Milena Velba November 2009

assistance to the elderly. Hospital, land, home.

"assistance to the elderly. Hospital , land, home. " A book by Mary Mongardi.

Below is an abstract of the book.

The elderly population has increased steadily over the years, as a result of profound demographic changes, particularly the decline in fertility and mortality reduction. Longer life but does not always correspond to an actual improvement of its quality with increasing age increases the long-term care, which is compounded by the presence of pluripatologie and the risk of social isolation. Against this socio-health persists, however, that the idea that elderly care is low complexity, while it did not differ on the level of skills required, from, for example, a cardiac patient. Assisting an elderly person requires knowledge and professional skills and high level organizational and care pathways are well defined and articulated in various areas of care. The pluripatologie, some serious, and cognitive deficits of the elderly, the relationship with the caregiver, sometimes also elderly, work in multi-professional team require operators involved an ongoing professional training and expertise.



This work wants to represent an attempt to respond to issues raised by the European and national papers about the phenomenon of the aging population and a contribution to the need for training of professionals involved in assisting the elderly, as well as offer insights to administrators. The knowledge, skills and tools that are widely represented in this work, have to find organizational models adapted to the needs and welfare of care is designed to promote an organizational climate that allows for profitable collaboration of all stakeholders.


The broad and comprehensive discussion of the topics and the important collaboration with experts from various health components make the text very enjoyable and useful for training to Bachelor of Health Professions, for more specific courses to address geriatric specialist in the field and for those who wish to have an overall view the peculiarities of care and assistance to the elderly. The work is divided into three parts, the first on broader issues, such as epidemiology ol'invecchiamento biological or even the role of new technologies. The second part, as is clear from the title, "The old man at the center of care: models, tools and setting of care" to learn all-round assistance to the elderly, a patient-centered perspective, according to the latest trends that move the focus from the biomedical model to the bio-psycho-social. The third part deals with aspects of geriatric medicine, treating the most common health problems of the elderly and offering, in addition to the clinical description, an interesting approach to assistance, but based on the diagnosis Carpenito offering connections with other theories of nursing and differentiating possible actions depending on the Settino care with an effort by the author and all who have helped this project to revise and adapt to our reality often results and proposed actions in context rather different from ours.

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Workshop - Forum on non-self-sufficiency - November 4

See the program: click on the link

http://issuu.com/anoss-dapero/docs/volantino-programma

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ACCREDITATION Bologna - Ferrara Conference of September 23

On 23 September The conference was held at the headquarters of the ASP of Ferrara.
Some reports of participants and photos are available in sidebar on the right.

Below is a brief summary of Foreign interventions

ASP Ferrara and thanks to sponsors who have made possibile la manifestazione.

Ideas For Stuff To Write About

can not be silenced! (The point of R.) The concept of

Di fronte a uno spettacolo indegno della politica diventa urgente trovare una via per farsi sentire. La cosa più importante da fare è non cedere alle pressioni che esercita su di noi la comunicazione ufficiale   tutta protesa a mantenere il popolo in uno stato confusionale e di torpore. Dobbiamo reagire e raccoglierci. Mostrare al mondo chi siamo e cosa vale il nostro impegno

Per leggere l'intero articolo clicca sul link:

http://daperoricercasociosanitaria.blogspot.com/2010/10/non-si-puo-tacere-il-punto-04-ottobre.html

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Sustainability applied to social health - Giuliana Masera

In are considered the foundation on which we build the 833 in particular Article 32 of the Italian Constitution. 833 The law takes shape and is resolved in a particular historical moment of Italy and Europe and the principles on which are based on the concept of welfare state , are considered particularly the principles of 'universality, equality and equity of access to benefits and services. Ageing demografico e la composizione di una società sempre più multiculturale stanno interrogando a fondo questo tipo di impostazione. Si affronta   quindi il principio di sostenibilità applicato all’assistenza socio sanitaria sviluppato da Daniel Callahn bioeticista americano : la    realizzazione di tale approccio si accompagna necessariamente allo sviluppo di una maggiore responsabilità individuale nei confronti della salute   attribuendo a ciascuna persona   parte della necessità di prendersi cura della propria persona.

Per leggere l'intero articolo
dapero articoli completi: Il concetto di sostenibilità applicato all’assistenza socio sanitaria - di Giuliana Masera

Giuliana Masera

Docente in discipline demoetnoantropologiche,
Università degli Studi di Parma.

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Through the pain to turn in Emilia-Romagna

"Grazie!"

Letizia Espanoli .

