Intensive Seminar on
“BED SORE”
(Decubitus)
CAUSE, PREVENTION and MANAGEMENT
Conducted by
Mr. Yakob Abdul Rahman Wilhelm Scholer
State Registered Nurse in GERMANY & MALAYSIA
Applied Psychologist
Nursing Director, Home Nursing Providers
Former Lecturer in Health Psychology UiTM
Intensive Seminar on “BED SORE”
(Decubitus) - cause, prevention and management HNP 2008
“OUR QUEST THEIR BEST”
BED SORE
The population of older citizen is rapidly increasing world wide. This creates a whole range of health problems directly related to aging. While Health Science has developed into a more sophisticated science with apparatuses oriented level of patient care, some of the basic knowledge of nursing has seemingly drifted into the background in the daily care of bed ridden patients.
As a result, many patients do not receive the required attention and care to prevent one of the most torturous nursing neglects = BED SORE.
Unfortunately, many teaching institutes do not put enough emphasis to the aspect on the development and prevention of bed sores, to the extent that many nurses mistakenly believe that development of bed sores is “normal and unavoidable”. Few do understand that the development of bed sores is the result of neglect in patient care, and can be a criminal issue. In many countries this is becoming a source of worry and concern as criminal proceedings are not just causing a serious damage to the good image of competence of an Institute, but are also costing huge sums of money in compensation and legal fees. Nurses can also be held personally responsible and eventually lose their licenses.
At least in 85% of all cases of bed sores is preventable. However to be able to prevent the development of bed sore one needs to have a comprehensive knowledge of the actual causes and circumstances that may lead to the development of bed sores.
THE MALAYSIAN SENIOR CITIZEN'S CHARTER AFFIRMS THAT THE OLDER PERSON HAS A RIGHT TO:
· Safe shelter, proper healthcare and income-generating opportunities that are elderly-friendly;
· Clean, hygienic, stress-free environment and adequate nourishment that promotes a healthy quality of life;
· Recreational facilities, family-care and community-harmony that promote physical and emotional well-being.
Life expectancy in Malaysia has increased from 55.8 years for men and 58.2 years for women in 1957 to 70.2 years and 75 years respectively in 2000. The increased longevity helped by declining mortality rates has resulted in an increasing older population, from 5.2% in 1970, 5.7% in 1980 and 5.9% in 1991, to 6.2% in 2000 (Source : Social Welfare Dept., 2004). It was projected that by 2005, Malaysia would enter the ranks of the 'Ageing Nations of the World' with 1.7 million or 7.2% of the population being senior citizens (United Nations source, 1993). By further projections, 15% of the Malaysian population would be old by 2025
As a nurse and “Care Provider”, you have the responsibility to understand the essentials of illness of an aged and bedridden person. Without such basic knowledge the patient will lack the necessary care and nursing competence leading possibly to nursing deficiencies and neglect of appropriate patient care.
Supervision and coordination of subordinates will be very difficult unless the responsible persons themselves have sufficient knowledge and skills in the field of gerontological patient care and specifically in the prevention of decubitus patient care as required.
Course Philosophy:
Knowledge and competencies in all form of nursing work is the personal responsibility of each individual nurse as well as of every institute that provides nursing care service.
Every patient who is admitted to an institution for the purpose of medical and/or nursing treatment has the right to the best of nursing care and competence. This however can only be provided if the care providers have the knowledge and skills needed to provide the optimal service.
Proper knowledge in decubitus preventive nursing and care is essential as it is very beneficial to both, the care giver as well as care receiver.
In this, the Activities of Daily Life (A.D.L.’s) are the basis of attention.
The Body, Mind, and Spirit are a unity and need be considered when attending to a sick person in particular senior citizen with gerontological symptoms.
The content of this Course is based on the general experiences we meet in daily activities when attending to the sick members in their home settings.
The Seminar will deal with the scientific aspects of:
1. What is a decubitus (bed/pressure sore)?
2. What are the factors that lead to decubitus?
3. How does a decubitus develop?
4. Prevention of decubitus development
5. Nursing management in treatment of decubitus
PREREQUISITES
The course is aimed at providing knowledge for:
· Nurses,
· Nursing aides,
· Care givers.
Objective:
· To provide an objective understanding of the problem of decubitus
· To understand the basic causes that are related to the development of decubitus
· To be able to identify potential areas that could lead to the development of decubitus.
· Understand the basis in the prevention and intervention of decubitus management.
· Psychosocial components related to the needs of elderly persons at risk to decubitus development.
· Provide basic understanding of appropriate nutrients in decubitus prevention.
· Have an overall understanding of the complexity of caring for elderly persons with gerontological symptoms and the ability to provide adequate sensibility towards the prevention of decubitus development.
PROGRAM: ·
Duration: 6 hours (1 day)
· Course contents include:
Introduction
· Provide the participants with an insight of the concept and philosophy of decubitus prevention.
Course Structure
· Lecture supported with Power Point slides
· Demonstrations
· Discussions
Lectures
· Basic introduction: What is a decubitus and how does it develop?
· Prevention of Decubitus (Pressure Sore = Bed Sore): What are pressure sores, how do they develop, identification of early signs and symptoms, and preventive measures.
· Gerontology: Who are candidates especially prone to decubitus development?
· Nutrition: What role does nutrition play in the prevention of decubitus?
· Prevention: What role does nursing play in the prevention of decubitus development?
· Intervention: The correct approach to prevent, or minimize the risk of decubitus development.
CORE PERFORMANCE REQUIREMENTS
At the end of the Course the participants will be able to:
· Identify patients at risk or prone to develop decubitus
· Develop intervention measures to prevent the development of decubitus
· Interact with “doctors and other nursing personnel” in the prevention of decubitus development
· To be able to detect early signs and symptoms of decubitus development
· Assess intervention requirements
· Supervise other “care-givers”: nursing personnel and eventually family members and/or volunteers
YOUR INVESTMENT
In the professional management of sick “Warga Emas” it is crucial that the involved personnel have a basic understanding of decubitus prevention of senior citizen.
The early detection of potential decubitus risk and accurate nursing needs does not only prevent a lot of suffering of the elderly sick it also saves a lot of cost with early intervention in the correct nursing management.
We are looking forward to give you and/or your staff the needful training to achieve your institution’s goal in providing optimal service to sick senior citizens in the prevention of decubitus development.
Number of Participants: Should not exceed 20 participants per group
Duration of training: 6 hours (1 day)
Training & Consultant Investment: RM 3000.00 for a maximum of 20 participants.
Individual participants will be charged RM 180.00 per person.
Special arrangements can be made for nursing students.
This investment includes:
· Qualified Lecturer and Assistant
· Information materials
· Lecture materials
· Demonstration equipments
· Supplementary hand outs
· Certificate of Participation
Excludes:
· Accommodation
· Conference Room/Hall suitable for approx. 30 pax.
· LCD projector or rental of RM 50.00
· Writing Materials
· Mileage from the companies office to training venue (80 per Kilometer distance)
· Air passage and airport transfer where applicable.
Please Note the following conditions:
All arrangements on venue, accommodation, refreshments and meals for participants and trainer(s), equipments such as LCD projector, white board and flip charts will be borne by the inviting institution.
Terms:
Payments shall be made upon submission of the Invoice at the end of the training.
Training:
a) The training program will be conducted in an interactive mode. There will be team exercise, role-plays, presentations and individual work. Some individual work requires to be handed in to the trainers and management.
b) There will be Experimental Learning activities to facilitate learning and skills transfer to the workplace.
c) The materials used will be customized to the requirement of your institution. The focus is to understand immediately what has been shared with the participants.
d) The participants will be encouraged to use the trainers as mentors for guidance and evaluation of the knowledge.
