How to support the loss of autonomy of a loved one?

Spot the warning indicators of a starting of lack of autonomy

Sure indicators could also be indicative of sickness or impairment of psychological schools. That is the case with falls or the worry of falling, which can conceal a steadiness dysfunction. Uncared for costume or questionable hygiene can point out issue dressing and washing, or anxiousness and even melancholy. A change in weight-reduction plan (discount within the amount or rhythm of consuming, for instance) is usually an indication of well being issues (oral, digestive …), issue in getting ready meals and consuming them or of melancholy.

On the identical topic

Different clues: your dad or mum's fridge is empty or the meals is expired, cleansing is just not completed, the rubbish cans aren’t emptied, he not opens his mail, not pays his payments, forgets to take his medicine … Don’t take these indicators flippantly: the sooner the lack of autonomy is detected, the higher the therapy.

The + Full Life: In case your dad or mum complains about dropping their reminiscence, take it significantly. Opposite to widespread perception, this isn’t at all times a traditional signal of getting older.

The + Full Life In case your dad or mum complains about dropping their reminiscence, take it significantly. Opposite to widespread perception, this isn’t at all times a traditional signal of getting older (see field from knowledgeable Olivier Guérin reverse) .

Have the safety of the lodging checked

One of many easy methods to keep away from a sudden lack of autonomy following a fall is to safe the lodging. A liberal occupational therapist will perform a complete evaluation at dwelling and problem suggestions. Depend between € 100 and € 200, not reimbursed by Social Safety. In case your dad or mum is retired from Agirc-Arrco and is at the very least 75 years previous, he can profit from a occupational therapist visit for 15 euros.

The + Full Life: Below sure situations, you can too profit from a house evaluation of the overall scheme pension fund (Cnav or Carsat) as a part of the “Aging well at home“.

Below sure situations, the overall scheme pension fund allocates a prevention package to enhance consolation: that is help of € 100 to € 300 for the acquisition of 1 to a few technical aids advisable by an appraiser.

The + Full Life Below sure situations, you can too profit from a house evaluation of the Basic scheme pension fund (Cnav or Carsat) as a part of the “Growing old effectively at dwelling” program.

Get nearer to the attending doctor

The attending doctor should be a precedence accomplice. It’s he who can prescribe a neurological, radiological reminiscence evaluation … Within the non-public areas of docs, ask the Regional Well being Company (ARS) to search out out if there are teams akin to multiprofessional well being properties (which deliver collectively a number of practitioners in frequent premises) or well being networks (assist factors for well being professionals who guarantee coordination between them, for instance, Asdes in Île-de-France).

The + Full Life: Additionally, don't neglect telemedicine companies (e.g .: Meda-dom, MédecinDirect…) which develop and are reimbursed, beneath sure situations, by Social Safety.

The + Full Life Don’t neglect the telemedicine companies (eg: Meda-dom, MédecinDirect …) that are creating and are reimbursed, beneath sure situations, by Social Safety.

Have a geriatric or reminiscence check-up completed

Sure behaviors make worry of an Alzheimer's illness or associated. That is the case with reminiscence issues. However it’s generally tough so that you can inform your dad or mum about this. Higher to undergo the attending doctor in order that he prescribes a reminiscence verify. Additionally it is potential to contact a reminiscence middle straight. There are 400 in France, in College Hospital Facilities (CHU) or non-public constructions. These consultations are performed by a multidisciplinary crew (neurologist or geriatrician and psychologist or psychiatrist …) and numerous examinations will probably be carried out: neuropsychological evaluation, neurological examination, MRI of the mind, medical evaluation … Hospital facilities can provide hospitalization for day to hold out all these examinations. One other answer: go to a liberal neurologist.

The + Full Life In case your dad or mum objects to a reminiscence session or an appointment with a neurologist, provide him an entire check-up in a geriatric day hospital, which focuses much less on the dangers of Alzheimer's or associated ailments. The geriatric evaluation actually consists of an evaluation of reminiscence problems, but in addition of sensory features, a dietary, rheumatological evaluation …

The + Full Life: In case your dad or mum objects to a reminiscence session or an appointment with a neurologist, provide him an entire check-up in a geriatric day hospital, which focuses much less on the dangers of Alzheimer's or associated ailments. The geriatric evaluation actually consists of an evaluation of reminiscence problems, but in addition of sensory features, a dietary, rheumatological evaluation …

Begin a dialogue with the celebration on the actions to be thought of

As soon as your dad or mum's weaknesses are detected, it stays to focus on the wants. The perfect factor is to look at, over a day, what are the moments when your dad or mum doesn’t handle to do sure gestures alone: ​​getting up, washing, buying … Above all, make him settle for the concept of assist to remain at dwelling. It’s important to take his recommendation into consideration, even when your beloved has cognitive issues. Nevertheless, the aged typically balk on the concept of ​​a overseas presence at dwelling. It’s a actual work of conviction. The household is just not at all times the most effective positioned. You’ll be able to invite your dad or mum to seek the advice of a gerontological psychologist. However it’s not reimbursed by Social Safety.

