The word nursing home may stimulate many people with negative thoughts about old age, deterioration, detachment and abuse. Once, the passage to a nursing home was carried out following situations of lack of choice, when the elder could no longer remain in his home and take care of his needs or alternatively, when the economic capabilities allowed the "Lexus".
Today the reality is different – the process of the existence of Israeli society has dictated the need for multi-purpose solutions that are suitable for functioning levels, budget options, and different preferences.
The motives for leaving the house are varied in accordance with the functioning, health, mental, and financial conditions. But there is a consensus about one common element: the transition to the frame is meant to improve the quality of life. The term "quality of life" consists of two parts: the person himself with his abilities, his desires and limitations on one hand, and the environment in which he lives (a home or outer frame) on the other.
As for the person himself, "quality of life" is a vague concept, and there is no one scale for determining the level of quality of life. In order to measure an improvement in the quality of life, one can use two indices – the same, difficult to quantifying, and is the degree of satisfaction of the adult. The degree of satisfaction depends on the character and characteristics of the adult, which are subjective and cannot be included. For this reason, we will focus on the second, more objective, which allows us to examine the improvement in a more precise way. Our assumption is that the quality of life increases as much as a person has increased its functional potential in different fields in the optimal way
The following are the various function planes:
- Physical plane: Determining the degree of independence in the home and outside of the house (such as walking, bathing, leaving shopping)
- Mental plane: The sense of security, motivation, and social initiative (the degree of interaction with others, the degree of participation in all kinds of cultural activities).
- Health plane: diseases or health problems that determine the degree of treatment or medical supervision required.
- Mental plane: The degree of clarity, awareness, alertness, and clarity of the adult.
It can be said that the quality of life increases as one or more of the planes of these functions are improved, in accordance with each and every one's personal priorities.
The Israeli reality-a transition that is found to be desired
In regards to the environment in which the elder is alive, it is said that if the past is the lifespan of 50 to 60 years, it is today that the life expectancy of 75 to 78 is a year or more. Consequently, the "Fourth Age" layer (even "the fifth") was developed, necessitated to meet the unique needs of this population.
As a result, the various service providers, whether at home or outside the house, have increased: one national nursing Company of Israeli and international therapists for a wide range of nursing companies that offer caregivers almost as a "plan as you wish" treats individual hours, 24 hours, nanny nurses, and those who speak almost all languages, all of them in high availability and even "from day to Day". The competition in this industry was to train the nannies so that the service level had risen. The same is the case for the supply of nursing, rehabilitation and medical equipment that allows comfort in spite of the restrictions (such as: bath chairs, flyer, etc.)
At the same time, several of the homes of the patriarchs increased significantly. If in the past, most of the homes of the elderly have been in a public or belligerent authority, in recent years, private nursing homes have been established. Here, too, this is a healthy competition that led to improvement in the level of institutions in terms of standard construction and luxury, the type of treatment given, the variety of activities and services, as well as the degree of control over them. In fact, there is a transition to the frame in order to achieve a better realization of the functional potential of the adult. For example, an adult who is in a wheelchair, which before living on a third floor without an elevator, rotates between the house of the elderly in an elevator without difficulty and goes to the yard as he pleased. Whoever found himself alone between the four walls of his house, now finds friends of his age, with whom he can share experiences and problems. A person who needs a trace or medical treatment is often examined and not every effort to leave the house to a health clinic (which sometimes makes him dependent on the accompanying of a family member or therapist). An adult in the process of Bedlam, who had not once risked his own time when he forgot to turn off the stove or when he got lost when he left his house, he should not worry about it anymore.
Alongside the process of improving the conditions and treatment of an adult, the staff approach and the shape of an adult is probably the most important factor for its quality of life experience, and in this matter, there is much more room for improvement.
Importance of semantics
Recently the issue of quality of service has been a momentum in all areas of the country. For example, we witnessed the semantic change in the medical funds that turned into "health services." The competition for obtaining the client, which is free to choose the Health fund, necessitated the expansion of the services spectrum. The true revolution is in fact the acceptance of a hobda that the member of the Register has become a customer of opinion, who knows what his desires are and how much he is willing to pay to get what he wants.
Accordingly, in our matter, the semantics are important, and it is in the power to motivate and improve it. As the "old moshav" became a sheltered housing/nursing home and the "the" became elderly and even an adult, it was advisable to change the concept of "the degree of dependence" of the adult in his surroundings to "the extent of his independence." The adult's full right to demand the service providers that he has chosen, service level and proper personal attention and service providers to give the adult the feeling that he is the customer.
This semantic change, it should be expressed first by the authorities that control the service providers: the Ministry of Health and the Ministry of Labor and Welfare, which call their device books the nursing tenant as "ill" and the relief departments as "hospitals"-why are they still referring to mental desire as "nursing patients" and accordingly This requires them to use relief iron beds. This is absurd in nursing homes that are not yet to be respected by the obligation to install a curtain around the adult's bed, enabling it to maintain minimal privacy. In the end, semantic change will also bring about a change in the service providers, some of which have already become a client.
The question now arises who decides to change the way the adult lives?
This decision, whether it is a home improvement and the purchase of help from the outside, or alternatively, is in the framework of an adult, as long as the condition is enabled. The people around him will be able to help him search for the service and bring him all the relevant information so that he can make a wise decision, out of awareness and understanding the entire system. There are cases in which the older families have to decide in his place due to an unexpected situation or a sudden change in his functional state, but even then take into account his desires. The elder's involvement in the decision would make it easier for him to adapt and acclimatize in his new surroundings. For example, if the elder has chosen to move and live in a nursing home, he will enter mentally prepared and with powers that will enable him to receive an easier reception in the area, assuming that the other conditions such as adjusting the place to his level of functioning, his mentality, and the economic situation, and so on, will be held.
Because decisions about changing the adult's life are momentous and often constitute a crisis of work and for his family, since they are the cost of emotional cargo and accompanied by pressures, it is a good idea to involve professionals who have knowledge in the field that can help neutralize these pressures and give a professional and objective opinion that will lead to a solution The best.
Not to decide, it is deciding not!
Once the options were not many, it was clear that "there is no place like home." Today the dilemma is more difficult that the possibilities are more varied and consequently accompanied by a normal fear to choose the wrong solution! However, there is still a human tendency to reject the thoughts about changes or momentous decisions and let the status quo exist not from a free and deliberate choice. In this way, no decision has been taken, or alternatively, the decision is not to do anything with the situation.
In order to prevent situations in which reality is surprising and writing facts which are difficult to cope with, such as a health problem, there is no way to prepare. It is important to conduct a thorough examination in order to reach a responsible decision regarding the continuation of a particular lifestyle or a change in it. The purpose of the test is to consider whether a new way will improve the quality of the adult's life