MISCELANEOUS
The list of participants with their full names, sex, and NRIC number should be submitted to the Home Nursing Providers Sdn Bhd. at least TWO WEEKS before the start of the program to enable the timely printing of Certificates.
The time schedule mentioned in our programs is standard time schedules. Depending on the participants of the group and their skills the time schedule might need adjustment, this however does not affect the training schedule.
Reservations:
Reservations can be made through telephone, fax or e-mail to the address below.
Special condition: In case a registered participant is unable to attend the training, the institution can replace her/him with a substitute participant.
* The organization reserves the right to postpone or cancel the training program due to unforeseen circumstances
Home Nursing Providers Sdn Bhd.
34 Jalan SS 7/18 Kelana Jaya
473001 PETALING JAYA
SELANGOR D.E.
TEL: 03 7877 7202
Fax: 03 7877 8202
E-MAIL: nursing@hnp-mobilenursing.com
ABOUT THE LECTURER
Yakob Abdul Rahman Wilhelm Scholer currently works with Home Nursing Providers sdn bhd. He can look back to over 50 years of nursing experience.
Mr. Yakob came to Malaysia in 1963 and worked under the Catholic Welfare Services, visiting rural areas and providing medical service to the people in the vicinity of Ipoh City, Perak.
In 1967 he assumed the responsibility of the building and management of Hospital Fatimah in Ipoh.
His engagement to help Drug users and Alcoholics started in 1973 in Ipoh, establishing the Yayasan Pusat Pertolongan and Yayasan Alcoholisma Malaysia of which he was the managing director and principal therapist.
From 1980 to 1983 he returned to Germany to study Applied Psychology and was employed as a nurse in Federal Prison in Wittlich, and Daytop Germany.
On his return to Malaysia he re-assumed his previous positions and established Malaysia’s first Addiction Therapist Training Program, as well as the first all Female Drug Users Rehabilitation Centre in Kg. Bercham, Ipoh.
In 1989 after returning from the International AIDS Congress in Montreal he initiated Malaysia’s first Aids Awareness Committee, which developed into the presently known Malaysia’s Aids Council. The first Hotline on AIDS information was set up and was managed 24 hours a day, 365 days. Talks throughout the country and in all prisons in Malaysia were held by him.
Returning to Germany in 1990 Mr. Yakob worked and continued improving his knowledge and skills in the management of AIDS patients, Gerontological nursing and Mobile nursing; assisted in setting up, and later working in a Mobile Nursing Agency, Ambulanter Dienst Gesundheits-Pflege in MAINZ, Germany. Expanding his knowledge in the field of patients nursing management, he placed great emphasis on holistic nursing and decubitus (bed sore) prevention.
After returning to Malaysia in 2004, he was responsible for the setting up of Malaysia’s first “comprehensive and structured” Mobile Nursing Program: Home Nursing Providers Sdn Bhd of which he is still the Nursing Director and Nursing Consultant.
He was lecturing “Health Psychology” at the University Mara, Faculty of Health Sciences, at Jalan Othman Petaling Jaya.
Mr. Yakob has in the span of his work, visited countries all over the world, attending Seminars and International Congresses, presenting working papers and sharing his experience in the fields of Addiction, Psychology and Mobile Nursing.
He has attended various seminars and workshops in the field of prevention of decubitus the latest in January 2008 in Berlin Germany
Mr. Yakob is also the Author of the BOOK GUIDE TO NURSING AT HOME
The Author can be reached by e-mail: yakob@hnp-mobilenursing.com
Treatment and management of bedsore,MOBILE NURSING/DOCTOR available from. Home Nursing Providers
006 0378777202
nursing@hnp-mobilenursing.com
www.hnp-mobilenursing.com
August 11, 2008
July 28, 2008
Healthy Longevity of senior Citizen is not just an unreachable dream
Perception of Mortality and the Psychological Well-Being of Older Persons
By
Yakob Abdul Rahman Wilhelm Scholer
Home Nursing Providers
Malaysia
Reigning measures of psychological well-being have little theoretical ground, despite an extensive literature on the contours of positive functioning. Aspects of well-being derived from literature are: self-acceptance, positive relationship with others, autonomy, environmental mastery, purpose in life, and personal growth.
Unquestionable these are very universal goals of the elderly, yet more often a dream than reality.
Happiness, however, is not being the only indicator of positive psychological functioning. Much literature has also been generated on well-being defined as life satisfaction. Prominent measures in this domain (e.g. Life Satisfaction Index, or LSI; Neugarten, Havighurst, & Tobin, 1961) were also developed for purposes other than defining the basic structure of psychological well-being. We have to differentiate persons who were aging successfully from those who were not.
Early retirement is supposed to give you extra golden years to enjoy. But that may not happen, a new study suggests.
A study of Shell Oil employees shows that people who retire at age 55 and live to be at least 65 die sooner than people who retire at 65. After rhe age 65, the early retirees have a 37% higher risk of death than their counterparts who retired at 65.
That's not all. People who retire at 55 are 89% more likely to die in the 10 years after retirement than those who retire at 65.
"This difference could not be attributed to the effects of sex, socioeconomic status, or calendar year of the study, although the poorer health status of some early retirees may play some part, noted Shan P. Tsai and colleagues at Shell Health Services.
The researchers looked at all past employees of Shell Oil who retired at ages 55, 60, or 65.
"Mortality improved with increasing age at retirement for people from both high and low socioeconomic groups,” they found. "Retiring at 65 was not associated with a greater risk of mortality than retiring at 55 or 60.” British Medical Journal.
What then are the reasons for earlier death in early retirement? Surely not overwork! There are hardly any sicentific studies that will shed light on the reasons of this evident phenomena.
Let me make some psychological assumption as to the possible reason of early mortality of early retirees. When I say early retirees I realy mean those who after their formal retirement also live in this retirement. This is not meant for those who after retirement embark on a new challenge in life. It is abvious from the above observation what complacency in retirement can mean.
Perception of Mortality and the Psychological Well Being of Older Person: By Yakob Abdul Rahman Wilhelm Scholer
A BIASED VIEW OF RETIREMENT
Are the daily activities of the retired engaging or alienating? We might see the retirees portrayed as alienated, withdrawn from society, disconnected from productive work, socially isolated from others and living an unfullfilled, boring, useless and routine existance. In this view retirement presents as jobless. In retirement people who have had a meaningful role are now seperated from themselves and others, with little attachement to productive activity.
In comparison to full time employees, those of retirees are more alienated in some aspect but more engaged in others. Retirees’ activities are more routine, provide less chance to learn new things, provide less social interaction with others, and they are especially less likely involved in problem solving activities. However, retirees’ activities are also equally enjoyable and more autonomous compared to those with full time work. Autonomous fullfilling activities which are enjoyable and provide opportunities to learn new things and integrated activities are all positively associated with a sense of control and negatively associated with psychological distress.
Journal Health and Behavior Catherine E. Ross & Patricia Drentea
Possible reasons leading to early death of retirees could be:
1. Lack of meaning in life. The retiree is suddenly removed from the respected position he/she had in the working life into oblivion, no more Yes Sir, No Sir, Please Sir, Good morning Sir, etc. While in Position he was some one. In retirement he is reduced to no one. This leads to a sense of emptiness and depression.
2. Empty nest syndrome. This refers to the often expirienced reality that prior to retirement their children who were part of the family have made the journey towards their own destiny. Leaving suddenly the house empty, quiet, abandoned. This physical feeling is also perceived emotionally. Creating a sense of abandonment and emptiness, not expirienced to this extend while in a working life.
