Template of community home-based care for the aged I. Overview
China's population aging has the characteristics of rapid development, large scale and long duration. By the end of xx, the elderly population in China has reached xx billion. Many elderly, infirm, chronically ill or disabled people not only have low quality of life, but also face many unsafe risk factors because there is no one to take care of them at home during the day. At present, China's self-care ability is partially damaged, and the number of semi-disabled elderly people who need other people's care in daily life is close to xx million. Under the background of shrinking family size and family nursing resources, how to meet the nursing needs of these elderly people by relying on the community so that they can continue to live in their familiar families and communities has aroused widespread concern from the government and society. The party and the government attach great importance to the development of community-based pension services, and xx clearly points out that it is necessary to establish an old-age care mechanism based on family pension, supported by community services and supplemented by social pension. Xx and xx jointly issued by the Office of the National Committee on Aging, the Development and Reform Commission and the Ministry of Civil Affairs respectively pointed out that "a service system based on home-based care for the aged, supported by community services and supplemented by institutional care for the aged" and "a variety of forms and wide coverage of home-based care service networks will be basically established in urban communities". Strengthening the construction of day care facilities for the elderly in the community is a concentrated expression of the spirit of implementing the policy of "relying on community services" for the aged, and is an indispensable and important link in building the aged care service system. Community day care centers for the elderly have developed rapidly in recent years and played an important role in meeting the day care services for the elderly in the community. However, at present, the infrastructure construction of day care for the elderly in China is relatively weak as a whole, and facilities are scarce. The existing facilities have outstanding problems such as small area, single function and low service level. In order to reasonably determine the construction scale and level of newly-built and rebuilt community day care centers for the elderly, improve supporting facilities, standardize the layout and design of buildings, and formulate relevant construction standards is particularly necessary. Further strengthen and standardize the construction of community day care centers for the elderly, improve investment and social benefits, and better serve the elderly. The operation modes are as follows: public construction, public construction, private construction and public assistance, which can be selected according to actual conditions.
Establish a community service center for home care for the aged, and adopt the operation mode of "internet plus for the aged" to provide home care services for the elderly: life assistance, health management and emergency assistance.
Second, community sunshine.
Make full use of the existing social resources, adjust the structure and function, establish a home-based care service station, and increase a series of service systems such as emergency assistance, product purchase, rehabilitation physiotherapy, health guidance, domestic service, entertainment activities, and active nursing. To promote the transformation of medical services to health management services, and at the same time increase life services to fully meet the diversified needs of the elderly.
Third, the operation mode
Build a set of xx smart pension service platform, and realize the intelligent operation mode combining online and offline of xx.
One-stop service for multiple sites in one center.
Service system:
(1) Health services:
Add health management services to the service center, including:
1, dynamic electronic health record:
Establish a dynamic electronic health record for each elderly person to record the basic information, family information, health status and past medical history of the elderly. When the elderly send out emergency help, they can take emergency measures in time according to the documents.
2. Health screening:
The center is equipped with professional health managers, who provide professional, long-term and effective chronic disease intervention programs for patients with chronic diseases through regular health checkups, and intervene from early screening, risk factor control, high-value management and early treatment, diet, exercise and lifestyle intervention, disease management and hospital referral, postoperative rehabilitation physiotherapy and other aspects to reduce the harm caused by chronic diseases. Reasonable diversion of patients.
3, diet, exercise guidance, health care guidance:
Professional health managers and nutritionists are provided for the old service stations to provide health consultation, medical guidance, physical condition assessment, health preservation and other services for the elderly, and regular health and nutrition lectures are held to improve people's health and nutrition knowledge, so that people can have a healthy and long-lived high-quality life.
4. Rehabilitation physiotherapy
Provide professional rehabilitation physiotherapy equipment for community sunshine, and carry out rehabilitation physiotherapy for some patients with chronic diseases and postoperative patients, so as to slow down the aging speed of the elderly and improve the functions of various organs.
1) Soft tissue therapeutic instrument:
It is suitable for pain caused by chronic soft tissue injury, rheumatoid arthritis, cervical spondylosis, scapulohumeral periarthritis, sciatica and muscle strain.
2) Gastrointestinal therapeutic instrument:
It is suitable for acute and chronic gastroenteritis, gastric ulcer, duodenal ulcer, gastrointestinal dysfunction and gastrointestinal dyspepsia.
