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Geriatric care
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Care of elderly people

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Unit 1- Effective Caring Revision

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Care of elderly people

  2. 2. NEEDS ASSESSMENT Elderly people have the right to have their needs assessed when they may be having difficulties coping and looking after themselves. Carried out by a social worker during a home visit. Assess living conditions – housing and environment, cleanliness Assess independent living skills – able to cook or have adequate nutrition, standard of personal hygiene, level of mobility Assess financial situation – enough income Assess family situation – any informal carers to help
  3. 3.  Will ask questions of the client and family and also use observation. May ask the client to perform simple tasks and observe how well they can do these, e.g. Going upstairs, making a cup of tea. Social worker can make recommendations of services needed by the person.
  4. 4.  Access to needs assessment is by:  Self referral – but more commonly third party via a relative or friend who will contact social services department  Professional referral – for example, by a hospital social worker when the patient is ready for discharge or GP or district nurse
  5. 5. DOMICILIARY (HOME) CARE Care provided for clients in their own homes. Home care worker visits client once or twice a day to help with tasks such as:  Helping them get up and dressed in the morning or undressed and go to bed at night  May do some housework and prepare meals  May do shopping Home care (domiciliary) care workers may provide the client with social contact and stimulation as they may be the only people the client sees during the day. Access would be by recommendation from needs assessment
  6. 6.  Advantage is that the elderly person can remain in their own homes longer and maintain their independence.
  7. 7. DAY CENTRES People can visit once or twice a week to spend the day there. Transport may be provided there and back – often by community transport scheme Activities provided such as crafts, singing and reminiscence sessions, bingo, exercise sessions and so on. Meals are provided and in some cases the client may be assisted to have a bath or shower One member of staff will usually be a trained nurse so will be able to monitor health.
  8. 8.  What physical and psychological life quality factors can be provided by this service?
  9. 9.  Day centres can be provided by local authorities and voluntary organisations such as Age UK (used to be Age Concern). Access to a day centre can be by:  Self or third party referral – client or relative makes a request for cay care  May be professional recommendation by a social worker
  10. 10. RESIDENTIAL HOMES Provide:  Long term accommodation for those elderly people who are unable to live in their own homes  24 hour care  Residents have own bedroom with some personal effects – usually have own toilet and bathroom attached  Provide meals and laundry service  Day rooms where residents can meet other residents, watch TV or join in other activities
  11. 11.  Help is given as needed with:  Bathing  Toileting  Getting dressed  Going to bed Hairdressers. Chiropodists, GPS and opticians sometimes provide services within the home Staff are usually health care assistants, and sometimes there are qualified nurses on duty Staff usually give out medication though some clients can do this for themselves
  12. 12.  Each room is provided with an alarm system so that the client can call for assistance if required Rooms are personalised with small items of furniture, photographs and so on Usually a family atmosphere and family members are encouraged to visit. Birthdays are celebrated Some residential homes are provided by local authorities but most are now privately run and privately funded Some are run by voluntary, not-for-profit organisations such as retired servicemen’s homes
  13. 13.  In all homes, some residents are supported by local authority social service budgets whilst some people pay all the fees themselves if they have more money NURSING HOMES – provide all the services provided by residential homes but they specialise in residents who have greater health problems. Examples may be people who have had strokes or who are severely disabled or who have terminal illnesses. To provide there are more qualified nursing staff employed
  14. 14.  Nursing homes charge higher fees than residential homes to cover the cost of the more specialised care provided. Access to residential and nursing homes depends on who is paying the fees:  For those people who pay their own fees access is by applying directly to the home  For those people who will be funded by social services, access is by a needs assessment carried out by a social worker.
  15. 15.  Summary of main types of service provision for elderly people: Needs assessment Domiciliary care Day centres Residential care homes Nursing homes
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Unit 1- Effective Caring Revision


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