Grazie per aver offerto un'ora di emozioni e riflessioni sul tema del dolore. Un tema che ci accomuna tutti e a un tempo tutti cerchiamo di esorcizzare.
Nothing is resolved by the anesthetic when the pain is not physical, and you've offered no anesthetics. With your experience you've communicated emotions and consciousness.
The only way is to become aware of the pain, observe it and let it evolve to finally take the final distances, with respect.

As of Sept. 23 in Ferrara, Letizia has accompanied our association in a turn between the operators for assistance. The excuse was the presentation of the book "Attraverdsare to transform the pain" of which we have already said (click on the cover nella sidebar a destre per info e acqisto direttamente dall'editore), ma il risultato vero di questo giro tra gli operatori è stato quello di  aimere un grande momento di riflessione e di comprensione delle emozioni più forti e più difficili da gestire.

Il primo incontro si è svolto a Ferrara, con gli operatori dell'ASP. L'evento ha accompagnato il convegno del mattino sull'accreditamento e ne ha completato il senso. Si era parlato tanto di qualità oltre che di aspetti economici, ma non siera detto molto sulla condizaione dell'operatore, quello che in prima persona è chiamato a realizzare e sostenere la qualità. Qualità che non è fatta dalle sole risorse economicamente valutabili ma anche e forse soprattutto dalla buona disposizione psicologica degli operatori.

Il secondo incontro ha aperto una giornata bellissima di viaggio tra le colline dell'Emilia e l'anima degli operatori di assistenza. Alle 10 del mattino ci siamo trovati a Castelnovo ne' Monti sull'Appennino in provincia di Reggio Emilia. Basta uno sguardo alle immagini che abbiamo riportato per capire che subito ci siamo sentiti "in alto"...

Bel posto e bei momenti. Grazie alla Copselios, ente gestore della Residenza "I Ronchi", che ringraziamo per l'accoglienza e l'attenzione che ci ha riservato.

Then we went to the province of Parma: a Ramiola in a structure of a certain elegance to management Copra - Social dimension which we gratefully acknowledge the organizational commitment and support offered.

very interesting debate that even as early as Ramiola Castelnuovo ne 'Monti has developed on one side the issue of emotions and their value, but it also arrived to some conclusions which will be reflect the future. f the relevant act unanimously recognized that in a moment of crisis and scarcity of resources will need to appeal to the greatest resource dormant within each of us.

Here is a glimpse of the public to Ramiola in which operators were OSS, but also managers and professionals.

Last round in Piacenza on the evening of Sept. 30, at the City of Piacenza ASP. We thank the ASP for its readiness to accept the monifestazione in this case supported by "View of Social Services" of the City of Piacenza. A Good success for an evening of first class in all aspects of LGI. The suggestions of Letizia have created the right climate for a spontaneous debate and rich of thoughts, emotions, good and so on and prorpositi Amche here .. all the professionals working in social welfare and services in addition to the coordinator of the Consulta, Dino Giorgi, was also attended by Chairman of "Friends of Hospice" by Borgonovo, Nanni Miglioli, social services and the commissioner of the town of Piacenza Giovanna Palladini. The latter in could not comment not to dwell briefly on the upcoming launch of the Hospice of Piacenza just really wanted to respond in the best possible manner the difficult needs of going through a painful life.

The two photos frame: the first a glimpse of the public and the Coordinator of Dino See Giordano, the second Nanni Miglioli and ass. Palladini

Espanol Letizia was interviewed by Clare Cecutti, editor of the newspaper "Freedom". The article by clicking on the link:

http://issuu.com/anoss-dapero/docs/libert_?viewMode=magazine

What Happens If You Get Herpes And Aps Syndrome

FERRARA - Accreditation Seminar Anoxia

The September 23 was held in Ferrara, at the Human Services Center in ASP via Ripagrande, The fifth seminar on accreditation by anoxia



The title of the conference is: ACCREDITATION - Relationship between customer and operator, the service contract


The process of accreditation of health and social services which was launched by the Emilia-Romagna, is now at the closing bars. A day is the deadline for applications for accreditation and will soon be drafted service contracts, an important moment of confrontation between local public administration and service provider.

Il convegno si è svolto come da programma.

Dopo un’introduzione di saluto del Presidente dell’ASP, Sergio Gnudi, ha portato il saluto dell’amministrazione comunale di Ferrara la dott.ssa Chiara Sapigni, Assessore alla Salute e Servizi alla Persona.

A questo puntosi è svolta la presentazione dell’associazione e un’introduzione al problema generale dell’accreditamento da parte di Renato Dapero, Presidente della sez. regionale di ANOSS. Ha ricordato le origini dell’associazione e il suo scopo principale che è quello di promuovere conoscenza e dibattito su
• programmazione e organizzazione dei servizi di social and health assistance
• culture of the centrality of the person and character of the operator
•
professional integration and to realize, at all levels of personnel, training consistent

then gave a reading of the crisis "State service" that the state is in trouble today for three reasons

1. Highly customizable services in relation to the demand for an increasingly complex and demanding

2. The need for renewal of a PA to the more tense formal correctness that efficiency / effectiveness

3. Spending is too high in relation The effectiveness of

introductory speech ends with a slide showing the instruments of governance and how they are related to each other.