3. Complacency. The long expected retirement has come, suddenly the “freedom” of job obligations are to be enjoyed. Time routines are changed, personal neglect developes, laziness surface, boredom creeps in etc.
4. Personal life style change. Boredom, feeling of emptiness etc. create a new demand for satisfaction, often resulting in a pleasure seeking behavior, in particular of oral satisfaction = eating. Not merely to fill the daily nutritritional demand but rather as emotional pacification, leading to overweight with all the subsequent health complications.
5. Financial constrains. Suddenly the bank account shows a reduced monthly statement. Yet obligations may not have deminished. Suddenly the previous life style can hardly be maintained. On the other hand the personally perceived, social obligations may have increased, such as marriages of children, arrival of grand children etc.
6. Social/Sexual activities. Many people equate retirement also with sexual passivity. Reduced social contacts with friends, and former working colleges, due to the declining economic status, or just as symptom of depression. This too often leads to a negative attitute towards sexuality particularly when the female spouse is still in employment. Retirement here influences also the balanced sexual life, which may be reduced to a mere obligatory function as the mental attitute towards sexuality has “retired”. However the oposite has also been noted, that retirees need to prove their sexual “attractiveness and ability” by overt sexual activities.
Happiness/Wellbeing
“Contours of Well-Being: Alternative Perspectives
The extensive literature aimed at defining positive psychological functioning includes such perspectives as Maslow’s (1968) conception of self-actualization, Rogers’s (1961)
View of the fully functioning person, Jung’s (1933; Von Franz, 1964) formulation of individuation, and Allport’s (1961) conception of maturity. A further domain of theory for defining psychological well-being follows from the life span development perspective, which emphasizes the differing challenges confronted at various phases of the life cycle. Included here are Erikson’s (1959) psychological stage modes, Buhler’s basic life tendencies that work towards fulfillment of life. (Buhlers, 1935; Buhler & Massarik, 1968), and Neugarten’s 1968, 1973) description of personality change in adulthood and old age. Jahoda’s(1958) positive criteria of mental health, generated to replace definitions of well-being as the absence of illness, also offer extensive descriptions of what it means to be in good psychological health”
If we look at the aspect of well-being = well-feeling, we can not but must view it in perspective of happiness. This again can not be viewed in isolation but needs to be seen in the various aspects of psychology.
Self Acceptance The most importance criterion of well-being is in the individual’s sense of self- acceptance. This is defined as central feature of mental health as well a characteristic of self-actualization, optimal functioning and maturity. Lifespan Theory also emphasizes acceptance of self and one’s past life. Thus holding positive attitudes towards oneself emerges as a central characteristic of positive psychological functioning.
Positive relation with others The important emphasis here is on a warm trusting interpersonal relationship with a spouse or other family, or social community member
Self-actualization The realization of fulfillment of ones potentials, independency, autonomy, tendency to form few but deep friendships, a philosophical sense of humor, a tendency to resist outside pressures and a general transcendence of the environment rather than simply coping with it.
“The highest fulfillment of all good achievable by human action is happiness”
Aristotle (1069)
Discussion
Taking into consideration the afore said we do have to make an effort to seriously question the way we look at and treat senior citizen in this country. Are they in general, particularely those from lower income groups, in any way meeting the aforesaid criteria?
Can we speak of human dignity when we visit “Old People’s Homes”? Are senior citizens given even the basic opportunity to be accepted as respected members of society, when they are:
· excluded from Health Insurances coverage,
· not eligieble for a Credit Card,
· not even considered to get a Bank Loan, even if they can produce securities,
· not served in their home setting by medical doctors,
· treated as non persons in hospitals,
· lacking of urgent nursing help in their home setting, because Institutions do not do their home work etc.
We should consider retired persons as sources of knowledge, inspiration and resources of human capital. For most do have a wealth of knowledge and expirience accumulated in the years of their life and service.
The present practice of sending government servant into early retirement just to give “way for unemployed
youth” is unrealistic and counterproductive. How does anyone justify to sent an expirienced Medical Assistant into early retirement while the country is short of nursing personel?
Where are the seniors who can pass the knowledge and skills to the juniors in the employment sectors?
Is the poor performance in various fields in the country not a result of “ousting” expirienced work force, to make way for the young unemployed, albeit also inexpirienced persons. Would it not make more sense to all concerned if the seniors reduce their working hours, but stay on to pass the knowledge to the juniors? This would not only benefit the young but also give credit to the seniors that they are not being looked at as an obstacle of the younger generation’s aspiration, but catalyst to the improvement of service quality and sources of knowledge for the young. A rethink here is of urgent importance.
This approach would very well go a long way in preventing the retirees feel a sense of uselessness and depreciation of their self worth.
Where are the Senior citizen ‘Towns’, where they can enjoy life in a senior citizen compatible situation and surrounding?
When do we change our mentality of sending “burdening” old sick senior citizens into strange homes instead of providing them with the needed care in their own home setting?
When will the building authorities wake up and insist that new houses and flats have senior citizen compatible bathrooms where also a wheelchair or commode can be moved in and out?
When is society starting to realize that everyone, even the newborn is likely to become old one day and needs help.
When does the government start a compulsory saving scheme that would be available for nursing care once senior citizen need it?
When do professional organisations and individuals stand up and demand from all concerned to ensure that senior citizens can live a life in dignity and solace?
When do I AND YOU put aside personal convenience and initiate what needs to be done in one’s own area of service, related to the issue of improving senior citizen’s plight?
“A country and society will be judged by the way it looks at and treats those senior citizens who have served it and contributed to its deveopement”.
For further information and care for the elderly,
MOBILE NURSING/DOCTOR contact:
006 03-78777202
nursing@hnp-mobilenursing.com
www.hnp-mobilenursing.com
By
Yakob Abdul Rahman Wilhelm Scholer
Home Nursing Providers
Malaysia
Reigning measures of psychological well-being have little theoretical ground, despite an extensive literature on the contours of positive functioning. Aspects of well-being derived from literature are: self-acceptance, positive relationship with others, autonomy, environmental mastery, purpose in life, and personal growth.
Unquestionable these are very universal goals of the elderly, yet more often a dream than reality.
Happiness, however, is not being the only indicator of positive psychological functioning. Much literature has also been generated on well-being defined as life satisfaction. Prominent measures in this domain (e.g. Life Satisfaction Index, or LSI; Neugarten, Havighurst, & Tobin, 1961) were also developed for purposes other than defining the basic structure of psychological well-being. We have to differentiate persons who were aging successfully from those who were not.
Early retirement is supposed to give you extra golden years to enjoy. But that may not happen, a new study suggests.
A study of Shell Oil employees shows that people who retire at age 55 and live to be at least 65 die sooner than people who retire at 65. After rhe age 65, the early retirees have a 37% higher risk of death than their counterparts who retired at 65.
That's not all. People who retire at 55 are 89% more likely to die in the 10 years after retirement than those who retire at 65.
"This difference could not be attributed to the effects of sex, socioeconomic status, or calendar year of the study, although the poorer health status of some early retirees may play some part, noted Shan P. Tsai and colleagues at Shell Health Services.
The researchers looked at all past employees of Shell Oil who retired at ages 55, 60, or 65.
"Mortality improved with increasing age at retirement for people from both high and low socioeconomic groups,” they found. "Retiring at 65 was not associated with a greater risk of mortality than retiring at 55 or 60.” British Medical Journal.
What then are the reasons for earlier death in early retirement? Surely not overwork! There are hardly any sicentific studies that will shed light on the reasons of this evident phenomena.
