Tài liệu Old people and nursing homes

Website: http://www.docs.vn Email : [email protected] Tel : 0918.775.368 National Economics University Faculty of International Education IBD program -----0O0----- TOPIC: OLD PEOPLE AND NURSING HOMES JUNE 2010 0 Website: http://www.docs.vn Email : [email protected] Tel : 0918.775.368 ACKNOWLEADGEMENT First of all, I want to send my grateful to my teacher: Pham Phuong Lan giving my group valuable advice to help us complete this project. Secondly, I would like to express particular thanks to all students of National Economics University who have helped me to collect the data for this study and supported me during the completion of this paper. Lastly, I hope that everybody reading this report will feel satisfied. If I have carelessness, please sympathize with me. Vu Thi Quynh Nga 1 Website: http://www.docs.vn Email : [email protected] Tel : 0918.775.368 Content Part I : Introduction ............................................................................................... 4  Topic..................................................................................................................... 4  Background ......................................................................................................... 4  Rational ................................................................................................................ 4  Purpose ................................................................................................................ 4  Methodology ........................................................................................................ 5  Scope of study ...................................................................................................... 5  Research question ............................................................................................... 5  Literature review ................................................................................................ 5 Part II : Major findings .......................................................................................... 9  What is nursing home?....................................................................................... 9  What are the reasons for living in nursing homes of old people? .................. 10  What is the situation of old people in nursing home? ..................................... 16  The feeling of old people when they live in nursing homes ............................ 17  The advantages of nursing home ....................................................................... 18  The disadvantages of nursing homes ................................................................ 19  What is the thought of student about taking old people to nursing homes in Vietnam? .................................................................................................................. 21  Are nursing homes necessary? And why are they necessary? ....................... Part IV: Conclusion ................................................................................................ 24 Part V: Preference .................................................................................................. 26 Part VI: Appendix ................................................................................................... 27 2 Website: http://www.docs.vn Email : [email protected] Tel : 0918.775.368 Introduction Topic: Old people and nursing home Title: The thought of students about :  The concept of nursing home  The reason for living in nursing homes of old people  The lives of old people in nursing homes Background: In this day and age, the more developed the life is, the busier people are. This is a reason why a number of people have no time to take care their parents, and one solution is put is that they take their parents to the nursing home where they think that their parents will have better life than outside. A lot of opinions are given around this problem, some people agree but others disagree. Old people always want to have a warm life beside their children, but in some cases, there are not all of the old people having this ( ex: old people don’t have family or some of them are refused to take care by their children…..) , they are compulsory to choose to live in nursing home, and also many old people die in there in loneliness. In this writing, the readers can find the fact of the old people’ lives in nursing homes. Rational: The reason why I choose this topic is that I am curious about the lives of old people in nursing home .Besides this , I also would like to know the ideas of students about living in nursing home of old people and the thought of students when adults take old people to nursing homes. Purpose:  The purpose of this project is to investigate the thought of student about the reasons for living in nursing home of old people  The outlook of student about feeling of old people in nursing home  Student’s thought about necessary of nursing home and is this good or bad when adults take their old people to nursing home. Methodology: In order to collect data, I used both primary data and secondary data. 3 Website: http://www.docs.vn Email : [email protected] Tel : 0918.775.368  For the primary data, 30 questionnaires which include 11 survey questions were distributed to 30 National economic students in Ha Noi. Then, the data were classified, synthesized and analyzed.  