Photo: Sarah Johnson/The Guardian
A remote nurse oversees a virtual lunch for older people in Helsinki. “The client feels like they are a part of a bigger thing. It’s also guaranteed that they eat properly,” she says.
Because my sister’s brain cancer is so troubling and her needs for care are growing so fast, I have started to give more serious thought to my own future and the more-common problems of ageing. I may never bite the bullet about a retirement community, but I plan to look into what they offer just in case.
Meanwhile Finland, which seems to be on the cutting edge of everything from preschool to end-of-life care, has set an example of keeping people in their homes longer using technology, as costs for in-person services increase.
Sarah Johnson writes at the Guardian, “It’s 11.30 am on a midweek June morning in Helsinki, Finland. Duvi Leineberg, a remote care nurse, is doing the lunch rounds. But instead of jumping in a car and visiting each person one by one, she is sitting in an office looking at a large computer screen where she can see into seven people’s homes. Most are sitting at a table preparing to tuck into some food.
“This is a virtual lunch group, set up to make sure older people receiving home care services in the city eat regularly and at the right time. Leineberg runs the session. She starts by checking everyone has their food and that it is warmed up. Some have soup, others have pre-prepared meals that have been delivered by home care services. People also sip coffee.
“One screen shows an empty backdrop and she calls the home to check her client is all right. He walks past the screen but says he isn’t hungry and doesn’t want to eat right now. Leineberg then asks everyone if they have any plans for the afternoon. A few reply that they will go out for a walk.
“A former hospital nurse, Leineberg sees the value of such groups. ‘Firstly, the client feels like they are a part of a bigger thing. It’s also guaranteed that they eat properly. If I spot anything that seems out of the ordinary, I can call the home care nurses who will pay them a visit if necessary.’
“Her clients are also fans of the lunch group. Riitta Koskinen, 80, says through a translator: ‘I’m old and living alone and it’s nice to have the company. We eat at the same time – food tastes better when you’re with others – and I’ve really enjoyed it. It makes me eat and it’s good to see other people.’
“Finland has a rapidly ageing population and recruitment problems in health and care. By 2070, one in three Finns is expected to be over 65. At the same time there has been a huge decline in the birth rate and the number of Finns of working age is expected to fall by around 200,000 by 2050. As a result, the demand for and cost of care services are growing while tax revenues are decreasing. …
“The virtual lunch group is one aspect of Helsinki’s remote care – where clients have a tablet that links up with remote care nurses in a service centre. Remote care appointments are set up to check on clients throughout the day and to make sure they take the relevant medication. There are 800 home care clients, and nurses carry out 24,000 remote care visits a month. By the end of 2019, the service hopes to cater for 1,100 clients. …
Over the course of one shift, a remote care nurse can carry out over 50 visits – which works out almost 90% cheaper than if they had knocked on each of their client’s doors.
“Little wonder that the city’s service centre is hoping to start a remote dinner group soon as well as other sessions. They already take clients virtually to concerts and shows. Hanna Hämäläinen, who works as a planner at the service, remembers when she took 64 clients virtually to a carol concert. A screen was placed on the front row and the priest greeted them while they watched at home on their tablets. She remembers: ‘The funny thing is that even if some had memory problems, they knew all the lyrics. That is the power of music and made me see that if there’s a concert, we should be there.’ …
“Roope Leppänen, medical director of Espoo hospital, … maintains that remote care will never fully replace physical care but that, with advancing technology and future generations that are used to digital life, it will become more and more important. But he doesn’t expect it to totally replace physical care services. ‘People will need physical visits as well. It’s my belief that [remote care] can’t completely replace that, but tech will make [things] even easier in 10 years time.’
“Both the staff and patients I meet seem to like it. Tiina Kosonen, a remote care nurse, says she is able to build close relationships with her clients. ‘I like it and the patients get a lot from it. It’s really intensive this contact. We look into each other’s eyes and talk together face to face.’ ”
More at the Guardian, here.
Suzanne's Mom's Blog 