presentation by acadÉmie de crÉteil marie-josé côme nadine mundinger véronique ponchaux claire...
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PRESENTATION BY ACADÉMIE DE CRÉTEIL
Marie-José Côme
Nadine Mundinger
Véronique Ponchaux
Claire Vivant Le Calonnec
DEPENDENCY AND DISABILITY
ALZHEIMER AND UNDER 60-YEAR-OLD PEOPLE
In France more than 8000 people under 60 years suffer from Alzheimer’s disease.
The person can ask the Committee for the rights and autonomy of handicapped people ( Commission des droits et de l’autonomie des personnes handicapées – CDAPH)
Actually the clause « l’article L.241-6 » of social action and family law considers that « CDAPH » has the authority
to decide on the placement of a handicapped person
To say in which establishments of rehabilitation or personalized retraining the adult disabled should be sent.
OBLIGATION TO GIVE WORK TO DISABLED PEOPLE :
A RIGHT TO WORK AND HAVE AN OCCUPATION
References Employment law : the 5th part is devoted to employment / Book 2 « Measures concerning certain categories of workers / Title 1 : Handicapped workersLaw n°2005-102 11 February 2005 : equal rights and chances, the participation and citizenship of handicapped people
Principal concept
Every employer who has employed at least 20 full-time workers for 3 years should employ 6 % of handicapped people of the total number of staff.
The organizations which don’t employ disabled people or not as many as they should have to pay AGEFIPH (private companies) or to FIPHFP (public organizations), to finance the funds of professional integration of the disabled.
The obligation to employ disabled people concerns all workers, in private or public sectors, those who have a permanent or temporary contract, who work full-time or part-time, who are doing an apprenticeship or a professional training.
Some aids can be given to employers who employ handicapped workers.
Payments to public funds of integration of disabled workers (AGEFIPH or FIPHFP) if the quota of 6% is not respected
According to number of employees and missing handicapped employee
From 20 to 199 employees: 400 times the minimum hourly salary (3676€)
From 200 to 749 employees: 500 times minimum hourly salary (4595€)
Over 750 employees: 500 times minimum hourly salary (5514€)
THE ORGANISATIONS WHICH DEAL WITH DISABLED PEOPLE AND THEIR INTEGRATION
FINANCIAL AID FOR DEPENDENCY OF PEOPLE
UNDER 60 IN FRANCE
Autonomy benefits (APA)
THE LAWS CONCERNING DISABLED PEOPLE ARE COVERED BY ALL TRAINING COURSES
10 years of existence
The objective is to reinforce aid to old people who are losing their autonomy, by having the necessary help in their daily routines
TERMS OF AWARDING
To be 60 years old or older, to miss or to be losing one’s autonomy due
to physical or mental conditions , To be in need help to accomplish
essential tasks in every day life or to be in need of surveying
To be French and live in France ,or to be a foreigner legally living in France.
For information : APA benefits don’t depend on revenue.
ASSESMENT TOOL TO ANALYSE THE LOSS OF AUTONOMY National grid AGGIR
(Autonomie Gérontologie Groupes Iso-Ressources)It serves to evaluate the degree of autonomy loss or the degree of physical or psychological dependency
Assessment is done according to 17 criterias (variables): Ten variables called "distinguishing criterias" which define the
loss of physical and psycholocal autonomy and which are used to calculate GIR (groupe iso-ressources) : coherence – sense of direction - washing – getting dressed - eating – going to toilet- transfers (getting up, going to bed, sitting) – moving around inside a house- moving around outside – communicating at distance ;
Seven variables called "illustratives", concerning the loss of household and social skills, they are not included in the calculation GIR but they give useful information for the care plan : handling of one’s budget and goods- cooking - cleaning - transports -shopping – following the treatment – leisure activities.
