NURSING SCHOOL OF COIMBRA ANA PATRÍCIA PEREIRA MALAQUIAS ANA MARTA FAGULHA GONÇALVES
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NURSING SCHOOL OF COIMBRA ANA PATRÍCIA PEREIRA MALAQUIAS ANA MARTA FAGULHA GONÇALVESJOANA RITA FERNANDES DA SILVA
RAFAELA MILENE DA COSTA ALMEIDA LEGUÍSSIMOSARA MARGARIDA DE DEUS FIGUEIREDO
SARA PAULA DA SILVA GOMES
IP-MEPAging and Solidarity
Case Study
Oriented by:Teacher Armando SilvaTeacher Cidalina AbreuTeacher Cândida Loureiro
Leiria, March of 2012
Introduction “A case study it is a methodological approach for
research especially suitable when trying to understand, explore or describe events and complex contexts in which
many factors are involved simultaneously” unknown
The main objectives of this work are:
• Develop a concept of solidarity;
• Make an organized collection of information on the various factors responsible for the
aging population;
• Make an organized collection of information on the role of Geriatric Nursing;
• Undertake an objective observation of the target population and the institution
selected in order to characterize it.
AGING
Irreversible
UniversalHeterogeneous
Dynamic process
Causes of aging process:• Demographic factors;
• Health-related Medical advances.
• Economic and social.
Emancipation of women Family planning Living
conditions
- National Plan of vaccination;
- Antibiotics;
- Increase treatments for
pathological diseases
Figure 1 - Pyramid of Ages, Portugal 1960-2000 Figure 2 – Aging indicators, Portugal 1960-2010.
Statistics
Solidarity…can be defined as a joint of words like:
COMPASSION
SHARINGAFFECTION
CARE
SECURITY
STRUGGLE
PERSEVERANCERESPONSABILITY
ALTRUISM
ATTENTION
Nursing and AgingThe Nurse as a Health Care Professional needs
to devise strategies in order to act on the determinants of active aging.
The objectives of the nursing care of elderly people include dimensions such as:• Promoting autonomy, independence and self-esteem• Preventing the loss of functional skills, • Support to the family of the elderly,• Providing quality care, • Contribute to a peaceful death, among others.
It is essential to evaluate physical and sensory loss, while the communication is facilitated and is demonstrated affection, thus facilitating the physical proximity of the elderly and
the caregiver. !
Population’s Characteristics
“Healthy aging, autonomy and independence, as long as possible, its today’s challenge to individual and collective responsibility, with translation in significant economic development of countries” (General Direction of Health, 2004).
Woman and man aged equal or higher to 65 years old;
Physical and cognitive characteristics are affected
through the ageing process;
Elderly population increased by nearly 1 million
individuals;
The portuguese population is not distributed equally.
Elderly are in more remote areas of countryside, with
the younger population focuses more in large cities.
The Portuguese Cáritas is a Portuguese Episcopal Conference
service directed for the promotion and dynamic of the social
action of the church.
In 1978 was created Home of Buarcos.
Cáritas Network is composed by 20 diocesan Cáritas and for the
local groups they work with professionals and volunteers.
The institution selected:
Is an institution of social solidarity that supports the
community in the social, educational, health and religious
context.
Protect the individual dignity, based on the church principles;
Inform, denounce and sensitize the society for the social exclusion, poverty and
other social emergencies.
Diocesan Cáritas of Coimbra
Cáritas ValuesCHARITY HUMANIZATION
PROFESSIONALISM
COMMITMENT TRANSPARENCY
These values are implemented in a “person-centered intervention, protecting his rights, freedom and warranties”
(Diocesan Caritas of Coimbra, 2011).
The Cáritas of Coimbra has three nursing homes in operation:
• The Home of Nossa Senhora da Encarnação in Buarcos, with capacity
for 106 elderly residents;
• The Home of Santo António, the complex of the Headquarters and the
Center of Rainha Santa Isabel, in Coimbra, for 52 elderly residents;
• The Home of S. José, with the Major Seminary, with 12 priests
according to residents.
