1 / 27

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

kevyn-matthews
Download Presentation

Feeling at Home

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. 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

More Related