Asociatia Habilitas - Centru de Resurse si Formare Profesionale Psih. Ioana Caciula – Project Manager -Carpi, ITALY, 25 th -27 th May2015-
Crea eated i in 200 007 Dev evelops p proje ject cts i in the e fiel eld of el elderly ca care e an and tra training of of forma ormal c care aregiv ivers Is au author orized to to deliv liver tra training c cou ourses f for or th the q quali lificatio ion “e “eld lderly h home ome ca care regiver” Is in involv olved in in several l Euro ropean an and n natio tional projec jects
IQ IQEA p projec ect – implem emen enting t the e ECV CVET s system for el elder erly c care e assistants in It Italy, Po Poland a and Ro Romania (201 (2010-2013) ID IDECO p projec ect – cre reatin ing a a tra raini ining ng model a l and nd an ECVE VET corresp spondance for d dep epartmen ent coord rdin inators in in re resid sidentia ial l facilit ilities b between Ger ermany a and It Italy ( (2011-2013) AMI MICO p pro roje ject – creati ating an g an electr tronic tool tool to to asses ess t the e compet etencies es o of migrant el elder erly care regiv ivers w whic hich w will b ill be func unctional in in Romania nia, It Italy, Po Poland and Ger ermany ( (2012-2014)
Senio ioriN iNet – cre creati ting a a natio tional in infor ormal netw twork of of socia ocial an l and me medica cal h l home omeca care prov roviders, imp improv ovin ing th the v vis isib ibil ilit ity of of mem embers an and t training o g on ad advoca cacy an and strategi gic p c planning ELMI p proje ject – tran transfer from rom Italy taly to to Roma omania ia of an e n e-le learning cou course f for f or family mily car arers of of peop ople w with ith deme menti tia in in ord order to to help lp th them imp improv ove th their ir s skill ills to to re re-integ egrate ate o on the labou our ma market t as as forma ormal car arers
“S “Senior ors – Re Resou ources in in th the commu community: Volu Volunte teering at at th thir ird ag age” ” – trai training old older persons as as volu olunteers, p plac lacing th them in in soc ocia ial l in instit itutio ions as as volu olunteers a and cre creati ting a netw twork of of senio iors volu olunte teers in in Bucharest “S “SES – Econ onomi mical l and Social ocial Support t for or Vu Vuln lnerable le Pers rsons” ” – a a socia ocial l econ conom omy proj roject t where re th there w will ill be cre create ted s str truct ctures emp mplo loying d dis isadvanta taged p persons in in th the c care are sect ector
Cur Currently 1 15% of the he po population o of Romania is aged ged 6 65 5 or more Th This is amou amounts to to ap approx. 3 3 million million Roman Romania ians By By 205 050 0 thes ese f figu gures w will double The a e aver erage ge p pen ension v val alue i is approx. 15 150- 200 00 eu euro/month
Most elder erly a are c cover ered ed, f from a a medical al i insu suran ance poi point of of v view, by by th the Na National H Health Insu surance System em This statu tus ensures f free o of charge ge a access t to primary medi dical c care a and hospi pita tal admission ons w when n neede ded. d. Also so i it a t allows f for or ba basic free bl blood te test sting tw twice pe per year ear an and i imag aging wh when en n need eeded Part of of th the medication i is s pa partially or or tota totally c cov overed by by th the NH NHIS Geriatr trics h hospi pita tals o or Geriatr trics wards ds e exist m t mainly in in la large c cit ities
Stat tate ru run s system m of of re resid identi tial f l fac acili iliti ties – limite limited n number of of pla lace ces th that d do o not c ot cov over r the a e act ctual n nee eed Stat tate ru run d day ay care care f fac acilit ilitie ies – with ith in insuffic icie ient cap apaci city Stat tate ru run/financed h home omecare f for b or both oth me medic ical a l and s soc ocia ial s l service ces Stat tate ru run s senio iors c clu lubs Private c ate care i insti titu tuti tion ons – mainly y nursing home omes
No data o on n the he d dim imensi nsions ns of this p his phe heno nomenon exists. T ex Ther ere i e is no national lev evel el res esea earch d done o e on the he issue issue Not inc inclu luded in in he healt lth c care re work rkers s curric urricul ula No cours urses s pro rovid ided o on n this his issue issue t to f form rmal l and nd inf inform rmal c care regivers rs Minim Minimum na natio ional q l qua ualit lity st stand ndards for r res esiden ential f facilities es and for homec ecare s e ser ervices es for r old lder p r perso rsons ns inc inclu lude p pro rotection a agains inst abuse e and neg eglec ect and the e obligation of staff to re report rt
U.S .S.A .A. Roma omania-lo long term rm c care re u unit it no oral/dental care It is not a part of current care not doing range of motion Understaffed ; is done in selected exercises cases not changing residents each time Limited 3 diapers / day they are wet after an episode of incontinence ignoring residents who are bedfast, Not available staff for offering particularly not offering activities activities to bedridden persons to them doing a one-person transfer when Sometimes there is only one the resident requires a two-person caregiver per shift, 30 people transfer taking no action on the resident's Unacceptable request
Insuffic icient tra train ining, pa parti rticula larly ly f for or care re s sta taff Insufficient car care s e staf aff(max aximum 2 2 nurses es/shift/30 30 pe peop ople le) Phys ysical an and men ental al ex exhau austion Ineffectiv tive s superv rvis ision ion o of t the c carers Sma Small ll sala lary ry, not mot ot motivating c com ompetent s sta taff a and d prof professional a l aspira pirations Abs bsence of of proc procedure res in in in institutio ions re rega gard rding han andling ab abuse, e, al although t ther ere e ar are e qual ality sta tandards a at t nati tional le level f for lon or long te term rm care re insti titu tution tions (M. . Ceuca, a, MD)
In 2010 th the stu study “R “Recognition of of e elder abu buse by by hom ome c care w wor orkers a and d ol older pe peop ople in R Rom omania” (Caciu iula la, I., L Livings gston on, G G., Caciu iula la, R R., C Coope per, C C.) was c s con onducted by by th the NGO NGO EquiLib ibre re Assoc ociat ation on a and Univer ersi sity C Col olleg ege L e London on t the issu sue o e of recognizi zing elder erly a abuse se and p publish shed ed i in Inter ernat ational al Psychogeria iatric rics. It t sh showed th that th the m mor ore e expe perienced th the f for ormal home c e careg egiver ers s were, e, t they w were l e less l s likel ely t to correc ectly r recognize e ze elder erly abuse se Also t the e elder erly were e more p e percep eptive i e in recognizi zing di different for orms of of a abu buse Due t to l lack of a approp opriat ate t e trai aining the inter erviewed ewed careg egiver ers w s were 5 e 50% less c ss capab able t e to recognize e ph physical r rest striction a and n d neglect ite tems as s be being a abu buse
Th The f firs irst ma t marking of of th the W World orld E Eld lder A Abuse Aw Awar areness D Day ay o on the 1 e 15t 5th o of June 20 2013 13 during an g an ev even ent orga ganized f for t the el e elderly by a local re loca l retir tired p persons org organiz izatio ion in in collab collaborati tion w with ith th the Habili ilita tas A Associ ciati tion and m medical cal a assoc ociati ation ons Train Training p prov rovided f for y or you oung d docto octors on on th this is is issue b by th the You Young G Geria iatricia ians A Assoc ocia iatio ion in in Roma omania ia
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