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Hiromi Watanabe
Dr.of Social Welfare,Associate Professor at Japan College of Social Work,Tokyo,Japan |
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| The qualities of
the elderly care in Finland is advancing now. There are 452 municipalities
in the country . Every municipality has accountability of care for
the elderly, include health , institute care and home care. The minister
of health and welfare in Finland makes recommendations about care
for the elderly. The recommendation proposes old age policy to be
formulated in every municipality, respecting older people's dignity
and autonomy. More staff meet the demands of elderly care , evaluating
the services for the older people. 24-hours home care work. Day service (8 -16),evening service(13--21),night services/night patrol(21-7) . 11.2% of the elderly people 65 years and over , 26.2% of the elderly people 75 years and over used the home care service in 1998. When home care starts ,home nurse and home helper visit together at user's house. Listen to their demands , assess the user's needs, make a service plan with users and families. Home nurses belongs to health sector and they visit the users house from the health center . Home helper belongs to social welfare and they visit the users house from helper station . But home nurse and home helper collaborate in the community. Support services are supplied for the user. Meals on wheels, cleaning house, escort for a shopping , technical aids such as wheels chair, sliding board , alarms. SAS, Special group consisting of 2General Practitioners, 1Nurse, 3social workers meet once a week. The group discusses where is the best place for the user, nursing home, old people's house, service house , own house in the community. Rava-Index helps the decision making of the place for care. Rava-Index was procuced by the research of Dr. Tapio Rajala, MD.,G.P. It is a useful and sensitive assessment tool for elderly care.
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