Lead: Only by summing up the work can we better improve and carry out the future work. The following is my summary of the work of elderly nurses for your reading and reference.
Summary of work of elderly nurses 1 First, set up a leading group. A special leading group for home-based care for the aged has been set up in the community, with the director as the leader and the deputy director as the deputy leader, with 2 full-time staff and 3 part-time staff, who are responsible for investigating the needs for the aged, accepting applications, signing agreements, dispatching services and supervising the work, and giving full play to the role of volunteers. Community home nurses usually learn the professional ethics, geriatric psychology, food nutrition and health, common geriatric diseases and nursing knowledge of the elderly through the network and training courses. Through regular and irregular training, the professional level of service personnel has been strengthened, and the service level of home care service center has been greatly improved.
Second, establish a service network. In order to systematize the home-based aged care service, the community has established a home-based aged care service network with neighborhood committees as the center, 4 medical and health service institutions, 7 catering service shops, 3 supermarkets, 2 pedicures, 4 hair salons and entertainment centers, and signed agreements with these service institutions to provide the most convenient and efficient life service for elderly friends in the area.
Third, establish seven ledgers. In order to manage the community home-based care for the aged in a unified way, seven accounts have been established. The first is the basic information account of the elderly, which is composed of three sub-databases according to the age, physical condition and economic situation of the elderly. The second is the volunteer information account. Including party member, college students, medical care, law, culture and sports. The third is the information account of the old-age relief institution. Including the information of the elderly, service units, etc. The fourth is the neighborhood mutual aid information account. Including free service and paid service. The fifth is the love bank account. The sixth is the love posting account. The seventh is the heart-to-heart group account.
Summary of the work of nursing staff for the aged 2 In the past year, our center fully implemented the home care service in Scientific Outlook on Development, completely emancipated our minds, innovated development ideas, firmly grasped the development opportunities of nursing centers for the aged, and promoted the implementation of various nursing tasks for the aged.
I. Central planning
1. Establish development goals: grasp the needs, provide services, pay attention to practical results, and let the elderly live a secure and dignified life; Implement policies, innovate, create characteristics, and create provincial-level demonstration institutions for the elderly.
2. Clear service ideas: the center takes the elderly family as the basic service unit, relies on the family (family members) and the community, effectively uses the service resources purchased by the government, establishes a high-quality professional service team, and works closely with the community to provide services, so as to improve the professional level and service effect of community home-based care services.
3, straighten out the service relationship:
With the elderly: based on the needs of the elderly and family support, the elderly and family fully participate;
With the community: give full play to their respective advantages and resources, work closely with the community and carry out effective services;
With the government: Only by making good use of the service resources purchased by the government can we really solve the problem of social pension.
Standardize service process: the center has established a standardized service process, and established a relationship-demand assessment-service design-service implementation-effect evaluation-follow-up.
4. Establish a professional team: The Center has established a professional team to provide services. At present, there are 20 staff members, including 3 administrators, 3 social workers, 2 rehabilitation teachers, nursing staff 10, financial staff 1 person, and chef 1 person.
Second, the main work
1, center construction, solid foundation
In terms of facilities, in the Yingpan Street community with a building area of 500㎡, funds have been invested in decoration and equipment purchase, electric fans and televisions have been installed, tables and chairs, drinking fountains, newspaper racks, bookcases and training rooms have been equipped, floors have been laid, outdoor fitness equipment has been added, and various fire and electricity prevention facilities are readily available, which can accommodate dozens of people at the same time. In terms of system, management system, service guide, job responsibilities of domestic servants, job responsibilities of full-time volunteers, activity room system for the elderly, medical and health room system, volunteer service visit system, etc. It has been improved, and the family-based pension network system has been initially established and improved.
2, study hard and accumulate a lot of money.
In the past four months, in order to explore home-based aged care services and create characteristic aged care services, the center staff visited various home-based aged care centers in Changsha in advance, and learned about various service modes of home-based aged care in other provinces and cities and abroad through various ways, especially the characteristics of home-based aged care services in Hong Kong, Shanghai and other home-based aged care service centers. According to the resource advantages of this district and this center, we will plan hard and gradually build our own unique old-age service. The management of the center went to the Social Work Department and Rehabilitation Department of Changsha Civil Affairs College to study and inspect, and invited staff training.
3. Staff training and team building
Xinkang Pension Service Center and Changsha Sunshine New Youth Vocational and Technical School have implemented full-time nursing staff training according to the syllabus since 20xx1October 30, and organized 46 laid-off and unemployed people to carry out unified and professional home nursing training, 120 class hours. After the training, 95% of the students passed the unified examination, and professional qualification certificates were issued in a unified way, which laid a solid foundation for the development of senior care services for the elderly.
4, thorough investigation, classification and filing.
