Including eating assistance, bathing assistance, excretion assistance, etc. , a national vocational qualification work, provides all kinds of help for the daily life of the elderly or people with mobility difficulties, as well as medical assistance, sputum aspiration, catheterization, intravenous drip, etc. Under the guidance of the attending physician.
Nani, isn't this a combination of nursing staff and nurses?
Japan has ushered in a society of declining birthrate and super-aging, resulting in the phenomenon of providing for the aged. In 2025, 30.3% will be over 65, and 75% will be over 18. 1%. China's population over 65 accounts for 18.2%, making it the second oldest country after Japan. Therefore, super-old age is just around the corner.
Japan will become a veritable aging country in the future. Japan's environment is well protected, but its population is aging seriously. The average age in Shenzhen is 35, but the aging process in China is also accelerating.
Japan has established an intermediary insurance system, which is borne by the whole society. Individuals can freely choose intermediary agencies, and each person pays 10% of their income. The higher the income, the more they pay. The intermediary insurance system is revised every three years. The high turnover rate of nurses may be partly due to dissatisfaction with salary, but it is not entirely due to this reason.
In fact, not everyone can enjoy nursing care. Need to assess the degree of caution: 1, the overall operation is unstable; 2, forgetfulness, indifference to the surrounding things; 3, eating and excreting need assistance; 4, gfd finishing and room cleaning can be done by one person. The evaluation is divided into two steps: 1, computer screening; 2, doctor evaluation. The nursing degree is divided into 4 degrees.
Nagano Prefecture, located at the foot of Mount Fuji and surrounded by mountains, used to be a short-lived county, mainly eating pickled food and rarely eating high-quality protein such as seafood. In order to improve this situation, Nagano Prefecture has carried out "Happy Aging" activities, reformed diet and exercise, reduced the consumption of pickled and fried foods, consumed more high-quality protein, and carried out colorful sports. Through their efforts, Nagano Prefecture has now become the longest-lived county in Japan. Japan is now promoting the health care model of Nagano Prefecture to promote the health of the elderly.
The elderly are vulnerable groups and vulnerable to abuse. Japan has enacted laws to prevent the abuse of the elderly. It accounts for 26. 1% of staff, 25.6% of relatives, 30.6% of nursing institutions, 27.4% of welfare institutions and 14.5% of medical and health institutions. Physical abuse was 77.4%, psychological abuse was 30.6%, and giving up nursing 12.8%. Abuse of the elderly is still on the increase, especially the accidents caused by the staff of maintenance and intermediary institutions have increased greatly. In a maintenance center in Japan, a staff member threw an 87-year-old man from the fourth floor and died. In July this year, three elderly people died in a maintenance center, which was identified as intentional injury and is still under investigation. There are also many hidden concerns about the care of the elderly. An old man served his elderly parents, and later he was diagnosed with terminal cancer. He was afraid that his parents could not take care of themselves after he died, so he killed his parents and committed suicide. This is really a human tragedy!
Therefore, it is very important to strengthen nursing operation management and service quality. First of all, we should pay special attention to reception etiquette. Some elderly people may be particularly willful, so staff should be especially good at listening and sensitive to risks, classify risks and deal with them according to their priorities.
Improve operation management according to PDCA mode: make plans, practice, evaluate and check, and gradually improve actions when problems are found. In this way, spiral development and gradual improvement. Set appropriate goals, neither too big nor too small; Is it going as planned? Are people, money and things ready? Have you evaluated the results? Are there any problems that need to be improved?
Through this management method, I believe it will improve the quality and credibility of intermediary institutions. At present, nursing in China is still in the primary stage, and it may be necessary to learn from Japan, but we hope to take its essence and discard its dross, so as to guide nursing institutions to spiral up.