Demented Baiji Nursing Difficult Society Families Some "Neglect of Duty"
At 3 o'clock on November 8th, Cui Yuanhang came to the memory care area as usual. The two white owls just woke up and clamored to go outside. "You have to swipe your access card when you go in and out. This is a caregiver In the first lesson of the training, albino with Alzheimer's disease is most afraid of getting lost. "
"When you are old, your hair is white, and you feel drowsy." In 2015, the TV series "Hey, Old Man" made millions of households aware of a rare disease that is not rare-Alzheimer's disease, also known as "Alzheimer's disease" or "dementia." The "irreversible" Alzheimer's disease often makes family members' care for white crickets hard, and when future generations break their doubts and decide to seek professional care, the lack of nursing capital has become a problem that Mian Ji is facing in the family.
Aunt Li and Uncle Sun are married couples who have been with each other for 50 years. They have lived a happy and peaceful life for most of their lives. One day, my wife didn't remember.
Aunt Li introduced that when she first started, her wife often sat on the sofa for a long time, repeating one thing-picking watermelon seeds, and after she came, she took out watermelon seeds and told her to eat. melon. Later, he started forgetting his name, and then everyone's name, as if forgetting the whole world. With the growth of the illness, a wife with Alzheimer's disease who is at home for 24 hours has also become a difficult task for Aunt Li herself.
As the "Hey, Old Man" TV series shows, it is definitely not an easy task for ordinary families to take care of white pheasants with Alzheimer's disease.
"According to the world's Alzheimer's disease grading system, the total slackness scale, which is S, Alzheimer's disease can be divided into seven levels. From the fourth level, the white owl will show a significant cognitive deficit, and its transient Memories and short-term memories have been stunned. I can only remember what happened a long time ago. When Yan is heavy, there will be personality and emotional changes. "Cui Yuanhang, Deputy Manager of the Senior Care Department of Yanyuan, Taikang House, has been here since 2016 After the Taikang House Yanyuan, she had spent more than two years with Alzheimer's disease magpies of Grade 4 and above.
Cui Yuanhang told reporters that in the Taikang international scale dementia care system, four levels from four to seven are also set to four colors: green, yellow, red, and purple. Take Level 5 Bai Yan, for example, his words and actions will slow down, and his catastrophic response will be stronger. The loss of a pen may stimulate feelings such as mania, anger, anxiety, and weeping. At the sixth level, which is the foundation of the expression of red and white magpies, and the ability to make ends meet, no high-pitched sound can be heard, and more than a single word cannot be understood, often accompanied by purposeless walks.
"Alzheimer's disease is irreversible. With the addition of grades, the care and attention Baiji needs is increasing, but his family does not know how to deal with this change." Cui Yuanhang told a story to reporters. There was a pair of 80-year-old Chinese women next year. At the beginning of his wife's arrival in Yanyuan, his wife was diagnosed with Alzheimer's disease and was involved in professional care, but his wife asked me to take care of him. After half a year's livelihood, the husband had a big trouble. His wife often lost his temper, throwing a cup, not sleeping, and even presenting incontinence in public places. The helpless old man became more and more anxious. He couldn't sleep or eat. He went to the hospital many times to see a doctor, but his demented wife burst out more and more often. In the end, the old man who felt that he had been “brought down” had to give up his own opinion.
As the World Health Organization pointed out in 2012: "When a family is diagnosed with dementia, its care provider can easily become a second patient."
Alzheimer's disease, also known as "Alzheimer's disease" or "dementia", was first detected by a pathologist and pathologist Alros Alzheimer in 1906, and is more common in people over 65 people. White pheasant with Alzheimer's disease will show worse memory, harder verbal expression, poor or weakened judgment, inability to do familiar work, confusion about time and address, and comprehension of visual images The relationship with space presents symptoms such as hardship, altered personality traits, and emotional and behavioral changes.
Why is it harder to pay for Alzheimer's disease compared to ordinary white pheasants? Cui Yuanhang introduced, first of all, due to recent memories, Alzheimer's disease white pheasant became the core, often denying previous history, and retreating to the tubular field of vision. "So, you have to entertain them from the opposite side instead of the side, and you must automatically introduce your own name, and you cannot use something like 'Grandpa, do you remember who I am?' If you do, it will provoke Bai Yan's anxious hospitality system. "
Secondly, with the appearance of Alzheimer's disease, the aunts will also exhibit sexual behaviors such as refusing to take medicine, refusing to wear clothes, not eating, and not taking a bath. Generally speaking, even if the white pheasant is evaluated as a grade 4, he or she will show sexual intercourse once or twice a week. And how to deal with these provocative and sexual behaviors has become an issue in Bai Yan's care.
