Care for the elderly at home

Care for the elderly at home


1. Care for my mother-in-law at home
2. Geriatric Welfare system in my town
3. Insurance for Care and Assistance for the Elderly

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Geriatrics and Elderly care in Japan


1. Care for my mother-in-law


It has been 10 years more since my husband and I began to take care of my mother-in-law who lives in Shin-ichi ( my husband home town) in Hiroshima,pref.
She has suffered cerebral hemorrhage and now is recognized as a person with disability.
She can neither stand up nor walk, but is not bedridden and does not use incotinence pads or raised toilet seats.
She can eat meal using chop-sticks.
We make effort to prevent her from bedridding.

Council of Social Welfare in Shin-ichi dispatches a Home helper to give her a bath once a week. and lend her a wheel chair and a reclining bed free of charge.
We hire a housekeeper who helps me twice a week cleaning house and weeding in my garden. When I am not at home, for example I go shopping, she takes care of my mother.
The Day Care Center in my town takes her once a week with charge of 6oo yen, that gives her a bath, offers lunch and helps her enjoy.

In Japan, Care system is changing and Insurance for Care and Assistance for the Elderly (Kaigo-Hoken) will be starting in April .
My mother-in-law is recoginised as Care Needs Level 4.
In February, our Care Manager and I are going to make her Care Plan.


2. Geriatric welfare system


There are two District Geriatric Welfare Center in my town, where they have
  • the Special Nursing Home for the Elderly for the elderlies with disabilities and general frail people who no longer can live independently but do not need hospital care.
    However, now people have to wait between 2-3 years to enter there.
  • Care House for the elderlies who no longer can,or want to, live independently and who do not need nursing home or hospital care.
  • Short Stay that takes care of people for the caregivers for a week
  • Day Care Service
  • In-home Care Support Center

We have another social welfare system Council of social welfare, in which they dispatch home helpers and give a bath to people with disabilities at their office.
and there, Mrs. Doi who also has disability cuts their haire voluntarily.

Home Helpers in this country work cleaning the house, shopping, cooking and giving a bath for elderlies.
The work is diffrent by the situation. Usually, a Home helper works for 1-2 hours at each home in my town, but in Yokohama, for 3 hours.



3. Insurance for Care and Assistance for the Elderly(Kaigo-Hoken)


In Japan, Insurance for Care and Assistance for the Elderly goes into effect April 1, 2000.
When this Insurance System goes into effect, all those 40 or older will have to pay monthly premiums to receive nursing care.
To date, tax funds have covered most of the nursing care expenditures.
Under this system, also eligible are people between 40 and 64 who need nursing care due to age-related illness. People in this age bracket will have to pay insurance premiums.

If you need nursing care becouse you are bedrdden, have senile dementia or if you are feeble, you must get official recognition from a ward office in order to use the nursing care and assistance services.
The insured is required to get official recognition of care and assistance needs, which is divided Assistance Needs and Care Needs, which is subdivided into 5 degrees.

The total amount of the survice fee is decided by the degree of the disabilities that the elderly person has.

By the Level, they can use next Care Survices.

Services Available through The Nursing Care Insurance
Services at Home
1.Visit by Home Helper
2.Bathing Service
3.Visit by Nurse
4.Visit by Rehabilitation Specialist
5.Day Service ( Service at Facilities )
6.Day Care ( Rehabilitation at Facilities )
7.Rental Welfare Equipment ( wheelchairs, special beds, etc )
8.Short Stay
9.Short Stay( Medical Care )
10.Medical Care
11.Community Care Manegement and Inatruction at Home
12.Nursing Care at Facilities
13.Subsidy for Purchase of Welfare Equipment
14.Subsidy for Home Remodeling

Services at Facilities

The total amount of the survice fee is decided by the degree of the disabilities that the elderly person has.
Assistance Needs :*60,000 yen/month
Care Needs Level 1: 160,000 yen/month
Care Needs Level 2: 200,000 yen/month
Care Needs Level 3: 270,000 yen/month
Care Needs Level 4: 310,000 yen/month
Care Needs Level 5: 360,000 yen/month approximately
But this system has many problems.

  • Recipients of service have to pay for ten percent of the bills.
  • The initial services would be limited to only six pacages although the present tax-covered system provides a variety of services.
  • For example,current services include the delivery of meals but this will not be provided by the new system.
  • Those who need more care have to pay on their own-an almost immpossible order for poorer senior citizens.

My mother-in-law is recoginised as Care Needs Level 4. In Februari, the Care Manager and I are going to make her Care Plan.

(Refer to [Kaigo-Hoken] by Yokohama City Kaigo-Hoken Junbishitsu)