Let me make some psychological assumption as to the possible reason of early mortality of early retirees. When I say early retirees I realy mean those who after their formal retirement also live in this retirement. This is not meant for those who after retirement embark on a new challenge in life. It is abvious from the above observation what complacency in retirement can mean.
Perception of Mortality and the Psychological Well Being of Older Person: By Yakob Abdul Rahman Wilhelm Scholer
A BIASED VIEW OF RETIREMENT
Are the daily activities of the retired engaging or alienating? We might see the retirees portrayed as alienated, withdrawn from society, disconnected from productive work, socially isolated from others and living an unfullfilled, boring, useless and routine existance. In this view retirement presents as jobless. In retirement people who have had a meaningful role are now seperated from themselves and others, with little attachement to productive activity.
In comparison to full time employees, those of retirees are more alienated in some aspect but more engaged in others. Retirees’ activities are more routine, provide less chance to learn new things, provide less social interaction with others, and they are especially less likely involved in problem solving activities. However, retirees’ activities are also equally enjoyable and more autonomous compared to those with full time work. Autonomous fullfilling activities which are enjoyable and provide opportunities to learn new things and integrated activities are all positively associated with a sense of control and negatively associated with psychological distress.
Journal Health and Behavior Catherine E. Ross & Patricia Drentea
Possible reasons leading to early death of retirees could be:
1. Lack of meaning in life. The retiree is suddenly removed from the respected position he/she had in the working life into oblivion, no more Yes Sir, No Sir, Please Sir, Good morning Sir, etc. While in Position he was some one. In retirement he is reduced to no one. This leads to a sense of emptiness and depression.
2. Empty nest syndrome. This refers to the often expirienced reality that prior to retirement their children who were part of the family have made the journey towards their own destiny. Leaving suddenly the house empty, quiet, abandoned. This physical feeling is also perceived emotionally. Creating a sense of abandonment and emptiness, not expirienced to this extend while in a working life.
3. Complacency. The long expected retirement has come, suddenly the “freedom” of job obligations are to be enjoyed. Time routines are changed, personal neglect developes, laziness surface, boredom creeps in etc.
4. Personal life style change. Boredom, feeling of emptiness etc. create a new demand for satisfaction, often resulting in a pleasure seeking behavior, in particular of oral satisfaction = eating. Not merely to fill the daily nutritritional demand but rather as emotional pacification, leading to overweight with all the subsequent health complications.
5. Financial constrains. Suddenly the bank account shows a reduced monthly statement. Yet obligations may not have deminished. Suddenly the previous life style can hardly be maintained. On the other hand the personally perceived, social obligations may have increased, such as marriages of children, arrival of grand children etc.
6. Social/Sexual activities. Many people equate retirement also with sexual passivity. Reduced social contacts with friends, and former working colleges, due to the declining economic status, or just as symptom of depression. This too often leads to a negative attitute towards sexuality particularly when the female spouse is still in employment. Retirement here influences also the balanced sexual life, which may be reduced to a mere obligatory function as the mental attitute towards sexuality has “retired”. However the oposite has also been noted, that retirees need to prove their sexual “attractiveness and ability” by overt sexual activities.
Happiness/Wellbeing
“Contours of Well-Being: Alternative Perspectives
The extensive literature aimed at defining positive psychological functioning includes such perspectives as Maslow’s (1968) conception of self-actualization, Rogers’s (1961)
View of the fully functioning person, Jung’s (1933; Von Franz, 1964) formulation of individuation, and Allport’s (1961) conception of maturity. A further domain of theory for defining psychological well-being follows from the life span development perspective, which emphasizes the differing challenges confronted at various phases of the life cycle. Included here are Erikson’s (1959) psychological stage modes, Buhler’s basic life tendencies that work towards fulfillment of life. (Buhlers, 1935; Buhler & Massarik, 1968), and Neugarten’s 1968, 1973) description of personality change in adulthood and old age. Jahoda’s(1958) positive criteria of mental health, generated to replace definitions of well-being as the absence of illness, also offer extensive descriptions of what it means to be in good psychological health”
If we look at the aspect of well-being = well-feeling, we can not but must view it in perspective of happiness. This again can not be viewed in isolation but needs to be seen in the various aspects of psychology.
Self Acceptance The most importance criterion of well-being is in the individual’s sense of self- acceptance. This is defined as central feature of mental health as well a characteristic of self-actualization, optimal functioning and maturity. Lifespan Theory also emphasizes acceptance of self and one’s past life. Thus holding positive attitudes towards oneself emerges as a central characteristic of positive psychological functioning.
Positive relation with others The important emphasis here is on a warm trusting interpersonal relationship with a spouse or other family, or social community member
Self-actualization The realization of fulfillment of ones potentials, independency, autonomy, tendency to form few but deep friendships, a philosophical sense of humor, a tendency to resist outside pressures and a general transcendence of the environment rather than simply coping with it.
“The highest fulfillment of all good achievable by human action is happiness”
Aristotle (1069)
Discussion
Taking into consideration the afore said we do have to make an effort to seriously question the way we look at and treat senior citizen in this country. Are they in general, particularely those from lower income groups, in any way meeting the aforesaid criteria?
Can we speak of human dignity when we visit “Old People’s Homes”? Are senior citizens given even the basic opportunity to be accepted as respected members of society, when they are:
· excluded from Health Insurances coverage,
· not eligieble for a Credit Card,
· not even considered to get a Bank Loan, even if they can produce securities,
· not served in their home setting by medical doctors,
· treated as non persons in hospitals,
· lacking of urgent nursing help in their home setting, because Institutions do not do their home work etc.
We should consider retired persons as sources of knowledge, inspiration and resources of human capital. For most do have a wealth of knowledge and expirience accumulated in the years of their life and service.
The present practice of sending government servant into early retirement just to give “way for unemployed
youth” is unrealistic and counterproductive. How does anyone justify to sent an expirienced Medical Assistant into early retirement while the country is short of nursing personel?
Where are the seniors who can pass the knowledge and skills to the juniors in the employment sectors?
Is the poor performance in various fields in the country not a result of “ousting” expirienced work force, to make way for the young unemployed, albeit also inexpirienced persons. Would it not make more sense to all concerned if the seniors reduce their working hours, but stay on to pass the knowledge to the juniors? This would not only benefit the young but also give credit to the seniors that they are not being looked at as an obstacle of the younger generation’s aspiration, but catalyst to the improvement of service quality and sources of knowledge for the young. A rethink here is of urgent importance.
This approach would very well go a long way in preventing the retirees feel a sense of uselessness and depreciation of their self worth.
Where are the Senior citizen ‘Towns’, where they can enjoy life in a senior citizen compatible situation and surrounding?
When do we change our mentality of sending “burdening” old sick senior citizens into strange homes instead of providing them with the needed care in their own home setting?
When will the building authorities wake up and insist that new houses and flats have senior citizen compatible bathrooms where also a wheelchair or commode can be moved in and out?
When is society starting to realize that everyone, even the newborn is likely to become old one day and needs help.
When does the government start a compulsory saving scheme that would be available for nursing care once senior citizen need it?
When do professional organisations and individuals stand up and demand from all concerned to ensure that senior citizens can live a life in dignity and solace?
When do I AND YOU put aside personal convenience and initiate what needs to be done in one’s own area of service, related to the issue of improving senior citizen’s plight?
“A country and society will be judged by the way it looks at and treats those senior citizens who have served it and contributed to its deveopement”.
