Houses-boarding schools

Pages: 1 2

To create favourable living conditions for persons of elderly and senile age and improve their health services are built houses-boarding schools and boarding houses. Every year in the USSR a network of boarding schools and the number of places in them increased. The government decree provides for further expansion of the network of boarding schools, welfare, health and cultural services in them. Currently in these institutions there are more than 330 000 places.
With the improvement of the country's economy and, consequently, living conditions of pensioners (housing, public services, public service and so on) increases the number of self-living elderly and old people who need special conditions of service and accommodation. Housing needs of persons of retirement age have the features. This group is partially or totally incapacitated elderly and old people in need of household and medical services, the degree of which can be different. In some cases only needed some help at home, in others a complete release of elderly and old people from home jobs, in the third - not only domestic, but also constant medical care.
Many elderly persons in the presence of specially organized for them service (delivery of food and hot food, Laundry delivered to your home, care in case of illness, and so on) can continue to live in ordinary houses. For patients, the disabled, single persons, who, due to physical and mental status, and also for other reasons are not able to live independently or in the family, created a special Agency - houses-boarding schools and boarding houses, where the elderly are provided with free utilities, food, clothes, shoes, underwear, medical and cultural services. In boarding schools used a closed system maintenance. There is a specific mode and the order of the day.
At present there are the following types of houses-boarding schools: 1) the house of General type for people who are able to move independently and partially themselves to care for the sick there are special geriatric ward) ; 2) home sanatoria for persons with chronic diseases, mainly bedridden patients, who need constant care and continuity of care; 3) homes for patients with mental disorders requiring isolation from healthy people.
In recent years in connection with increase of amount of the pension, and housing in houses-boarding schools come primarily sick old people who need constant care and medical care. Comparative analysis of the age structure of persons living in nursing homes, for a ten-year period has shown a marked tendency to growth of number of people aged 70-79 years and especially 80-89 years. Among people over 60 years, the number of practically healthy decreased from 18% to zero. More than 84% of patients require constant medical supervision and treatment, 60% of them need specialized hospital treatment, special medical care and rehabilitation therapy.
There is reason to believe that in the USSR the process of reducing the number of practically healthy people among persons entering the house-boarding schools will happen, because a correlation between the need for nursing homes, health and insecurity care. Thus, it is possible to speak about a gradual transformation of some boarding schools in hospital geriatric profile that highlights a number of new requirements to the organization of medical care in them: the need for special facilities and training medical staff, organization of active branches of rehabilitation therapy, expansion of diagnostic laboratories, extensive use of diet therapy.
When determining the health and medical-social needs of persons living in boarding schools, to better identify their needs for care and special assistance, should be taken into consideration such complement accepted criteria of health indicators, such as degree of mobility and the ability to self-service. When special study found that only 26.7% of wards move independently, 53,9% can move with difficulty, and the rest of 19.4% are sick and are on bed rest. Fully take care of themselves can only 34,5% of them, partially - 40,8%; unable to serve themselves-24,7%. Therefore, 65.5% of persons living in homes for the elderly, in need of complete or partial care. These data should be taken into account in the provision of medical services and care planning States service personnel.
Assessment of the health of the elderly living in nursing homes, shows that with age, the incidence is increasing. The average morbidity among persons 60 years and over more than 3 times higher than for the population of similar age.