How do we face old and dull-witted

How do we face old and dull-witted
Mr. Wu is a senior executive of foreign enterprise, have to work a busy schedule, the undertaking is becoming more prosperous every day. However, Mr. Wu's mother often made the telephone on the son's mobile phone suddenly recently, and all say worrying about very much each time the family has met accident, wants him to come back quickly. But find family's everything normal when he came back home, but the old lady will not remember phoning son! "What happened to my mother on earth? " Under the colleague's suggestion, Mr. Wu is bringing mother to the hospital. It is dull-witted that checked the old age by some, Mr. Wu is told, the old lady has had " " . After being in hospital for two weeks, Mr. Wu connects mother and goes home, want to look for a nurse, but gone to several famous housekeeping service companies in the capital, the person not finding old age dull-witted disease and attending to the experience either. He goes to community's hospital again, wants to apply for the dull-witted hospital bed set up at a patient's home that attends to of old age, told that there is not this project now. In the face of memory ability, mother that self-care ability dropped suddenly, Mr. Wu can find no way out. With the intersection of aging population and quickening of process, " whether old age dull-witted " Have surfaced gradually like an enormous reef, has lain across the course of the boat of the life. House have dull-witted old man suffer unspeakably, mention old age to be dull-witted, everybody sees and most often sees too at first, it may be that the family set out to look for the old man not going home. In fact such a patient only belongs to the dull-witted slight patient of old age. If condition, develop into, when being severe, patients will also not know one's own most intimate family, can't express one's own feeling, will not have a meal and wear the clothes, short-tempered, capricious, incontinence of feces and urine, is paralysed in the bed It is reported, can cure dull-witted specific drug of old age if there is not a in the world at present. Can only intervene the early, condition of middle period to medicines of this disease now, delay the development of the course of disease and improve the patient's life quality. A kind of medicines developed by Swiss Novartis Company just listed on China last December " Ai Si can " ,Can delay the course of disease for more than half a year. And the Chinese patient takes this kind of medicine, it is about 880 yuans that the expenses of one month are needed, how many families are there to afford? When the aged association of Beijing surveys and studies Chen Yi, division chief of place and surveys medical attendance current situation of the old people of community of Beijing, have done the visit of some cases on the question of old age dull-witted patient's nursing expenses. She says: "One ordinary the intersection of salariat and Mr. and Mrs., it uses for to be dull-witted to have on suffering from severe old age, nursing of old man that life already can't take care of oneself 20,000 yuan about in year in one expenses, it is equivalent to a spouse's income in one year. " The reporter makes work and social security office of Beijing for telephone consultation, whether the hospitalization cost of dull-witted disease of old age can submit an expense account. The other side informs it: This disease is not within the medical insurance range. The reporter consults to every large insurance company: Include this kind of disease in the commercial medical insurance? Have involved this kind of disease in the health insurance? The reception department of customer of every large insurance company is after consulting materials for the reporter, say: I am sorry. It seems, no matter medical insurance or business insurance, can't offer expense support to this part of patients and his relatives temporarily. With treating and attending to the expenses to compare, the spiritual pressure which the dull-witted disease patient family members bore of old age probably can't be counted with money. There is a lady holding office in news unit, remember one's own mother sighs with all sorts of feeling while looking after and suffering from the dull-witted grandmother of old age: "At that time, mother has sheets not finishing washing every day, often the one that is washed has not been dried yet this time, the bed form changed newly is dirty! Mother, nearly the complete ' fastened ' is in front of grandmother's bed. " It is a medical research center of senile disease of Beijing to attend to very difficult Beijing Xuanwu Hospital, Israel department of nerve internal medicine good at, dull-witted disease diagnose respect occupy at home leading levelling in early days in old age. The old ward in Xuanwu Hospital, draw sticking to the cartoon in bright gay color on some doors of room, the cartoon toy is put on the bedside cupboard of some sick beds. The inpatient area and one " Benefit intelligence in the room " ,There are building blocks, picture, jigsaw inside Let people suspect to come into the children's ward. And these are directed against presenile dementia namely (AD) The patient's characteristic was specially designed. The obstacle appears in old age dull-witted patient's memory, some will lose in the Residential Area that lived in all one's life oneself, some even one's own spouses do not recognize. The heavy patient in hospital often leaves ward for the toilet once, can not remember one's own room again, can't find one's own berth. Medical worker, soon as treating infants, until the intersection of image and most simple picture and toy come on, lead the old men recognize way the most. " benefiting intelligence in the room " In, patient build stand up, several 1- 10 the intersection of these and simple figure sequentially from childhood building blocks under the leadership of nurse In fact, have never accepted that attended to old age dull-witted patient's special training before nurses here. They are forcing oneself to consult a large number of foreign language materials, are summarizing constantly at work, find out some nursing AD patient laws and skills. For example: Give patient selection at the clothes, replace belt with elastic waist of trousers, give them it wears to be shoes that lead; Some patients just had a meal and did not remember, can not find out whether oneself was hungry either, the nurse puts the tableware that the patient used into washtub, tell him to just eat; Some patients reverse around the clock, does not sleep in the evening, nurses should accompany the patient for some time, see he advises him to sleep hard slowly; Some patient think oneself leave out things and look for ceaselessly, nurse commonly used things set free in showy place at ordinary times patient always But, how many relatives are there to attend to AD patient's knowledge? As soon as the nurses are free, concentrate patient relatives, teach knowledge and nursing skill of dull-witted disease of old age systematically. Can have patient and their relative that seek medical advice in a large