For further information and care for the elderly,
MOBILE NURSING/DOCTOR contact:
006 03-78777202
nursing@hnp-mobilenursing.com
www.hnp-mobilenursing.com
July 24, 2008
Organisational concept and structure of mobile nursing
Organisational concept and structure of mobile nursing
The population in Malaysia will increase annually. Correspondently so are more Senior Citizens in need of various degrees of care-taking and nursing supports.
The homogeneous family bonds are increasingly depleting, as migration of family members for job opportunities and carrier have become a reality. As a result, many Senior Citizens find themselves at the autumn of their lifespan alone, often as a result of not wanting to leave their place of stay since childhood. Children are, therefore, not able or willing to look into the physical, social, mental and health needs of these Senior Citizens. The ability of these “lost/misplaced/displaced” Senior Citizens to fend for themselves depletes as age advance.
For the same reasons as they often refuse to follow their children to a new place, they refuse to be placed in a residential home setting, resulting sometimes in development of deplorable conditions they slither in. Nonetheless these people have a right of a human worth living condition and care. Not to be under-estimated, is the special mental and psychological development these persons are experiencing, which needs a special handling of their situation. Gerontological care taking is a new field in this part of the world, and care givers have to possess a basic knowledge in this field, as well as the access to constant guidance and counselling.
Home Nursing Providers SDN BHD established in 2004 in Malaysia is aware of these special situations, and have gained some experience in the course of their service in dealing with the special conditions of such people, although the family thus far have been able and willing to bear the financial burden of the care-taking.
The system of care providing for senior, dependable and sick Citizens, is well known to the writer who has spend several years in this field in GERMANY. The basic human behaviours and needs do not differ from one country to another and transcends the cultural and religious affiliations. The basic human needs according to Maslow are applicable to every human being, and in the absence of the same we speak of “human unworthy” conditions or situations.
3 Categorisation of Clients’ Needs
As manifold as humans are their needs just as manifold also, objectively or subjectively. Care-giving should take this into account and should always be aimed at helping to restore self-help as far as this is applicable.
The support requirement of clients can roughly be put in three different categories:
Category I (substantial need of support)
Daily 90 Minutes, of which at least 45 minutes requirement of basic nursing, physical hygiene, and at least two times a week household up-keeping such as:
cleaning (maintenance)
washing and ironing/folding of clothing,
purchase of goods (shopping)
changing of bed sheets etc.
Category II (intensive nursing requirement)
Daily 3 hours’ need of which at least 2 hours in basic nursing, inclusive of 2 to 3 times a day:
general body hygiene,
preparing of nourishment,
assisting in the discharge of body waste,
2-3 times a week household up-keeping,
Category III (total nursing dependency)
Daily 5 hours’ need, of this at least 3.5 hours on basic nursing attendance requirement within 24 hours. This will include Category I and II with additional:
feeding inclusive of trans nasal feeding (Ryle’s tube)
dispensing of medication (which is prepared by a Nurse)
keeping in close liaison with health/welfare support services.
3 Special Requirements
At times it is necessary to attend to the Physical aspect of the living environment, providing intensive cleaning, assuring the environment is meeting with the basic requirement in hygiene and utilities.
Due to the fact that these Senior Citizens often have difficulties to control their body waste discharge, more laundry than generally expected is needed. For such purpose consideration should be given to make necessary provisions.
4 Establishing of Requirement (Assessment)
As mentioned above the requirements of support will vary from one client to another, not only in respect to their actual needs, but also how much the family members (if there are any) can contribute both financially and physically.
Family members should not be excluded but be integrated in the overall nursing process. External care-giving should be supplementary and financial compensation to a family member may be a first option. Leaving to the external support the activities that cannot be delivered by the family, such as:
wound management,
urethral catheters or Ryle’s tube insertion
nursing observation, Blood Sugar, Blood Pressure measurement etc.
Not to be underestimated is the need for psychological support and couching (technical know-how in nursing) to the primary care-giver and family members.
5 Assessment:
It is imperative in our experience that before any client is being given support an Assessment should be made to:
establish the IS situation
assess the family/community support
establish the objective and subjective needs
check on the physical/environmental requirements
assess the families ability and willingness to cooperate
make a nursing assessment, which includes nutritional requirements and body care condition besides an overall assessment.
At the end of such an assessment, at which besides the “reachable family members” also a competent Nurse (HNP) should be present, the respective Officer will analyse and recommend the steps to be taken, and decide on the optimal combination or arrangement to ensure the “best” for the care-seeker.
It is not unusual the situation can become more manageable by merely couching, professional stand-by and counselling of the family members, as far as such are available.
6 Services and Cost
The services Home Nursing Providers can deliver are as shown in the web site of the Company
WWW:HNP-HOME NURSING PROVIDERS.COM
CHARGES SCHEDULES
Medical Nursing charges
General Nursing charges
House Keeping charges
The charges are negotiable and “Special Rates” would form part of the contract between the Ministry and HNP Service Agency.
In each case a combination of services as required should be compiled to meet the client’s
needs and circumstances.
7 Patient call service
Consideration should also be given to the establishment of a 24-hour 365 day “PATIENT CALL SERVICE” which would enable clients in categories II and III to request for help and be attended to.
8 Conclusion
Home Nursing Providers would suggest a pilot Project in the Klang Valley, and the experience of a year’s ‘trial’ period should be a good basis for future development, covering also other areas in the country.
We would like to reiterate that the name (Sdn Bhd) should not be interpreted as primary money-making establishment, although the shareholders expect a return, we see ourselves as a catalyst in providing a much-needed and so far well solicited nursing and care giving service.
Our Team consists of a combination of highly qualified Nurses, Psychologist with Social Experience and trained and supervised Home Nursing Aids, working directly under our supervision and instruction and subjected to continuous training and counselling.
For further information on MOBILE NURSING/MOBILE DOCTOR contact:
006 03-78277202
www.hnp-mobilenursing.com
nursing@hnp-mobilenursing.com
The population in Malaysia will increase annually. Correspondently so are more Senior Citizens in need of various degrees of care-taking and nursing supports.
The homogeneous family bonds are increasingly depleting, as migration of family members for job opportunities and carrier have become a reality. As a result, many Senior Citizens find themselves at the autumn of their lifespan alone, often as a result of not wanting to leave their place of stay since childhood. Children are, therefore, not able or willing to look into the physical, social, mental and health needs of these Senior Citizens. The ability of these “lost/misplaced/displaced” Senior Citizens to fend for themselves depletes as age advance.
For the same reasons as they often refuse to follow their children to a new place, they refuse to be placed in a residential home setting, resulting sometimes in development of deplorable conditions they slither in. Nonetheless these people have a right of a human worth living condition and care. Not to be under-estimated, is the special mental and psychological development these persons are experiencing, which needs a special handling of their situation. Gerontological care taking is a new field in this part of the world, and care givers have to possess a basic knowledge in this field, as well as the access to constant guidance and counselling.
Home Nursing Providers SDN BHD established in 2004 in Malaysia is aware of these special situations, and have gained some experience in the course of their service in dealing with the special conditions of such people, although the family thus far have been able and willing to bear the financial burden of the care-taking.
The system of care providing for senior, dependable and sick Citizens, is well known to the writer who has spend several years in this field in GERMANY. The basic human behaviours and needs do not differ from one country to another and transcends the cultural and religious affiliations. The basic human needs according to Maslow are applicable to every human being, and in the absence of the same we speak of “human unworthy” conditions or situations.
3 Categorisation of Clients’ Needs
As manifold as humans are their needs just as manifold also, objectively or subjectively. Care-giving should take this into account and should always be aimed at helping to restore self-help as far as this is applicable.
