• InterRAI multidisciplinay conference.
Tallinn, June 16th, 2010
Presentations of conference:
Anu Ilp: Inter-RAI metoodika kasutamine Pärnu haiglas - praktilisi aspekte geriaatri vaatevinklist.
Gaida Hiedel: Geriaatrilise seisundi hindamine – omavalitsuse sotsiaaltöötajate vaatenurk.
Harriet Finne-Soveri: Quality of care in institutional-, and home care during 2001-2009, in Finland.
John P. Hirdes: interRAI Assessment Instruments as Part of Health and Social Service Information Systems.
John N. Morris: Self Report Quality of Life.
Kai Saks: Multiprobleemsete haigete vajaduste igakülgne hindamine.
Katherine Berg: The Use of interRAI scales- ways of
summarizing interRAI data.
Külvi Peterson: Kasvõi hindame natuke, kui muud ei suuda – perearstide vaatenurk.
Lilia Leppsaar: Hoolduse vajadusega haige seisundi hindamine – olukorrast Eestis – õdede vaatenurk.
Maarika Tisler: Geriaatrilise seisundi hindamine – sotsiaaltöötajate vaatenurk.
• Need of services and support for persons with dementia and their family members in Estonia (2007)
The goal of the project was to study problems and needs in dementia care from the perspective of informal carers and professionals in health and social care and to develop plans for future based on the results.
Link: Kokkuvõte uuringust (in estonian)
• Assessment of care and service needs of care-dependent children and their families (2007)
Instrument for assessing needs of care-dependent children and their families was created and piloted.
• Audit of long-term nursing care in Estonia (2006-2007)
The quality of care, care documentation and quality of life of residents was assessed in all hospital-based long-term care departments in Estonia (N=44) using CareKeys methodology.
• EGGA Song competition "We sing for the sake of older people”
Final concert 22.04.2007 City Hall of Tartu:
• Luba et jääd (lyrics by Kairi Kroon, melody by Maie Kents)
• Jaa-jaa-jaa (lyrics and melody by Lea Kangur)
• Kooli kokkutulek (authors: Tallinna Sotsiaaltöökeskus)
• Co-operation of Nordic and Baltic geriatricians (2007)
Joint meeting of Finnish, Swedish, Danish, Norwegian, Icelandic, Lithuanian and Estonian physicians working in the field of geriatrics took place in March, 16-17, 2007 in Tartu, Estonia. The main topic was geriatric research in Nordic and Baltic countries. In the frame of the meeting the conference ‘Integrated care. Role of Gertiatrics in health care for older population’ was organized.
• Conference: "Integrated care. Role of Geriatrics in health care for older population." March 16, 2007, Tartu.
• Social services for the elderly in Tartu : need and supply (2006)
Supply and need of social care services and environmental adaptation of older home-dwelling population in Tartu was studied. According to the results suggestions for current practice change and strategies for new service implementation were submitted to the municipality.
• Co-operation of EGGA and Nordic Gerontological Federation (NGF) (2006)
Joint meeting of representatives of EGGA, NGF and colleagues from Latvia took place on May 12, 2006 in Tallinn. Participants of the meeting supported the idea to develop more contacts and collaboration. Attempts would be made to arrange an interdisciplinary Baltic (Estonia, Latvia, Lithuania) conference on gerontology. Two scholarships per country in Baltic states were established for new researchers in the area in order to facilitate them to attend the Nordic Congress of Gerontology.
• Integrated long-term care in Estonia – suggestions to the Ministry of Social Affairs (2006)
The need for better integration of health and social care for older people is recognized by majority of professionals in the field. Experts of EGGA analysed different models of integration and selected optimal approach for Estonia. Suggestions were given to the Ministry of Social Affairs on 31 August 2006.
LINK inglise ja eesti
• EU project CARMA (Care for the Aged at Risk of Marginalization; 2003-2005)
The main goal of CARMA was to work out the guidelines how to prevent the marginalization of the elderly. Target groups towards whom the quidelines were directed were polititians, social life managers, suppliers of social services, self assistance groups of the elderly, informal caregivers of the elderly and educational establishments training the workers of care and health care.
