenstone ◽  
Philip T. Bean

SummaryA medical, psychiatric and social assessment was conducted on 272 residents admitted consecutively to local authority residential care for the elderly in Nottingham in the year ending 31st January 1978. A high level of medical and psychiatric pathology was discovered, in spite of frequent general practitioner contact in the community and recent hospital admissions. Few of the staff in the old people's homes were sufficiently qualified to deal with the medical and psychiatric conditions of the residents only a third of whom had been examined by a general practitioner during the month after admission. The social service provision in the community showed an uneven pattern and did not appear to have a direct relationship with the residents' requirements, 12 per cent of whom could have remained in the community had there been adequate social assessment and support. Only just over half were appropriately placed, and a further third should have been in the care of the hospital services.Recommendations for change are directed towards the provision of routine medical, psychiatric and social assessment of all potential residents by geriatricians and psychogeriatricians in close collaboration with social services in special local authority assessment homes.


Author(s):  
Carla Facchini ◽  

The aim of the article is to describe the specificities of the aging phenomenon in Italy and the social policies for non/self-sufficient elderly people, highlighting both the change from a model that relied heavily on a family system to a model based on co-resident immigrant workers to care for the elderly, and the contradictions of this new model. While in Italy the percentage of older people and very older is the highest in Europe, social policies for them involve a limited offer of home and residential services and widespread allowances. At the same time, in Italy, the rise of the aging population has been intertwined with the transformation of family structures, the increase of female employment, the lower capacity of families to take care of their non-self-sufficient relatives, and the improvement of older people’s economic conditions. Due to these changes, a new care model has been established in the past two decades, based on the employment of live-in caregivers, usually immigrant women, so-called ‘badanti’, who are hired and paid by the caretakers and their family. This model has led both caregivers and caretakers to experience a double dependency and a double solitude, which question its sustainability and the familistic nature of the system. This paper presents both demographic and economic data from institutional sources, and the regulatory framework on social policies, and, finally, the data that emerge from various research on immigration.


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