The support requirement of clients can roughly be put in three different categories:
Category I (substantial need of support)
Daily 90 Minutes, of which at least 45 minutes requirement of basic nursing, physical hygiene, and at least two times a week household up-keeping such as:
cleaning (maintenance)
washing and ironing/folding of clothing,
purchase of goods (shopping)
changing of bed sheets etc.
Category II (intensive nursing requirement)
Daily 3 hours’ need of which at least 2 hours in basic nursing, inclusive of 2 to 3 times a day:
general body hygiene,
preparing of nourishment,
assisting in the discharge of body waste,
2-3 times a week household up-keeping,
Category III (total nursing dependency)
Daily 5 hours’ need, of this at least 3.5 hours on basic nursing attendance requirement within 24 hours. This will include Category I and II with additional:
feeding inclusive of trans nasal feeding (Ryle’s tube)
dispensing of medication (which is prepared by a Nurse)
keeping in close liaison with health/welfare support services.
3 Special Requirements
At times it is necessary to attend to the Physical aspect of the living environment, providing intensive cleaning, assuring the environment is meeting with the basic requirement in hygiene and utilities.
Due to the fact that these Senior Citizens often have difficulties to control their body waste discharge, more laundry than generally expected is needed. For such purpose consideration should be given to make necessary provisions.
4 Establishing of Requirement (Assessment)
As mentioned above the requirements of support will vary from one client to another, not only in respect to their actual needs, but also how much the family members (if there are any) can contribute both financially and physically.
Family members should not be excluded but be integrated in the overall nursing process. External care-giving should be supplementary and financial compensation to a family member may be a first option. Leaving to the external support the activities that cannot be delivered by the family, such as:
wound management,
urethral catheters or Ryle’s tube insertion
nursing observation, Blood Sugar, Blood Pressure measurement etc.
Not to be underestimated is the need for psychological support and couching (technical know-how in nursing) to the primary care-giver and family members.
5 Assessment:
It is imperative in our experience that before any client is being given support an Assessment should be made to:
establish the IS situation
assess the family/community support
establish the objective and subjective needs
check on the physical/environmental requirements
assess the families ability and willingness to cooperate
make a nursing assessment, which includes nutritional requirements and body care condition besides an overall assessment.
At the end of such an assessment, at which besides the “reachable family members” also a competent Nurse (HNP) should be present, the respective Officer will analyse and recommend the steps to be taken, and decide on the optimal combination or arrangement to ensure the “best” for the care-seeker.
It is not unusual the situation can become more manageable by merely couching, professional stand-by and counselling of the family members, as far as such are available.
6 Services and Cost
The services Home Nursing Providers can deliver are as shown in the web site of the Company
WWW:HNP-HOME NURSING PROVIDERS.COM
CHARGES SCHEDULES
Medical Nursing charges
General Nursing charges
House Keeping charges
The charges are negotiable and “Special Rates” would form part of the contract between the Ministry and HNP Service Agency.
In each case a combination of services as required should be compiled to meet the client’s
needs and circumstances.
7 Patient call service
Consideration should also be given to the establishment of a 24-hour 365 day “PATIENT CALL SERVICE” which would enable clients in categories II and III to request for help and be attended to.
8 Conclusion
Home Nursing Providers would suggest a pilot Project in the Klang Valley, and the experience of a year’s ‘trial’ period should be a good basis for future development, covering also other areas in the country.
We would like to reiterate that the name (Sdn Bhd) should not be interpreted as primary money-making establishment, although the shareholders expect a return, we see ourselves as a catalyst in providing a much-needed and so far well solicited nursing and care giving service.
Our Team consists of a combination of highly qualified Nurses, Psychologist with Social Experience and trained and supervised Home Nursing Aids, working directly under our supervision and instruction and subjected to continuous training and counselling.
For further information on MOBILE NURSING/MOBILE DOCTOR contact:
006 03-78277202
www.hnp-mobilenursing.com
nursing@hnp-mobilenursing.com
Why choose home nursing SERVICES?
We, the HOME NURSING PROVIDERS team are pleased to provide nursing services within the comfort of your home. Our emphasis is on nursing support – to retain or regain the ability of physical functions sufficiently to ensure a sustained and improved life quality of the sick and/or elderly to continue to be a ‘normal’ family member.
A local, highly qualified and specially trained team, comprising of nurses and other support staff will be at your disposal round-the clock (24 x 7 x 365) for this purpose to ensure the best possible professional mobile nursing service.
Home Nursing Providers is a solely Malaysia company that aims at assisting in the establishment of a qualified comprehensive mobile nursing program in Malaysia.
The Nursing Consultant is Mr. Yakob Abdul Rahman W. Scholer. He combines the best of experiences throughout more than 27 years he lived in Malaysia before returning to Germany to expand his knowledge in modern health care.
While in Germany he served in the Infectious Disease Ward of the University of Mainz for 9 years, expanded his knowledge in modern health care. The last 4 years in Germany before returning to Malaysia he was employed in the field of ‘Mobile Home Nursing’, visiting the sick and elderly in their family setting, providing them with optimal nursing care to assure their continuous stable health condition.
Mr. Yakob lectures at a local university on Health Psychology and also gives seminars on various nursing aspects such as prevention of bedsore, appropriate nutrition, mobilization, etc.
His vast knowledge is now available to this country where local nurses and nursing aides can be trained to provide the best possible family nursing care for those in need.
If you have specific questions, perhaps you can find the answers below. If we can help answer any other questions, please call us at (03) 7877-7202. Thank you for considering our home health care/mobile home nursing services.
Why choose home health care/mobile home nursing?
What is home health care?
Do I have a choice in which home health agency I use?
How quickly can services be provided?
Can I change my schedule if I have appointments?
How is my care giver chosen?
How do I pay for my home care?
General Questions
Why choose home health care/mobile home nursing?The need and interest in home health care/mobile home nursing has grown for many reasons. Medical science and technology have improved. Many treatments that could once be done only in a hospital can now be done at home. Also, home health care is usually less expensive and can often be just as effective as care in a hospital or skilled nursing facility. Finally, most patients and their families prefer to stay at home which is their natural environment rather than stay in a hospital or nursing home.
What is home health care?
"Home care" is a simple phrase that encompasses a wide range of health and social services and “mobile” denotes the mobility of our nursing service. Home health care is a cost effective alternative to hospital and nursing home stays. Generally, home care is appropriate whenever a person prefers to stay at home but needs ongoing care that cannot easily or effectively be provided solely by family and friends. It is a health care option that includes skilled nursing care, as well as other skilled and non-skilled care services, like physical and occupational therapy, personal care, homemaking and respite care. These services are given by a variety of health care professionals in your own home.
Home Nursing Providers' staff provides and helps coordinate the care and/or therapy that your doctor orders. The goal of short-term home health care is to provide treatment for an illness or injury. It helps you get better, regain your independence, and become as self-sufficient as possible. The goal of long-term home health care (for the chronically ill or physically or mentally challenged) is to maintain your highest level of ability or health, and help you learn to live with your condition.
Do I have a choice in which home health agency I use?
Yes. You have the right to choose a home health care agency to give you the care and services you need. Your choice will be honored by your doctor, hospital discharge planner, or other referring agency. Even though some hospitals and nursing homes have their own home health care agency, you are not required to choose the hospital or nursing home's home health care agency. You may choose any agency that you feel will meet your needs.
As an example of your right to choose, let's assume your mom is admitted to the hospital or nursing home because she fell and broke her hip. Upon her discharge, she will need home health care services in order to continue to heal properly and regain her independence at home. Your mom is free to choose any home care provider she prefers. She does not have to select the hospital or nursing home's
How quickly can services be provided?Generally, services provided by Home Nursing Provider can begin within 48 hours or less.