The center signed cooperation agreements with 9 streets in Kaifu District, and reached friendly cooperative relations with various communities, and conducted a unified door-to-door investigation on 244 elderly people who met the standards in Kaifu District, and classified and filed. Among them, 76 elderly people were unable to provide services due to demolition and death, and 14 elderly people needed follow-up because they were not at home. They signed a service agreement for the remaining 156 elderly people, and got a comprehensive understanding of their physical condition, family status and practical difficulties. Organize and summarize the survey results, and register, classify and file them. Low-income elderly, widowed elderly, empty nesters and disabled elderly will be our key service targets; In the process of understanding, the staff patiently and responsibly explained the nature of home-based care services and the basic situation of the center to the first old man in detail. Most old people expressed their expectations of our service. In the process of finding out the service, the staff of the center learned about the usual living habits of the elderly through various resources such as their communities, relatives and neighbors, which laid a good foundation for future service.
5. Sign agreements and provide services.
The center began to provide services for the elderly from June+February, 5438, serving 9 streets in Kaifu District 106 elderly people who met the standard of free service, and the service time was 1654.5 hours.
The main services provided by the center for the elderly are: spiritual comfort, rehabilitation health care, personal care, food delivery service, household cleaning, home appliance maintenance, entertainment activities and so on. Some elderly people have serious health problems, such as being ill in bed for many years, and the service is very challenging; Old people are deaf and dumb, and communication is inconvenient; The elderly are mentally abnormal, and the safety of the staff is not guaranteed. However, with the cooperation of the community and the streets, the staff of our center worked hard to overcome the difficulties and provide satisfactory services for the elderly in their later years, which truly realized the service tenet of "Let the elderly live with dignity and security" that our center has been striving for.
Third, typical service.
In the past two months' practical service, the staff made a lot of visits, walked into the real life of the elderly in the community, saw the hardships and difficulties of the elderly's life, and understood the mission and responsibility of their work. The center and staff tried their best to solve the difficulties for the elderly, and many touching bits and pieces emerged.
1. This center provides services for Ma xx, a lonely old man who does not meet the standard in Yanwachi community. The situation of the elderly is special, and they will not reach 60 until 20xx 1.3. But the old man is very poor, and now he is seriously ill in bed, incontinent and unattended. Under the coordination of the community, the center sent five staff members to the door to thoroughly clean the old man and wash away all his dirty clothes and quilts. And launched a caring neighbor, Grandma Zhou, to send a quilt to the elderly and look at the brand-new home and fresh and clean clothes. The old man took the hand of the center staff and asked expectantly when he would come again.
Chen Qinglin, a staff member of the center, heard that the old man had a bad appetite. When he came home from work, he personally made chopped peppers, roasted peppers and radish strips and sent them to Tan Juying's home in Jianghe Xuanyuandian Community in Liansheng Street Community.
It's cold, I haven't seen the sun for a long time. When Yang Xinhui, a staff member of the center, provided services for the elderly, he saw the dirty clothes and quilts piled up on the elderly, and took the initiative to ask the elderly to take their clothes to their home to sober up, clean them and dry them for the elderly.
4. Cui, an old man in Xiyuan community, has no money to see a doctor because of a cold and cough. He Le, a staff member of the center, took the initiative to buy cold medicine for the elderly at his own expense. The old man He in the Lotus Pond community had a sore face and bought safflower oil for the old man.
5. Xiong Juzhen, an old man in Xuanyuandian community, was bedridden due to illness. The food he ate was leftovers from the neighbor's relief. The old man didn't want to eat for more than a week, and he was moldy. After the staff came to the door, they found that they had taken the initiative to send hot meals and hot dishes to the elderly since the 8 th, and they were ready to send them directly to the elderly regardless of the wind and rain until he fully recovered.
6. The recreation room of the center is open from June 5th to 10. Every day, the old people nearby come to the center for free entertainment, playing cards, playing chess, reading books, reading newspapers and chatting, which enriches the lives of the old people and solves their loneliness.
Fourth, there are still areas to be improved in the work.
Under the care and guidance of the leaders of the Civil Affairs Bureau, with the support of the community and the elderly, and with the joint efforts of all the staff, Xinkang Pension Center has explored a clear and clear service system, established a professional work team with reasonable structure and excellent quality, carried out effective first-line services, effectively solved the difficult problems of some elderly people, and achieved phased results. However, we are also soberly aware that to truly achieve the goal of "striving for a model", after long-term exploration and summary, there are obvious shortcomings in the work, which are as follows:
1, the publicity work is not deep enough. To carry out the work smoothly and get positive recognition from the society, it needs vigorous publicity and interpretation from the central government, communities and governments. As the center, we will organize more staff to actively publicize the guiding ideology and service concept of the center in the process of community and door-to-door service. At the same time, I also hope that all sectors of society and the government will vigorously interpret relevant policies and encourage and support the elderly to receive home-based care services.
2. Insufficient overall planning, coordination and utilization of resources.
To carry out the work effectively, we need resources such as comprehensive center, object, community and society. In the process of door-to-door service, staff sometimes rely only on personal strength, and their family, neighbors, communities and other resources can not give us understanding and support because of their lack of understanding of our center, which makes it difficult to carry out the work.