amount what shall do? Though AD patient can get treatment and more professional nursing with certain level in Xuanwu Hospital, but the hospital is not the home for the aged, sanatorium after all, must keep the turnover rate of the sick bed, AD patient after making a definite diagnosis of and controlling the condition here, should leave hospital, separately try every possible means. What's more, a lot of ordinary families will demand to leave hospital voluntarily because it is unable to bear the expenses in hospital for a long time too. Has the heavy burden attended to been shouldered by kinsfolks? Who comes to put up the handle in our country, general urban family couple need to go out to work, it is very difficult to have kinsfolks can specially stay and care for the dull-witted patient of old age at home. Most AD patient families all want to look for a nurse. The reporter once sought help to several famous housekeeping service companies in Beijing in the capacity of a AD patient relative. The attitude of the staff members of service company of the housekeeping is very hospitable. The following is the reporter and one Dialogue of the staff members of service company of family's housekeeping. "My home old lady must dull-witted old age have, we want to look for a nurse to take care of her at home. Is there a nurse of the experience to give a recommendation in your company? " "We have no nurse with this kind of experience. However, we can train one for you at once! " "How to train France? " " just look for a middle aged woman, more patient than the little girl, and see the old man's! " "However, old lady and general old man of our family are not quite alike, expect very much. Do not know your company can offer special training? " "Special training is not, but almost. " They still send for the rural women of a middle age, say that worked as a nurse for the old man, will certainly do it. The reporter asks this woman: "Is it dull-witted and ill that it is passed that you hear the old age? " "Know some. " "Then do you know how to attend to? " "The clothes are changed and ordered hardworkingly, it is a bit more softly to do the meal, look at him, don't let him go astray from the group. Should almost follow other old men. " The reporter has asked the service company of four or five of housekeeping, no can offer and have nurse that AD patient attended to knowledge. Even so, every company still emphasizes: The nurse who please come to look after this kind of patient charges higher than to invite other nurses. Invite the nurse, it is a sum of big expenses of AD patient's family. Can imagine, in the face of losing AD patient of self-care ability, it will be insufferable and finding another higher post even if there is no nurse trained. Running on nurse's market constantly, it will be " repertoire " of this kind of family . The reporter casts the eyes on the community again, see whether there are community's hospitals that can set up the hospital bed set up at a patient's home for AD patient, lighten patient relatives' burden. The aged association's Deputy Chairman of Beijing has good white kindness and introduces: The old community's medical treatment and health care of Beijing have just started until now, the hospital bed set up at a patient's home which the community health Center sets up mainly prevents and treats the elderly's common disease and chronic disease too, dull-witted patient does not have to the old age. The reporter is while interviewing the centre of prevention and cure of senile disease of Xicheng District of Beijing (this centre is the hospital of a community) ,Head nurse Tan JunYing of the nursing dept. says: "We feel too that it increases greatly to suffer from the person of dull-witted disease of old age during these years, however, the hospital of our community does not possess the medical attendance condition specially directed against this kind of disease, sometimes accept some such patients in the comprehensive ward. Though the nursing staff here has a smattering of this kind of disease, has not been specially trained either, can only offer general nursing. " In fact, even if the medical personnel of community wants to study some knowledge in this respect, it is still a question whether can find and study the route. Could so special a institute of nursing for the aged solve the problem? The reporter has consulted some materials, find in already very general specialized organizations of nursing for the aged of American-European countries are in our country but few. There is only institute of 3 nursing for the aged, and the institute of professional nursing for the aged of first at present in whole Beijing - --Institute did not establish the nursing for the aged of Fragrant Hills until May of 2000 too, only accepted 75 old men for medical treatment. Such scale is far from meeting AD patient's nursing demand. And the home for the aged, such organizations of apartment for elderly people, it is difficult to look after AD patient. Sift check tool " Production domesticization " The nerve head of the department Professor Jia JianPing of Xuanwu Hospital in Beijing had been during the last ten years devoted to the study on old age dull-witted disease all the time. He has studied and practised medicine for 10 years in some American-European countries, has paid close attention to progress for the international medical circle study on this persistent ailment. Mention of our country social understanding of this kind of disease insufficient having enough energy come current situation that pay close attention to the fact by medical organization, he is rather anxious. He says: Old age diagnosis very easy dull-witted later period, but early and difficult to find not only it is very much difficult for relative not to perceive, even specialist very much difficult to diagnose a little. For this reason, have delayed treating the opportunity, is unfavorable to the life quality of improving AD patient. He also introduces: Our country dull-witted to diagnose, it adopts to be " the the intersection of MMSE and scale " that American-European countries use generally in early days to old age now (the scale of simple and easy state of mind) . This kind scale through for testee memory, calculate whether test and assess with synthesis of strength, language ability, understanding and capacity,etc., come, judge testee suffer from old age to be dull-witted. This kind of scale undergoes Chinesizing while using in China, can basically satisfy the clinical need. However, in order to diagnose this disease more accurately, a set of Chinese's own scales are essential. Professor Jia says: This job has already been done. However, even such a scale comes out, who sifts and check the work in early days? Finished by community's doctor? Then, who, through what route trains this team? Interview here, the reporter feels unavoidably, face " silver hair tide " The question brought, can't say we have been already ready far. The boat of the life should not think this dull-witted enormous reef is stopped the old age, we have a lot of things to do

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