Can I change my schedule if I have appointments?
Yes. Changes are easily accomplished with as little as a phone call to one of our staffing coordinators. Our philosophy is to make the schedule work for the family and not just the agency. We attempt to meet your needs, your requests, and your schedule. We will do everything possible to make sure the schedule you want is the schedule you get. Of course, the earlier you notify us of a change in your schedule, the better we are able to accommodate your needs.
How is my care giver chosen?
Selecting the right person for you is our main concern. Your home health care needs are matched with the skills, qualities and expertise of our caregivers. All caregivers have been oriented to our standards and your needs before their first assignment. Home Nursing Providers Home Health Care recruits, screens, tests and trains our employees to provide you with the best care possible. Payment Questions.
How do I pay for my home care? You will be billed twice a month for our rendered services and/or medical/nursing supplies we help you obtain.
Payment can be made with crossed cheque, cash or internet banking.
For more information contact.
Home Nursing Providers
006 03-78777202
www.hnp-mobilenursing.com
nursing@hnp-mobilenursing.com
A local, highly qualified and specially trained team, comprising of nurses and other support staff will be at your disposal round-the clock (24 x 7 x 365) for this purpose to ensure the best possible professional mobile nursing service.
Home Nursing Providers is a solely Malaysia company that aims at assisting in the establishment of a qualified comprehensive mobile nursing program in Malaysia.
The Nursing Consultant is Mr. Yakob Abdul Rahman W. Scholer. He combines the best of experiences throughout more than 27 years he lived in Malaysia before returning to Germany to expand his knowledge in modern health care.
While in Germany he served in the Infectious Disease Ward of the University of Mainz for 9 years, expanded his knowledge in modern health care. The last 4 years in Germany before returning to Malaysia he was employed in the field of ‘Mobile Home Nursing’, visiting the sick and elderly in their family setting, providing them with optimal nursing care to assure their continuous stable health condition.
Mr. Yakob lectures at a local university on Health Psychology and also gives seminars on various nursing aspects such as prevention of bedsore, appropriate nutrition, mobilization, etc.
His vast knowledge is now available to this country where local nurses and nursing aides can be trained to provide the best possible family nursing care for those in need.
If you have specific questions, perhaps you can find the answers below. If we can help answer any other questions, please call us at (03) 7877-7202. Thank you for considering our home health care/mobile home nursing services.
Why choose home health care/mobile home nursing?
What is home health care?
Do I have a choice in which home health agency I use?
How quickly can services be provided?
Can I change my schedule if I have appointments?
How is my care giver chosen?
How do I pay for my home care?
General Questions
Why choose home health care/mobile home nursing?The need and interest in home health care/mobile home nursing has grown for many reasons. Medical science and technology have improved. Many treatments that could once be done only in a hospital can now be done at home. Also, home health care is usually less expensive and can often be just as effective as care in a hospital or skilled nursing facility. Finally, most patients and their families prefer to stay at home which is their natural environment rather than stay in a hospital or nursing home.
What is home health care?
"Home care" is a simple phrase that encompasses a wide range of health and social services and “mobile” denotes the mobility of our nursing service. Home health care is a cost effective alternative to hospital and nursing home stays. Generally, home care is appropriate whenever a person prefers to stay at home but needs ongoing care that cannot easily or effectively be provided solely by family and friends. It is a health care option that includes skilled nursing care, as well as other skilled and non-skilled care services, like physical and occupational therapy, personal care, homemaking and respite care. These services are given by a variety of health care professionals in your own home.
Home Nursing Providers' staff provides and helps coordinate the care and/or therapy that your doctor orders. The goal of short-term home health care is to provide treatment for an illness or injury. It helps you get better, regain your independence, and become as self-sufficient as possible. The goal of long-term home health care (for the chronically ill or physically or mentally challenged) is to maintain your highest level of ability or health, and help you learn to live with your condition.
Do I have a choice in which home health agency I use?
Yes. You have the right to choose a home health care agency to give you the care and services you need. Your choice will be honored by your doctor, hospital discharge planner, or other referring agency. Even though some hospitals and nursing homes have their own home health care agency, you are not required to choose the hospital or nursing home's home health care agency. You may choose any agency that you feel will meet your needs.
As an example of your right to choose, let's assume your mom is admitted to the hospital or nursing home because she fell and broke her hip. Upon her discharge, she will need home health care services in order to continue to heal properly and regain her independence at home. Your mom is free to choose any home care provider she prefers. She does not have to select the hospital or nursing home's
How quickly can services be provided?Generally, services provided by Home Nursing Provider can begin within 48 hours or less.
Can I change my schedule if I have appointments?
Yes. Changes are easily accomplished with as little as a phone call to one of our staffing coordinators. Our philosophy is to make the schedule work for the family and not just the agency. We attempt to meet your needs, your requests, and your schedule. We will do everything possible to make sure the schedule you want is the schedule you get. Of course, the earlier you notify us of a change in your schedule, the better we are able to accommodate your needs.
How is my care giver chosen?
Selecting the right person for you is our main concern. Your home health care needs are matched with the skills, qualities and expertise of our caregivers. All caregivers have been oriented to our standards and your needs before their first assignment. Home Nursing Providers Home Health Care recruits, screens, tests and trains our employees to provide you with the best care possible. Payment Questions.
How do I pay for my home care? You will be billed twice a month for our rendered services and/or medical/nursing supplies we help you obtain.
Payment can be made with crossed cheque, cash or internet banking.
For more information contact.
Home Nursing Providers
006 03-78777202
www.hnp-mobilenursing.com
nursing@hnp-mobilenursing.com
Mobile Nursing - the modern alternative for caring of the sick and infirm.
Mobile Nursing can be a viable alternative in the management of sick personsIn the Malaysian society the aged population is on the rise with the improved health standards. More and more people will live up to an old age, with the need for special care and attention.
The once BIG FAMILY concept is breaking down; more and more elderly are left to be taken care of by one of the offspring. Consequently the need for nursing and care support is evident.
In the past and perhaps still at present times the only alternative is a nursing or old folks’ home. This concept, once popular in Europe, is seeing a reverse, as many such homes are closed and the sick and infirm are taken care of in his/her own home setting.
To enable this concept two approaches may be used:
The once BIG FAMILY concept is breaking down; more and more elderly are left to be taken care of by one of the offspring. Consequently the need for nursing and care support is evident.
In the past and perhaps still at present times the only alternative is a nursing or old folks’ home. This concept, once popular in Europe, is seeing a reverse, as many such homes are closed and the sick and infirm are taken care of in his/her own home setting.
To enable this concept two approaches may be used:
1) The mobile nursing approach that ensures that the person in need, gets the optimal nursing care according to need and condition
2) The second approach is day care facility where the person can stay during the day, in case he or she can not be left alone.
The main purpose of this modern approach is that it is most inhumane to have a person, in the autumn of life, removed from their life-long dwelling. This conveys the message that they have become a “burden and being abandoned”.
Mobile Nursing in the concept practiced by HNP (Home Nursing Providers) in the Klang Valley, provides the optimal care, which enables the family to have good nursing care and the assurance of continued stay of the elderly within the family setting.
Mobile Nursing comprises mainly of two aspects:
2) The second approach is day care facility where the person can stay during the day, in case he or she can not be left alone.
The main purpose of this modern approach is that it is most inhumane to have a person, in the autumn of life, removed from their life-long dwelling. This conveys the message that they have become a “burden and being abandoned”.
Mobile Nursing in the concept practiced by HNP (Home Nursing Providers) in the Klang Valley, provides the optimal care, which enables the family to have good nursing care and the assurance of continued stay of the elderly within the family setting.