3) Cerebrovascular therapeutic instrument:
A. Rehabilitation treatment of neurology, surgery, cerebrovascular diseases and hemiplegia. B. Rehabilitation Physiotherapy Department: Rehabilitation treatment of cerebral infarction and cerebral hemorrhage. C. Geriatrics Department: rehabilitation treatment of brain atrophy, Alzheimer's disease and hyperlipidemia. D. Pediatrics: cerebral palsy and cerebral hypoplasia
(2) Life service:
1, product procurement:
Provide drugs, rice flour oil and other daily necessities to the elderly, and purchase them online, so that the elderly can spend less money and buy high-quality products.
2, domestic care:
By contacting the center and registering in the center, users can request various family services, including: family sickbed, family catering, family timing, preferential consumption distribution, family agency, family facilities maintenance, family travel, family shopping and expert services.
3. Active nursing:
4. Hobbies:
Regularly organize chess competitions, Tai Ji Chuan teaching, health exercises, calligraphy exhibitions and other activities to meet the spiritual and cultural needs of the elderly.
(3) Emergency assistance:
1. One-click call: The center has set up a professional seat dispatcher who is on duty 24 hours a day to answer calls from the elderly. When the elderly need help, they don't need to write down the number. Just press it and the user's information will pop up on the call center computer immediately. The dispatcher will call back in time to inquire about the demand and mobilize relevant service forces to provide services in time. At the same time, they can contact 120, 1 10, 19 or their relatives and children as needed.
2. Monitoring and positioning: provide electronic nannies and mobile phones for the elderly, but the elderly can make positioning inquiries when they go out to avoid some unexpected situations.
Service specification:
1, site specifications
The day care service center should include "four rooms and one hall" such as day lounge, leisure and entertainment room, reading room, fitness and rehabilitation room and restaurant.
2. The personnel requirements include at least X staff members, including X stationmasters, X nurses and X salesmen.
Nurses need professional training and certificates.
service specifications
① Lounge
A, explain the service content and the rights and obligations of both parties to the day-care elderly and their families, sign a service contract, and establish a service file for the elderly. Every afternoon at x o'clock, the old man will scrub the floor, tables and chairs, make the bed and keep the bed clean.
B. Clean and replace the bed unit every Thursday. If the bed unit is polluted, replace it the same day.
C, the house garbage clear in time, keep the house without peculiar smell, without sundry.
D. when the old man comes home late and delays the time from work, don't rush him or treat him badly.
② Reading room
A, scrub the floor, tables and chairs at x o'clock every afternoon, and tidy up the items in the house.
B, check and clean up the indoor garbage at any time, and keep the room clean.
C, organize books at any time, keep the bookshelf clean and tidy.
D. Clean up the books as a whole at X o'clock every week, arrange the books once, and mark them clearly and accurately.
E, usually pay attention to the accurate placement of the logo, to avoid books lying around.
③ Recreation room
A, scrub the floor, tables and chairs at x o'clock every afternoon, and tidy up the items in the house.
B, the ground sundry clear in time, keep the ground without sundry.
C, pay attention to open the window every day for ventilation, and keep the room free of peculiar smell.
D, check the integrity of entertainment equipment every day, and handle it in time.
E, x comprehensive cleaning once a week.
④ Fitness and Rehabilitation Room
A, scrub the floor, tables and chairs at x o'clock every afternoon, and tidy up the items in the house.
B, the ground sundry clear in time, keep the ground without sundry.
C, pay attention to open the window for ventilation every day.
D, pay attention to the daily maintenance and inspection of fitness equipment, handle problems in time to avoid physical injury to the elderly due to equipment problems.
E check the fitness equipment once a week.
F, the use of rehabilitation equipment
I Everyone can only do physical therapy for each instrument once a day, which usually lasts about 20 minutes.
Ⅱ physiotherapy temperature: 25-26 in summer and 28 in winter.
ⅲ When diabetic patients are doing physical therapy, the debugging gear should not be too high.
Ⅳ The stationmaster chooses the prescription gear (1 gear or 2 gear) according to the actual situation of the elderly.
G, instrument use taboo
I. People who have suffered from heart disease or have undergone heart bypass or stent surgery are prohibited from using instruments.
Patients with type II dermatosis are prohibited from using instruments.
⑤ Restaurant
A. Scrub the floor and operation desk at x o'clock every afternoon, and tidy up the things in the house.
B, garbage timely processing, not accumulation.
