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Asociatia Habilitas - Centru de Resurse si Formare Profesionale Psih. Ioana Caciula Project Manager -Carpi, ITALY, 25 th -27 th May2015- Crea eated i in 200 007 Dev evelops p proje ject cts i in the e fiel eld of el elderly


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SLIDE 1

Asociatia Habilitas - Centru de Resurse si Formare Profesionale

  • Psih. Ioana Caciula – Project Manager
  • Carpi, ITALY, 25th-27th May2015-
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SLIDE 2

 Crea

eated i in 200 007

 Dev

evelops p proje ject cts i in the e fiel eld of el elderly ca care e an and tra training of

  • f forma
  • rmal c

care aregiv ivers

 Is au

author

  • rized to

to deliv liver tra training c cou

  • urses f

for

  • r

th the q quali lificatio ion “e “eld lderly h home

  • me ca

care regiver”

 Is in

involv

  • lved in

in several l Euro ropean an and n natio tional projec jects

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SLIDE 3

 IQ

IQEA p projec ect – implem emen enting t the e ECV CVET s system for el elder erly c care e assistants in It Italy, Po Poland a and Ro Romania (201 (2010-2013)

 ID

IDECO p projec ect – cre reatin ing a a tra raini ining ng model a l and nd an ECVE VET corresp spondance for d dep epartmen ent coord rdin inators in in re resid sidentia ial l facilit ilities b between Ger ermany a and It Italy ( (2011-2013)

 AMI

MICO p pro roje ject – creati ating an g an electr tronic tool tool to to asses ess t the e compet etencies es o

  • f migrant el

elder erly care regiv ivers w whic hich w will b ill be func unctional in in Romania nia, It Italy, Po Poland and Ger ermany ( (2012-2014)

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SLIDE 4

 Senio

ioriN iNet – cre creati ting a a natio tional in infor

  • rmal

netw twork of

  • f socia
  • cial an

l and me medica cal h l home

  • meca

care prov roviders, imp improv

  • vin

ing th the v vis isib ibil ilit ity of

  • f

mem embers an and t training o g on ad advoca cacy an and strategi gic p c planning

 ELMI p

proje ject – tran transfer from rom Italy taly to to Roma

  • mania

ia

  • f an e

n e-le learning cou course f for f

  • r family

mily car arers of

  • f

peop

  • ple w

with ith deme menti tia in in ord

  • rder to

to help lp th them imp improv

  • ve th

their ir s skill ills to to re re-integ egrate ate o

  • n the

labou

  • ur ma

market t as as forma

  • rmal car

arers

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SLIDE 5

 “S

“Senior

  • rs – Re

Resou

  • urces in

in th the commu community: Volu Volunte teering at at th thir ird ag age” ” – trai training old

  • lder

persons as as volu

  • lunteers, p

plac lacing th them in in soc

  • cia

ial l in instit itutio ions as as volu

  • lunteers a

and cre creati ting a netw twork of

  • f senio

iors volu

  • lunte

teers in in Bucharest

 “S

“SES – Econ

  • nomi

mical l and Social

  • cial Support

t for

  • r

Vu Vuln lnerable le Pers rsons” ” – a a socia

  • cial

l econ conom

  • my

proj roject t where re th there w will ill be cre create ted s str truct ctures emp mplo loying d dis isadvanta taged p persons in in th the c care are sect ector

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SLIDE 6

 Cur

Currently 1 15% of the he po population o

  • f Romania is

aged ged 6 65 5 or more

 Th

This is amou amounts to to ap

  • approx. 3

3 million million Roman Romania ians

 By

By 205 050 0 thes ese f figu gures w will double

 The a

e aver erage ge p pen ension v val alue i is approx. 15 150- 200 00 eu euro/month

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SLIDE 7

 Most elder

erly a are c cover ered ed, f from a a medical al i insu suran ance poi point of

  • f v

view, by by th the Na National H Health Insu surance System em

 This statu

tus ensures f free o

  • f charge

ge a access t to primary medi dical c care a and hospi pita tal admission

  • ns w

when n neede ded. d.

 Also

so i it a t allows f for

  • r ba

basic free bl blood te test sting tw twice pe per year ear an and i imag aging wh when en n need eeded

 Part of

  • f th

the medication i is s pa partially or

  • r tota

totally c cov

  • vered

by by th the NH NHIS

 Geriatr

trics h hospi pita tals o

  • r Geriatr

trics wards ds e exist m t mainly in in la large c cit ities

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SLIDE 8

 Stat

tate ru run s system m of

  • f re

resid identi tial f l fac acili iliti ties – limite limited n number of

  • f pla

lace ces th that d do

  • not c
  • t cov
  • ver

r the a e act ctual n nee eed

 Stat

tate ru run d day ay care care f fac acilit ilitie ies – with ith in insuffic icie ient cap apaci city

 Stat

tate ru run/financed h home

  • mecare f

for b

  • r both
  • th

me medic ical a l and s soc

  • cia

ial s l service ces

 Stat

tate ru run s senio iors c clu lubs

 Private c

ate care i insti titu tuti tion

  • ns – mainly

y nursing home

  • mes
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SLIDE 9

 No data o

  • n

n the he d dim imensi nsions ns of this p his phe heno nomenon ex

  • exists. T

Ther ere i e is no national lev evel el res esea earch d done o e on the he issue issue

