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Information about home care services in Serbian language

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'Home Care for the Elderly: Manual for Volunteers'' - Serbian language

NSHC, 2006.g.

Download: PDF 1.98MB

 
 

''At this Age''

Participatory research on life of the elderly in Serbia,

NSHC, 2005

English language

 pdf 460KB

 

 

Home Care Service is supported by:

 
Provincial Secretariat for Labour, Employment and Gender Equality
 

 
Read more about NSHC's projects for the elderly >>>
 
 
 
 
 
 
 
 
 
 

Home Care Services for the Elderly

Population of Vojvodina is demographically very old, with more than 13% of older than 60 in total population. Results of the last census confirmed that every fifth elderly person is living alone, and every second elderly person lives with their spouse or in a multi-member elderly households.

The urban area of Novi Sad has a population of about 300,000 people. More than 16% of the population in Serbia are older than 65 years. It is estimated that about 3% of the elderly have a need for home care and assistance at home. There are about 1,500 elderly people in need for such services in Novi Sad, and only 500 are receiving services (according to estimates) from different service providers in the city. When old people come into a situation that they need help and / or care, families are often placing them in homes for the elderly. Capacity of the institutions are also limited. In many cases, institutionalization of the elderly can be delayed if necessary support at home is provided.

 

NSHC's Home Care Services for the Elderly had started with work on 9 October 2006 as a continuation of activities started in January 2002, when home care services were initiated for the first time in NSHC, with support from German organizations Renovabis and Malteser. Home care services were implemented within a Pilot Project in Novi Sad, which was one of the components of the Programme ''Support to Eldelry Protection Policy Reform (second phase)''. The Programme was implemented by Italian NGOs Progetto Sviluppo CGIL, ARCI Cultura e Sviluppo, in cooperation with the Ministry of Work and Social Policy of the Republic of Serbia, cities, social and health institutions, NGOs and elderly associations in Kragujevac and Novi Sad. The Programme was co-financed by the Foreign Ministry of Italy, and it officially ended on 8 March 2009.

 

"I can only say good words about your Service and how it is organized. I am very pleased. My leg hurts so I no longer go out, not even to the store. Sofija is great, she helps me a lot.

I'll be sorry when she won't be able to come any more.''
Katica P., user of Home Care Services

 

Provincial Secretariat for Labour, Employment and Gender Equality, within the Public Works Programme, supported the work of our Service in the period from 1 September 2009 to 28 February 2010.

 

Our efforts to obtain financial support for Home Care Service continue in the following period. We hope that the City of Novi sad is going to recognize the importance of this and similar projects, and that it is going to support activities for the elderly. In the meantime, associates and volunteers of NSHC are going to stay in contact with its beneficiaries and continue to provide assistance and support within NSHC's limits.

 

 

Main Results of the Home Care Service

 

In the period from 1 September 2009 to 28 February 2010, NSHC visited the 96 beneficiaires and assessed their needs. Services have been approved for 83 users. Most users have difficulties in moving, and 5 users are immobile. The gender structure of beneficiaries is the following: 66 (80%) are women and 17 are men (20%).
37 beneficiaires (45%) have more than 80 years, 38 (45%) are aged between 65 and 80 years and 8 (10%) are younger than 65 years.

During this period, we provided 3,990 services: 3,971 help-at-home services and 19 free haircut services.

 

Results of the Pilot Project in Novi Sad:

From October 2006 to March 2009 a social worker and a senior nurse have paid home visits to all 359 elderly persons who had applied for our services. Most of these beneficiaries were recommended to our staff by their relatives and neighbors.

Out of the mentioned number, services were approved for 217 elderly person based on established selection criteria. There were 20,425 home visits. 33.7% of our beneficiaries received home care services only, 54.6% received help at home services, 8.5% received both kinds of services, and 3.1% received doctor's services only.

 

There were 356 doctor's visits and services for the beneficiaires. Services provided were medical check-ups, supervision and advice.

 

Information leaflets for beneficiaries were printed in 10,000 copies. Half of that amount was distributed during the first year through institutions and directly.

 

Within this project, and in cooperation with other providers of social and health services in Novi Sad, NSHC prepared a publication ''Social and Health Services for the Elderly - Research in Novi Sad''. This publication, first of its kind, was made in order to serve as a basis for preparation of a comprehensive guide through various srevices for the elderly in Novi Sad.

 

Training and Educations held for staff of organizations and institutions providing services to the elderly in Novi Sad:

 

Seminar ''Home Care Servicees for the Elderly'' held on 9 - 12 October 2006 in NSHC, organized by Progetto Sviluppo

 

Seminar ''Multidimensional Evaluation of Services for the Elderly'' held on 2 November 2006 in NSHC, organized by Progetto Sviluppo

 

Rehabilitation Approach in Home Care, held in January 2007, organized by Medical Rehabilitation Clinic of the Clinical centre in Novi Sad  

 

Enterprise Management Course, held on 16 - 18, 23 - 25 January 2007, organized by Alma Mons

 

Lectures on Social Enterprises, held on 27 February and 1 March 2007 in NSHC, organized by ARCI and Progetto Sviluppo 

 

Seminar for Home Care Service Staff, held on 29 February and 1 March 2008 in the School for Elementary and Secondarz Level Education 'Milan Petrovic', organized by Progetto Sviluppo and the City Board for the Elderly.

 

Description of Home Care and Helap at Home Services

A

Home care services provided by nurses:

1.

Maintaining personal hygiene

Washing / helping a person to wash, bed bathing, hair washing, daily washing, nail clipping

Changing diapers of incontinent persons, washing and maintaining hygiene

Feeding a person who is not capable to feed him/herself  / helping a person to eat

Dressing up / helping a person to dress

2.

Bed hygiene and comfort

 

Maintaining bed hygiene (changing sheets, bed disinfection)

Moving a person in bed

3.

Maintaining and improving mobility

 

Assisting in a person’s mobility: handling a person safely while helping him/her to move (stand up, walk, sit down, lay down)

Handling mobility aids

4.

 

Home care health services

Positioning a person in a bed

Pressure sores prevention: moving a person in bed, giving massages, applying protective creams

Wound care

Checking and maintaining hygiene of a catheter, a stoma, a breathing tube

Control of prescribed medicine taking

Monitoring and control of vital signs: blood pressure, pulse, breathing, body temperature, etc.

5.

Counseling and preventive work with a beneficiary and his/her family

 

 

Providing advice on adapting the home (regarding safety and maintaining mobility)

Promoting healthy eating and drinking

Promoting continence

Providing advice on how to prevent infections

 

B

Help at home services provided by carers:

1.

Cleaning services

Dusting, vacuum cleaning and washing floors, washing dishes, cleaning and disinfecting a kitchen, cleaning and disinfecting a bathroom, washing windows and curtains, making bed etc.

2.

Assistance with clothes hygiene

Washing clothes (in a washing machine), drying and ironing clothes

3.

 

Various errands

Getting groceries and preparing light meals

Paying the bills (phone, electricity, rent…)

Going to a pharmacy for prescribed medicines and to the doctor’s for prescriptions

Making necessary contacts with various services (social, medical and other)

 

NOVI SAD HUMANITARIAN CENTER 2004 - 2010