C, keep the environment clean and tidy, no smell.
D, tableware timely cleaning and disinfection, ensure clean without stains.
E, broken tableware timely replacement, to avoid accidental injury.
F, comprehensive cleaning once every Wednesday.
Community home-based aged care service is a socialized aged care service based on home-based aged care, relying on XXXX service center, taking volunteer service and convenience network as service resources, and taking door-to-door service and day care as the main forms. It is a new measure for the party and the country to win the hearts of the people in the new period and stage. The district government attaches great importance to the community pension work, actively establishes and improves the community management system and working mechanism, and creates conditions for expanding the community home pension. According to the spirit of "XX" issued in document xxXXX, combined with the characteristics of many lonely, old, trapped and disabled people in XX community, the implementation plan of home care service in XX community is formulated.
I. Guiding ideology
Guided by Theory of Three Represents and Scientific Outlook on Development, XX's home-based aged care service aims at "providing for the elderly, providing medical care, providing education, providing for the elderly, providing education and providing special services for the elderly", and actively constructs a government-led and community-involved aged care service system in combination with the reality of XX and the community re-employment project. A community-based service system for the aged, which focuses on home-based care, supplemented by institutional care and socialized services; Mobilize social forces, use market mechanism, improve the function of community pension service, and promote the healthy and orderly development of home pension service in a planned and step-by-step manner.
Second, the basic principles
According to the development idea of seeking truth from facts, people-oriented and long-term effect, we will promote the home-based care service in XX community. Follow the following basic principles in your work:
The principle of combining government leading with support, social participation and market-oriented operation;
Second, the principle of giving priority to family pension and social pension;
Third, the principle of combining serving the elderly with promoting re-employment;
Fourth, adhere to the principle of expanding special groups first and then gradually;
Adhere to the principle of providing corresponding aged care services according to different needs;
Adhere to the principle of combining free, low compensation and paid.
Third, organize and lead.
In order to promote the healthy and orderly development of community home-based aged care service, the leading group of XX community home-based aged care service was established.
Team leader: XX
Deputy leader: XX
Member: XX
There is an office under the leading group, which is located in XX Branch. The director of the office is concurrently appointed by Comrade XX, and the deputy director is concurrently appointed by Comrade XX and Comrade XX. Members are composed of X Community Neighborhood Committee, responsible for daily specific work.
Fourth, the working mechanism
Establish x and XX working institutions:
One is to set up XX home care service station.
The XX Home Care Service Station, composed of relevant personnel from XX Branch and XX Community Service Center, assists the Civil Affairs Bureau to determine the form of the station, is responsible for guiding community neighborhood committees to accept service applications, evaluating and preliminarily qualifying those who enjoy government-purchased services and subsidized services, assisting in service skills training, and organizing service teams to carry out on-site services.
Second, set up a community home care service group.
It is mainly composed of full-time staff of community neighborhood committees and rental house administrators. According to the distribution of community service objects, determine the setting of community home care service group. The group assists in accepting the service applications of government-funded objects, investigates and verifies the applicants' situation, supervises and feeds back the situation in the process of home-based care services, and is responsible for evaluating, coordinating and guiding the daily work of waiters.
Verb (short for verb) customer
For the elderly over the age of XX60, the household registration and residence are required to be within the jurisdiction of XXX. According to the regulations, there are currently three categories and nine categories of personnel:
Class A: Enjoy free service, and enjoy the service time equivalent to XX yuan per month.
1, the "three noes" registered for assistance;
2 low-income households in the elderly over 60 years old living alone or only with disabled children;
3. Care for the elderly;
4. disabled soldiers at or above the first level;
5, above the municipal level labor model or won the national advanced honorary title;
6. centenarians.
Class B: Enjoy subsidized service and service time equivalent to XX yuan per month.
1, the elderly living alone or with only disabled children over the age of X in the low-income households;
2, civil affairs, social security escrow retirees, monthly pension less than X yuan, X years of age or older, living alone and living in difficulties.
Class C: Enjoy subsidized service (you can enjoy the service time equivalent to X yuan per month).
Civil affairs, social security escrow retirees, the monthly pension is less than X yuan, living alone or only with disabled children over X years old.
In addition to the above objects, other elderly people in this area can enjoy paid or low-paid community home care services according to the principle of "convenience nearby" after voluntary registration.