Within the framework of the project the forms of health care and social welfare services were described as well as their financing and administering, and the importance of informal caregiving and its recognition and support by the society as well as the other services directed to the elderly in seven European countries. How the different collective and individual measures could prevent the process of marginalization and which risk factors were more dangerous for marginalization of the elderly were analysed in the next stage of the project.
The coordinator of the project was Compass (Institute of Social Studies, Graz, Austria), the partners were Katholieke Hoogeschool Kempen (Cocial Work College, Geel, Belgium), Internal Medicine Clinic of Tartu University, Estonian Gerontology and Geriatrics Association, University for Applied Sciences Wolfenbuettel (Social Sciences University, Berlin, Germany), CooSS Marche (an organization offering social services, Ancona, Italy), University of Bergen Section of Geriatric Medicine (Bergen, Norway), Wissenschaftszentrum Berlin – Social Science Research Center (Berlin, Germany), South and East Belfast Trust (an organization offering social services, Belfast, Great Britain).
Project coordinators in Estonia were Kai Saks and Annely Soots.
CARMA Recommendations and Guidelines to Policy Makers
Saks, K, Oja, K, Soots, S. Services for the Aged at Risk of Marginalization in Estonia. State of the art 2003
CARMA soovituste kokkuvõte (in estonian)
Saks K, Oja K, Kivisaar S. Marginaliseerumise riski vähendamine eakatel: pensionisüsteem, tervishoiuteenused, sotsiaalteenused. Olukorra kirjeldus Eestis 2003.a. Tartu 2004 (in estonian)
• Training Social Workers on the Assignment of Caregiving Allowance or Service and Working out Standards (2004-2005)
The Act of Amendment of the Act of Social Welfare regulating the assignment of paying the caregiving allowance to local authorities took effect from January 1, 2005. In 2004, 33 000 persons were receiving caregiving allowance. The project contributed to the application of the Act in local governments. The social workers received the assessment instrument and training and the assessment of the need for care was carried out during 2004.
In order to decide which help should be rendered to caregiving families the local government must assess the need for care of the people and decide whether to pay caregiving allowance or render caregiving services. In the course of assessment the absence of need for care may also become apparent. The decisions must be well-grounded, also the decisions of refusal. This kind of assessment must be carried out about all the recipients of the allowance in the course of short time and conducting that implies more thorough preparation of social workers. Also the conditions and order of assigning the caregiving allowance and services must be imposed in local governments.
The activities are divided into four stages:
STAGE I Elaboration of the methodology and the tool of the assessment serving as the basis for assigning allowances or services to caregivers.
STAGE II Introducing the assesment tool and conducting the trainings. 3 training days for the social workers of all local governments.
1. Assessment of the functional condition. Cooperation with the nurse and the medical doctor, need for assessment team and cooperation. Using the tool.
2. Assessment of the social condition, assessing the workload of the caregiver. Using the tool.
3. Description of the services offered elsewhere in the world. Notification of negative decisions – principles of communication.
STAGE III Supervising the conducting of assessment by social workers of all local governments.
STAGE IV Drawing up standards and training about their use for all social workers.
The project manager was Annely Soots
Research workers were the lecturers from different Estonian educational institutions, the professionals who were in good command of comprehensive assessment methodology and the members of the team of the European-wide project CARMA .
• Audit of Geriatric Assessment teams (2004)
From 2004 four geriatric teams (Tartu University Clinic, South-Estonian Hospital, Pärnu Hospital, East-Tallinn Central Hospital) rendered the service of geriatric assessment. As the service was novel in Estonia, the Ministry of Social Affairs wished to get more exact information about the organization of work, used methodology (comprehensive assessment instrument interRAI), relevance of the decisions and the emerged problems of geriatric assessment teams.
• TALSINKI study (2004)
Postal survey of older residents of Tallinn and Helsinki (in collaboration with the Finnish Gerontological Society). The elderly were asked about their problems with health and coping, about their need for help and receiving help. The questionnaire also enabled to assess the depressiveness and satisfaction with life of the elderly. Health-realetd QoL was assessed using 15D method.
• Development plans of long-term nursing care in the counties (2004)
Development plan of the Estonian long-term nursing care network was approved by the government of the Republic of Estonia in August 2004. Regional development plans in Tartu, Võru and Pärnu counties and in Tallinn were drawn up last year.
