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Feeling at Home

Feeling at Home. June 18 2010 International Conference of Integrated Care Finland Hetti Willemse - Publi care a. Hetti Willemse . Social geographer/planner Founder and owner consultancy firm Publi care a (2004) Experienced in: Policy making Government Care Management supervision

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Feeling at Home

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  1. Feeling at Home June 18 2010 International Conference of Integrated Care Finland Hetti Willemse - Publicarea

  2. Hetti Willemse • Social geographer/planner • Founder and owner consultancy firm Publicarea (2004) • Experienced in: • Policy making • Government • Care • Management supervision • Adviser • Publicist • Mediator • Former city councillor of Amsterdam • Strategy management Foundation ILC Zorg voor Later

  3. Global ageing: Europe en US • Rising life expentancy -> increase of chronic illnesses and multi-morbidity • Universal consequences: • Higher need for care • Shortage of personnel • Higher expenses • Seniors wishes: changing level of wealth and education

  4. Statistics Netherlands • Central Bureau of Statistics; age 65 and over More vital seniors: emancipation and social activity - Seniors improved purchasing power • Technological developments • New methods of care: • e-health & telediagnoses Rise of costs - A wealthier society demands more care

  5. Seniors wishes • Familiar environment substituted by nursing home • Seniors wish to continue their life in a safe and familiar way they choose (= demand) • Existing gap demand-supply • Next generation of seniors: babybomers/flower power

  6. Nursing homes in the Netherlands • All-inclusive package • Small-scale homes versus homes at large extent • Focussed on the inside • Personnel: • Mainly focussed on care and organisation • Minimal time for daily contact with residents • Loved ones of resident on side path • Nursing homes future-proof?

  7. Examples of Nursing homes

  8. On the outlook for respectful care • Extend your life with days or add life to your days? • Feeling at home is one of the most important aspects of a health care institution: quality of life • Daily activities: next to the hours filled with caring and sleeping, there are plenty of hours left…. • What makes people feel at home in an institution?

  9. Resident and his social network • Role of loved ones? - past, present and future of resident - emotional connection • Current position loved ones - Powerlessness - Dependency • Concept of Mantelzorger

  10. Starting point: Partnership between loved ones and health care institution Cooperation based on reciprocity in favor of resident Loved ones Personnel Emotional dimension Functional dimension

  11. Book Being at Home • 14 smallportraits of lovedones and personnel • Display of commitment and communication of involved • Lovedonesstrugglewiththeirpossibilities to participate in providing care

  12. ‘Hold on to your Loved Ones’ • Staged pilot- project • Fase 1 • Conversationwith initiator • Conversationwithlovedone • Orientation of organization and specifics of location • Agreementonrealization Fase 2 and invitations Fase 2 • Fase 2 • Meeting withstaff of different levels of organization • Meeting withlovedones • Combined meeting organization and lovedones, goal is to come to anagreementon steps of action • Final report: an Agenda of Respectful Care

  13. “Throughout organization. Meeting with loved ones, carers and direction.”

  14. ‘Feeling at Home’ (2009) • Practical guide written for loved ones and institution as partners to accomplish respectful care Based on: • ‘Hold on to your loved ones’ pilot project • Field research • Provides insight and tips describing various stages: • Stage prior to admission • Admission and the first few weeks • The residence • Connect with family members after residence period • Role of supporting functions

  15. Examples of Tips (1) Tip: Businesscard Tip: List of usefull websites

  16. Examples of Tips (2) Tip: Get to knowyourresidents: Profile of Ms. Pieterse

  17. Examples of Tips (3) Tip: Create a family tree orsocialnetwork poster of every resident

  18. Examples of Tips (4) Tip: Personal placemat and logbook

  19. Examples of Tips (5) Tip: Traincompartmentwithmoving landscapes Tip: What to wear? Tip: Cd

  20. Role of supporting functions • Architecture • Neighbourhood surrounding nursing home • Interior design and the public area • Personnel en organization • ICT • General and technical service • Communication

  21. Observations architecture and neighbourhood • Professionalize construction of nursing homes • Offices personnel: Ground floor nursing home versus non-residential • Parkinglots determine frontal view of home • Unattractive instead of attractive entrance • Low level ceilings • Unefficient routes inside the nursing home • Unclear or absent informational and directional signs • Lack of connection to surrounding neighbourhood Quickscan building and neighbourhood: Checklist provided in ‘Feeling at Home’

  22. Potention: -> 3 options for architecture and environment • For caring • Efficientinteriorlogisticsfacilitateefficient time management -> more time forpersonal care • Ondegree of recreation, enticement and activities • Opening the nursing home forfacilities and activitiesfor the neighbourhoodfacilitatesvisiting the nursing home and createsrecreation and enticementforresidents. • In finance • Smallmerchants and clubs maybewilling to hire a sectionor room of the building whichcreatesincome out of rent. Sharing a location even offers possibilitiesforsharedfinancing.

  23. Communication • Top Priority • Website • News letter • Intranet • Introduction DVD (new house) • Wifi • Hyves • Informative roomfolder (like in hotels)

  24. Important highlights • Every half anhour a resident is satisfiedrelievescaringpersonnel. • Financial ‘significance’ of Feeling at Home -> financialresult of implementation of tips • Grand design versus relativesmallbuteffectiveimprovements at work. Try to thinksmall-scale and personal! • Research • Project offered to ZonMW in cooperationwithunionElderly Care Amsterdam Partners: Academichospital, Nursing home organisations and Publicarea

  25. Looking forward • Engage in partnerships withresidents and neighbourhood. • Communication! • Facilitatesocialcohesion • Quality and effectiveness • Most important • Keep liferespectful: residentsshould ‘feel at home’ in aninstitution • Benefit organization and personnel: animprovingatmosphere at work

  26. Innovation and transfer • Questions? • Situation in other countries • Recognizable? • Relevant and applicable? • Similar experiences?

  27. More information • Flyer • Website: www.publicarea.nl • Contact: Publicarea Amsterdam, Netherlands Tel. 0031-206386425 Email: hettiwillemse@publicarea.nl

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