2011年3月6日 | 作者: 睡熊猫 | 498 浏览
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曾经和一位病人的家属聊天，Mary，她告诉我她是老年痴呆协会下属Daycare的经理。顾名思义，家人把患病的老人早上送来，晚上接走。他们带 领病人玩游戏，简单的锻炼，可以延缓病情，也大大地减轻家人的负担，让他们有相对正常的生活。当然，这是美好的愿望，家有一位这样的病人，非亲身体验，无 法了解其一二。



4 条评论

  1. 1
    江水寒 Says:

    网友说这老人本来有社区护理的，儿子为了拿到政府发的几百块钱，而把母亲接回来自己照顾。 还有个问题，岳母是否通过女儿申请来加拿大的？能付得起10万刀的首期，应该不会再去仰仗女儿养了吧？ 我认为这10万刀的首期房款是男女双方打工挣来的。


  2. 2
    chowh Says:

    When an advance aged person is suffering from serious dementia, it is almost impossible to take care of him/her at home. The only sensible way is to send for professional care, i.e. let the patient be a full time resident in a Geriatric Care Center, which is properly equipped with the devices (machines) to lift the patient in and out of bed, onto to the toilet and up, change of diapers and clothes, bathing, feeding, etc. etc. The staff are trained to do such duties. It costs a lot of money, but there is no other way. It is not uncommon for the patient to refuse to cooperate, refuse to eat, to bathe, to change clothes, and simply want to die. I speak from experience as both of my parents are now in such a situation and are residing in a Geriatric Care Home.


  3. 3
    chowh Says:

    First let us talk about the cost. Take for example, one of the well known Chinese Geriatric Centers with well established infrastructure, subsidized by the government, supplemented by annual high-profile fund raising events, the cost for a single room and board is around $2200 a month, and around $1700 for sharing a double room. Those staying in a single room are not qualified to apply for a rate reduction. Those sharing a double room can apply if his/her income tax filing shows an income of less than a certain amount (~$20k. If it is close to this amount, the reduction would be close to zero). Those who depends on government Old Age Security and other forms of government subsidies will have their income taken to pay for the room and board, except a couple of hundred dollars for spending money.

    To get into one of these Geriatric Homes, one has to apply and be interviewed and screened. The health status is assessed by a visiting social worker. Doctor’s certification is of course required. Five and more years of waiting time is the norm. However, under special circumstances such as the patient cannot be cared at home, one can be given a high priority and jump to the front of the line.

    Most of the residents are on wheelchair; they may or may not be capable of maneuvering around on their own. The age bracket is anywhere from 75 to over 100. There are more women than men. However, there is a floor especially reserved for Alzheimer and Dementia residents, and it seems to be more men than women on this floor. In a Chinese run Centre, most residents are Chinese, but one particular floor, there are some quota reserved for other races such as Japanese and Indians. Some of the Chinese residents only speak/understand their own dialects. All staff is conversant in Cantonese, Mandarin and English.

    The resident is physically locked in his/her assigned floor. Family members can sign them out whenever they want, transportation is by private vehicle, by WheelTran or Taxi equipped with wheelchair locks.

    On each floor, there is a dining room and a central large common room. Exercise class, religious class, entertainment (mostly karaoke singing of Chinese songs and operas by volunteers) are organized, as well as simply watching the Fairchild chinese TV channel. Residents can have their own phone and TV in their room, but have to pay the standard residential fees. Many residents are not capable of dialing and talking on the phone anyway. Most spend their day sitting on the wheelchair dozing off in the common room, some quietly; some keep yelling and screaming for no apparent reasons. The ones that are mobile can wonder around the corridor, go into other residents’ rooms (doors cannot be locked) and grab whatever they find.

    Three meals a day are served at fixed time. The menu is made up by the Dietian, and the food may be cut to small pieces or pureed as specified for each resident. Some residents needed to be fed. Some refuse to eat, and will be given Ensure (nitrous milkshake). The amount of food consumed by each resident is recorded. There are snacks served (small piece of cake and a drink) in the afternoon.

    I wonder if internet access can be arranged. However, I do not see any resident capable of using a computer. When I asked about this, it was taken as a joke.


  4. 4
    江水寒 Says:

    博主，我给你发了封e-mail ，不知你看了没有？