3. Money is tight.
The hardest part is actually in the beginning This sentence is a true portrayal of all the operating industries that have just started. When the center started working, the first thing it did was to invest most of its money in hardware, and then it needed to invest a lot of manpower and material resources in team building, training, preliminary work, investigation and study, and outreach learning. However, due to various reasons, the government's operating funds cannot be distributed to the center in time, resulting in a relative shortage of funds.
4. Difficulties encountered in current work:
A. For some elderly people who are in good health, it is suggested that they don't need services for the time being, because they can cope in all aspects now, for fear of bothering the staff. They also think it is better to go out to play cards and chat with them at home.
B. During the service, the old people are often away from home, and we don't know when the old people will come back, and the old people have no telephone to contact, which completely disrupts our work arrangements.
C. We can't provide some material help that the elderly really need, such as money and medicine, so the elderly feel that we can't provide them with substantial help and don't want us to visit them every week.
D. The on-site service of the staff does not match the working hours of the elderly. For example, we guarantee that the service for the elderly is 4-5 hours per cycle, but the elderly feel that we can't accept our time, such as the time when they get up and rest, so that we can't provide enough service time for the elderly step by step.
E. Some elderly people only need to participate in activities, such as health talks and entertainment activities held by the center, but there are some difficulties in organizing and funding activities in each cycle.
F. Some elderly people are unable to work normally due to health defects. For example, the elderly have been ill in bed for many years, and we can't provide substantial help; Old people are deaf and dumb, and communication is inconvenient; The elderly are mentally abnormal, and the safety of the staff is not guaranteed.
G. Some elderly people with poor families need to have their electrical appliances and appliances repaired, but they can't afford it, so they are now subsidized by the center.
H, because some communities and elderly people don't know much about home-based care, some elderly people refuse to come home for publicity and pragmatic care.
Five, 20xx years of work ideas
In order to build the center into a comprehensive, high-quality and reputable modern pension service institution, we will continue to work hard, sum up in time, and strive to meet the following requirements:
1. Establish Scientific Outlook on Development's guiding ideology and realize sustainable development.
Under the guidance and support of the district government, through in-depth research and analysis of the actual situation, according to the current situation, the actual needs of the elderly and the adjustment of existing resources, a scientific, feasible and sustainable development work plan has been formulated, and continuous innovation has made important guidance for the better development of old-age services in the future;
2, comprehensively improve the quality of employees, strengthen employee training.
In the future work, our Xinkang Pension Service Center will focus on outstanding individuals and model individuals under the premise of improving various working systems, especially in the work of digging, discovering and cultivating talents by pension workers and social volunteers, which will play a guiding and promoting role for the center and various industries;
3. Implement a reasonable layout of aged care services.
After the work of the center is carried out, a scientific, sustainable and reasonable layout will be gradually formed after all the staff are gradually familiar with and reasonably carry out the work, and the layout will be carried out on the premise of reasonable arrangement and mutual help of resources and manpower in the region; Scientifically and reasonably arrange two people in the service for the elderly, divide the elderly in the whole region into one category (severe nursing), two categories (moderate nursing) and three categories (self-care), and reasonably arrange social workers, elderly nurses and volunteer workers to match and provide reasonable services for the elderly;
4. Comprehensively upgrade and improve the related construction facilities of the center.
Through gradual work and feedback from the elderly, the center knows that if it wants to build its own brand, it must make arrangements in position construction. With the guidance and help of the leaders of the District Civil Affairs Bureau, we will cooperate with various streets and communities. One is to put the center's site construction in the first place-that is, to see if the old-age service center, the research center for the elderly, the training center for the elderly and the activity center can be concentrated in an independent place with relatively convenient transportation, and the site is not less than 2000.
5. Strengthen communication and study with the outside world, form its own unique development model, and realize a virtuous circle of development.
Through exchanges and mutual learning with various pension centers such as Hong Kong and Shanghai, according to the actual situation of our district and the special advantages of the center, we have formulated a reasonable and sustainable implementation plan around building our own characteristics and building a model brand. We have gradually formed our own unique development model by combining resources such as relatives of the elderly, society, government departments, public welfare nursing institutions and volunteers, and strive to build our own brand.
6. Establish a professional research center to explore the research and development model.
After the normal work, our center will invite industry practitioners and related professionals to participate in the application research project of home-based aged care service, and explore the industry norms, service standards and evaluation mechanism of home-based aged care service in Changsha, so that the elderly in our district can live with dignity and security, and the actual work of home-based aged care service in our district is being implemented.
7. Increase publicity.
Organize relevant activities, exchange opportunities with the District Civil Affairs Bureau, streets, communities and related pension workers, and * * * do a good job in publicizing and familiarizing with pension-related knowledge, so that more professionals can correctly promote the new service mode of home-based pension.
The year of 20xx is about to pass, and with the efforts of all staff, Xinkang Pension Service Center has achieved remarkable results. We will live up to the great trust and build the center into a comprehensive, high-quality and reputable modern pension service institution. We will continue to work hard, sum up in time, and strive to build a provincial model pension institution! Xinkang Pension Service Center will surely achieve fruitful results and move forward smoothly towards the goal!
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