1 / 28

INTERPROFESSIONAL TEAMWORK

INTERPROFESSIONAL TEAMWORK . IN LONG TERM CARE SERVICES Questions and alternatives in Hungary Dr Egervári Ágnes MD SOCIAL CLUSTER Association , Budapest. Numbers. 2050: 22% >60 2012 - European Year for Active Ageing and Solidarity between Generations.

bailey
Download Presentation

INTERPROFESSIONAL TEAMWORK

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. INTERPROFESSIONAL TEAMWORK IN LONG TERM CARE SERVICES Questions and alternativesin Hungary Dr Egervári Ágnes MD SOCIAL CLUSTER Association, Budapest

  2. Numbers • 2050: 22% >60 2012 -European Year for Active Ageing and Solidarity between Generations • 16,5 % of thepopulation is over 65, within 3,9% is over 80 • appr. 60% of the 65+ population and >70% of 80+ livewithdependence • 2% of the 65+ populationarelivingininstitutions GFD Congress Izmir

  3. Availablecareservicesforelderlies • Home care: 109 999 • Day care: 44 781 • Elderlyhomes 850 institutions– 57 017 people • Primarymedicalcaresystem About 1% of familydoctors is specialisedforgeriatrics (≈50) • Institutionalcare 62+5 servicesnationwide • Geriatricoutpatientclinic veryfew, 98 zhoursweekly number of geriatriciens ≈130 • Geriatrichospitaldepartement withintheuniversities and inhospitalsavailable (227 bed) 9039 chronicbed (internalmed., psychiatry, pulmonology) KSH July 2011 GFD Congress Izmir

  4. EligibilityCriteria Socialcare • Until 2008: age • 2008: assessmentprocessinhomecare and institutionalcare > 4 hourscare /day ADL and socialdimensions Health care • insurancebased – nearlyuniversal GFD Congress Izmir

  5. Assessment of needofcare • professionallyestablished • creation of caregroupsbasedonneedofcare • easytouse • reproducible • alignedwiththeexistingmedicalsystems GFD Congress Izmir

  6. HOMOGENEOUSthecareactivity is comparable CARE no matterwhatcausedthis statusGROUPS GFD Congress Izmir

  7. Dimensions of HCG GFD Congress Izmir

  8. HomogenousCare Group A:theactivity is carried out bytheclientregularly and correctly – abilitytocarry out thefunction B: eithernotregularlyornotcorrectly C: theclient is notabletocarry out theactivity I: moderatelevel of need of care II: mediumlevel of needofcare III: intensifiedlevel of needofcare IV: permanent, continousneed of care GFD Congress Izmir

  9. HCG projects HCG 1: 2007 Analysis and validation of themethod • 3 types of dimension: nursing, care, social • 30 institutions, 800 tenants, 100 clientsonwaitinglist, 160 clientsindaycare • Methodology: sheetfilled out bytwoexpertswhoknewtheelderlywell, and byoneindependentexpert HCG 2: 2009 • 50 people per institution • 20 socialecarehomes • 5 medicalinsitutions • 1829 observedcases HCG 3: 2011 • 2485 elderlies GFD Congress Izmir

  10. HomogenousCareGroups Prague

  11. GFD Congress Izmir

  12. HCG Health care Socialcare GFD Congress Izmir

  13. Recentsituation Health system Socialcare communication?/?cooperation GFD Congress Izmir

  14. TÁMOP 5.4.1. Modernization of socialservices Standardization of the policy systemforsocialcare Instiutionalcareforelderlies GFD Congress Izmir

  15. Main principles • Measurement of thereal performance (definition of theoutcomes) • Possibilitytochoose (definethe minimum level of the service; differencefromthislevel; possiblenew market solutions) • Contractualrelationship (contract of supply-measurementofthequality) • Exercisetherights (basicrights of theclients) GFD Congress Izmir

  16. Standardization: Rights • Right forthequalityaccomodation safe and aestheticenvironment; appropriateinfrastructuralconditions • Right forthequality service access, assessment of needs, socialcare, menthalhygienic and healthcare quality human resources Canthestandardisationimprovethequality of life of dependentelderlypeople? GFD Congress Izmir

  17. Interprofessional and competent team inLTC • Evidencebasedoutcomes: indicators • Costs • Quality of life • Geriatricapproach and training • HR:continuousdevelopment of thecompetence, learningofnewmethods, self-improvement GFD Congress Izmir

  18. Communication and rights • Has theclienttheappropriateinformation? Is itunderstood? • Is anythingsuppressed? • Whenthetime has come… • Withwho and howtocommunicateincase of clientlivingwithcognitivimpairment • Communicationwiththefamily GFD Congress Izmir

  19. Valueorientation of theinstitute • Mission of theinstitute Professional Program • Human Resources Management - Strengtheningthestability and thecommitment of thecaringgroup - Positivecaringatmosphere and personalrelationshiparethebasis of thequalitycaring - Monitoring thestress-riskoccuringduringthecaringwork GFD Congress Izmir

  20. Valueorientation of theinstitute • Caringworksupportedbytheinstitute Person- centered caring of clientneedscreativity and innovation • Training and development of thecaringgroup • Internalqualityassurancesystem GFD Congress Izmir

  21. Members of the team • Familydoctor • Geriatricien and otherspecialist • Psychologist • Nurses • Socialworkers (colleagueformentalhealth, terapists) • Etc: kitchenworkers, cleaners, gardener GFD Congress Izmir

  22. Relations GeriatricienSpecialists Familydoctor Psychologist Others: cleaningstaff,kitchen, adminstiration,... Nurses Family, friends Management Physiotherapist GFD Congress Izmir

  23. Staff relatives TEAM PATIENT relatives relatives Team members Psychodynamiccircledance GFD Congress Izmir

  24. Personalproperty Presence and stability of theownthingsfromhis life: familyphotos, souvenirs, old pieces of furniture Activity of theclient, participationontheprograms Person - centered caring • PersonalCaringPlan Takingintoconsiderationthe life story, personalityfactors, lifestyle and interest • Knowingthe life story of theclient • Personalpreferences Hobbies, preferredprograms, courses, favoritestyle (clothes) GFD Congress Izmir

  25. Realization of theperson- centered approach (Criteria) • Atmosphere of caring The basis of client-centeredcaring is acceptancewithoutnegativejudgements • Respect • Empathy • Empowermentincreasingtheautonomy of theclient • Communicationwiththeclient Partnershipbetweentheclient and thenurse Attentionturnedtotheclient Development of thecommunicationcultureofthestaff GFD Congress Izmir

  26. Indicators Howtomeasurethequality of ourwork? • Whatdoweinvestigate? • Withwhichtool? • Input: number of staff, etc. • Output: number of clients • Outcome: • number of chronic wounds • infections • mobility/balance changes • number of falls/fractures • changes in nutritional level • satisfaction survey (client,relatives,team) • Changes of dependence (HCG) GFD Congress Izmir

  27. „You matter to the last moment of your life, and we will do all we can to help you not only to die peacefully, but also to live until you die.” Dr. CicelySaunders GFD Congress Izmir

More Related