Document 0910
 DOCN  M9650910
 TI    [Hygienic aspects with regard to nursing of home care patients with
       AIDS, chronic diseases and mental handicaps]
 DT    9605
 AU    Sonntag HG; Flassak H; Throm W; Abteilung Hygiene und
       Medizinische-Mikrobiologie; Hygiene-Institut, Universitat Heidelberg.
 SO    Zentralbl Hyg Umweltmed. 1995 Apr;197(1-3):26-44. Unique Identifier :
       AIDSLINE MED/96158073
 AB    A human handicap is defined as a broad, hard and long lasting
       restriction of the mental development and the social integration. Groups
       of handicapped persons can be divided into mentally, psychologically,
       physically, sensory (blind, deaf) handicapped as well as into multiple
       disabled and chronically sick persons and those in need of care (old).
       New groups with demands for aid are among others people suffering from
       AIDS, psychologically sick (old) and people getting old as well as
       mentally, physically und multiple handicapped persons, people suffering
       from cancer, severely ill and dying people. For all handicapped people
       should be demanded the possibility of living almost normal lives. For
       all persons directly concerned as well as their families such a normal
       life should include: the right of self-determination and autonomy, the
       demand for complex styles of living and nearby care/support, the
       providing of respective infrastructures such as barrier free living and
       access to public institutions, access to public transport and homes
       fitting for handicapped persons, the demand for out-patient treatment by
       a complex range of various possibilities of support and finally, the
       providing of alternative forms of living in contrast to the traditional
       way of life of handicapped people like families or homes. Three
       important living areas can be derived from these ideas, namely: living
       conditions, education/professional and working field, social life/social
       environment. These important living areas require preventive measures,
       mainly advice and information centres, places to go early recognition
       and early promotion of handicapped people and those in risk of a
       handicap (especially children) as well as medical, professional and
       social rehabilitation or integration. Concerning the spectrum of
       support, aid and care in the homely area up to now already exists a
       variety of offers by out-patient services (information services, social
       units, mobile support services/organized neighbourhood assistance,
       individual care of severely sick persons, food services, laundry
       services, social psychiatric services for chronic mentally sick persons,
       cancer advice/care, hospital aid, care of persons suffering from AIDS,
       family relieving services for family members of mentally disabled
       persons, supervised living) partial treatment of indoor-patients such as
       daily care units, daily nursing or daily clinics others like nursing
       families, living communities, short-time care/accommodation, homes for
       sick people. Moving forces of these offers are mainly charitable
       organizations such as organisation of social welfare and churches.
       Besides, aid for handicapped people is also realized by state and local
       community authorities (Social Welfare and Public Health Department) and
       private initiatives. In spite of these offers there exist numerous
       problems und gaps. With regard to the problems one should mention
       predominantly the financing of measures, specific problems concerning
       the home care of persons (among others, asking for help too late, less
       preventive orientation of the services, low orientation of the services
       with regard to the needs of the handicapped persons and their families,
       few coordination or cooperation among the services, nursing crisis, few
       persons engaged in community services) as well as problems in the field
       of living and living environment (non existence of handicapped-fit or
       specially furnished homes, lacking infrastructure, public transport not
       sufficiently equipped for handicapped people, practices of physicians,
       pharmacies or shops not accessible for handicapped persons). Gaps in the
       offers are among others the long-time care, crisis
       intervention/emergencies particularly for singles as well as the nursing
       possibilities of partial treatment.
 DE    Acquired Immunodeficiency Syndrome/*NURSING  Aged  Chronic
       Disease/*NURSING  *Community Health Nursing/MANPOWER  *Disabled  English
       Abstract  Family  Germany  Home Care Services/*STANDARDS  Human  Hygiene
       Mental Disorders/*NURSING  Patient Advocacy  Residential Facilities
       JOURNAL ARTICLE

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