 Not inc

inclu luded in in he healt lth c care re work rkers s curric urricul ula

 No cours

urses s pro rovid ided o

  • n

n this his issue issue t to f form rmal l and nd inf inform rmal c care regivers rs

 Minim

Minimum na natio ional q l qua ualit lity st stand ndards for r res esiden ential f facilities es and for homec ecare s e ser ervices es for r old lder p r perso rsons ns inc inclu lude p pro rotection a agains inst abuse e and neg eglec ect and the e obligation of staff to re report rt

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SLIDE 10

U.S .S.A .A. Roma

  • mania-lo

long term rm c care re u unit it no oral/dental care It is not a part of current care not doing range of motion exercises Understaffed ; is done in selected cases not changing residents each time they are wet after an episode of incontinence Limited 3 diapers / day ignoring residents who are bedfast, particularly not offering activities to them Not available staff for offering activities to bedridden persons doing a one-person transfer when the resident requires a two-person transfer Sometimes there is only one caregiver per shift, 30 people taking no action on the resident's request Unacceptable

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SLIDE 11

 Insuffic

icient tra train ining, pa parti rticula larly ly f for

  • r care

re s sta taff

 Insufficient car

care s e staf aff(max aximum 2 2 nurses es/shift/30 30 pe peop

  • ple

le)

 Phys

ysical an and men ental al ex exhau austion

 Ineffectiv

tive s superv rvis ision ion o

  • f t

the c carers

 Sma

Small ll sala lary ry, not mot

  • t motivating c

com

  • mpetent s

sta taff a and d prof professional a l aspira pirations

 Abs

bsence of

  • f proc

procedure res in in in institutio ions re rega gard rding han andling ab abuse, e, al although t ther ere e ar are e qual ality sta tandards a at t nati tional le level f for lon

  • r long te

term rm care re insti titu tution tions

 (M.

. Ceuca, a, MD)

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SLIDE 12

 In 2010 th

the stu study “R “Recognition of

  • f e

elder abu buse by by hom

  • me c

care w wor

  • rkers a

and d ol

  • lder pe

peop

  • ple in R

Rom

  • mania”

(Caciu iula la, I., L Livings gston

  • n, G

G., Caciu iula la, R R., C Coope per, C C.) was c s con

  • nducted by

by th the NGO NGO EquiLib ibre re Assoc

  • ciat

ation

  • n a

and Univer ersi sity C Col

  • lleg

ege L e London on t the issu sue o e of recognizi zing elder erly a abuse se and p publish shed ed i in Inter ernat ational al Psychogeria iatric rics.

 It

t sh showed th that th the m mor

  • re e

expe perienced th the f for

  • rmal

home c e careg egiver ers s were, e, t they w were l e less l s likel ely t to correc ectly r recognize e ze elder erly abuse se

 Also t

the e elder erly were e more p e percep eptive i e in recognizi zing di different for

  • rms of
  • f a

abu buse

 Due t

to l lack of a approp

  • priat

ate t e trai aining the inter erviewed ewed careg egiver ers w s were 5 e 50% less c ss capab able t e to recognize e ph physical r rest striction a and n d neglect ite tems as s be being a abu buse

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SLIDE 13

 Th

The f firs irst ma t marking of

  • f th

the W World

  • rld E

Eld lder A Abuse Aw Awar areness D Day ay o

  • n the 1

e 15t 5th o

  • f June 20

2013 13 during an g an ev even ent orga ganized f for t the el e elderly by a loca local re l retir tired p persons org

  • rganiz

izatio ion in in collab collaborati tion w with ith th the Habili ilita tas A Associ ciati tion and m medical cal a assoc

  • ciati

ation

  • ns

 Train

Training p prov rovided f for y

  • r you
  • ung d

docto

  • ctors on
  • n th

this is is issue b by th the You Young G Geria iatricia ians A Assoc

  • cia

iatio ion in in Roma

  • mania

ia

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SLIDE 14

 Tra

raini ining o

  • n

n the he eld lderly rly abuse use f for r so socia ial a l and nd med edical p profes essionals p provided i in October 2013 b by Alm lma Fra ranc nce A Asso ssocia iatio ion, in in the he fra ramework of the he “Lea Learning h how t to res espec ect or grandparents” pro roje ject, f fina inanc nced b by the he Fre renc nch E Embassy in in Romania a and d dev evel eloped ed b by the e Equil uilib ibre Assoc

  • ciati

tion

  • n

 Another

er p projec ect o

  • f Ha

Habilitas – “Bre reakin ing t the he sile silenc nce – saying N NO t to abuse o e of older er p per ersons and disabled ed p per ersons” – financed ed b by Lo Lord Mic Miche helham Foundati ation

  • n – aim

im o

  • f t

tra rain inin ing tra raine iners rs and nd the hen n pro rofess ssio ionals in in Romania nia by ALMA MA France A e Association i in the e subjec ect o

  • f

mist istre reatement of vulne ulnerable le p perso rsons

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SLIDE 15

 THANK YOU!  Habilitas Association – Romania:

asoc.habilitas@yahoo.com 0040757022382