For the secondary data, i used some document on the internet such as : http://www.tin247.com/de_bo_me_o_vien_duong_lao_khong_phai_la_bat_h ieu-18-21282401.html ; http://tuoitre.vn/Chinh-tri-Xa-hoi/Phong-su-Ky- su/170553/On-nghia-sinh-thanh---Ky-cuoi-%E2%80%9CTrung-tam-baohieu%E2%80%9D.html......... Scope of the study: in this writing, i will concentrate on the student in some universities Research questions 1. 2. 3. 4. What is the nursing home? What are the reasons for living in nursing homes of old people? What is the situation of old people in nursing homes? How do students think about taking old people to nursing homes.? Are nursing homes necessary? Literature review The older should live in nursing home ( unknown- Vn express) http://vnexpress.net/GL/Ban-doc-viet/Doi-song/2006/10/3B9EF997/ According to the author of this writing, the old people should live in nursing home for these below reasons: Old people are living in a quiet atmosphere, peace, friendship, solidarity and freedom. They are not affected by air noise, busy, hurry, stress ... of class young people which they are confronted in their daily lives. Young people are free to do what they love in life in their house without disturbing their elderly people. They can live their lifestyle and older people also live their own way in the heart of nursing. This helps to avoid conflicts between two different generations living together in one house. The old people really can rest comfortably for the last stage of their lives without being annoyed by the work as going to market , cooking , house cleaning, taking children to school and picking them home, worrying children when they fights, caring for the children, bathing and washing for children.... 4 Website: http://www.docs.vn Email : [email protected] Tel : 0918.775.368 The author also gives his opinion about money of the old people. He said that the old people should not give their children all of the assets, they can only give them when they die by wills Taking the old people into nursing care is heartless ( unknown- Viet bao) http://vietbao.vn/Trang-ban-doc/Dua-nguoi-gia-vao-vien-duong-lao-lanhan-tam/10985773/484/ The author of this newspaper said that he was very sympathetic to the idea that the need for nursing. Terms of nursing science is to solve the most encumbered in modern life of man. Putting the old people in nursing home is the same with taking children in kindergarten so. But that really has to be a good thing to do or not? In his opinion , nursing home , if people look on the human side of it, like a "prison", a "concentration camp" for the old people. It creates utility for society, people who still have ability to work do not worry about their parents, but it is really unfair for the old people who have devoted their lives to their families and society, and then they have to return in the cold home and live alone in a small space like that. There should be multiple rates for nursing home( unknown- tin274) http://www.tin247.com/nen_co_nhieu_muc_gia_cho_trung_tam_duong_lao -18-21282407.html Currently the life of our people have been improving, the family has only one or two children. On the other hand, because of the market mechanism and the demands of the job so the young people do not have time to take care of their parents. If they can take care, they are not professional to help their old people. From the author point of view , these reasons why Viet Nam should extend the services for the old people, regarding funding, there should be a prescribed lowest price for basic services, and other advanced services depends on the conditions of each person registered. So what, at first opinion cannot support, 5 Website: http://www.docs.vn Email : [email protected] Tel : 0918.775.368 but if the center works well and effectively they will surely be appreciated and social support. Need to change perception nursing home(unknown-viet bao) http://vietbao.vn/Trang-ban-doc/Can-thay-doi-quan-niem-vien-duonglao/10984740/484/ In this article , the author said that her mother has problem about metal health , so she does not know how to take care his mother while she has to go for working. Everyday she always worries about her mother , if she lets her mother at home and lock the door, she feels uncomfortable. So she believes that nursing home is the best way to help her and her mother, she wants everybody to change their thought about nursing home. She herself wants her old life in a nursing home with a relative comfort to live happily, live healthily and not bother anyone. Nursing home is not suitable to Vietnam's conditions( unknown- tin 274 http://www.tin247.com/vien_duong_lao_chua_phu_hop_dieu_kien_viet_na m-18-21298965.html In this writing, the author said that nursing home in Viet Nam is not good and suitable for old people. He gave some reasons below Firstly , the nursing home has yet developed, people in there are not professional to take care old people Secondly , psychology, habits and lifestyles of Vietnam are very different from Europe, America, this remedy is not easy. Thirdly is the funding problem. The old people do not have enough capital to cover their own for themselves, especially in rural areas, but this rate in our country is high. He is sure that if our country is a nursing model in advanced countries as it surely will attract the old people . It is also an effective form of business and future for an increasing elderly and thinking also changed the rhythm of industrial life. 6 Website: http://www.docs.vn Email : [email protected] Tel : 0918.775.368 Let parents live in