After the Wenchuan earthquake, the counterpart aid construction team of Hunan Province made a scientific decision, placed the reconstruction of Li County's material home and spiritual home in the same important position, put forward the working idea of "rebuilding spiritual home and building a harmonious new Li County", incorporated social work service into the formal aid construction project, and quickly established the Xiangchuan social work service team. At the same time, many social work organizations have flocked to Sichuan to work hard for the reconstruction of spiritual homes after the disaster. Due to the influence of "separation theory" and the limitation of resource shortage, most social work institutions choose children, teenagers, disabled people and community livelihood development as their main service directions, and pay relatively little attention to the elderly. In fact, the elderly are the most vulnerable group in disasters, and compared with other groups, they are also the most difficult group to recover from disasters. In this case, Xiangchuan Social Work Service Team advocates that in view of the special situation and needs of the elderly in Lixian County, based on the value concept of professional social work, the professional skills of social work should be used to intervene in the service, adjust their social relations in the external environment, use social resources to improve or restore their social functions, enhance their social adaptability, improve their quality of life, and restore their normal life and psychological state.

Second, the project concept

Social work for the elderly is a major to help the elderly, a plan to help the elderly, and a professional job for social workers to help the disadvantaged elderly or elderly groups solve difficulties, prevent the occurrence of problems for the elderly, meet their needs, restore and develop their functions, enable the elderly to adapt to society, carry out normal life and social activities, improve their quality of life and promote the development of welfare undertakings.

For a long time, the elderly have been the social vulnerable groups (physiological vulnerable groups). Due to the constraints of acquired conditions (physical aging), most elderly people lack competitiveness and cannot or can only occupy part of social resources, so they can only live a low-level life. At the same time, it lacks the ability to resist all kinds of risks and improve the situation by relying on its own efforts. This is especially true for the elderly in Lixian after the disaster. Therefore, it is necessary for social workers to conduct targeted surveys based on reality and needs, understand their actual needs, and combine their physiological, psychological and social characteristics to provide professional services for the elderly by using three social work methods: case, group and community.

The pain that disasters bring to the elderly often makes them feel uneasy and dependent on society and groups. Therefore, when carrying out social work practice for the elderly, we should try our best to maintain their original system and not leave their family, community, affection and friendship.

At the same time, we should carry out more activities to let the elderly discover their potential, let them find problems in life and solve them by themselves (helping others to help themselves). From a personal point of view, discovering their own potential can help them enhance their self-confidence and reduce their sense of hopelessness in life; From the perspective of interpersonal communication, because they have the same experience, they can share the same topic, and it is easy to form a sense of collective belonging (to meet their own needs for love and belonging), and they can establish a network of mutual support; From the perspective of the relationship between individuals and society, through the analysis and understanding of social policies, the elderly can link personal problems with the uneven distribution of social rights and resources, and can unite and take concerted actions to change the status quo.

Old people in China are considerate and even forgivable to their children. They always feel that children have a heavy burden, so they can't take care of themselves. Therefore, as long as children live well, their feelings and needs are insignificant. Especially after the disaster, only a handful of children are busy building houses and taking care of the elderly. Therefore, we should teach the elderly to "love themselves", pay attention to their feelings and needs, deepen their knowledge and understanding, so as to further discover their potential and change their views of self-denial and self-blame. At the same time, advocate a positive way of thinking to the elderly and cultivate their positive and optimistic attitude towards life.

Three. Project objectives

1, enrich the spiritual and cultural life of the elderly after the disaster, and really let the elderly "learn, have fun and have something to do";

2. Cultivate a local volunteer team with professional social work concept, provide continuous services for the elderly, and realize the localization of social work;

3. Write operation manuals and academic reports, summarize the practical experience of social work for the elderly after the disaster, and provide experience for other institutions or individuals engaged in social work for the elderly.

Four. contents of a project

1, interview survey

Determine the scope of services, with the elderly in Lixian Social Service Welfare Center as the main service target. Conduct an interview questionnaire survey to understand the problems and needs of the elderly in welfare centers.