Service mode of intransitive verbs
Mainly relying on community pension service institutions or community organizations to provide the following services for the clients:
1. Full-time care service: provide all-weather daily life, life care, professional care, rehabilitation physiotherapy and spiritual and cultural services for the elderly in the community. It is divided into holistic nursing, semi-nursing and general nursing.
2. Day care service: provide day care service for the elderly who have no accommodation in the community.
3. On-site service: professionally trained service personnel come to provide life care for the elderly.
Combined with the actual situation of XX, under the guidance of the civil affairs department of X, we will start on-site service, and then gradually carry out day care and full-time care services after all conditions are ripe.
Seven. service content
Starting from the reality of XX, mobilize social forces, build a home-based aged care service system with family as the core and community aged care service network as the support, and advocate a home-based aged care service model with door-to-door aged care service as the main service and community aged care service as the supplement.
1. Develop home-based aged care services oriented by government purchasing services.
Relying on XX home care service organization, we will set up a service team to provide different amounts of government purchase services for the elderly who need special care, the elderly who live alone, the elderly from poor families and the elderly who have made great contributions to society, and provide other elderly people with self-funded purchase services.
2. Provide multi-level and multi-form community life care services.
First, comprehensive services such as medical treatment, rehabilitation, nursing and housework should be provided to the elderly and those who can't take care of themselves. The second is to provide services in the form of day care centers and rehabilitation stations for middle-aged and elderly people who can basically take care of themselves; The third is to provide low-income assistance, government purchase services, voluntary services, mutual assistance services and other forms of services for special elderly people who are extremely poor, live alone, are old and have made great contributions to society; Fourth, provide community services, such as entertainment, sports, health care, housework and so on. For young and healthy elderly people, especially "empty nest" families, encourage and support them to participate in community public welfare activities.
3. Provide auxiliary services for family members of the elderly, and actively assist and encourage family members to take care of the elderly.
Relevant functional departments should actively provide relevant training and guidance on nursing for the families of the elderly, and provide facilities convenient for family care. By helping family members to meet the care needs of the elderly at home, the family's pension function can be consolidated and strengthened.
4. Effectively use and integrate the existing community service resources to maximize the role of old-age services.
XX community service center must be set as the window of old-age service; Conditional community "Starlight Home for the Elderly" should provide services such as day care, home-based care for the elderly, food delivery and escort, strengthen entertainment, health care and other service functions, build volunteer work bases, and carry out home-based care for the elderly.
Eight. Implementation steps
Home care services should proceed from reality, adjust measures to local conditions, pay attention to steady progress, pay attention to long-term development, and pay attention to establishing a long-term mechanism.
1. Investigate and identify customers. Organize special investigators to carry out the investigation, classification, audit and statistics of home care objects, grasp the basic situation and demand dynamics of the elderly in time, and establish and improve the information database of the elderly.
2. Service content evaluation. The evaluation team determines the service items and service hours of home-based care for the aged.
3. Establish a service team.
1. Organize a service evaluation team. The evaluation team consists of community home care service stations and doctors from XX Chinese Medicine Hospital. It is responsible for on-the-spot assessment of the physical condition and family environment of the clients, determining the nursing level and service items needed by the elderly, and establishing personal family files for the elderly.
2. Organize a team of waiters. The waiter team is provided by each community, and XX home care service station is selected. Combined with the re-employment work in XX, we will focus on attracting laid-off workers in the community, especially those aged 40-50, to engage in home-based care for the elderly in the community and implement preferential policies for re-employment. Organize professional skills training, so that they have a sense of professional responsibility and organizational belonging, form a professional team, and hold relevant certificates.
Nine. Required funds and sources
Efforts should be made to develop home-based aged care services oriented to government purchase. At present, there are 1 10 people in XX who need government to purchase services. With the development of social economy, the proportion of the elderly population in the community is increasing. In order to make the home care service in XX community run continuously and healthily, the start-up capital is about XX million yuan. The main sources are:
1. The funds for the start-up and operation of community home care services are mainly provided by the municipal and district governments.
2. Low compensation For the elderly with certain economic ability, in addition to subsidies, the government buys some old-age services at its own expense.
3. A small amount of money raised by social donations.
X. Fund management
Community home care service fees should be used in strict accordance with the relevant provisions of the district in accordance with the principle of earmarking. Capital expenditure should be based on the model and service effect of community home care service in XX. According to the evaluation standard of community home care service formulated by the city, the district finance bureau and the civil affairs bureau will approve the funds to ensure standardized fund management and earmarking.