The word is passed to Dino Terenziani that drew an interesting overview of the rules of accreditation by fixing the attention on some crucial points.

One of these is identified in the bureaucracy. Terenziani says "The resolution is very precise about the requirements for accreditation thereby proving that the opening to complete management by private parties is viewed with suspicion. ... Also the quality control, essential in the provision of public service, does not improve beyond a certain level of tax procedures, which will produce red tape and complications for the operator to the controller "with this, is the conclusion of the rapporteur on this point makes it unlikely that the testing of innovative procedures could allow individuals and pluralism in the production of the service.

He also speaks of the great difficulties and structural requirements that determine the rule which requires the making of investments which are not easily seen can be properly funded in the tariffs.

suggests, then, an interesting passage on the unified management: A complex view that in some cases requires the overall reorganization of services, not only problems with organization, but also political and trade union are not sufficiently taken into account. Emphasizes that the path to achieve this step has been properly planned to take place as a three-year period. "However, it remains written in the sand for the indication in the request for transitional Accreditation (ie between 8 days), to determine the immediate outcome of this path with the identification of entities that case, will become holders of managerial unit.

Entering the theme of the service contract defines the obligations that it reminds manager assumes that the person with the acceptance of procedures and audit trails in order to meet the requirements, as well as periodic evaluations of the services provided and their business model. The service contract must be accepted and must be predetermined rates assumed debt information to the competent administrations

The rapporteur says that the most general definition of service contracts involve the development of a very complex document, of which there are qualified interpretations Edited by Raffaele Tomb of the social innovation of the Regional Manager and Regional ER Claudia Golino consultant and a document 191/2010 Dossier: "CONTRACTS SERVICE BETWEEN LOCAL AND ASP ". (In the sidebar next to you can download the text)

Mette, finally, to highlight the following critical issues:
- the complexity of the definition of fees
- compensation for the use of services or supplies by the public
- the balance be found between the homogeneity shown by national regulations and to allow some flexibility on a case by case basis, keeping in tune supply and demand.

Terenziani When it's time for Happy Maran, Director socio-sanitary AUSL Ferrara called to express a position on the non- facile problema della qualità e sostenibilità.

Primo concetto importante è che il termine “qualità” è comunemente utilizzato con significati diversi. Il concetto di qualità quindi non è semplice né univoco e, specie per i servizi alla persona, si manifesta complesso e polivalente in quanto caratterizzato:

a) da elementi storici, culturali, ambientali e istituzionali che ne determinano anche il livello di aspettativa dei cittadini;

b) dalla diversità dei soggetti interessati:
- utenti attuali e potenziali;
- numerose figure professionali;
- soggetti istituzionali;
- soggetti erogatori pubblici, privati e del privato sociale.

At this point shows the ISO under which the quality is defined as "the set of properties and characteristics of a product or a service, giving it the ability to meet the needs of the explicit and implicit customer / user "then states that personal services the greater complexity also depends on the fact that it creates a product but a service and then what according to ISO standards can be defined as the product actually is accomplished through the direct relationship between operator and user actions and interactions that make up their relationship, "the speaker concluded, the product of which we speak is" A social act, "the rapporteur said that we need to grasp the different dimensions of quality in correlational perspective, triggering virtuous processes aimed at improving services. Bella

the conclusion of this part:

There quality

If it is not quality for all

The process of accreditation provides:

• Organisational arrangements draw on the transparency of operations and processes;

defined level of qualification and training of operators as well as consistent application of contract rules and remuneration. "The combination of all these elements is the added value of accreditation and social health.

Remember at this point that the region of Emilia-Romagna in the definition of the accreditation process for health and social services have set the general and specific requirements (DGR 514 \\ 2009) a "uniform system of tariff" Building a

"system" is shared regional orientation of all actions and all the means of implementation, and therefore the remuneration system. The system must provide:

• The level of quality necessary to recognize and sustainable
• Equity in access system and contributing to the cost of services
• The quality and efficiency in the system of production

Referring to those who have expressed doubts about the rules of accreditation as due to a standardization process, in itself considered negative points that a century now everything is given a different meaning. Quotes about the findings of a conference of surgeons in the U.S. held in 1912 which states: "standardize the structure and way of working in hospitals means that institutions with higher ideals have proper recognition before the professional community while institutions with lower standards are encouraged to improve the quality of their work "