2, needs assessment, and write a survey report.

According to the questionnaire survey, make a demand assessment and write an investigation report.

3. Practical work.

(1) psychological counseling to help the elderly adapt to changes in the environment.

After the earthquake, many houses collapsed and some villages were not suitable for reconstruction and needed to be relocated. For the elderly who are lonely, the government generally places them in old-age care institutions. Old people who used to live alone or with relatives will not adapt to the new group life. Old people are more nostalgic and more dependent on the familiar living environment. It is difficult to adapt to a strange environment after moving, and anxiety is easy to appear. We can help them gradually adapt to the new environment through psychological counseling.

(2) Start the linkage mechanism between social workers and volunteers, recruit local volunteers, and train them on the value concept of social work, so as to realize the localization of social work and ensure the elderly to receive lasting services.

(3) Establish an activity room for the elderly, so that the elderly can have their own activity space and platform.

(4) Develop interest groups to enrich the spiritual and cultural life of the elderly.

Developing interest groups can help the elderly find friends with the same hobbies and make their leisure time scientifically planned. So as to meet the needs of interpersonal communication and scientific enrichment of leisure life for the elderly.

(5) Social work values training for welfare center employees and service skills workshops for the elderly.

After investigation, it was found that the nurses in Lixian Welfare Center were not professional nurses. Therefore, we can train the employees of welfare centers, so that they can understand the value concept of social work and master the practical skills of social work for the elderly.

(6) Hold the Double Ninth Festival "The most beautiful sunset is still red" to provide a platform for the elderly.

(7) Award of "Excellent Volunteer" in Welfare Institute.

4. Summary

(1) Write an operation manual of social work for the elderly after the disaster.

(2) Evaluation report.

Group II Work Plan for the Elderly I. Work Objectives

Do a good job in the health management of the elderly over 65 years old, gradually establish personal health files for the elderly, and implement health management for the elderly, so as to achieve early prevention, early detection, early intervention and early treatment of diseases, improve health level and improve quality of life. In 20xx, the health management rate of the elderly over 65 years old reached 100%, taking health records as the carrier to provide residents with continuous, comprehensive, appropriate, economical and effective medical and health services and health management.

Two. Scope and content

(1) Project scope

Residents aged 65 and above in the jurisdiction. Township hospitals are responsible for the health management of rural residents aged 65 and above within their jurisdiction.

(II) Project contents

1. Conduct annual physical examination for the elderly registered and managed for 20xx years and update the file information in time. Continue to strengthen the health management of the elderly over 65 years old, and make the registration management rate reach 100% before the end of February.

2. Lifestyle and health status assessment: including physical exercise, diet, smoking, drinking, common symptoms of chronic diseases, past diseases, treatment and current drug use.

3. Physical examination: including examination of temperature, pulse, respiration, blood pressure, weight, waist circumference, hip circumference, skin, lymph nodes, heart, lungs and abdomen, as well as general examination of vision, hearing and mobility.

4. Auxiliary examination: check fasting blood glucose 1 time every year. Increase blood routine, urine routine, occult blood in stool, blood lipid, B-ultrasound, fundus examination, liver and kidney function, electrocardiogram examination, and primary screening examination of cognitive function and emotional state.

5. Inform residents of the physical examination results and intervene accordingly.

(1) Patients with essential hypertension and type 2 diabetes are included in the health management of patients with chronic diseases.

(2) It is suggested that residents who have risk factors and are not included in the health management of other diseases should be reviewed regularly.

(3) Inform residents of the time of the next health examination.

6 to provide all elderly residents with health guidance on the risk factors of chronic diseases and vaccination, measures to prevent osteoporosis and falls, accidental injuries and self-help.

Third, the health management workflow

1, determine the contents and items of basic health examination for the elderly aged 65 and above according to the Health Management Service Standard for the Elderly and the actual situation.

2. Carry out various forms of publicity activities, distribute leaflets and post posters, so that elderly residents can understand the policy of benefiting the people through health checkups and take the initiative to participate.