nursing home is not ungrateful towards parents http://www.tin247.com/de_bo_me_o_vien_duong_lao_khong_phai_la_ba t_hieu-18-21282401.html The author of this writing is opinion of taking parents to nursing home. He said that the model of nuclear families was upward trend in comparison with the model of traditional families in Viet Nam nowadays. He supposed that this was apodictic thing because of its advantages . This makes children have more confidences in our lives, …, especially avoid the conflicts which are too complicated by so many generations in a family. As a result in a family, there are children and their families, not grandparents or older generations. However some people also argued that the elderly people do not live with their families is not appropriate . This is not exact because in fact although old people live with their children, they may not be cared of by their children , even the person caring them may be a housekeeper. He also said that there were some adults being not responsible to take care, even they pushed responsibilities for each other . On the contrary if old people stay in nursing home, they will be cared well about both health and spirit In conclusion, he believed that Old people living in nursing home felt better than lived with their families with suffering unhappiness , tiredness because of conflicts between different generation. 7 Website: http://www.docs.vn Email : [email protected] Tel : 0918.775.368 Major findings I, WHAT IS NURSING HOME? There are many ideas about concept of nursing home. In the first part of this writing, some ideas about what nursing home is of Vietnamese student will be showed This chart reflects the thought of student in some universities in Ha Noi about concept of nursing home. As can be seen obviously that the number of students choosing the fourth concept about nursing home( Nursing home is a place where old people are cared of and helped to have a better life) is by far the highest, 44%, compared with other ideas. The second place belongs to the first concept ( Nursing home is a place where old people who don’t have house or children to take care of them live) with 26% people choose. The percentage of students choosing the third concept being half of this chooses the fourth concept accounts for 21% in 8 Website: http://www.docs.vn Email : [email protected] Tel : 0918.775.368 total. There are not many people choose the concept being that Nursing home is a place where old people who are going to die live, this ratio makes up about 8%. The smallest proportion of choosing is on other ideas, just 1% student choose this idea. With nearly 44% people chooses the fourth concept, this can be said that most of student think that living in nursing home, old people are cared of and helped to have a better life. However a more interesting thing is that besides four concepts about nursing home given, 1% people giving their own ideas are also real. For example: Some people have common ideas is that nursing home is like kindergarten of old people. When they asked why they thought this, they argued that there was no difference between nursing home and kindergarten. Others think that nursing home is like old people’s families , or homes. , old people can livee comfortably in there… To conclude, these data collected support the idea that most of people have a positive view about nursing home. “A nursing home is a place for people who don't need to be in a hospital but can't be cared for at home. Most nursing homes have nursing aides and skilled nurses on hand 24 hours a day. Some nursing homes are set up like a hospital. The staff provides medical care, as well as physical, speech and occupational therapy. There might be a nurses' station on each floor. Other nursing homes try to be more like home. They try to have a neighborhood feel. Some nursing homes have special care units for people with serious memory problems such as Alzheimer's disease. Some will let couples live together. Nursing homes are not only for the elderly, but for anyone who requires 24-hour care.” Source: http://www.nlm.nih.gov/medlineplus/nursinghomes.html II, WHAT ARE THE REASONS FOR LIVING IN NURSING HOMES OF OLD PEOPLE? There are some reasons for living in nursing home of old people. In this part, reader will be approached to the thought of students about this problem. 30 9 Website: http://www.docs.vn Email : [email protected] Tel : 0918.775.368 students served as subjects to answer five questions in the survey questionnaire of this research designed to investigate the thought of student about this problem. First of all, a conditional question which was handed in to students showed their opinions about taking their elderly people to nursing home or not. This pie chart reflects the rate of students answering yes or no to question: If your family had old people, would you want to take them to nursing home. It can be seen obviously that 90% student chose “No” and the rest of them chose “Yes”. These figures seem to show that most of the students do not want to take their old people or parents to nursing home.  Suppositions After the conditional question, two suppositional questions were set in order to investigate more clearly about reason for living in nursing home of old people. In particular these questions were concentrated on the personal reason and objective reason of individual. 