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Will nursing homes be as popular as civil servants in the future?
Divided according to the 65-year-old time period, friends born in the 1950s and 1960s will soon enter the elderly, or have already entered the elderly society. These friends are looking for themselves retirement planning and design.
I was also born in 1961 and have been working as a nursing home director for nearly eight years. Many friends, colleagues, and family members of the elderly in this age group are also thinking about their future nursing care. I often hear two sentences. That is, "We will go into nursing homes when we get old, so as not to put a burden on our children." "When we get old, we will stay together and take care of ourselves together, and we can go wherever we want." To this, I always answer with a smile, and I hope you can get your wish. So, are the above two sentences wrong? Yes, can it be achieved? Most people can't achieve this, and here's my opinion:
1. It's not up to you to decide whether to enter a nursing home
First, whether you can enter a nursing home must be decided by the legal guardian of the resident (usually children or immediate relatives) make the decision. Even if the elderly want to live in a nursing home, they must be implemented by the children. Without the escort of their direct guardians, the nursing home will not accept the elderly (except for special groups). It must be carried out by The guardian must escort you and sign a check-in agreement before you can move in. The guardian must decide whether to send the elderly person to a nursing home based on his or her financial ability and the elderly person's physical condition.
Secondly, the vast majority of the elderly care for themselves at home. According to the national 9073 elderly care layout planning requirements (90 elderly care at home, 7 elderly community care, and 3 elderly care institutions) and market demand, many elderly care institutions are oriented to people with disabilities. and semi-disabled elderly people. Most elderly care institutions are not very willing to accept self-care elderly people because the fees for self-care elderly people are low, the risk is high, it is difficult to manage, and the benefits are poor. This is both a government guidance plan and a market law. Therefore, for the vast majority of elderly people, It's about home care, not a nursing home.
Thirdly, physical fitness is the key. If you can eat, run, and take care of yourself, no one wants to live in a nursing home. After all, you have freedom at home, and nursing homes tend to accept disabled and semi-disabled elderly people. But when you can’t take care of yourself, you have to rely on the help of others to survive, and your children can’t live long-term. When taking care of you, a nursing home or hiring a domestic caregiver are your only options.
Fourth, you may not be able to afford to live in a nursing home in the future. Many people always use the current pension situation to plan their future pension, and there may be huge differences between the future pension market and the current situation. If you want to live in a nursing home with your current meager retirement salary, many people cannot afford it, mainly because of the future The labor cost is too high, which will be further elaborated later.
As mentioned above, whether or not to live in a nursing home is not entirely decided by the elderly themselves. To a large extent, it is decided by their children, their health, their economic foundation, and their policies and policies. The market has the final say, but the elderly’s own wishes can hardly decide whether to live in a nursing home. The current situation of elderly care is like this, and it will be like this in the future. Therefore, there will be situations where you want to live in a nursing home but can't, or you don't want to live in a nursing home but have to live in it. There are too many such examples in reality.
2. The issue of group care for the elderly
Many good friends and colleagues are planning for the future of group care for the elderly. Even some people born in the 1970s and over 40 years old are also planning for the future of care. They said: "In the future, when we get old, we will retire together and find a place with beautiful scenery to eat, live and have fun together." The idea is good, but I think that group care for the elderly needs to meet three conditions:
1. Health conditions. In the next ten years or so, when everyone will be in their 70s or 80s, will their bodies still be strong and will there be much difference in their health status? You must know that group care must be for the elderly who are basically healthy and can basically take care of themselves. Elderly people with different health conditions cannot stay together. Disabled, semi-disabled and self-care elderly cannot live together.
2. Economic foundation. The economic foundation is the prerequisite for group care for the elderly. Economic conditions are very different, and consumption concepts and consumption abilities are different, so it is impossible to care for the elderly together. Suppose: someone else consumes 10,000 a month, but your consumption ability cannot reach it. You can persist for a month or two. , you may not be able to afford it after three or four months. It would be difficult for you to treat others to dinner three times. Such a difference in economic conditions is not suitable for group gatherings.
3. Hobbies.
The elderly have already formed their inherent ideas, living habits, and hobbies, and it is almost impossible to change them for anyone. Therefore, group care must have the same interests and hobbies, speak the same language, and have the same people. People with the same living habits, can talk together, can play together, can eat together, can live together, but people with different interests and hobbies cannot stay together for retirement.
You must carefully consider what kind of people have physical conditions, financial conditions, and interests and hobbies. Meet these three conditions before putting it into practice.
3. Difficulties in elderly care in the future
1. The shortage of elderly care workers
Nowadays, it is common in various elderly care institutions that it is difficult to find good caregivers. Everyone is vying for them, but basically they can still be recruited because there is still a surplus labor force in rural areas. At present, most of the elderly care workers are middle-aged rural women who are engaged in this kind of profession. They are all around 50 years old and can bear hardships and stand hard work. , and very few young people and laid-off urban workers are engaged in elderly care work. We have been recruiting nursing workers for a long time in our elderly apartment. It is difficult to retain a suitable one out of 10 applicants. Many applicants are unwilling to do the job no matter how much they are paid (I have met several applicants for nursing jobs). They are middle-aged people who seem to be relatively stable and mature. I repeatedly emphasized that to be a caregiver, you need to be able to live in a nursing home for a long time without being burdened by your family, and you need to be not afraid of getting dirty, especially if you have to deal with the defecation and defecation of disabled elderly people. They all said that there is no problem. What happened? , he secretly ran away before working for a full day, and he was too embarrassed to tell me that he couldn’t do it.) Elderly care work is dirty, tiring, boring, long-time, and low-paid, which are the main reasons for the current shortage of nursing staff. Young, educated and capable people are unwilling to do it and would rather choose other jobs with low pay. Some high-end elderly care institutions also have young people working as caregivers. They are also motivated by high-tech to take care of some self-care and semi-self-care elderly people. However, after all, they are a very small number and cannot represent the needs of the public.
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