[D+293] care crisis 2.0 – the regulated Chaos (7)

GuKG-Novelle 2009: Systemic ills are not solved by sacrificing the care qualifications.
Solution: move away from a system of Injustice, the enhancement of the qualifications and Civil courage against flowery talk!

Readers ' reactions to the BICEPS-article “Full Bladder? Please wait! ^[1]” (See Text below):
In response to a reader post by “fraza” (see Text below):

dear Mr. or Mrs. fraza,
I don't think you understand things correctly.

the responsibility is great
of course, I am aware of that now, here and today, care of dependent people in need of help. and “we” don't have to wait on any change in the law!
that is the scandal, that these professions are so underpaid, so as a nursing or social educational care of disabled people would be of less value than, say, a medical treatment! I think the responsibility is at least equal!

real care qualification
it would be nice if the state of lower Austria would require a comprehensive education, I was faced with the opposite, a semi-skilled assistant (basic professional fuel is lessee) made alone night service in a group home for disabled people, mainly pg 6 and 7 !

system of injustice: segregation in need of care and exploitation care, it can be done differently
why should NOT be allowed to make the members of EVERYTHING?
I am glad that this is not so, unfortunately, the members, get the credit (payment) due to you for this valuable service. in Sweden this is not a problem and the system works also without as many homes as in the backwoods of Austria, be proud of are still being built homes ^[2] for people who do not want to go there (but need to...).

dangerous and irresponsible situation
I'm glad that not every coach is allowed to give everyone a meal – because that would be much too dangerous!
you have to distinguish that it is something else, when a certain supervisor is able to give a particular client the food!
this “system” could only work well when in a group of no more than three to four clients live together, and if there were a REAL reference Manager system. so how it works now, it's just a dangerous and irresponsible farce, both for clients and for caregivers!

to your last lines:

instead of correcting defects for which the punishment is the result of maintenance errors to show
the social workers are not accused and even condemned/ but rather those that identify error – trying to destroy their very existence! (I know of several examples).
not even the supervisor, who is the daughter of my friend so bad, been sentenced in any way. it happened to him. not even the leadership of this device, it is checked whether or not they may perhaps have this student not allow a client with pg 7 to baden!
he is still working as if nothing had happened. it is probably even so, if someone would die due to a nursing error, it would account for nothing – according to the unspoken motto: “there are anyway only for the disabled”. other rules apply, apparently! unfortunately!

pretty speeches can only be through the courage of his convictions and the pressure detected
I hope it is not more muddling on for a long time more as it is now – on the back of all involved.
I hope that the politicians in charge get enough pressure that it is finally acceptable solutions, because the way it works now, it is a disaster that is constantly talked just beautiful!
this pressure would come not only from the patients and their anxious relatives, but rather those who are on a daily basis in this “grey zone” (illegality)!
but as long as all keep the mouth well-behaved to join in, just muddling on.
without courage, there will be no changes!

The Postings in the Forum ^[3] of BICEPS-INFO ^[4]: nr=9918#fid10467 ^[5] & nr=9918#fid10468 ^[6] 5. August 2009, 10:27 & 10:20 P.m.

BICEPS-Posting ^[7] by “fraza“ (4. August 2009, 23:08 PM)
Dear Fr. Lichtenauer!
Your Show of Maladministration is right, just don't forget the people who depend every Minute on care and maintenance, today, now. Should we wait for a change in the law and see to die like our disabled (sorry). Then, we will be moving in the future in gray areas.
By the Land of lower Austria is required in facilities, the staff has extensive training, just show me a dipl. A nurse would perform for a still low wage these work.
We have still the Situation that caregivers are allowed to do EVERYTHING at home and the caregivers in the Behin.Device not even the food is likely to be. You would stand up and say that I can't and don't, and that anyway, the whole System would collapse.
So is gewurschtelt on this Track, probably the next few years. It comes to Maladministration will not be condemned to a social worker, because the politicians can look the other way, of course, otherwise you will lose the last bit of responsibility, finally, you have one Yes ? Law made.

.

Article in BICEPS-INFO ^[4] – Text: Dr. Franz-Joseph Huainigg (29. As of July 2009)
Full Bladder? Please wait! ^[1]
If professional interests are put before the needs of people with disabilities, the bladder, the bowel unentleert and the breathing cannula life-threatening clogged.
Luise F. lives in an upper Austrian group home for disabled people. If you drink due to the heat a little too much water or too much water containing fruit has eaten, it may be that suddenly at 15:00 your bladder is full. Although you could do it, none of the handicapped supervisor authorize inner catheter.
Luise will have to wait until 18:00, then the mobile comes a nurse, and with her the relief. Until then it is pain to endure, spastic convulsions, endure, and possibly even damage to Health caused by Urine backflow into the kidneys risk.
You have to face up to the fact that not all disabled people can live at home. When communities, large care homes, small residential and small group homes (up to 8 people) would like to replace, you have to adapt the framework for the care of disabled people according to their needs.
In family-like residential structures may not be about the clock, a nurse on-call. Therefore, it is necessary that nursing activities for a specific disabled Person can be delegated to the WG from a nurse to a supervisor.
In the 2008 amendment to the health and nursing law (GuKG), it was established the important principle of Delegation. This nursing activities of nursing and care professionals at elder care can be delegated in the framework of the 24-hour care and personal assistants. It is quite incomprehensible why exclude qualified disabled carers in residential groups, from the principle of Delegation. The current legal regulation in the GuKG leads to some absurd situations in residential communities:
A laxative only the qualified professionals to administer, may suppository, simple associations are not allowed to changed, despite the risk of infection of the disabled, their carers and even the respiratory cannula may be extracted in mucilage only from a diploma nurse-terminated sick. Even in the case of emergencies, a corresponding mobile service is to contact to. Who knows that after three minutes without breathing, brain damage will occur, sees the irrationality of these regulations.
Don't be stressed, it's about quality. Because a ventilation cannula well and professionally suction, can members after a Training of personal assistants as well as nurses. It is a Union instead of obsolete occupation is the Care of the benefices secure, a functioning Case - and Care Management. Thus, not only disabled people but also to care professionals would benefit from new areas of responsibility.
The nail sample between professional interests and the basic needs of disabled people happened in the Council of Ministers, where the GuKG amendment was on the agenda.
The important access to the training module of the base supply has been tipped for disabled carers in the last Moment by the Ministry of health from the consultation draft. Likewise, there is no approach of a delegation principle. Existing is firmly concreted, and the flexibility of the approaches are missing. It urgently needs a GuKG-Reform, but not this one!

Translated by Yandex.Translate and Global Translator