1.4 Obiski v domovih za starejše 1.4 Visits to retirement homes V primeru bolnišničnih okužb pri stanovalcih smo menili, da bi bila smiselna namestitev takega stanovalca v enoposteljno sobo, da se zmanjša možnost prenosa tovrstne okužbe. Ob okrnjenih spoznavnih sposobnostih je namreč možnost dogovora s stanovalcem, ki ima okužbo, omejena. Predlagali smo tudi, da se v takih primerih na vrata sobe da pisno navodilo obiskovalcem, da se pred vstopom posvetujejo z osebjem na oddelku. Naprave za razkuževanje rok naj se namestijo na hodnike tako, da so vidne in dostopne brez prehoda vrat (izogibanje dotikov dodatne kljuke) ob izstopu iz sobe stanovalca z bolnišnično okužbo. Smiselna bi bila uporaba samodozirnih naprav, ki so nameščene na steno, s čimer je preprečeno zaužitje vsaj večjih količin razkužila. In the case of hospital-acquired infections, we suggested that such residents be accommodated in onebed rooms to limit the possibility of such infection spreading. In the case of limited cognitive abilities, the possibility of an agreement with the infected resident is limited. We also proposed that a written instruction for visitors be installed on the room door to consult with the staff of the unit before entering. Devices for disinfecting hands should be installed in corridors so that they are visible and accessible without the need to pass through door (to prevent additional contact with the door handle) and at the exits from the rooms of residents with an infection. The application of self-dosing devices installed on the wall would be practical and would prevent the consumption of larger quantities of disinfectant. Aktivnosti stanovalcev z demenco Activities of residents with dementia V obiskanih zavodih smo ugotovili, da si vsak od njih sicer z različnimi aktivnostmi prizadeva, da se kar najbolj prilagajajo stanovalcem, trudijo se ustvarjati domače vzdušje in razpoloženje, ki omogoča občutek varnosti, sprejetosti in zadovoljstva stanovalca. In the visited institutions, we established that they all implemented different activities with which they tried to adjust to their residents and create a homely atmosphere, providing a sense of safety, acceptance and satisfaction. Stanovalci VO so v vseh domovih ustrezno integrirani v življenje doma in druženje z ostalimi stanovalci, ki nimajo demence. Skupaj z ostalimi stanovalci se udeležujejo domskih prireditev, izletov, aktivnosti, verskih obredov itd., nemalokrat pa domovi izvajajo določene projekte, ki so namenjeni izključno stanovalcem VO in njihovim svojcem. The residents in secure wards of all retirement homes were suitably integrated into the life of the home and were socialising with other residents who were not suffering from dementia. They were attending events, trips, activities, religious ceremonies etc. together with other residents. The homes frequently prepared different projects which were aimed exclusively at the residents of secure wards and their relatives. V Domu starejših Kranjska Gora, ki ima za stanovalce z demenco integrirano obliko oskrbe, stanovalci na oddelku s pomočjo gospodinje pripravljajo celo nekatere obroke (zajtrke in malico redno, občasno tudi večerjo), spečejo si pecivo, poleg priprave obrokov pa veliko pozornosti namenjajo tudi pripravi pogrinjkov in serviranju hrane. Na podlagi večletnega obiskovanja domov za starejše ocenjujemo, da so programi aktivnosti na VO iz leta v leto bolj poglobljeni, pri njih sodelujejo različni strokovni delavci, ki skrbijo tudi za njihovo izvajanje in evalvacijo. Sodelovanje s svojci, prostovoljstvo, stik z zunanjim svetom V obiskanih domovih ugotavljamo, da se je oblikovala praksa sodelovanja s svojci oseb z demenco v obliki t. i. klubov za svojce, strokovnih predavanj na temo demence in druženj ob obisku različnih prireditev. Opažamo, da si domovi želijo še več sodelovanja s svojci oseb z demenco. Vsi obiskani domovi, razen Centra starejših Notranje Gorice, imajo razvito sodelovanje z različnimi društvi in ustanovami iz svoje okolice (šole, vrtci), večje razlike pa so glede vključevanja prostovoljcev v življenje in delo z osebami z demenco. Center starejših Notranje Gorice je nekoliko slabše vpet v lokalno okolje, saj interesa za tovrstno prostovoljstvo v kraju ni. Tudi domovi, ki imajo več prostovoljcev, ki redno prihajajo v dom, zelo redko prihajajo na VO. V Domu starejših Kranjska Gora imajo v načrtu širitev prostovoljstva tudi za osebe z demenco, Dom starejših Idila pa ima zaradi krajevne oddaljenosti in slabih prometnih povezav s prostovoljstvom kljub željam večje težave. Zelo dobro je razvito in organizirano prostovoljstvo v Centru starejših Zimzelen. DPM ocenjuje, da imajo prostovoljci na VO pomembno vlogo pri vzdrževanju socialnih stikov stanovalcev, saj so ena redkih vezi z zunanjim svetom, zato podpira njihovo vključevanje. In the retirement home in Kranjska Gora, which has an integrated form of care for residents with dementia, the residents even prepare certain meals (breakfast and snack on a regular basis and occasionally dinner) and bake pastry with the help of the housekeeper. In addition to preparing meals, a lot of attention is also paid to setting the table and serving food. On the basis of several years of visiting retirement homes, we evaluate that activities in secure wards have been improving on a yearly basis and the different expert workers participate in them who supervise their implementation and evaluation. Cooperation with relatives, volunteers and contacts with the outside world We noticed in the visited retirement homes that the practice of cooperation with relatives of persons with dementia was formed with so-called clubs for the relatives, expert lectures on the topic of dementia and gatherings when visiting different events. We noticed that the homes strive for more cooperation with relatives of persons with dementia. All the visited homes, except Notranje Gorice Residential Centre for the Elderly, had developed cooperation with different associations and institutions in their area (schools, kindergartens). Greater differences occur regarding the participation of volunteers in the life of, and work with, persons with dementia. The local environment is somewhat less involved in Notranje Gorice Residential Centre for the Elderly, because there is no interest in such voluntary work in the town. Volunteers who do regularly visit them rarely visit persons in secure wards. The retirement home in Kranjska Gora plans to expand volunteering also to assist persons with dementia. Due to its remoteness and poor transport connections, Retirement Home Idila has difficulties with volunteers despite the home’s interest. Voluntary work is well developed and organised in Zimzelen Retirement Home. The NPM believes that volunteers who visit secure wards have a significant role in maintaining the social contacts of residents and serve as one of their few connections with the outside world, and the NPM thus supports their participation. 108 poročilo o izvajanju nalog DPM v letu 2014 DržavnI preventivnI mehanizEm po Opcijskem protokolu h Konvenciji OZN proti mučenju in drugim krutim, nečloveškim ali poniževalnim kaznim ali ravnanju IMPLEMENTATION OF THE DUTIES AND POWERS OF THE NPM IN 2014 National Preventive Mechanism under the Optional Protocol to the UN Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment 109