10 Website: http://www.docs.vn Email : [email protected] Tel : 0918.775.368 11 Website: http://www.docs.vn Email : [email protected] Tel : 0918.775.368 Two pie chart reveal the percentage of students choosing dissimilar answers in two different reasons personal and objective reason for questions involving to take old people to nursing home.  Personal reason In the first pie chart, the question which was provided is that “ With supposition that you have to take old people to nursing home, What are the your personal reasons?” . It can be seen from graph that the rate of students choosing the first answer covers by far the highest figure with 46% in total. The second biggest area belongs to next reason: I don’t have enough support (ex: money, accommodation..). This comprises to 27% of total. Interestingly the proportion of students choosing the third reason ( I don’t like living with old people) is the smallest constitutes to 8%, while the ratio of students ticking to other ideas or other reasons being bigger than that of choosing the third reason account for 19%. When students who chose other ideas were asked for these reasons or ideas, a general answer which was given was that they had no personal reason. They said that they wanted to their parents or old people live with them, and they would care old people by themselves. A girl said that she always wanted to take care of her parents although she would be poor or rich. She would like to spend her time on her parents. Contrary to students choosing three reasons above, students of last reason are very determined to live and care their parents in any situation.  Objective reason. In comparison with chart of personal idea, in chart of objective reasons also has some outstanding features. The first place and second place come to the percentage of students choosing the first reason and the third reason, namely “Old people like living in nursing home , so I let them live in there” and “there is safer life in nursing home than outside”. These make up 40% and 30% respectively. The rate of students choosing the reason being that “following the trend” consists of 12% in total. Just 9% students tick for Other ideas.  Conclusion 12 Website: http://www.docs.vn Email : [email protected] Tel : 0918.775.368 When the data are analyzed according to the pie chart, it is found that most of the student asked cannot live and take care of their parents or old people unless they are too busy, they have no spare time. They do not want to take their parents or old people to nursing home unless old like living in there, so they are taken to. Besides the reasons for living in nursing home of old people which comes from their children or their families, these also come from old people themselves. There is a similar percentage of people choosing the first reason( old people do not have house or children, so they want to find a place to live till they die) and the forth reason( old people are compelled to live by their children or families). These stand at 27%. The second position is recorded by the level of student ticking the reasons being that “ old people are refused be cared for by their children or families”. This is up to 23%. About 14% of students think that 13 Website: http://www.docs.vn Email : [email protected] Tel : 0918.775.368 old people feel tired and exhausted to their life , so they choose nursing home to live. Other reasons are turned in by 9% of students. In conclusion most of the students think that old people live in nursing home because of not having house or children to be taken care of, and being compelled to live by their children.  The fact. Although three questionnaires in this survey are set with supposition, in fact there is no less situation happening with old people’s lives .In this day and age, people’s lives are busier and busier, hence this is easy to understand why adults do not have enough time to care of their parents or old people. However nothing is impossible, problem just is that they would like to take care of their parents or not. Some families who are not rich, even poor, but they still want to care for their old people. They supposed that old people would have the best life when they are lived with their children or families. On the contrary despite having rich life and comfortable, some families refuse or give up living with their old people. They argued that Old people is very complicated and make them feel troublesome. It is a good solution to push old people out or take them to nursing home. Also there are some situations old people are so credulous that they are cheated by their own children. In contrast to this problem, others are voluntary to live in nursing home because of thinking to their children’s lives. Taking an example for the first position, one circumstance is given like a special problem. One old man transferred his own house to their children after hearing the insistency of his children. His daughter said that she was very poor and needed his house bought. He accepted , however, after receiving the amount of money his daughter needed, she gave him 2000$ and said hẻ father that he became useless and she would not take care him more, he should hold 2000$ and find a place to live by himself. He and his wife had to rent a house and live with 2000$. Finally, his wife passed away and he had to find to nursing home and live lonely. 14 Website: http://www.docs.vn Email : [email protected] Tel : 0918.775.368 Another example is given for the second situation is that some parents know that their families or children are too poor or busy, so they are voluntary to go to nursing home to avoid the difficulties for their families or children.  