Have between 65 and 80 years old;Not having a main diagnosis of psychiatric diseases.
Home of Santo António:
Have to be independent, which means walk, eat and
do their hygiene care by themselfs.
Requirement to Join Cáritas:
Multidisciplinary Team
Nurses
Nutricionist
Occupational Theraphist
Physiotherapist
Helpers
Home Helpers
Depends on the household income how corresponds to 70% of the total;This value varies depending on the degree of dependency;All the cares are whithin the price except diapers and medication.
Payment
The Cáritas Diocesana of Coimbra offers support to the elderly through:
Day Center
Support Service
Elderly Residential Structure
Home “Rainha Santa Isabel”
ULDM
REALITY OF A PORTUGUESE INSTITUTION
Day CenterProvide excellent service to the elderly population
through the promotion of independence and quality of life.
Promote:•Basic hygiene and comfort;
•Socializing activities (trips, cultural visits and entertainment);
•Transportation between the users home and the institution;
•Access to medical and pharmacy services.
Elderly Residential Structure
To promote independence and life quality for the elderly, through prevention, stimulation of physical, cognitive, relational and spiritual
capacities
Providing permanent services appropriate to the biopsychosocial problem of the elderly and developing uniform procedures as directed.
Elderly Residential Structure:• Offer housing conditions for an indefinite period, • Provides hygiene, comfort and a balanced diet care• Offer permanent care to encourage the individuality, autonomy and independence of the user• Provides psychosocial support • Prevent and repair social dysfunction situations, • Offer programs of musical expression and drama, educational and cultural visits, physical and
sporting activities
Home “Rainha Santa Isabel” It aims to promote independence and life quality to the
elderly, through prevention and stimulation of physical, cognitive, relational and spiritual.
•Provides internment for an indefinite period
•Aims to preserve and encourage interfamily and
intergenerational relationship.
•Provides hygiene and comfort
•Provides daily nursing care
•Made a periodic physiatric control
•Provides physiotherapeutic care
Support Service
This service seeks to elevate the human person, promoting at home autonomy and trying to meet the users basic needs and expectations
by supporting the patient in daily life activities and giving psychosocial support, collaboration and providing access to health care.
Activities
The family can engage in all
• Day trips;• Themed activities like:Grandparents DayFamily DayThanksgivingEasterCarnival…• It has her own chapel where the
Eucharist is performed every Sunday;
The institution has a holiday home where they can spend a period of 15 days during the summer, supported by home helpers.
ULDM (LONG TERM AND MAINTENANCE INTERNMENT UNIT)
Provide social support and health care maintenance for people with chronic diseases or processes at different levels of dependency and who do not meet conditions to be cared for at home.•Promotes their psychological health maintenance, disease prevention, rehabilitation;
•Promotes medical monitorization, the prescription and drug administration;
•Provides periodic physiatric control;
• Ensures daily nursing care, physiotherapeutic care and occupational therapy comfort.
Problems
Low PensionsThe minimun pension:
● 246,36€ (with less than 15 years of insurance career
● 379,04€ (if equal or higher than 31 years)
Expensive Medication
Low Knowledge
Loneliness
Solutions
Improvement Social Benefits
Reimbursed Medication
Information on Risks(security at home)
Earlier nursing care closer to the population.
Program“ACONCHEGO”
Program “Aconchego”This program seeks to combat loneliness, provide support to seniors
and promote their welfare and at the same time it gives young students a home at low cost, where they can live with the
"knowledge" acquired through life experience of the most old.
The university students are accommodated in residences in exchange for some company and support that is necessary, since the purchase of
medicines, medical follow-up.
Home for who studies, company for who needs.
ConclusionMaking this case study was an asset, Cáritas is an institucion that aims to provide
seniors the highest quality of life, trying to answer the individuality of each person.
It should be noted that as the time goes by many needs are being modified, and is
therefore necessary measures to support and care should be tailored to different
stages of human history. And the elderly are important elements because they are a
source of experience, wisdom and help us to address current issues in the life of each
one of us.
Build the common good is the duty of all and everyone.