THE SIX GROUPS OF THE GRID AND THEIR INFLUENCE ON FINANCIAL AID
The group iso-ressources 1 includes people in bed care or in a wheel chair, whose mental functions are badly damaged and who need permanent assistance ;
The groupe iso-ressources 2 , includes people in bed care or in a wheel chair whose mental functions are not completely damaged but whose condition obliges them to have assistance in most everyday activities. This group also includes those elderly people whose mental capacities are diminished but who can move independently;
The groupe iso-ressources 3 gathers the elderly who have mental independence, are capable of moving up to some point, but who need daily assistance and need to be helped several times a day;
The groupe iso-ressources 4 consists of people who can’t get up alone but who, once up, can move around their apartment. They sometimes need help for washing and getting dressed. This group also includes those elderly people who don’t have problems moving about but need help in physical activities and meals ;
The groupe iso-ressources 5 is formed by elderly people who only need help in specific situations such as preparing meals or cleaning, or washing ;
The groupe iso-ressources 6 is composed of elderly people who have not lost autonomy in their everyday activities.
Only the first 4 groups of the national grid give rights to APA. The benefactors can be at home or in an institution. They can get help if their age and residency correspond to criterias.
The elderly people of groups GIR 5 et 6 can ask for financial assistance to help with cleaning corresponding to their social health insurance category.
THE ADVANTAGES
A measure based on universal and objective means to standardize fees and national scales. This measure favours diversified payment. It aims to improve the quality of services. It garanties a double solidarity in its financing: local solidarity by local organisations and the general council (Conseil Général)
DIFFERENT CATEGORIES OF PROFESSIONALS IN CHARGE OF DEPENDANT PEOPLE
Home aide
Family care assistant
Home family assistant
Home assistant in rural areas
Social family assistant
Nursing assistant
Medico-psychological assistant
Gerontology assistant
Social and family technical assistant
ACADEMIE DE CRETEIL OFFERS CERTIFICATES WHICH SPECIALIZE IN KNOWLEDGE OF DEPENDENCY
Nursing assistantSocial family assistant Home care assistantMedico-psychological assistant Gerontology assistant
THE TRAINING COURSE CONTENTS
Each training course has an objective to: - Give the necessary knowledge of the disease and the ability to help the patient and family in need . - Give the assistants the information and means to better help the family and handle its needs, but also know the structure and functioning of the health network in order to help the family to deal with it.
Course Modules Contents
Assistant (e)de vie aux familles
Home care assistant
CCP1 -Helping people in their essential every day activities
Aide soignant (e)
Nursing assistant
Modules 1 à 3 -Helping people in their every day activities-Clinical condition of the person -Healthcare
Auxiliaire de vie
Social family assistant
Modules 2 à 4
- Assisting people in their every day activities - Helping with social life and relationship - Helping with ordinary activities
Course Modules Contents
Aide médico-psychologique
Medico –psychological assistant
Modules 1 à 5
-Knowledge of a person -Rehabilitation activities and helping with every day activities -Helping with social life -Medico-psychological support -Setting up personal care plans and following them up
Assistant (e)en gérontologie
Gerontology assistant
Modules 1 à 5
-Creating and executing individualized care plans respecting the person -Helping and supporting people in their every day life considering their needs and their degree of autonomy -Leading activities which stimulate social and cognitive capacities collaborating with psychomotricists, ergotherapists or psychologists -Understanding and analyzing principal symptoms related to state of health -Dealing with every day care by appropriate acts
EXAMPLES OF TRAINING COURSES PURCHASED BY PROFESSIONALS
Assisting dependent peopleSupporting a person who is at the end of his/her lifeTaking good care of a person/ dealing with cases of bad treatmentErgonomy , gestures and postures professionals The aging processAlzheimer's diseaseStimulating physical or intellectual capacities which favor the autonomy of dependent people
HUMANITUDE , TO TAKE CARE OF ALZHEIMER PATIENTS IN A NEW WAY:A PHILOSOPHY SERVING ELDERLY PEOPLE
Objective: rehabilitating a person in taking into consideration one’s dignity and improvement of relationships between the patient and the assistants
THE FOUR PILLARS OF HUMANITUDE
This method relies on a global changement of caretakers’ behaviour
Eye contact: the caretaker should talk to the patient face to face on the same level
Speech : one should explain every gesture and announce it beforehand
Touch : one should touch the patient with « tenderness » instead of « practicality »
Verticality : no more washing patients in the bed which they never leave. Elderly person is adequately taken care of, she /he can or should function standing up. Verticality is one of characteristics which distinguishes us from animals , therefore it’s very important for us.
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