NURSING SCHOOL OF COIMBRA

ANA PATRÍCIA PEREIRA MALAQUIAS ANA MARTA FAGULHA GONÇALVESJOANA RITA FERNANDES DA SILVA

RAFAELA MILENE DA COSTA ALMEIDA LEGUÍSSIMOSARA MARGARIDA DE DEUS FIGUEIREDO

SARA PAULA DA SILVA GOMES

IP-MEPAging and Solidarity

Case Study

Oriented by:Teacher Armando SilvaTeacher Cidalina AbreuTeacher Cândida Loureiro

Leiria, March of 2012

Introduction “A case study it is a methodological approach for

research especially suitable when trying to understand, explore or describe events and complex contexts in which

many factors are involved simultaneously” unknown

The main objectives of this work are:

• Develop a concept of solidarity;

• Make an organized collection of information on the various factors responsible for the

aging population;

• Make an organized collection of information on the role of Geriatric Nursing;

• Undertake an objective observation of the target population and the institution

selected in order to characterize it.

AGING

Irreversible

UniversalHeterogeneous

Dynamic process

Causes of aging process:• Demographic factors;

• Health-related Medical advances.

• Economic and social.

Emancipation of women Family planning Living

conditions

- National Plan of vaccination;

- Antibiotics;

- Increase treatments for

pathological diseases

Figure 1 - Pyramid of Ages, Portugal 1960-2000 Figure 2 – Aging indicators, Portugal 1960-2010.

Statistics

Solidarity…can be defined as a joint of words like:

COMPASSION

SHARINGAFFECTION

CARE

SECURITY

STRUGGLE

PERSEVERANCERESPONSABILITY

ALTRUISM

ATTENTION

Nursing and AgingThe Nurse as a Health Care Professional needs

to devise strategies in order to act on the determinants of active aging.

The objectives of the nursing care of elderly people include dimensions such as:• Promoting autonomy, independence and self-esteem• Preventing the loss of functional skills, • Support to the family of the elderly,• Providing quality care, • Contribute to a peaceful death, among others.

It is essential to evaluate physical and sensory loss, while the communication is facilitated and is demonstrated affection, thus facilitating the physical proximity of the

elderly and the caregiver.

!

Population’s Characteristics

“Healthy aging, autonomy and independence, as long as possible, its today’s challenge to individual and collective responsibility, with translation in significant economic development of countries” (General Direction of Health, 2004).

Woman and man aged equal or higher to 65 years old;

Physical and cognitive characteristics are affected

through the ageing process;

Elderly population increased by nearly 1 million

individuals;

The portuguese population is not distributed equally.

Elderly are in more remote areas of countryside, with

the younger population focuses more in large cities.

The Portuguese Cáritas is a Portuguese Episcopal Conference

service directed for the promotion and dynamic of the social

action of the church.

In 1978 was created Home of Buarcos.

Cáritas Network is composed by 20 diocesan Cáritas and for the

local groups they work with professionals and volunteers.

The institution selected:

Is an institution of social solidarity that supports the

community in the social, educational, health and religious

context.

Protect the individual dignity, based on the church principles;

Inform, denounce and sensitize the society for the social exclusion, poverty and

other social emergencies.

Diocesan Cáritas of Coimbra

Cáritas ValuesCHARITY HUMANIZATION

PROFESSIONALISM

COMMITMENT TRANSPARENCY

These values are implemented in a “person-centered intervention, protecting his rights, freedom and warranties”

(Diocesan Caritas of Coimbra, 2011).

The Cáritas of Coimbra has three nursing homes in operation:

• The Home of Nossa Senhora da Encarnação in Buarcos, with capacity

for 106 elderly residents;

• The Home of Santo António, the complex of the Headquarters and the

Center of Rainha Santa Isabel, in Coimbra, for 52 elderly residents;

• The Home of S. José, with the Major Seminary, with 12 priests

according to residents.

Have between 65 and 80 years old;Not having a main diagnosis of psychiatric diseases.

