The community work plan for the elderly 1 aims to promote the equalization of public health services, better implement health management services for the elderly, provide guidance for disease prevention, self-care and injury prevention for the elderly, reduce health risk factors, and effectively prevent and control chronic diseases. According to the "national basic public health service standards" and combined with the actual situation of our town, this implementation plan is formulated.
I. Project objectives
(a) through the implementation of health management services for the elderly, the elderly in the area are investigated for health risk factors and general physical examination, and health guidance such as disease prevention, self-care, injury prevention and self-help is provided to reduce major health risk factors, effectively prevent and control chronic diseases and injuries, and gradually enable the elderly to enjoy equal basic public health services.
(two) to carry out health care for the elderly, regular health checks for the elderly over 65 years old, by the end of the year, the elderly health records filing rate reached more than 90%. Health records should be updated in time and computer dynamic management should be implemented.
(Before the end of 20xx, the standardized rate of health management for the elderly will reach 65%. Every year, 1 health examination is conducted for the elderly over 65 years old, and the physical examination rate is over 70%.
(four) to master the number and distribution of the elderly population over 65 years old within the jurisdiction. The health management rate of the elderly is over 65%; The integrity rate of the health examination form for the elderly is not less than 75%; The feedback rate of physical examination results of the elderly and the file enrichment rate are not less than 85%. The assessment rate of the elderly is not less than 85%
Second, the scope and content of the project
(1) Project scope: Covering all elderly people over 65 years old within the jurisdiction of our center.
(2) Project content: register and manage the elderly aged 65 and above in the jurisdiction, carry out health risk factors investigation and general physical examination, and provide health guidance such as disease prevention, self-care, injury prevention and self-help.
1, every year 1 elderly health management.
2. Assessment of healthy lifestyle and health status: including smoking, drinking, physical exercise, diet, common symptoms of chronic diseases, past diseases, treatment and current drug use.
3. Physical examination: including physical examination of blood pressure, weight, skin, lymph nodes, breast, heart, lungs, abdomen, muscles and joints of limbs, and general examination of vision, hearing and mobility.
4. Auxiliary examination: 1 time 6+ 1 time auxiliary examination, that is, blood routine, urine routine, blood lipid, blood sugar, liver function, renal function and electrocardiogram, free of charge every year. The physical examination rate is over 70%.
5. Inform residents of the physical examination results and intervene accordingly.
(1) Patients with hypertension and type B diabetes are included in the management of chronic diseases.
(2) Regular follow-up of residents who have risk factors and are not included in the management of other diseases.
(3) Inform residents to have the next health check-up one year later.
6. Carry out health education on risk factors of chronic diseases, knowledge of influenza vaccination, prevention measures of osteoporosis and falls, accidental injuries and self-help for all the elderly.
Three. Project organization and implementation
1, the health center is fully responsible for the organization and implementation of the project.
2, to carry out technical guidance and supervision of subordinate village health centers (rooms) to carry out health care for the elderly, and timely report to the superior women's office, and make rectification according to the feedback.
3. The project is implemented in principle by the village clinics within the jurisdiction, and the health centers are responsible for its technical guidance. In view of the actual situation of the personnel and technical level of village health clinics, the standardized management of health care for the elderly is implemented with health clinics as the leading factor and village health clinics (rooms) as the auxiliary.
2. The main contents of the community work plan for the elderly
1-2
1 and xxx year archive.
2. Make a winter vacation work plan and organize winter vacation activities for teenagers.
3, do a good job in the survey report of residents' needs, formulate community education work plan, youth education security work plan, youth crime prevention work plan and community education training courses in the first half of the year.
3-4
1. Prepare the xxx community education work conference, adjust the members of the education leading group, and clarify the responsibilities of the member units.
2. Do a good job in digital popularization of residential areas.
5-6
1. Organize the publicity and education activities of the 7th Community Learning Festival. Make a study festival plan and prepare for the club.
2. Do a good job in community education for half a year. (Focus on course training, find problems, solve and change the schedule in time)
3, to carry out "June 1st" related activities and parenting education.
7-8
1, make the education and training plan for the second half of the year.
2. Make a summer vacation work plan, organize summer vacation activities, and keep a summer diary.
3. Actively declare the second batch of courses with national characteristics.
9- 10
1, in-depth investigation and research in buildings and hospitals, and volunteer training.
