In order to take care of the 87-year-old mother-in-law with moderate dementia, Taiya asked the agency to apply for an Indonesian foreign nurse. During this period, Taiya was busier than when she didn't hire a foreign nurse. On the one hand, she had to teach Indonesian nurses how to take care of her mother-in-law and use all the appliances and kitchen facilities in the house. On the other hand, she has to demonstrate how to take care of her mother-in-law, which means that she is taking care of her mother-in-law, and foreign nurses can't help at all.
For example, this Indonesian nurse has never seen a microwave oven, a gas stove, a refrigerator or an elevator. The buttons in the elevator say on and off in Chinese, and she doesn't know them at all, let alone electrical appliances such as washing machines and dryers. When Taiya first taught Indonesian nurses how to use the microwave oven, Indonesian nurses were startled by the sound of the microwave oven and fell to the ground.
What's more, my mother-in-law saw a stranger coming to her home. The Indonesian nurse had dark skin and always thought that the foreign domestic helper was a bad person and would steal things. She often complained to her family that a few NT$ 1000 in her wallet was missing. Fortunately, both Taiya and her husband understand that the symptoms of mental and behavioral symptoms (BPSD) of dementia can lead to persecution, suspicion and other symptoms, and they have already put away the money in their wallets, leaving only 300 yuan NT dollars, so
But these two months have made Taiya particularly tired and hard. She is worried that it will be the same next time. Then she will lose the intention of looking for a foreign nurse to help take care of her mother-in-law and let her take care of one more person. So she is thinking about how to solve the problem and train foreign nurses on the road as soon as possible to help take care of her mother-in-law. Taiya is also worried that this Indonesian nurse can't adapt to running away, because the newly hired Mrs. Chen next door has run away. As a result, according to the current regulations, foreign nurses cannot be employed for half a year, which can make Mrs. Chen exhausted.
It happened that Taiya and her husband went to the community dementia support center to attend classes, and asked the Alzheimer's nursing experts there how to face and solve their current difficulties and problems.
Experts said that since it is legally called external nursing, should the work of external nursing first teach her the work content and skills of nursing scope, so that she can learn well, on the one hand, it can reduce the burden and pressure of family nursing first; On the other hand, dementia mother-in-law can be accepted as the family members of foreign nurses, non-drug treatment activities can be arranged, the interaction between mother-in-law and foreign nurses can be increased, the occurrence of mental and behavioral symptoms of mother-in-law can be reduced, and foreign nurses can be familiar with nursing skills and activities as soon as possible.
He further explained that foreign caregivers are different from domestic helpers, but Taiwan Province Province (in fact, some countries do the same, such as Singapore and Hong Kong) uses foreign caregivers as domestic helpers, even blue-collar workers engaged in production activities. A person has multiple jobs, and the working hours in a day are often more than 8 hours, or even more than 10 hours in a day. Although he works overtime on Sunday, he works seven days a week.
Therefore, he suggested that Indonesian nurses should be taught the nursing skills of dementia patients first, and pay attention to the psychological status of foreign nurses. Sometimes, psychological adaptation is more important than environmental adaptation and skill learning. As far as possible, it is important to assist them in their psychological adaptation, including religious activities, and to help arrange appropriate exchanges between people in that country. Taking care of Alzheimer's patients is stressful, and it takes time and energy to adapt to psychology, environment, learning skills and language learning.
Secondly, he reminded that you should never think that if you hire a foreign nurse, you will give the elderly with dementia to the nurse, and your family will be fine, because foreign nurses must teach you the knowledge of dementia care. At the same time, foreign nurses have limited knowledge about the past life history, hobbies and personality of the elderly, and lack knowledge about the course of dementia and non-drug treatment. Therefore, he suggested that one of the family members should be the case manager to plan the activities and contents of non-drug treatment for Alzheimer's patients.
In order to make foreign nurses become effective helpers, experts said that first of all, family members should become case managers, and Alzheimer's patients at home can be taken as case objects to plan the items needed for the life of Alzheimer's patients at home. Generally speaking, health care, occupational therapy, physical therapy, physical exercise and life care are very important items for dementia patients. Plan these contents into a regular life routine, consult with the doctor of the elderly first, and then modify them.
