a day structure on an ongoing basis takes a great deal of effort. In
conversations with commissions, older users of occupational therapy
workshops explicitly expressed the wish to “start their retirement”, i.e.
sleep longer in the mornings or stay in the residential home during the
day and remarked that it was important for them not to feel
(subliminally) “pressurised” in any way.
Statutory regulations and strict requirements in funding guidelines are
to blame for the fact that elderly persons with disabilities do not have
the option of making their day structure more flexible in accordance
with their wishes. Thus, for example, in the case of fully-assisted living
and housing facilities in Vienna, according to the Vienna Social Fund’s
funding guidelines an individual must attend a day workshop all day
and 5 days per week. A maximum of 50 days of absence (including
holidays and sick days) are permitted.
Strict requirements
regarding number of
hours of attendance are
inadequate
The Vienna Social Fund assured the NPM that in Vienna so far no one
has lost a residential place and had to transfer to a nursing home due
to age. It pointed out that considerable effort is made to meet the
needs of elderly persons with disabilities, for example by hiring more
trained staff or acquiring nursing beds, wheelchairs, etc. It also stated
that there are various individual solutions available to elderly persons
with disabilities who no longer wish to stay at the work structure for
the entire day, e.g. late start, early end, leave of absence.
However, individual solutions do not alter the basic fact that elderly
persons with disabilities often feel pressured. Rigid requirements
concerning the number of hours of attendance combined with
pressure to comply with these requirements so as to avoid losing a
place in an assisted living and housing facility, are considered a huge
constraint.
The NPM is of the following opinion:
Today persons with or without disabilities are living longer, which
means the requirements relating to support for persons with
disabilities are changing. This trend presents new opportunities, but at
the same time the viewpoint of persons with disabilities must be
sensitively taken into account. Much greater attention must be paid to
their wishes concerning the location, type and scheduling of day
programmes.
The NPM is supportive of the idea that elderly persons with disabilities
should be able to live as long as possible in the place where they have
lived for decades and made their home.
In particular when it comes to providing assistance for persons with
disabilities, provision of care and medication for individuals who need
help is part of an accompanying process. However, in contrast with
the situation in acute care, it is not the focus of concerns. Thus, it is not
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