In 2004 the Ministry of Social Affairs of the Republic of Estonia signed a contract with EGGA to co-ordinate drawing up the development plans of long-term nursing care network in the rest of the counties. The team consisting of Miia Sultsmann, Annely Soots, Agris Koppel and Peeter Laasik, was helping 11 counties to draw up regional long-term nursing care development plans. The development plans had to be finished by December 2004.
• Tartu Senior Study (2002)
The sample consisted of 1000 Tartu residents of the age of 50 and more years, found by random sampling. The people who got into the sample were sent a questionnaire in which they were asked to answer the questions in the following areas: personal data and household, living conditions, health and coping, need for help, caregiving activities, work, hobbies, free time, satisfaction with life, plans for the future in connection with work, hobbies and arrangement of care if necessary, essential concerns. 480 persons answered the questionnaires. The research was carried out in April-May 2002. The results of the research served as a basis of planning the social services for the elderly in the social life development plan of Tartu.
Link: Tiit E-M, Saks K. Tartu senioriuuring 2002 (in estonian)
• Basic training of home nurses (2002)
This was the first training of home nursing in Estonia; 20 nurses received 4 CP training in home nursing.
• „Help the Helper” (2002)
Supporting groups for family members of care-dependent elderly were created in Tartu and Tallinn. Group meetings during one year (11 in Tartu and 13 in Tallinn) consisted of short presentations by specialists and self-help discussions.
A small study of main problems of family members as caregivers was carried through. The psychological condition of the caregivers was also tested using the Beck depression test and STAI anxiety test. Testing was repeated at the end of the course in order to assess the effect of the course on the mental condition of the caregivers.
• Development of strategies of long-term nursing care in Estonia (2002)
Experts of EGGA participated in several working froups of the Ministry of Social Affairs (professional qualification and training, comprehensive assessment methods, global structure).
Link: Ministry of Social Affairs
• Educational program: Quality in elderly care (2001)
Nine courses with 112 participants were organized for various professionals in elderly care.
• Implementation of the policy for elderly in Estonia (2000-2001)
Two working groups (rights of older persons; health and social care for elderly) developed plan for activities to realize the principles of the policy for elderly approved by the Government of Estonia in 1999. These suggestions based on the comprehensive study of the situation of older population in Estonia (see below)
Link: Ministry of Social Affairs
• Study of health and coping of older poulation of Estonia in 2000
An extensive research was carried out:
- interviewing the elderly and their caregivers about coping and health
- interviewing family doctors about coping, health and activities of the elderly
- interviewing family nurses about coping, health and activities of the elderly
- interviewing social workers about coping, health and activities of the elderly
Proposals for implementation of the principles of the elderly policy were drawn up.
Results of the research have been published in the collection by K. Saks, E.M. Tiit, E. Käärik:. Study on Coping and Health of the Estonian Elderly Residents 2000 (Tartu 2000); K. Saks., R. Allev, A. Soots, K. Kõiv, H. Kolk, I. Paju, K. Jaanson, G. Schneider: Health care and Social Welfare of the Elderly in Estonia (Tartu, 2001; in Estonian); Tulva T, Kiis A. Ageing in Estonia. Coping and need for services of elderly. (Tallinn, 2001; in Estonian)
Links: Saks K, Tiit E-M, Käärik E. Study of health and coping of older population of Estonia in 2000
Saks K, Allev R, Soots A, Kõiv K, Kolk H, Paju I, Jaanosn K, Schneider G. Eakate tervishoid ja hoolekanne Eestis 2001 (in estonian)
• Interdisciplinary education in Gerontology and Geriatrics (2000)
An international seminar was organized to discuss different ways how to realize interdisciplinary approach in gerontology and geriatrics curricula.
• Educational program: Aging is not a disease (1999)
Series of lectures about normal, successful and pathological aging were organized for older persons all over Estonia.
• TV program: Young grows old (1999)
10 TV broadcasts with various topics concerning aging and older people in the society were produced in the national TV company.
• Educational program for professionals supporting home-living care-dependent older persons (1999)
A 120-hour program was organized for nurses and social worker in five South Estonian counties
• Educational program: Interdisciplinary gerontology and geriatrics (1997-1998)
This was the first educational program in gerontology and geriatrics in Estonia. Program had different courses for physicians, nurses, social workers, social helpers, voluntary workers, family members.
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