Because foreign nurses have different academic backgrounds, in order to implement the work, family members as case managers can lead foreign nurses to actually implement the plan content, and at the same time rehearse and explain it, so that foreign nurses can be familiar with the plan content and the background reasons of each work. At the same time, it can be found that foreign nurses may make different explanations and methods due to different cultural backgrounds. At this time, the plan needs to be revised again, which is the key to the implementation of the overall plan.
Zhuo Cheng's 8 1 year-old mother has just been diagnosed as a mild dementia patient by a doctor, and now he wants to hire a foreign nurse to train and nurse her. At present, foreign nurses are allowed to work in Taiwan 12 years. If you can find a nurse who is willing to study and work hard, there will be at least 12 years in the future. You don't have to worry about how to find another foreign nurse. Familiarity with mother's nursing will also help to slow down the deterioration of mother's dementia. Therefore, he went to the community dementia support center and consulted the Alzheimer's care experts there.
Experts say that how to choose foreign nurses, just like how to choose an old-age care institution, is to first examine the conditions and needs of the elderly. For example, every patient with Alzheimer's disease has different needs because of different course of disease. When he has mild cognitive impairment (MCI) or mild dementia, he has more roles to accompany and take care of; Once it develops to moderate or severe, care will be transformed into care; After the physical function of the elderly degenerates, they need to move and turn over, so we should first examine the current situation and possible future needs of the elderly.
Then, think about the differences between countries and the acceptance of families. At present, Indonesia is the largest caregiver in Taiwan Province Province, with 65,438+069,096,5438+0 at the end of April (2065,438+04). However, Indonesian policies will change by 2065,438+05, restricting the export of labor services to Taiwan Province Province. At present, 22 148 foreign nurses in Taiwan Province are from the Philippines, but now the first choice for Filipino nurses is to go to Canada and Australia, with 18753 in Vietnam and 674 in Thailand. Although there are Vietnamese and Thai nurses working in Taiwan Province Province, few new nurses are introduced.
Indonesia is dominated by Islam, while the Philippines is dominated by Catholicism. Islam involves eating habits, and there are religious customs such as not eating pork, which should be respected by employers. Indonesian nurses' average English ability is weak, and newcomers can learn Chinese in about one to two years. Most nurses in the Philippines know English. Have you ever worked in Taiwan Province Province or other countries (Singapore, Hongkong, Middle East, etc.)? ) depends on 1.
Experts explained that people in many Indonesian islands rarely come into contact with electrical appliances in their daily lives, and they have never used household appliances such as daily life in Taiwan Province Province. Some people have never been on the elevator, so it is better to know it first. If the elderly can't speak English and foreign nurses can't speak Chinese when they first arrive, then family members must consider how to train foreign nurses to be proficient in Chinese as soon as possible, so as to communicate with the elderly smoothly. Language is an important condition.
He further explained that Taiwan Province Province is rapidly moving towards an aging society, and the number of elderly people has surged, so the demand for long-term care has also increased. Therefore, the supply and demand of foreign nursing market is unbalanced, and the demand is greater than the supply. Agency companies often go to Indonesia to ask local agencies to provide more foreign care. Although the Ministry of Labor has now opened the door for employers to directly hire foreign nurses, employers can directly go to local countries to find nurses, but it is not easy to find people without the assistance of local intermediary companies.
You can evaluate the situation of your elders first, and then list the conditions for looking for foreign care. In order of importance, please ask the agency to find several suitable candidates and ask the agency to provide the background and conditions of the candidates. After selecting the preferred candidates, you can conduct interviews and exams through Skype. If you can find a suitable candidate, you'd better define the working conditions first, sign a contract on the working conditions and contents, then confirm to hire her to Taiwan, and then ask the agency to handle the visa and other related procedures for her.
Training after finding it is even more important. Everything is written and explained by time and category. Practice with me in the first two weeks, observe and correct in the second two weeks, exchange views to find out the problems, and how the two sides can adjust and correct each other.
Appropriate and dedicated foreign nurses can not only take good care of the elderly, but also reduce the burden and pressure of home care. If they can be regarded as a part of the family, respect the rights of work and culture, and cooperate with smooth communication and interaction, this friendship will maintain the quality of family life and safeguard family affection.
& lt This column reflects experts' opinions and does not represent our position >