The + Full Life: No matter aid you put in place along with your dad or mum, be sure that he retains an energetic half. Doing it instead dangers plunging it into habit extra shortly.

The + Full Life No matter aid you put in place along with your dad or mum, be sure that he retains an energetic half. Doing it instead dangers plunging it into habit extra shortly.

Get nearer to native data companies

When a state of affairs turns into delicate and fragile, you shouldn’t be alone. Get nearer to the social employee of the division or of the municipal social motion middle (CCAS). She could have an energetic watch function in your dad or mum to forestall the dangers of isolation, to make sure his well being within the occasion of a warmth wave …

One other important level of contact: local information and coordination centers (Click on). At a minimal, they are going to be capable to inform you and direct you to native help and assist methods for the aged and their caregivers. Some Clicks (stage three) are in a position to deliver collectively all of the gamers to arrange the evaluation and assist of the aged as a part of an help plan proposed by a multidisciplinary crew; others (Degree 2 click on) cease on the habit evaluation part.

The + Full Life: Much less outfitted, Degree 1 Clicks are in a position to offer you data and discover relays to coordinate the varied gamers concerned.

The + Full Life Much less outfitted, Degree 1 Clicks are in a position to offer you data and discover relays to coordinate the varied gamers concerned.

Plan protecting authorized measures shortly

Geriatric facilities at all times suggest it: anticipation is the important thing to profitable assist. Encourage your beloved to designate a trusted individual to assist them of their procedures or help them of their medical appointments in order that their needs are revered if they’re not in a position to manifest them. Additionally it is helpful for him to write down (with the assistance of a physician, if potential) advance directives, a written doc through which he signifies his needs relating to his finish of life within the occasion of an accident or sickness (restrict or cease remedies, take into account surgical procedure …). Lastly, the long run safety mandate permits him to designate somebody to guard his private (e.g. medical choices) and property (housing destiny, monetary investments, and so on.) pursuits if he’s not in a position to reveal. his will. This doc could be completed beneath non-public seal and be registered with the tax assortment (125 €) or by notarial act (roughly 300 €), based on the specified preparations.

The + Full Life: One other quite simple measure is to arrange an influence of lawyer in your dad or mum's accounts.

The + Full Life One other quite simple measure is to arrange an influence of lawyer in your dad or mum's accounts.

Take inventory of your dad or mum's monetary state of affairs

One side will have an effect on the preparations to be put in place, these are the monetary means obtainable to your beloved. Ask him what his revenue is (pensions, rents, life annuities, and so on.) and examine the opportunity of acquiring help.

You’ll be able to carry out a simulation to search out out which aids your dad or mum is eligible for my-aides.gouv.fr.

The + Full Life An Apa calculator (customized autonomy allowance) at dwelling is obtainable on the web by sure gamers (Previssima on its web site www.previssima. Fr, the Hauts-de-Seine departmental council on www.hauts-de-seine. Fr…).

The + Full Life: An APA calculator (customized autonomy allowance) at dwelling is obtainable on the web by sure gamers (Previssima …).

Safe your house

A couple of frequent sense gestures will keep away from the chance of falling: good lighting on stairs and corridors, eradicating carpets or fixing them with double-sided tape, eliminating electrical wires working via a room, shifting furnishings that hinder the passage … Cheap equipment will safe the lodging: luminous paths with presence detector to flow into at night time or in darkish areas, non-slip stair nosing, carpet within the bathtub or bathe, step to entry the bathtub, bathe stool or bathtub seat, rest room booster, seize bars … You’ll be able to take inspiration from the movies made by Pension Insurance to know the way to adapt the lavatory, the lounge or the bed room.

The + Full Life Generally, it’s essential to contemplate finishing up work (walk-in bathe, set up of a stairlift …). Monetary help could be mobilized (Anah subsidy, tax credit score, help from pension funds, and so on.). It’s essential to be effectively suggested earlier than by an occupational therapist.

The + Full Life Generally, it’s essential to contemplate finishing up work (walk-in bathe, set up of a stairlift …). Monetary help could be mobilized (Anah subsidy, tax credit score, help from pension funds, and so on.). It’s essential to be effectively suggested earlier than by an occupational therapist.

Apply for monetary help

The customized autonomy allowance (Apa) is meant for individuals whose lack of autonomy is comparatively vital. You will need to full an Apa software file and return it to the departmental council. A medico-social crew then performs an evaluation at your dad or mum's dwelling. If the latter falls beneath a Gir classification (ISO Assets group) 1 to four, he can profit from the APA. The crew defines a assist plan, together with all of the companies that appear helpful to your dad or mum and a month-to-month quantity of monetary help, based on their sources, for use to finance them. You don't must take all of it. The quantity of the APA will then be tailored to the extent of help.