Community home care template 3 1. Theme of the event
Chongyang respects the elderly and is full of love for the nursing home.
Second, the purpose of the activity
Through activities, celebrate festivals for the elderly in the park, bring spiritual comfort to the elderly, feel warmth and share happiness.
Third, the activity time
20xx, x, x 10 am
Fourth, the venue
The sanatorium restaurant is on the second floor.
Verb (abbreviation for verb) dining place
Second floor of nursing home
Participants of intransitive verbs
1. Old people staying in the park: xx people.
2. Performance team: X people, and other family members are charged at X yuan/person.
Seven. Activity flow
(1) preliminary preparation
1. Contact the benefit performers to determine the performance content and the event host.
2. The dining standard is determined to be three meats and two vegetables (one more meat and one more vegetable than usual).
3. Every old person in the nursing home will get 1 orange and 1 apple.
4. Speaker equipment and microphone.
(2) Activity process
1.x Organize community staff to prepare for X: 00 am X:
2. At point X, the nursing staff organized the elderly to settle down in the restaurant on the second floor to maintain order at the scene;
3. At point X, the host announces the start of the activity;
4. After the activity, X will have lunch at noon, and the nursing staff will organize the elderly to form a table for dinner. After dinner, they will organize the elderly to go upstairs to rest.
5. Other staff help to clean up the dishes and chopsticks, and then eat them when the old man leaves.
Eight. Activity guarantee
1. canteen-ensure the quality and time of meals;
2. Administrative personnel-coordinating the activity schedule and logistics service guarantee, and dividing the work among nursing staff, nurses and nursing directors-ensuring the safety of the elderly, assisting the elderly to go up and down stairs, and taking corresponding measures according to the situation of the elderly;
3. Service guarantee-all staff will arrive at the post on the morning of X, X, X, and no other arrangements will be made. Everyone at each table in the canteen will be assigned to specific service personnel, who will be responsible for serving and collecting dishes and chopsticks.
Nine, other matters needing attention
1.- Go to work at normal time on the day of the month, and all personnel go to work at X o'clock in the morning. Personnel from all departments arrive at the park on time during working hours, and the administrative department will organize the dining room on the second floor to set the table and arrange the venue. After the activity, move the dining table back to the dining room, set the tables and chairs, and prepare a dining place for the elderly;
2. Personnel from all departments must be present on time and work according to the above table. If the performer fails to show up on time or as required, a donation of xx yuan will be given.
3. Seating arrangements at the venue.
Community home care template. Theme of the event
Active aging, happiness in innovation.
Second, the background of the incident
"Active aging, fun in innovation" community series of public welfare activities for the elderly originated from "International Exchange Project of Caring for the Wisdom Design of the Elderly" in Peking University. This project lasts for two years, and its purpose is to explore the community home-based care model, services and products suitable for the elderly. The elderly have rich working and living experience and social experience, and they are also the group who know the needs of the elderly best. Therefore, the project team launched a series of public welfare activities for the elderly in the community, inviting the elderly to discuss with researchers and designers what science and technology can do for the elderly.
III. Purpose of the activity
Through the discussion among researchers, designers, the elderly and community workers who serve the elderly, we can understand the life needs of the elderly, discover their creativity, export new product design, service design and suggestions for the transformation of existing products/services, and explore the four-in-one community home-based care model.
Fourth, the significance of the event.
It is a sense of security for the elderly to participate in activities as volunteers and discuss their needs and solutions. The form of activities is relaxed and pleasant, with the participation of designers and college students, which realizes the exchanges between different groups and generations and is a kind of old-age care.
Verb (abbreviation for verb) Activity time and place
20xx year x month x day -xx community 20xx year x month x day.
Basic consideration of intransitive verb activity
1. Each activity is mainly based on community advance notice and voluntary participation. Divided into outdoor and indoor occasions;
2. Indoor activities, with tea parties and interactive activities as the main forms. The duration of the activity is preferably from 1 to 1 and 5 hours, but not more than 2 hours;
3. Outdoor activities are mainly random conversations, and the communication time with everyone should not exceed 20 minutes. Need a small gift. Activities should have a clear theme, complete materials, concise introduction and easy to understand.
Seven. End of activity
The certificate of "Active Aging, Happy Innovation: Being a Volunteer" was awarded to the elderly who participated in the activity.