social welfare – older people End of life care / privacy • The patient’s right to privacy and dignified end-of-life care was not implemented in rooms with four beds. • It was problematic from the perspective of patient privacy that the doors had windows and that there was an unrestricted view into the rooms from the corridor. • It was considered important that the unit be allocated additional resources for the night shift, since a nurse who is alone on duty is not able to provide high-quality end-of-life care. Follow-up: The social welfare boards report having taken measures to improve the protection of privacy or increase the number of staff in terminal care. The use of toilets • According to the nursing staff, the quality of adult diapers had deteriorated following the competitive tendering of suppliers. • It was recommended that the residents are assisted to the toilets proactively on the nursing staff ’s initiative, to help maintain the functional capacity of the residents. Oral health • The care plans should have daily records of oral and dental hygiene, taking into account the importance of oral health to the general health of an elderly person. • A dental hygienist should visit the unit to review the residents’ oral health and provide training for the staff on appropriate oral hygiene. Outdoor time • There were no records of the time the residents had access to the outdoors, although the self-monitoring plan stresses the importance of outdoor activities in an elderly person’s quality of life. Antinkoti offers residential care with round the clock services for customers with memory disorders. Pictured is a spacious balcony with its many plants at Antinkoti. 65