Feeling at Home
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Transcript of Feeling at Home
June 18 2010International Conference
of Integrated Care
Finland
Hetti Willemse - Publicarea
Hetti WillemseSocial geographer/plannerFounder and owner consultancy firm Publicarea (2004)Experienced in:
Policy making Government Care
Management supervision AdviserPublicistMediator
Former city councillor of AmsterdamStrategy management Foundation ILC Zorg voor Later
Global ageing: Europe en USRising life expentancy -> increase of chronic
illnesses and multi-morbidity
Universal consequences:Higher need for careShortage of personnelHigher expenses
Seniors wishes: changing level of wealth and education
Statistics NetherlandsCentral Bureau of Statistics; age 65 and over
2007 2.4 million
2038 4.3 million
More vital seniors: emancipation and social activity- Seniors improved purchasing power
Rise of costs- A wealthier society demands more care
Technological developments-New methods of care: e-health & telediagnoses
Seniors wishesFamiliar environment substituted by nursing
homeSeniors wish to continue their life in a safe
and familiar way they choose (= demand)Existing gap demand-supplyNext generation of seniors:
babybomers/flower power
Nursing homes in the NetherlandsAll-inclusive packageSmall-scale homes versus homes at large
extentFocussed on the insidePersonnel:
Mainly focussed on care and organisationMinimal time for daily contact with residents
Loved ones of resident on side path
Nursing homes future-proof?
Examples of Nursing homes
On the outlook for respectful careExtend your life with days or add life to your days?
Feeling at home is one of the most important aspects of a
health care institution: quality of life
Daily activities: next to the hours filled with caring and sleeping, there are plenty of hours left….
What makes people feel at home in an institution?
Resident and his social networkRole of loved ones? - past, present and future of resident - emotional connectionCurrent position loved ones - Powerlessness - DependencyConcept of Mantelzorger
Starting point: Partnership between loved ones and health care institution
Cooperation based on reciprocityin favor of resident
Loved ones Personnel
Emotional dimension Functional dimension
Book Being at Home
14 small portraits of loved ones and personnel Display of commitment and communication of
involved
Loved ones struggle with their possibilities to participate in providing care
‘Hold on to your Loved Ones’Staged pilot- projectFase 11.Conversation with initiator2.Conversation with loved one3.Orientation of organization and specifics of location4.Agreement on realization Fase 2 and invitations Fase 2
Fase 25.Meeting with staff of different levels of organization6.Meeting with loved ones7.Combined meeting organization and loved ones, goal is to come to an agreement on steps of action8.Final report: an Agenda of Respectful Care
“Throughout organization. Meeting with loved ones, carers and direction.”
‘Feeling at Home’ (2009)Practical guide written for loved ones and
institution as partners to accomplish respectful care
Based on: ‘Hold on to your loved ones’ pilot projectField research
Provides insight and tips describing various stages: Stage prior to admission Admission and the first few weeks The residence Connect with family members after residence period Role of supporting functions
Examples of Tips (1)Tip: Businesscard
Tip: List of usefull websites
Examples of Tips (2)
Tip: Get to know your residents:
Profile of Ms. Pieterse
Examples of Tips (3)Tip: Create a family tree or social network poster of every resident
Examples of Tips (4)Tip: Personal placemat and logbook
Examples of Tips (5)
Tip: Cd
Tip:What to wear?
Tip: Traincompartment with moving landscapes
Role of supporting functions
ArchitectureNeighbourhood surrounding nursing home
Interior design and the public areaPersonnel en organizationICTGeneral and technical serviceCommunication
Observations architecture and neighbourhoodProfessionalize construction of nursing homesOffices personnel: Ground floor nursing home versus
non-residential Parkinglots determine frontal view of homeUnattractive instead of attractive entranceLow level ceilingsUnefficient routes inside the nursing homeUnclear or absent informational and directional signsLack of connection to surrounding neighbourhood
Quickscan building and neighbourhood:
Checklist provided in ‘Feeling at Home’
Potention: -> 3 options for architecture and environment
For caring Efficient interior logistics facilitate efficient time
management -> more time for personal careOn degree of recreation, enticement and activities
Opening the nursing home for facilities and activities for the neighbourhood facilitates visiting the nursing home and creates recreation and enticement for residents.
In finance Small merchants and clubs may be willing to hire a
section or room of the building which creates income out of rent. Sharing a location even offers possibilities for shared financing.
CommunicationTop PriorityWebsiteNews letterIntranetIntroduction DVD (new house)WifiHyvesInformative roomfolder (like in hotels)
Important highlightsEvery half an hour a resident is satisfied relieves caring
personnel.Financial ‘significance’ of Feeling at Home -> financial
result of implementation of tipsGrand design versus relative small but effective
improvements at work. Try to think small-scale and personal!
Research Project offered to ZonMW in cooperation with union Elderly
Care Amsterdam Partners: Academic hospital, Nursing home organisations
and Publicarea
Looking forwardEngage in partnerships with residents and
neighbourhood.Communication!Facilitate social cohesionQuality and effectiveness
Most importantKeep life respectful: residents should ‘feel at home’
in an institutionBenefit organization and personnel: an improving
atmosphere at work
Innovation and transfer
Questions?
Situation in other countriesRecognizable?Relevant and applicable? Similar experiences?
More informationFlyerWebsite: www.publicarea.nl Contact:
PublicareaAmsterdam, NetherlandsTel. 0031-206386425Email: [email protected]