The urge for better health care, more disability-free life expectancy, and a better ambulance, lead to people joining care facilities later, older, and sicker than before, to remain independent and autonomous for as long as possible. While 30 years ago about 15% of all deaths in Switzerland occurred at the care facility, mortality data in Switzerland indicate that now more than 50% of those aged 75 years are home-grown. That percentage falls to 75 per cent when you look at the population aged over 90 years.
Three quarters of Swiss citizens wish to die at home. This situation has been blamed for years for the quality of care in nursing and residential homes. Care homes for people with dementia were organized in the past but only tiny number got attention by people. Visit here for the graphs and stats.
Slight changes are currently taking place in institutionalized treatment. A supplement entitled’ The transformation of home-based healthcare culture: evidence for practice and politics’ was published last year in the journal The Gerontologist. In the paper, the authors addressed the aim of improving the quality of treatment through the de-organization of care culture and the focus on personal care. This goal should be to shift the physical environment, values, expectations and positive organizational structures from a traditional nursing home atmosphere to more resident oriented homes with long-term care facilities.
The quality of life of caregivers depends greatly on the recognition of the real conditions of their employment, along with the maximum protection of freedom, the capacity for residents to make their own decisions, the ties with others, respect for the privacy of caregivers, a homely atmosphere and the professional treatment of themselves with ideally continuous care.
However, we know that care residents are ready to talk about end-of-life problems (although they often do not take this into account. That type of conversation does not sadly occur very often.
First, patients and their needs also have long been understood by GPs. Based on their own research findings and experience, patients who could benefit from a stay in an area of treatment and those who are best served at home are described.
For addition, both indoor and outdoor care will expand the need for care for the elderly. The generation of potential patients will explore a personalized life and medical history and expect a lot of treatment. Integrated care models allow smoother transitions from home care to home care.