2, adjust the volunteer team, formulate and adjust the system.
In order to promote the equalization of public health services, better implement health management services for the elderly, provide disease prevention, self-care and injury prevention guidance for the elderly, reduce health risk factors, and effectively prevent and control chronic diseases. According to the National Basic Public Health Service Standard (20xx Edition), the detailed rules for the implementation of health management for the elderly in this center are formulated.
Clients: the elderly over 65 years old in 4 streets 14 communities under the jurisdiction of our center.
Service content: for the elderly over 65 years old in the community under the jurisdiction of our center, we will have a free physical examination every two years. The physical examination time is arranged according to the specific situation, and the physical examination items are completely implemented in accordance with the national basic public health service standards. The specific steps are as follows:
1 the center organizes the elderly in the communities under its jurisdiction to have a physical examination every two years, and the physical examination schedule is divided according to the communities. The staff of each team will inform the residents who need physical examination and go to the physical examination center for physical examination. A few residents who can't go to the physical examination center can arrange medical staff to have a physical examination at home. The results of physical examination are entered into the computer chronic disease system in time.
The physical examination of the elderly can be combined with the physical examination of chronic diseases and the establishment of health records.
Physical examination includes health assessment, physical examination and auxiliary examination.
Health status assessment includes: smoking, drinking, physical exercise, diet, common symptoms of chronic diseases, past history, genetic disease history, present medical history and clinical manifestations, treatment and current drug use.
Physical examination includes blood pressure, height, weight, waist circumference, hip circumference, skin, lymph nodes, cardiopulmonary auscultation, abdominal mass, edema of lower limbs, breathing, temperature and pulse.
Auxiliary examinations include: blood sugar and blood lipid once a year, and blood routine, urine routine, B-ultrasound, electrocardiogram and X-ray if possible.
Inform the elderly of the results of physical examination and intervene accordingly.
○ Patients with hypertension and type 2 diabetes who have been diagnosed should be included in the corresponding chronic disease management. ○ Regular follow-up of residents with risk factors but not included in chronic diseases.
○ Health education on risk factors of chronic diseases, knowledge of prevention and treatment of hypertension, and hazards of diabetes should be given to all the elderly.
Main work objectives:
1 master the basic data and health status of the elderly over 65 years old in the center, with a standardized management rate of 90% and a two-year physical examination rate of ≥ 90%;
2. The completion rate of health checklist is ≥ 95%.
Work progress:
At 1. In 20xx, the physical examination of 50% of the total number of elderly people was completed, and it was all completed by the middle of February.
2. Each team will timely input the physical examination results into the corresponding columns of the computer, and report the list of physical examination personnel in time, which is convenient for the center to make statistics and evaluate the work progress.
Chapter IV Community Work Program for the Elderly Community work for the elderly should aim at serving the elderly, further promote service work, continuously meet the material life, spiritual and cultural needs of the elderly, give full play to the functions of all member units, and further implement the "six elders" based on the community. Vigorously promote the service for the elderly, in line with the principle of "people-oriented", and strive to solve the practical problems and difficulties encountered in the life of the elderly, this plan is formulated as follows:
First, consolidate the original resources of the community, always regard the aging work as a long-term important task under the leadership of the community party branch, give full play to the role of the Committee on Aging, make concerted efforts to form a joint force, and promote the development of the community aging cause as a whole. The community should start from the spiritual needs of the elderly and organize various beneficial activities to promote the construction of a "harmonious community".
The second is to further improve the care for the elderly living alone in the community, provide various related services for the elderly living alone with different needs, and consolidate the one-on-one care activities for all the elderly. Vigorously promote the "Ankangtong" calling device to do a good job of service for the elderly in need.
Third, earnestly do a good job in the work of visiting and writing letters to the elderly, warmly receive them, and solve their difficulties in time.
Four, carry out in-depth activities to respect the elderly, the elderly in community difficulties timely send warm, frequent visits, timely understanding of their living conditions, found difficulties in a timely manner to solve. On the eve of major festivals such as the Spring Festival, Dragon Boat Festival, Double Ninth Festival and high temperature in summer, we will do a good job in visiting and expressing condolences to the unemployed elderly, destitute elderly and retired cadres, organize rehearsal programs for the cultural and sports backbone of March 8 Women's Day, and perform for the elderly in the community.
