Despite the fact that today the share of gross domestic product spent in social welfare of the elderly and elderly in Sweden is higher than anywhere else in the world, the situation is alarming. The fact is that since the mid-40s a baby boom has been observed in the country, and now people born at that time are reaching old age.
By the years 2025-2030 the percentage of pensioners will increase dramatically, with an increase in overall life expectancy. The share of the population that has stepped over 80 years has already reached the highest level in the EU in the kingdom. Outwardly, everything is fine. "According to the organization of help for the elderly Help Age International, Sweden is in the first place among the countries where aging is best," writes the newspaper Svenska Dagbladet. The study compared more than a dozen different parameters, for example, health, financial situation, meeting the requirements of the elderly environment (this includes security, transport, availability of social contacts). Having not come out on top in any of the subgroups, Sweden nevertheless became the leader in terms of the amount of indicators, overtaking Norway, Germany and Holland.
At the same time, it is already possible with great difficulty to maintain such high positions. Not only increasing the number of seniors affects the deterioration of the situation, but also ... new patterns of behavior! Today, many more sick old men are cared for by their husbands and wives. A completely different picture is drawn among the “fresh” pensioners: they are increasingly approaching to 65 years old single people living in “bachelor” apartments. Moreover, as the doctor of sociology Ani-Britt Sand says, many women who have remained widows or divorced when they meet “suitable” men do not feel awake enough
to move in with the chosen ones and take on responsibilities for the future care of them. They willingly meet with lovers, but do not want to share with them the family budget, housing and all sorts of worries.
The care of the elderly and the elderly, which is mainly financed by municipal taxes and state subsidies, demanded 91.8 billion kroons in 2008, and only 4% of this amount was covered by patient fees.
In the future, expenses will increase, because even cooking food, making the bed and cutting the nails of many old people will be nobody in the absence of a healthier husband / wife. The same applies to travel support, leisure, necessary daily communication.
At the same time, the resources of the elderly care sector are increasingly focused on those who have the greatest need for social services. The threshold at which a person is “discharged”, for example, Hemtjanst, rises higher and higher, although help is much more extensive than before. This is reflected in the cost of work, which is constantly increasing. Clients themselves notice improvements, and the latest report, entitled “Open Comparison - 2013. Care and Care for the Elderly,” states that 80 percent of seniors are satisfied with the service. Those who are considered still quite healthy and able to self-serve, try to settle closer to the children (with all the reluctance to load them, the purely psychological effect of reliability, reinsurance “just in case” helps not to be afraid of a critical situation). The absolute majority now lives in the same communes or at a distance of no more than 5-10 miles from their daughters / sons.
Down with stealth!
Of course, positive reports do not mean that everything is perfect for now. Last year, for example, 271 egregious cases were registered.
10 people died and 31 seriously injured in nursing homes. The night attendants, who gave sedatives to the old men to sleep well, and the worker who poured water on the blind man and claimed with laughter that it was raining, the orderlies who forgot their wards in the toilets, and the drunkard who was watching the bedside dying, were exposed as well. , and the staff, who left in the free access to the bottle with various detergents, which poisoned demented patients. Seniors of the oldest age fell from the balconies, due to an oversight left the boarding schools,
finding themselves on a busy highway, now in a stable, then on a construction site.
Inspection but healthcare and social security IVO notes gaps in relation to security in the “service houses”, the inability to calculate risks.
As a negative moment is called and ... stealth! Sector workers complain little, rarely write statements about various violations.
So, last year, messages came only from 121 of the commune. Most, 169 communes, did not send a single "signal."
It must be said that the staff in Sweden is obliged to report to the authorities every time they notice serious violations in everything related to help / care. The country has the so-called "Sarah's Law" - Lex Sarah (part 14, 3 § in the Law on Social Security), which instructs everyone engaged in this activity to ensure that patients are safe, under careful supervision, and not undergone humiliation. Otherwise, employees should immediately notify the top management.
The same duty is charged to employees of private companies. The name of the law was given on behalf of the nurse, Sarah Vägnert, who appeared in a television program in 1997, describing what was going on in one of the special institutions.
Covering all social workers without exception, the “Law of Sarah” is nevertheless not so effective when it comes to employees of private enterprises, and especially commercial ones.
The concept of "the secret of the company" often makes keep your mouth shut. It is difficult to decide to “report on the chief” if the complainant himself becomes an infringer who divulges secret official information.
Experts emphasize that without complete openness, without a general spirit of identifying “secret abscesses,” there will not be much improvement in this particular sector.
Every employee who is next to an older person who has lost his ability to work should be simultaneously a performer and a controller. This is all the more important because the patients themselves are often unable to correctly assess the situation and write a complaint on their own (due to mental or other diseases).
In general, as noted, a constant search for new forms of work and reserves is needed. Even the question of wider involvement of relatives remains open. The new study should show how much time people aged 45-65 years spend on caring for loved ones who have reached a solid age, and how they actually find this time. It is noted that this is more true for women, who more often undertake efforts to help parents.
How do they manage to accompany their mother to gymnastics in the middle of their own working day or to lead their father to the bank, cutting the gap between meetings? Some "tear off" vacation days, others work out the hours spent in the evenings. Is it possible to make their lives easier by giving more opportunities for such an optimal free “kindred” service for the elderly?
Parliamentarian Annika Eklund proposes to consider the possibility of providing, if necessary, for all workers a certain number of free days per year (maximum 10) “for the care of parents” (of the same type as for the care of children). In addition, many believe that relatives, especially those who do not work, should be used far more widely, providing for various types of remuneration and arranging for them, if necessary, all kinds of training courses.