Conclusion When everything has been discussed above, a conclusion can be drawn that most of students today would rather take care of their old people or parents than take them to nursing home except old people would like to live in nursing home. III, WHAT IS THE SITUATION OF OLD PEOPLE IN NURSING HOMES IN VIETNAM ?  The feeling of old people when they live in nursing home. First of all, it is important to know how old people feel when they live in nursing home. For this reason, 30 questionnaires are handed out to 30 students and 30 old people to take compare the thought of student about feeling of old people in nursing home and old people’s real feeling when they live in old people’s home. Two pie chart below reflect this 15 Website: http://www.docs.vn Email : [email protected] Tel : 0918.775.368 It is obvious that in the first chart the highest fertility rate is for “lonely, sad” at almost 43% students choose. This is the same to chart second chart, when the 16 Website: http://www.docs.vn Email : [email protected] Tel : 0918.775.368 ratio of old people choosing the second feeling is by the highest. In contrast to the percentage of students choosing the first idea (happy, cozy, comfortable) in chart A which makes up 21% is just half of the level of old people choosing this idea that accounts for roughly 40%. Some other ideas which are that “the feeling of old people when they live in nursing home depend on each people and their reason” ; “ old people may feel happy, but sometime they sad; old people do not like to live in nursing home” ; “30% old people feel happy and satisfactory, and 70% old people miss their”…..are covered by around 21% students. On the contrary, there are no old people choosing “Other idea”. The smallest proportion students choosing belongs to the third idea ( normal) with 15%. Meanwhile, the third idea being chosen by old people is recorded by just 10% in total. It can be concluded that most of student in this investigation recognize that old people feel “ lonely and sad” when they live in nursing home.  The advantages of old people when they live in nursing home. This question is set with purpose is that outsider can know about living of old people in nursing home. 17 Website: http://www.docs.vn Email : [email protected] Tel : 0918.775.368 The pie chart represents the thought of students about advantages of old people when they live in nursing home. As can be seen that the third idea ranks a top the survey at 30% ( old people don’t feel lonely and sad because they have more friend to chat or communicate) . This shows that the biggest advantage of old people living in nursing home is that they have friends. In fact, a sense of community is a advantage of nursing home. People of all ages prefer to have at least some contacts with others in their own age .When elderly parents live with their busy daughters or sons , they feel sorrow because they cannot share their thought to children . In nursing home , they have friends to communicate share the same ideas, Being chosen by 25% students for each of them, the first idea( The facilities in nursing home are better than outside) and the last idea( Old people can attend to a lot of activities to forget the old age) are also popular reasons for living in nursing home of old people. Nowadays, there are some qualified nursing homes in Viet Nam are focusing to hold some day trips for old people to go out to change the atmosphere , these help old people forget their old age and improve their health. The ratio of students choosing the second idea (Old people are taken care of more carefully than their families when they live in nursing home) is the smallest , this constitutes 20% in total. This proves that most of the students in survey do not think that their parents or old people can be cared of more carefully in nursing home than in old people’s families. On the contrary, the fact is by far different to the thought of student. Time and healthcare are an important advantage which nursing home can provide to adults and their old people. Most of the nursing homes are staffed with healthcare professional 24 hour a day. Although doctors may not be there in the middle of night, nurses are more than likely in there to keep a watchful eye on residents throughout the night. The biggest problem adults have to face is that they do not have enough time to take care their parents or elderly people. Most adults already have busy 18 Website: http://www.docs.vn Email : [email protected] Tel : 0918.775.368 schedules, so most people cannot simply handle everything involving elderly people in addition to responsibilities.  The disadvantages of living in nursing home of old people. To conclude this part, the thought of students about disadvantages of living in nursing home of old people will be given. The rate of students choosing the first idea (old people have to live far away from their home) is by far the biggest with 30% . The second position comes to the second idea( Their children do not often visit them) and the fourth idea (Living in nursing home makes old people’s children be thought to be ungrateful towards their parent) with 26% of each. In comparison with other disadvantages, the third disadvantage is that when old people die, there are few even none relatives beside them is covered by just 18% students..  Some disadvantages of living in nursing home of old people in fact besides disadvantages which are depicted in questionnaire 19