In case your dad or mum is barely dependent (labeled in Gir 5 or 6), he might profit from family assist as social help from the division offered that his sources are very low (lower than the Aspa, ie 868, € 20 monthly in 2019 for a single individual). It is sufficient to withdraw a file with the communal middle of social motion (CCAS). Quite a lot of hours monthly is about based on the wants of your dad or mum and inside the restrict of 30 hours monthly for a single individual (48 hours for a pair). A monetary contribution could be requested. This help is recoverable from the property (if it exceeds € 46,000). If his sources are larger, he can flip to Pension Insurance coverage. She additionally presents family assist to her retirees. You will need to then fill out a assist request file “Aging well at home“. After analysis, a customized motion plan is established (most € three,000 per beneficiary). The monetary participation of your dad or mum varies from 10% to 73% relying on his revenue.

The + Full Life The monetary contributions requested rely on the revenue stage of the aged individual. Probably the most modest are exempt.

Arrange a distant help service

It’s a sensor button, within the type of a watch or medallion, worn across the neck, linked to a transmitter positioned in your dad or mum's phone line. In case of issue, by urgent the button, he’s put in touch with an operator, who identifies his wants and places himself in touch with the native community (household, mates, neighbors) or triggers assist.

The + Full Life: Enable from € 30 to € 60 for set up and from € 20 to € 30 monthly of subscription (much less 50% tax credit score).

The + Full Life Enable from € 30 to € 60 for set up and from € 20 to € 30 monthly of subscription (much less 50% tax credit score).

Rent dwelling assist

Assist with getting up or going to mattress, washing, getting ready or taking meals, sustaining the lodging and the linen … There are 26 private companies acknowledged by regulation and topic to approval. You’ll be able to recruit somebody straight.

It's as much as you to pay her, to determine her employment contract, to pay the fees … Additionally it is potential to name on an organization or a certified affiliation: she takes care of the recruitment and the executive half, however you keep there. employer with the obligations incumbent upon you within the occasion of a dispute along with your worker.

Final possibility: name on a service supplier. He’s the employer and he invoices you for the companies carried out by his employees. It’s the most costly mode, however the least burdensome when it comes to administration and obligations. In direct and necessary mode, the common service employment verify (Cesu) calculates the social costs, deducts them straight from the checking account and establishes the pay slips.

The + Full Life From the age of 70, your dad or mum advantages from an exemption from employer social safety contributions. As well as, dwelling jobs give entitlement to a 50% tax credit score.

The + Full Life From the age of 70, your dad or mum advantages from an exemption from employer social safety contributions. As well as, dwelling jobs give entitlement to a 50% tax credit score.

Get prescribed nursing care

You probably have noticed an issue with observance of therapy or hygiene (rest room), the attending doctor might prescribe nursing care, reimbursed by Social Safety. You may have the selection between a house nursing service (Ssiad), which will depend on a hospital, or a non-public nurse. Benefit of Ssiad: companies can be found 7 days every week. Disadvantages: it’s by no means the identical one who comes and their schedules are random.

The + Full Life: These companies are overloaded. The extent of reimbursement by Social Safety of self-employed nurses varies based on whether or not they’re beneath contract or not.

The + Full Life These companies are overloaded. The extent of reimbursement by Social Safety of self-employed nurses varies based on whether or not they’re beneath contract or not.

Watch out to keep away from isolation

Gadgets exist to permit your beloved to depart their dwelling. That is the case for the “Sortir Plus” service of Agirc-Arrco. It’s a checkbook of 10 formulation of 15 € to pay the worker of a house assist group or accompanied transport. It’s accessible to individuals aged 75 and over. Their participation is € 15 for the primary checkbook, € 20 the second and € 30 the third.

Some associations (Purple Cross, Little Brothers of the Poor …) ship volunteers to individuals who endure from isolation to maintain them firm or accompany them on walks.

The + Full Life: Native initiatives are listed by the affiliation Mona-Lisa (nationwide mobilization towards the isolation of the aged).

The + Full Life Native initiatives are listed by the affiliation Mona-lisa (nationwide mobilization towards the isolation of the aged).

Contemplate different housing options

In some circumstances (lodging on the 4th ground with out elevator, dwelling space away from all facilities …), it’s higher to contemplate a extra appropriate dwelling location. That is the case for unbiased residences, which permit your dad or mum to maintain non-public lodging whereas benefiting from frequent companies.

The + Full Life Among the many companies provided most frequently, we discover catering, cleansing, leisure …

The + Full Life: Among the many companies provided most frequently, we discover catering, cleansing, leisure …

IN CASE OF EMERGENCY

Typically, after a fall leading to hospitalization (or sickness), the query of dwelling assist arises.

Theassistance with returning home after hospitalization (ARDH) of the Cnav is primarily supposed for retirees of the overall scheme and consists of a sum paid for three months after discharge from hospital to pay for help companies: housewife, supply of groceries, supply of meals , transport, assist …