Mobile Nursing comprises mainly of two aspects:
1. Medical Nursing as shown in our documentation and performed by Registered Nurses
or Assistant Nurses.
2. General Nursing which covers the complete care-taking of non-medical aspects
inclusive of patient security and nutritional intake.
For further information about MOBILE NURSING/DOCTOR contact:
or Assistant Nurses.
2. General Nursing which covers the complete care-taking of non-medical aspects
inclusive of patient security and nutritional intake.
For further information about MOBILE NURSING/DOCTOR contact:
Home Nursing Providers,
006 03-78777202
www.hnp-mobilenursing.com
www.hnp-mobilenursing.com
What mobile nursing is all about needs to be understood to be appreciated
Mobile Nursing - the modern alternative for caring of the sick and infirm.
In the Malaysian society the aged population is on the rise with the improved health standards. More and more people will live up to an old age, with the need for special care and attention.
The once BIG FAMILY concept is breaking down; more and more elderly are left to be taken care of by one of the offspring. Consequently the need for nursing and care support is evident.
In the past and perhaps still at present times the only alternative is a nursing or old folks’ home. This concept, once popular in Europe, is seeing a reverse, as many such homes are closed and the sick and infirm are taken care of in his/her own home setting.
To enable this concept two approaches may be used:
1) The mobile nursing approach that ensures that the person in need, gets the optimal nursing care according to need and condition
2) The second approach is day care facility where the person can stay during the day, in case he or she can not be left alone.
The main purpose of this modern approach is that it is most inhumane to have a person, in the autumn of life, removed from their life-long dwelling. This conveys the message that they have become a “burden and being abandoned”.
Mobile Nursing in the concept practiced by HNP (Home Nursing Providers) in the Klang Valley, provides the optimal care, which enables the family to have good nursing care and the assurance of continued stay of the elderly within the family setting.
Mobile Nursing comprises mainly of two aspects:
1. Medical Nursing as shown in our documentation and performed by Registered Nurses
or Assistant Nurses.
2. General Nursing which covers the complete care-taking of non-medical aspects
inclusive of patient security and nutritional intake (see Attached
Documentation).
For more information about MOBILE NURSING/MOBILE DOCTOR contact:
In the Malaysian society the aged population is on the rise with the improved health standards. More and more people will live up to an old age, with the need for special care and attention.
The once BIG FAMILY concept is breaking down; more and more elderly are left to be taken care of by one of the offspring. Consequently the need for nursing and care support is evident.
In the past and perhaps still at present times the only alternative is a nursing or old folks’ home. This concept, once popular in Europe, is seeing a reverse, as many such homes are closed and the sick and infirm are taken care of in his/her own home setting.
To enable this concept two approaches may be used:
1) The mobile nursing approach that ensures that the person in need, gets the optimal nursing care according to need and condition
2) The second approach is day care facility where the person can stay during the day, in case he or she can not be left alone.
The main purpose of this modern approach is that it is most inhumane to have a person, in the autumn of life, removed from their life-long dwelling. This conveys the message that they have become a “burden and being abandoned”.
Mobile Nursing in the concept practiced by HNP (Home Nursing Providers) in the Klang Valley, provides the optimal care, which enables the family to have good nursing care and the assurance of continued stay of the elderly within the family setting.
Mobile Nursing comprises mainly of two aspects:
1. Medical Nursing as shown in our documentation and performed by Registered Nurses
or Assistant Nurses.
2. General Nursing which covers the complete care-taking of non-medical aspects
inclusive of patient security and nutritional intake (see Attached
Documentation).
For more information about MOBILE NURSING/MOBILE DOCTOR contact:
Access to mobile nursing is a right to one in need of it
Providing home nursing
By AUDREY EDWARDS STAR Paper
MOHD SALLEH Abdul Rashid, 80, was a sportsman in his younger days. He was also a chatterbox and lived for his family until his sixth stroke recently left him unable to move or speak.
He now spends his days on a hospital bed at home where his loved ones care for him and tend to his needs with the help of mobile home nursing agency Home Nursing Providers Sdn Bhd.
When the agency first began visiting Mohd Salleh, representatives arrived twice daily to dress his bedsores, provide counselling, exercise and massage and change catheter and drip tubes. The family has since learnt how to take care of some of these tasks and the agency only visits once a day.
Mohd Salleh's wife Noraini Abu Bakar, 71, tends to him at night.
Norizan (left)talking to her father as Yakob (right) and Noraini look on.
“It was a shock to him but I think he has accepted it. The personal touch is important and that is what made me decide to tend to him at home. I think he is more secure with his family,” added his daughter Norizan.
Norizan also admitted that at first, the family did not know what to do but the hospital had recommended the agency and it had been a good move.
“He is doing much better now. We took him out for Raya in a wheelchair and relatives have been visiting him. Although he cannot talk, he uses facial expressions. We read to him and tell him all the gossip. And he refuses to eat if my mother does not feed him,” she added.
Home Nursing Providers managing director and nursing officer Yakob Abdul Rahman W. Scholer stressed that it was not a nursing agency or a hospice service but one where family members were coached to care for the patient and advice was given.
It serves as a link between the clinic or hospital and the client in his home setting. There will be initial assessments and consultations to determine the kind of nursing care a client needs. Records are also kept to keep track of the client's progress.
“The idea is not to have people staying in the hospital unless medically necessary.
“Nursing care means looking after all aspects of a person from nutrients, body care and mobilisation to emotional and social needs,” he added.
If you need good MOBILE NURSING/MOBILE DOCTOR contact:
Home Nursing Providers
006 03-78777202
www.hnp-mobilenursing.com
nursing@hnp-mobilenursing.com
By AUDREY EDWARDS STAR Paper
MOHD SALLEH Abdul Rashid, 80, was a sportsman in his younger days. He was also a chatterbox and lived for his family until his sixth stroke recently left him unable to move or speak.
He now spends his days on a hospital bed at home where his loved ones care for him and tend to his needs with the help of mobile home nursing agency Home Nursing Providers Sdn Bhd.
When the agency first began visiting Mohd Salleh, representatives arrived twice daily to dress his bedsores, provide counselling, exercise and massage and change catheter and drip tubes. The family has since learnt how to take care of some of these tasks and the agency only visits once a day.
Mohd Salleh's wife Noraini Abu Bakar, 71, tends to him at night.
Norizan (left)talking to her father as Yakob (right) and Noraini look on.
“It was a shock to him but I think he has accepted it. The personal touch is important and that is what made me decide to tend to him at home. I think he is more secure with his family,” added his daughter Norizan.
Norizan also admitted that at first, the family did not know what to do but the hospital had recommended the agency and it had been a good move.
“He is doing much better now. We took him out for Raya in a wheelchair and relatives have been visiting him. Although he cannot talk, he uses facial expressions. We read to him and tell him all the gossip. And he refuses to eat if my mother does not feed him,” she added.
Home Nursing Providers managing director and nursing officer Yakob Abdul Rahman W. Scholer stressed that it was not a nursing agency or a hospice service but one where family members were coached to care for the patient and advice was given.
It serves as a link between the clinic or hospital and the client in his home setting. There will be initial assessments and consultations to determine the kind of nursing care a client needs. Records are also kept to keep track of the client's progress.
“The idea is not to have people staying in the hospital unless medically necessary.
“Nursing care means looking after all aspects of a person from nutrients, body care and mobilisation to emotional and social needs,” he added.
If you need good MOBILE NURSING/MOBILE DOCTOR contact:
Home Nursing Providers
006 03-78777202
www.hnp-mobilenursing.com
nursing@hnp-mobilenursing.com
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