Home of Santo António:

Have to be independent, which means walk, eat and

do their hygiene care by themselfs.

Requirement to Join Cáritas:

Multidisciplinary Team

Nurses

Nutricionist

Occupational Theraphist

Physiotherapist

Helpers

Home Helpers

Depends on the household income how corresponds to 70% of the total;This value varies depending on the degree of dependency;All the cares are whithin the price except diapers and medication.

Payment

The Cáritas Diocesana of Coimbra offers support to the elderly through:

Day Center

Support Service

Elderly Residential Structure

Home “Rainha Santa Isabel”

ULDM

REALITY OF A PORTUGUESE INSTITUTION

Day CenterProvide excellent service to the elderly population

through the promotion of independence and quality of life.

Promote:•Basic hygiene and comfort;

•Socializing activities (trips, cultural visits and entertainment);

•Transportation between the users home and the institution;

•Access to medical and pharmacy services.

Elderly Residential Structure

To promote independence and life quality for the elderly, through prevention, stimulation of physical, cognitive, relational and

spiritual capacities

Providing permanent services appropriate to the biopsychosocial problem of the elderly and developing uniform procedures as directed.

Elderly Residential Structure:• Offer housing conditions for an indefinite period, • Provides hygiene, comfort and a balanced diet care• Offer permanent care to encourage the individuality, autonomy and independence of the

user• Provides psychosocial support • Prevent and repair social dysfunction situations, • Offer programs of musical expression and drama, educational and cultural visits, physical and

sporting activities

Home “Rainha Santa Isabel” It aims to promote independence and life quality to the

elderly, through prevention and stimulation of physical, cognitive, relational and spiritual.

•Provides internment for an indefinite period

•Aims to preserve and encourage interfamily and

intergenerational relationship.

•Provides hygiene and comfort

•Provides daily nursing care

•Made a periodic physiatric control

•Provides physiotherapeutic care

Support Service

This service seeks to elevate the human person, promoting at home autonomy and trying to meet the users basic needs and expectations

by supporting the patient in daily life activities and giving psychosocial support, collaboration and providing access to health care.

Activities

The family can engage in all

• Day trips;• Themed activities like:Grandparents DayFamily DayThanksgivingEasterCarnival…• It has her own chapel where the

Eucharist is performed every Sunday;

The institution has a holiday home where they can spend a period of 15 days during the summer, supported by home helpers.

ULDM (LONG TERM AND MAINTENANCE INTERNMENT UNIT)

Provide social support and health care maintenance for people with chronic diseases or processes at different levels of dependency and who do not meet conditions to be cared for at home.•Promotes their psychological health maintenance, disease prevention, rehabilitation;

•Promotes medical monitorization, the prescription and drug administration;

•Provides periodic physiatric control;

• Ensures daily nursing care, physiotherapeutic care and occupational therapy comfort.

Problems

Low PensionsThe minimun pension:

● 246,36€ (with less than 15 years of insurance career

● 379,04€ (if equal or higher than 31 years)

Expensive Medication

Low Knowledge

Loneliness

Solutions

Improvement Social Benefits

Reimbursed Medication

Information on Risks(security at home)

Earlier nursing care closer to the population.

Program

“ACONCHEGO”

Program “Aconchego”This program seeks to combat loneliness, provide support to seniors

and promote their welfare and at the same time it gives young students a home at low cost, where they can live with the

"knowledge" acquired through life experience of the most old.

The university students are accommodated in residences in exchange for some company and support that is necessary, since the purchase of

medicines, medical follow-up.

Home for who studies, company for who needs.

ConclusionMaking this case study was an asset, Cáritas is an institucion that aims to provide

seniors the highest quality of life, trying to answer the individuality of each person.

It should be noted that as the time goes by many needs are being modified, and is

therefore necessary measures to support and care should be tailored to different

stages of human history. And the elderly are important elements because they are a

source of experience, wisdom and help us to address current issues in the life of each

one of us.

Build the common good is the duty of all and everyone.