Fifth, strengthen the protection of the rights and interests of the elderly, widely publicize legal knowledge by using community popular science galleries, small blackboards and other propaganda tools, promptly handle and mediate disputes over maintenance, family and property of the elderly in the community, hold lectures on legal rights protection in the community, and enhance the awareness of self-protection of the elderly.
6. Give full play to the characteristic functions of the three "neighborhood points" in the community and continue to run the "air university for the elderly".
Seven, give full play to the role of veteran cadres, so that their waste heat can be brought into play.
Eight, regularly carry out volunteer activities in send warm, expand services, send books, send doctors, take blood pressure, consult health, and cut hair for residents with special difficulties.
Nine, continue to do a good job in party member leading cadres and poor elderly pairing.
Ten, the use of community cultural and sports facilities and resources to carry out a variety of spare time life, actively organize the elderly to participate in various activities, increase the number of literary and art teams suitable for the elderly.
For many years, the aging work in our community has been one of the focuses of community work. Community aging work is an integral part of building a harmonious society. Under the leadership of the sub-district office, our community aging work strives to innovate the aging service mechanism, solve new problems in the aging work under the new situation, and strive to build a harmonious community.
In 20xx, the community work plan for the elderly should be guided by the spirit of the 17th National Congress of the Communist Party of China, with the aim of the elderly, further promote the service for the elderly, constantly meet the material life and spiritual and cultural needs of the elderly, give full play to the role of all member units, and further implement the "six seniors" based on the community. Vigorously promote the service for the elderly, in line with the principle of "people-oriented", and strive to solve the practical problems and difficulties encountered in the life of the elderly. 20 1 work plan for the elderly is specially formulated.
First, consolidate the original resources of the community, always regard the aging work as a long-term important task under the leadership of the community party branch, give full play to the role of the aging Committee, make concerted efforts to form a joint force, and promote the development of the community aging cause as a whole. The community should start from the spiritual needs of the elderly and organize various beneficial activities to promote the construction of a "harmonious community".
The second is to further improve the care for the elderly living alone in the community, provide various related services for the elderly living alone with different needs, and consolidate the one-on-one care activities for all the elderly. Vigorously promote the "Ankangtong" calling device to do a good job of service for the elderly in need.
Third, earnestly do a good job in the work of visiting and writing letters to the elderly, warmly receive them, and solve their difficulties in time.
Four, carry out in-depth activities to respect the elderly, the elderly in community difficulties timely send warm, frequent visits, timely understanding of their living conditions, found difficulties in a timely manner to solve. On the eve of major festivals such as the Spring Festival, Dragon Boat Festival, Double Ninth Festival and high temperature in summer, we will do a good job in visiting and expressing condolences to the unemployed elderly, destitute elderly and retired cadres, organize rehearsal programs for the cultural and sports backbone of March 8 Women's Day, and perform for the elderly in the community.
Fifth, strengthen the protection of the interests of the elderly, widely publicize legal knowledge by using community popular science galleries, small blackboards and other propaganda tools, promptly handle and mediate disputes over maintenance, family and property of the elderly in the community, hold lectures on legal rights protection in the community, and enhance the awareness of self-protection of the elderly.
6. Give full play to the characteristic functions of the three "neighborhood points" in the community and continue to run the "air university for the elderly".
Seven, give full play to the role of veteran cadres, so that their waste heat can be brought into play.
Eight, regularly carry out volunteer activities in send warm, expand services, send books, send doctors, take blood pressure, consult health, and get haircuts for residents with special difficulties.
Nine, continue to do a good job in party member leading cadres and poor elderly pairing.
Ten, the use of community cultural and sports facilities and resources to carry out a variety of spare time life, actively organize the elderly to participate in various activities, increase the number of literary and art teams suitable for the elderly.
Over the years, China's community aging work has been one of the focuses of community work. Community aging work is an integral part of building a harmonious society. Under the leadership of the sub-district office, our community aging work strives to innovate the service mechanism for the elderly, solve new problems in the aging work under the new situation, and work hard to build a harmonious community.