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Active participation in a Nursing
         Home – How ?
  Активное участие в доме
      престарелых - как?
Helky Koskela, Licentiate of Social Sciences, University of
Jyväskylä/ Kokkola University Consortium Chydenius, Finland.

 ХелкЮ Коскела ,лиценциат в области социальной работы ,
Университет Ювяскюля, Коккола университета консорциума,
Финляндия.
My competence to this Issue:
         моя компетенция этой теме:
• 14,5 years work in Elderly   •   Photo: Antero Huhtala, Finland
                               •   Фото: Антеро Хухтала, Финляндия
  care; Nursing Home, Home
  Service, Support for
  informal care and in a
  project.
• I´m also researching
  Institutional care.
• I ´m 50++ myself.
• My parents have been
  suffering dementia.
• 14,5 лет в уход за
  престарелыми
  Я делаю исследование в
  домах престарелых
Some bad News from Finland?
   Плохие новости из Финляндии?

• Rather wealthy country,   • Our Society is admiring
  but we are struggling       youth and the
  with many social            effectiveness…
  problems:
• Unemployment,             • See YouTube:Grandma
  Alcohol, sexual Abuse,      vs Mercedes
  Marginalization of        • Смотреть на YouTube
  youth, Shut downs in        :Бабушка и Мерседес
  Social Services…
Good care still exists
        Хороший уход все же есть.
• Residential care for the
  elderly has been
  reduced but Home
  services have not been
  replaced. Some have
  left “abandoned” home
  or in an institution.
• However, I am now
  telling about the good
  care. It still exists in
  many Nursing Homes.
Old people are a huge resource, not a
              burden
          Esko 79 years old, his Summer Job…
Senior are helping younger in many
ways…Старшие во многом помогают
младшим…
Photo: Helky Koskela Фото: Хелкю Коскела
Frail Elderly - how participating to research ?
  Старик в плохом состоянии здоровья – как
            проводить исследования ?
• They often have difficulties to
  talk, hear, see or remember.
• They can have pains and the
  situation can vary a lot even
  during one meeting.
• Many of them are not used to say
  their Opinions.
• So, they must be studied in new
  ways; e.g. Board games, Photo
  elicitation, Observation.
• У многих есть проблемы со
  слухом, зрением, некоторые не
  могут разговаривать, у них
  плохая память
• Способы : Игры, фото,              Photo: Aaro Koskela, Finland
  наблюдения                         Фото: Ааро Коскела, Финляндия
Elderly can participate in Nursing Home, if:
Oни могут участвовать, если:
                                 • Visitors can come and
                                   go, such as in the home.
                                 • There is chance to be
                                   outside and in the city
                                 • They have enough
                                   helping Hands.
                                 • Their wishes and needs
                                   are taken seriously.
                                 • The Atmosphere is free.
 Photo: Aaro Koskela, Finland
 Фото: Ааро Коскела, Финляндия   • Хорошая атмосфера
Dementic people participating

• Viewing and Tracking: sitting and watching
  Body language and participation: the clap and stomp
  excited
  Speech and Sound: speaking to nurse and other
  The expression of emotions: laughing heartily,
  look at each other and clap
  Unresponsive / passivity: sitting straight-faced, looking
  around
  Active withdrawal: moving the wheelchair away.

                           (Vuorinen 2012, Master's thesis work)
Participating – Key to Well being
• “A long and healthy life and well-being is
  linked to social life. Minimal interaction is
  more harmful than smoking and obesity.”
• ”Долгая и здоровая жизнь связана с
  жизнью в обществе. Недостаток
  взаимодействия с другими является более
  вредным, чем курение и ожирение”
  (Markku T. Hyyppä)
• “If I know all knowledge and mysteries, but do not have
  love, I am nothing.”
• ”Если я владею всем знанием и тайнами, но не знаю
  любви, то я ничто.”
        •   Photo: Antero Huhtala, Finland Фото: Антеро Хухтала, Финлянд

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Helky Koskela.Active participation in nursing homes: Is it possible?

  • 1. Active participation in a Nursing Home – How ? Активное участие в доме престарелых - как? Helky Koskela, Licentiate of Social Sciences, University of Jyväskylä/ Kokkola University Consortium Chydenius, Finland. ХелкЮ Коскела ,лиценциат в области социальной работы , Университет Ювяскюля, Коккола университета консорциума, Финляндия.
  • 2. My competence to this Issue: моя компетенция этой теме: • 14,5 years work in Elderly • Photo: Antero Huhtala, Finland • Фото: Антеро Хухтала, Финляндия care; Nursing Home, Home Service, Support for informal care and in a project. • I´m also researching Institutional care. • I ´m 50++ myself. • My parents have been suffering dementia. • 14,5 лет в уход за престарелыми Я делаю исследование в домах престарелых
  • 3. Some bad News from Finland? Плохие новости из Финляндии? • Rather wealthy country, • Our Society is admiring but we are struggling youth and the with many social effectiveness… problems: • Unemployment, • See YouTube:Grandma Alcohol, sexual Abuse, vs Mercedes Marginalization of • Смотреть на YouTube youth, Shut downs in :Бабушка и Мерседес Social Services…
  • 4. Good care still exists Хороший уход все же есть. • Residential care for the elderly has been reduced but Home services have not been replaced. Some have left “abandoned” home or in an institution. • However, I am now telling about the good care. It still exists in many Nursing Homes.
  • 5. Old people are a huge resource, not a burden Esko 79 years old, his Summer Job…
  • 6. Senior are helping younger in many ways…Старшие во многом помогают младшим… Photo: Helky Koskela Фото: Хелкю Коскела
  • 7. Frail Elderly - how participating to research ? Старик в плохом состоянии здоровья – как проводить исследования ? • They often have difficulties to talk, hear, see or remember. • They can have pains and the situation can vary a lot even during one meeting. • Many of them are not used to say their Opinions. • So, they must be studied in new ways; e.g. Board games, Photo elicitation, Observation. • У многих есть проблемы со слухом, зрением, некоторые не могут разговаривать, у них плохая память • Способы : Игры, фото, Photo: Aaro Koskela, Finland наблюдения Фото: Ааро Коскела, Финляндия
  • 8. Elderly can participate in Nursing Home, if: Oни могут участвовать, если: • Visitors can come and go, such as in the home. • There is chance to be outside and in the city • They have enough helping Hands. • Their wishes and needs are taken seriously. • The Atmosphere is free. Photo: Aaro Koskela, Finland Фото: Ааро Коскела, Финляндия • Хорошая атмосфера
  • 9. Dementic people participating • Viewing and Tracking: sitting and watching Body language and participation: the clap and stomp excited Speech and Sound: speaking to nurse and other The expression of emotions: laughing heartily, look at each other and clap Unresponsive / passivity: sitting straight-faced, looking around Active withdrawal: moving the wheelchair away. (Vuorinen 2012, Master's thesis work)
  • 10. Participating – Key to Well being • “A long and healthy life and well-being is linked to social life. Minimal interaction is more harmful than smoking and obesity.” • ”Долгая и здоровая жизнь связана с жизнью в обществе. Недостаток взаимодействия с другими является более вредным, чем курение и ожирение” (Markku T. Hyyppä)
  • 11. • “If I know all knowledge and mysteries, but do not have love, I am nothing.” • ”Если я владею всем знанием и тайнами, но не знаю любви, то я ничто.” • Photo: Antero Huhtala, Finland Фото: Антеро Хухтала, Финлянд