"Similarly, there is a white pheasant who is reluctant to take a bath at home. He is still reluctant to take a bath after he moves in, and he is reluctant to say why. The caregiver asked for 3 months, and it was said that the nail was stuck in the water. People. What should we do? We will play the role, I am a doctor, first pull out the nails for him, and then let him check them, then I want to take a bath. "
Of course, the most important thing is to conceive a care plan that suits each of them, based on their life history and personality characteristics. For example, when you are young, you like to twist Yangge, and you are ready to spend your handkerchiefs to accompany her when you need to. When you are young, you ’ll be inspired by the "1,2,3" style. He got up; to Bai Ye who always thought that he was still at work, he took a briefcase every day to accompany him to the downstairs to inspect the "building site".
"Taking care of Alzheimer's disease babies requires a lot of skills and high emotional intelligence. It is a very professional thing." Cui Yuanhang likens a caregiver to the home of Alzheimer's patients. "Professionalism, love, patience, and high emotional intelligence are the four qualities they are indispensable for.
Some people say that Alzheimer's is the saddest of oblivion, and there is no cure or cure for it yet. How many facts around the world have entered this "sad forgotten?" The mystery is that more and more.
According to statistics, in 2010, there were nearly 21 to 35 million Alzheimer's patients worldwide; by 2015, according to the disclosure of the World Alzheimer's Speech, the number of people with Alzheimer's disease had risen To 46.8 million, it is estimated that it will increase to 131.5 million by 2050; and this year, the latest data of the World Alzheimer's Speech 2018 is that about 50 million people worldwide have Alzheimer's disease. The forecast for 2050 has also expanded to 152 million.
"There will be one case of dementia every 3 seconds worldwide!" After this line in the speech, an Alzheimer's disease may be present. As a result, Alzheimer's disease is known as the "fourth largest hand" for the elderly after cardiovascular disease, cancer, and stroke.
Specific to China, statistics show that by 2015, the total number of patients with dementia in China will be close to 10 million. Among them, the number of patients with dementia due to Alzheimer's disease has exceeded 6 million. China has become the world's Alzheimer's patient. The country with the most and fastest increase. According to estimates, the number of patients with dementia in China may reach a peak of 23.29 million by 2030.
From the point of view, the more recent data that can be found is that as of the end of 2016, there were about 3.29 million elderly people with household registration aged 60 and above in the city. Among them, the demented elderly accounted for about 5% to 6%.
On the other side of the coin, there is an extreme lack of caregivers who can provide professional care for Alzheimer's disease. Some experts suggest that by 2017, there will be nearly 10 million elderly people with dementia in the country, but the corresponding number is only 600,000 elderly caregivers. According to the "Perceptions on Strengthening the Support of the Senior Career Talent Team" released by the Municipal Bureau of Pingyi Administration of Political Affairs in the first year of 2017, a total of 7,000 elderly caregivers are on the job, with a gap of 23,000. That is, these 7,000 people are not just caring for Alzheimer's patients.
She said that, from the perspective of school education, there are too few colleges and universities in the country to set up old affairs and handle subjects, that is, even if this subject is established, theoretical education often leaves with practice. "In reality, there is no set of teaching materials in the country that can teach students how to take care of Alzheimer's disease." Cui Yuanhang gave an example to Bai Yijiao, even if a college student has studied how to give a 65-year-old Bai Yijiao. In his theoretical knowledge, when encountering Alzheimer's disease, it is likely that he is still at a loss. Because Bai Yi may be reluctant to move, he suddenly becomes impetuous and necessary, but his cognitive ability is impaired, and it is difficult for the caregiver to go through reasoning. "It is difficult to cultivate a mature caregiver who can take care of Alzheimer's patients. In our case, in addition to one month of professional training after joining the company, we need up to six months of practice. "
However, the turnover rate of young caregivers is very high after being cultivated. She told reporters that behind the high churn rate, the professional recognition of this industry is still not high, and she always feels that “doing nanny work” makes it difficult for young people to cultivate a sense of professionalism. "I hope that the whole society will recognize this industry more, so that the value of the master's work can be promoted."
Wu Danxing, a senior domestic expert in the elderly care industry, hinted that at present, the society ’s perception of demented old age is still unlimited. Many families take care of the demented aunt in their homes. The frequency of rickets will decrease and the disease will be delayed.
"If you are told that the Amaranth family suffers from Alzheimer's disease, most of the reflections start with surprise." A person in the industry who served as a diagnosis said that together, the family would be surprised to say "Ah How is that possible? "Then," You are wrong, you can't do it. "Then" What to do? Take care of the family first? "
"World Alzheimer's Speech 2018" wrote: "A lot of people think that if it is true, we will be trapped in the nursing home and watch TV, and many people are experiencing these. But This is a tragedy, and we can undoubtedly do more. We should better understand and assess the needs of people with Alzheimer's and better understand their scenery, stories and hobbies. "
Hot words: how to care for the demented elderly