Retirement and nursing homes
nursing homes in Lower Austria if evaluated as being successful. A second
project running until September 2022 called “GREEN: Cool & Care” addresses
greening as a way of optimising the microclimate.
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The elderly and chronically ill need special attention during periods of hot weather; in
particular, in rooms with little or no air conditioning.
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In new buildings, structural aspects for the prevention of heat-related health
impairments should be taken into consideration.
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The prevention of heat-related illnesses and measures that restrict freedom in vulnerable
persons as well as the care of heat-related health impairments require additional effort
that should be included in staff planning.
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The guideline developed by the municipal department MA 15 in Vienna for medical and
care facilities includes instructions for heat prevention action plans and should attract
attention beyond the borders of the city.
2.1.7
Long waiting times for official procouncement of death
and inspection of the corpse
In Austria, all deceased are subjected to an inspection of the corpse. This is
to determine the type and cause of death and is, generally speaking, the last
and only opportunity to find any evidence of violence. It does not suffice thus
to take a fleeting look at the deceased and the medical record and then to
complete the death certificate. Laender laws oblige everyone – including care
homes – to provide truthful information on the circumstances that help to
determine the cause of death. Specially trained medical experts are charged
with determining whether an autopsy is necessary in cases where the type or
cause of death has not been clarified. At least until the official pronouncement
of death in connection with the inspection of the corpse, the suspected deceased
should remain in the same position insofar as possible at the place of death
and not have their clothes changed. Undertakers require an official document
before they can remove the body.
It is professionally and emotionally challenging for the caregivers to enable
passing with dignity. In 2019 care managers in Lower Austria criticised the
exceptionally long waiting times for the official inspection of the corpse.
This can result in an intolerable situation during periods of hot weather,
in particular. The commissions also reported about long waiting times,
particularly in the night or at the weekend. Sure signs of death become evident
just one or two hours after the deceased has passed. Waiting for hours for the
official pronouncement of death is experienced by the staff and other residents
living in shared rooms as irreverent. In addition, there is the question of when
the relatives should be informed and how resources can be internally managed
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