Andreas
安德烈.雅阁
耘林养老产业事业部总顾问
原荷兰生命公寓总经理
荷兰生命公寓创始人汉斯贝克教授亲传弟子
2021年,我有幸见到了Teun,他是一位来自荷兰的年轻且充满激情的护士,他的使命是使世界各地的认知症护理更加人性化。当时,Teun正在世界各地旅行,观察和学习不同国家及组织对认知症患者的护理方式。耘林生活公寓也在他的参观的日程上,不幸的是,疫情的爆发给参观带来了阻碍。尽管如此,Teun和他的同事们还是制作了一部令人印象深刻的电影,讲述了他们的世界之旅,以及他们从中吸取的经验,以便在未来能推动认知症护理的人性化。他们把这部电影提交给了联合国,这部电影现在正在欧洲的各大电影院上映,好评如潮。Teun也希望这部电影将来能被翻译成中文版本。
荷兰护士Teun
在他的旅程中,Teun与认知症老人及其照护者进行了深入的探讨。这给他列举以下内容提供了灵感,以改善认知症患者的生活。用他自己的话来说“Human forever”。
《HUMAN FOREVER》
电影海报
点击观看,电影片段
1.打破耻辱
只有当人们放下对认知症患者的偏见时,他们才会胜利。“痴呆”使人感到羞耻,他们被迫与社会生活隔绝。在被诊断出患有认知症后,他们的平均寿命是8到10年,所以要确保人们能够自豪地度过这些时光。让我们通过努力,创造一个更具包容性的社会。
2.打开大门
封闭的病房实际上切断了认知症患者与“正常”生活的联系。而“正常”的生活对认知症患者来说是如此重要。已经有许多权威的倡议和声明披露这一点,且可以用很多不同的方式来实现。让我们把“打开大门”作为第一步。
3.倾听他们的声音
患有认知症的人不是疯子,所以不用像对待疯子那样对待他们!不要过多议论他们,而是和他们一起。只有这样提供“适当的照顾”或“倾听他们的想法”才有意义。诊断出某种形式的认知症不应该意味着任何形式的自我决定都应该被否决。
4.构建包容性
去掉养老院周围的大栅栏,让它们更多地融入社区。毕竟,养老院不是危险的罪犯居住的地方,而是那些仍然想和社会有接触的爷爷奶奶、叔叔阿姨、爸爸妈妈们居住的地方。关注让一切变得更美好,对人也是如此,所以确保他们能获得更多的关注通过重新设计社区的布局。
5.倡导健康的生活方式
我们的医疗体系是建立在已经生病的人的基础上的。在预防和健康的生活方式方面的投入很少。
6.保持活力
提前预防胜于病后再治疗,对弱势群体尤其如此。因此,请确保老年护理机构的居民能保持活力。这样可以提高活动能力,增强肌肉,预防跌倒,防止便秘,有助于提升免疫系统。
7.帮助非专业照护者
确保非专业的照护者(家庭成员)能够照顾他们所在乎的人。在这个困难的阶段,为他们提供适当的支持(实用的知识,休息的方法)。
8.认知症患者去医化
认知症不仅仅是护理的问题,也是整个社会的问题。提供一个社会安全网,让人们尽可能长时间地去过“正常”生活。确保雇主、体育和音乐俱乐部、超市、市政厅、警察、医院和保险公司都能成为认知症人群所在的社会中的一部分。
9.追求生命的质量而不是长度
我们的目标不应该是让人们尽可能长时间地活下去,而是让他们尽可能长时间地过上高质量的生活。即使这意味着会有一定风险。让这些风险都可以尽可能去干预,不要替别人做决定。这是至关重要的,否则认知症早期就已经意味着“社交死亡”。
耘林生命公寓实景
在耘林生命公寓里,我们常说,“我们是耘林大家庭”。这一大家庭不仅包括了业主、员工,也包括他们的家人、志愿者,甚至包括供应商和清洁工。除此以外,当附近居民、外部客户来到共享大厅,坐下来吃饭、喝咖啡、上网、看书,也可能会给业主带来新的话题。这对耘林生命公寓整体幸福感的提升都是有利的。
有时,家人的看望和陪伴给长者带来的快乐比员工提供的服务更有效。当家人来看望长者时,无论如何,长者都会非常开心。耘林生命公寓里的各类场所,例如餐厅、吧台、小超市,甚至是健身活动设施,都可能成为长者和其他客户的话题,为长者的生活带来活力。
我们相信,和外界的接触可以带来新鲜感,让生活不再无聊,这也是我们保持服务对外开放的。
耘林生命公寓·怀旧博物馆实景
耘林怀旧博物馆收藏了各类老物件、老照片等,有些甚至是半世纪前的老物件了。这些都能唤起长者们的回忆,帮助他们保持生活的积极性,对缓解脑部功能下降也有帮助。通过老物件引发的话题可以促进长者与他人聊天、建立联系。我也强烈推荐大家来耘林生命公寓各个项目的怀旧博物馆看看,从老物件中体会历史的印记,也为耘林生命公寓带来新鲜气息。
耘林生命公寓·适老化设计实景
耘林生命公寓也在生活细节方面关怀长者需求,定制百余项适老化设施,从入户、门厅、客餐厅、阳台、厨房、卫生间、房间到社区公共空间,更符合长者们的生活习惯。
原文如下
In 2021 I had the pleasure to meet Teun, a young and passionate nurse from the Netherlands, with a mission to humanize dementia care around the world. At that moment Teun was traveling around the world to look and learn at the way different countries organize care for elderly with dementia. Yunlin Life apartments were also on the agenda to be visited, unfortunately the pandemic threw a spanner in the works. Nevertheless, Teun and his colleagues made an impressive movie about their journey around the world and what lessons they learned to humanize dementia care in the future. They presented this movie to the United Nations. The film is now in cinemas in Europe and is getting rave reviews. Teun is hopeful that the film will also get Chinese subtitles in the future.