3. Township health centers shall, jointly with village committees or neighborhood committees, register the elderly residents over 65 years old within their jurisdiction, and issue the Notice of Health Examination for the Elderly over 65 years old and the Health Checklist for the Elderly over 65 years old. With the notice, ID card (household registration book) and health check-up form, go to the township health center or designated place for health check-up within the specified time (a medical check-up place can be set up in the village where conditions permit).

4. Village health centers register and issue relevant forms, fill in the basic information column and related contents, complete the preparation for physical examination, and mobilize eligible elderly people to participate in health examination.

5. Old people who have received health check-ups will be accompanied by their families to the medical check-up unit. After checking the identity of the inspected personnel, the health inspection unit shall receive the notice and health examination form, and carry out health examination as required. For the elderly who need further examination and treatment, they need to obtain their voluntary consent.

6, health examination data into the management of residents' health records. Combined with the physical examination results of the elderly, township hospitals set up health records for the elderly over 65 years old according to the requirements of the Ministry of Health's "Service Standards for Urban and Rural Residents' Health Records Management" and "Service Standards for the Elderly Health Management".

7. After the physical examination, the township health center will give the written feedback of the personal physical examination results to the examinee, and provide corresponding health education and health guidance. Individual physical examination results should include objective results of individual physical examination items, comprehensive evaluation of physical examination results and health guidance suggestions.

8. Follow-up observation and treatment of key populations and special populations according to the health status of the subjects, publicize health prevention knowledge, and intervene in bad health behaviors. Follow-up and observation treatment records are regularly included in personal health records.

9, according to the relevant requirements, after the physical examination, the formation of the elderly health management summary submitted to the county health bureau, the summary should include the annual area of the elderly population base.

This information, health management publicity, health risk factors investigation, basic situation of health examination, classification of medical examination results, health guidance and intervention, etc.

Third, safeguard measures.

(a) to strengthen organizational leadership, clear responsibilities and tasks.

According to the needs of the work, timely adjust the members of the leading group.

(2) Strictly standardize management.

In order to ensure the quality of work and ensure that the masses really get benefits, we should focus on the following aspects:

1, the specific implementation unit of the health management project for the elderly over 65 years old in the health center must strictly follow the requirements and standardize the health examination work. It is necessary to reasonably design notification procedures, convenient health examination procedures and humanized health examination environment, unify health examination methods, standards and requirements, and carry out health examination with high efficiency and high quality.

2. Physical examination should be organically combined with the health management of rural hospitals, emergency departments, inpatients and the elderly, the establishment and improvement of health files, health education and health promotion. Review the results of health examination, issue a health examination evaluation report, give timely feedback to health examiners, and carry out targeted health education.

3 will be found in high-risk groups and patients with chronic diseases into the standardized management of the corresponding diseases. Transfer patients suspected of chronic diseases, infectious diseases, tumors and other diseases to higher-level hospitals or specialized hospitals for diagnosis, and follow up the diagnosis results in time; For those who have referral symptoms, they must be referred to a higher-level hospital in time.

4, timely analysis and evaluation of the health status of the elderly population in the jurisdiction and the classification factors affecting the health of the elderly, and formulate targeted intervention programs for the disease spectrum of the elderly population in the jurisdiction.

5. Raise awareness, strengthen leadership, implement responsibilities, define tasks and indicators, reasonably arrange progress according to the actual situation of the unit, improve management system and workflow, strictly operate, standardize services and ensure quality.

6. Strengthen the publicity of the project. Hold a good township medical association, publicize and mobilize at all levels, let rural residents know the service content of health management for the elderly over 65 years old, improve the awareness rate of the masses, and encourage the active participation of school-age people.

7, establish and improve the performance appraisal system, improve the evaluation system and methods, to ensure the implementation of the task and benefit the masses. At the same time, strengthen the supervision and management of project implementation, severely investigate and deal with fraud, so that the broad masses of people can get more and greater benefits.