aged people with severe dementia and their services in helsinki city
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Aged people with severe dementia and their services in Helsinki City
Old age of my kind
Vision for Elderly care services 2020 in Helsinki City
The leading thought is a seamless care pathOperations models are regional networksIn a networked operations model, a client-tailored service consists of an array of services provided by the municipality, organisations and businesses
The future of Elderly services in Helsinki City
Aged people (65+) with moderate or severe dementia in Helsinki City
Aged people with moderate or severe dementia in different parts of Helsinki City in 2010 and 2020
Aging and dementia
a carepath has been developed for the dementia client – the special regional dementianurses train home-care teams to proceed
according to this model using as an example a real demanding case of a client in the team
education – lessons to the personnel, for example how the encounter the
demanding dementia client, stimulus activity for the dementia client, how to inform and collaborate with the relatives, how to notice and respect the autonomy of the client etc.
– multiprofessional meetings with the physician of the team, dementianurse and with other collaborators (e.g. geriatrician, social worker, physiotherapist) dealing with demanding clients in team
As a part of a project to Cultivate promising practices for prevention of social exclusion of elderly people in the Helsinki home care system. Professor Yrjö Engeström, Helsinki University, Project Manager, Ph.D. Anna-Liisa Niemelä, City of Helsinki Health Center, Home Care Manager, M.Sc., PhD Student Jaana Nummijoki, Helsinki University, City of Helsinki Health Center and Senior Planning Officer, Ph.D. Juha Nyman, City of Helsinki Health Center
Kustaankartano Elderly Centre
Activating Daily Living -model
The individual care plan is complemented with a model of Activating Daily Living
which focuses on utilizing the individual`s strengths
encouraging spontaneous activity enrichment of every day life with a ”Carpe diem” perspective
Activating Daily Living -model
Knowledge of every residents lifespanRAI Resident Assessment InstrumentAnalyse of Resource and Risk factors Individual care plan Activating daily living board Implementation and evaluation Activating Daily Live with
every residents
Activating Daily Living Process
Knowledge that is important and meaningful for elderly and to ensure these activities in their daily lives in residential home is also supporting residents functional capacity.
Activating Daily Living Process
I like to be with other people (dancing, singing etc.)I like to do housework
I exercise with Motomed twice a week (on Tuesday and on Thursday)
I love dogs and whenever there is dogvisitor in the house, I would like to
be thereI love to spend time in Kustaankartano
´s garden at least once a week
Taimi’s activating daily living board
” I like to be with other people (dancing, singing etc.) “
Planning and having happenings in the ward and take a part to Kustaankartano’s events
Active daily living in practice
” I like to do housework”Even when elderly have functional disabilities it is possible to do or help in different kind of housework
” I exercise with Motomed twice a week”
(on Tuesday and on Thursday)
“I love dogs and whenever there is dog visitors in the house,
I would like to be there”
”I love to spend time in Kustaankartano garden at least once a
week” Enjoying outdoors environment in every time of year
Severe withdrawal of social participation an initiative (%) & No activities (%), RAI data
2008_1 2008_2 2009_1 2009_2 2010_1 2010_2 2011_1 2011_20
5
10
15
20
25
30
35
40
2119 19 19
16 15
1210
37 3634 33
2725 24
22
Residents (%) who are in bed 24/7, RAI data
2008_1 2008_2 2009_1 2009_2 2010_1 2010_2 2011_1 2011_20
1
2
3
4
5
6
7
8
9
8
6 6
8
5
3 3 3
”When you are active, you are feeling alive”
(Resident of Kustaankartano , 92 years)
Thank you for your attention!
20
Eeva-Liisa Tuominen, Head of Elderly Care Homes and Service HousingTuulikki Siltari, Purchased Services Manager
Seija Meripaasi, Head of Long Term Care for ElderlyTarja Itkonen, Executive Adviser
Helsinki City, Social Services Department, Services for Elderly
Email [email protected] information www.hel.fi