During his journey, Teun had extraordinary meetings with dementia elderly and their caretakers. This gives him the inspiration for the following list to improve the lives of people with dementia. In his own words: ‘Human for ever’.
1、Breaking the stigma
Only when the inky and one-sided stigma of loss will disappear will people with dementia win. Stigma creates shame and isolation from social life. You live on average between 8 and 10 years after a dementia diagnosis, so make sure people are allowed to spend these years with pride. Let us develop campaigns to create a more inclusive society.
2、Open doors
Closed wards literally cut people with dementia off from 'normal' life. While ‘normal’ life is so important for people with dementia. There are already many great initiatives that show this can be done differently. Let us make ‘open doors’ the standard.
3、Listen to people
People with dementia are not crazy, so don't treat them that way! Don't talk about them, but with them. Only then will 'appropriate care' or 'own direction' gain meaning. A diagnosis of a form of dementia should not mean that any form of self-determination disappears.
4、Build inclusive
Get rid of the big fences around nursing homes and integrate them more into the neighbourhood. After all, nursing homes are not places where dangerous criminals live, but sweet grandparents, uncles and aunts, fathers and mothers who want to remain part of society. Attention makes everything nicer, that goes for people too, so make sure they can get it by redesigning our neighbourhoods.
5、Reward a healthy lifestyle
Our healthcare system is based on people who are already sick. There is little money for prevention and healthy lifestyles.
6、Keep moving
Prevention is better than cure, especially with vulnerable people. So make sure residents in elderly care facilities keep moving. This improves mobility, strengthens muscles, reduces falls, prevents constipation and contributes to a healthy immune system.
7、Help informal carers
Ensure that informal carers (family members) can care for their loved ones. Provide them with the proper support (practical knowledge, ways to take a rest) during this difficult phase.
8、Take dementia out of the medical environment
Dementia is not a problem of care alone, but of society as a whole. Provide a social safety net, allowing people to live their 'normal' lives for as long as possible. Ensure that employers, sports and music clubs, supermarkets, town halls, police, hospitals and insurers become part of a society where people with dementia are included.
9、Go for quality of life rather than quantity of life
The goal should not be to keep people alive as long as possible, but to let them live a quality life as long as possible. Even if this means involving risks. Make these risks negotiable and don't decide for people. Doing this is vital, otherwise early-stage dementia means social death.
At Yunlin Life Apartment, we embrace the concept of being a unified Yunlin family. This family extends beyond just owners and employees to include their families, volunteers, suppliers, and even cleaners. When nearby residents and external customers visit the Sharing Hall to relax, enjoy a meal, sip coffee, browse the internet, or delve into a good book, it often sparks new discussions and ideas among the owners. This dynamic interaction contributes significantly to enhancing the overall happiness at Yunlin Life Apartment.
The simple joys and companionship that family visits bring to the elderly can sometimes surpass the impact of services provided by staff. The elderly residents light up with happiness when visited by their loved ones. Various spaces within Yunlin Life Apartment, such as the restaurants, bars, supermarkets, and fitness facilities, serve as focal points for engaging conversations among the elderly and other customers, infusing vitality into their lives.
We firmly believe that staying connected with the outside world introduces new experiences and prevents life from becoming monotonous. This is why we maintain an open approach to our services, fostering a sense of freshness and vibrancy that enriches the lives of our residents.
The Yunlin Nostalgia Museum houses a diverse collection of vintage items, old photographs, and more, some dating back half a century. These artifacts have the power to evoke memories in the elderly, igniting their zest for life and helping to maintain cognitive function. The discussions sparked by these objects encourage social interaction among the elderly, fostering connections with others. I highly encourage everyone to explore the nostalgic museums within the various projects at Yunlin Life Apartment. By immersing oneself in the historical remnants of these old objects, a breath of fresh air is brought to Yunlin Life Apartment.
Yunlin Life Apartment prioritizes the specific needs of elderly residents in every aspect of daily life. With over 100 customized aging-friendly facilities, ranging from the entrance, foyer, guest restaurant, balcony, kitchen, and restroom to individual rooms and communal spaces, our design is tailored to align closely with the living habits of the elderly.
撰稿:安德烈·雅阁
翻译:秦林林
编辑:周小意
编审:姚倩玉、刘倩云