Multi -dimensional construction of elderly cognitive disorder friendly communities
March 15, 2023 09:27 Source: "Chinese Social Sciences" March 15, 2023 Author: Wang Jitong

■ The picture shows the elderly learning gesture dance in "Elderly Primary School".

Picture Source: China News Picture Network

The 20th National Congress of the Communist Party of China proposes to "Implement the Strategy of Actively Copy Population Aging Strategy"。The high -quality development of promoting elderly care services is the key to actively responding to the aging of the population,And the construction of a friendly community in the elderly cognitive disorder as an important content of the overall and high -quality development of the pension service field should be attracted。According to the statistics of "World Alzheimer Report 2018",In 2018, there are about 50 million patients with cognitive impairment in the world,It is expected to increase in 2050 to 152 million,and mainly distributed in China with a high degree of aging、India and other developing countries。With the critical period of Chinese cities entering high -quality development,City development center of gravity changes from quantitative to qualitative transformation,Urban construction should pay more attention to the needs and feelings of the people。In this background,Take Shanghai as an example,2022 Shanghai Health and Health Commission and other 19 departments jointly released the "Shanghai Healthy Aging Action Plan (2022-2025)",Proposal to deepen the construction of friendly communities in the elderly,Strive to achieve full coverage of street town during the "14th Five -Year Plan" period。At the same time,Pilot construction work in the friendly community of elderly cognitive impairment in various places also expands quickly,The construction path of the friendly community of the elderly cognitive disorder needs to be clearly clear。

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2012,The World Health Organization for the first time included the elderly cognitive impairment in the public health focus。At present, more than 50 countries have been formulated or have formulated a state strategy for the elderly cognitive impairment,Began to actively explore the comprehensive support system of cognitive disorder at the national strategic bet365 Play online games level。At the same time,In recent years, the concept of "local pension" has been widely used in policies of various countries,The importance of "community" as the daily life and living space of the elderly has also attracted much attention。Existing research shows,The continuous decline of cognitive ability,The ability of patients with cognitive disorder to adapt to the environment is also declining,To help them live as much as possible,The familiar community home environment is very important。The laws and characteristics of the cognitive ability of patients with cognitive impairment in the elderly,Actively improve and rebuild the existing community environment,Cognitive ability to delay the decline of patients with cognitive disorder,Guarantee and improve its quality of life,Strengthening family care ability is extremely important。Based on this,Developed countries represented by Japan and the United Kingdom on the basis of the national strategy of cognitive obstacles,Start actively exploring the construction of a friendly community of cognitive obstacles for the elderly,It aims to be patients with cognitive disorder、Caremakers and their families provide all aspects、Diversified、High -quality support service,Effectively guarantee and enhance the life happiness of patients with cognitive impairment and their families,Demand meets the high -quality development of the city。

experience based on developed countries,I believe that in the construction of a friendly community in elderly cognitive impairment,Should uphold the following four principles。

One is to emphasize "people -centered"。As early as the early 1990s,Tom Kitwood (Tom Kitwood) proposed the "Person-Centered Care" elderly cognitive barrier care concept,and widely used in elderly services in developed countries。Elderly cognitive disorder patients are the core subject of elderly cognitive disorder friendly community services,Therefore, in the construction process of a friendly community,The position of patients with patients with cognitive disorder,Persist in patients with elderly cognitive disorder,Fully consider the diversified needs of their personal and families,and build a friendly community service and environment based on demand。

The second is to attach importance to "social participation"。Elderly cognitive disorder patients bet365 live casino games can easily become marginalized due to their disease characteristics、Special groups excluded by society,Then accelerate the deterioration of its condition,Form a vicious cycle。Social participation is the core and essence of "active aging"。Active social participation can prevent patients with cognitive impairment from being separated from the society,Promote its active participation in community life,Improve cognitive function,Enhance life happiness; it is also conducive to its recognition and respect in the process of social participation,Feel the value and meaning of your life。

Third, pay attention to "Increasing consciousness"。Compared to high blood pressure、Diabetes、Cardiovascular disorders and other diseases,Health education for elderly cognitive disorder is seriously lagging behind,As a result, the general level of the public is still easy to be stigmatized,The patient himself and his family also have a serious sense of illness,Social participation of patients with cognitive impairment patients。So,In the process of building an elderly cognitive disorder friendly community,Elimination of stigma and a sense of shame will be one of its primary goals,and enhance the scientific cognition of community residents,Reinforcement correctly,It will be an important way to achieve this goal。

Fourth is to promote "diversified collaboration"。Patients with elderly cognitive disorder accompanied by the continuous deterioration of their condition,Related Medical、care、Rehabilitation、Diversified needs such as the living environment need to be professional evaluation and satisfaction,To ensure the realization of its sustainable home life and the improvement of the quality of life。Use a cross -disciplinary work team to provide collaborative care and support for patients and their families,Not only can we implement personalized care solutions in a targeted manner,Improve the quality of life of patients,And it is conducive to reducing the care burden and pressure of the caregiver of the family,Provides practical guarantees for its sustainable home life and care。

  Multi -dimensional constructing friendly community

May 12, 2021,The "Status and Development Report of Cognitive Elderly Care Service" released by the China Aging Association Bet365 app download shows,At present, there are about 15.07 million patients with cognitive disorder in my country,It is expected to increase to 22.2 million people in 2030。Under the social background of rapid increase in patients with cognitive disorder,The construction of the comprehensive support system of the elderly cognitive disorder began to pay attention to the national level。2022,15 departments including the National Health and Health Commission and other 15 departments jointly issued the "Fourteenth Five -Year Plan" Healthy Aging Plan ",Put forward the "Development of the State Coperly Action Plan for Alzheimer's Action","Establishing Early Screening of Alzheimer's Early Screen、Early diagnosis、Comprehensive prevention and control mechanism of early intervention "。At the same time,Looking at a number of pension -related policy documents issued by the state in recent years, you can find it,The government attaches great importance to the positive role of community construction in improving the quality of life of the elderly。Current,my country is in the critical period of urban high -quality development and the reform and development of aging career,should take this as an opportunity,Based on the four principles of "persistent people -centered", "attach importance to social participation", "focus on improving consciousness" and "promoting diversified collaboration",Actively promote the construction and development of the friendly community of cognitive obstacles for the elderly,Effective improvement of patients with cognitive impairment and their families obtained、A sense of happiness and security。

First,Improve the top -level design of the construction of friendly community construction for the elderly。First,Standard Guide to formulate a friendly community construction,Provide guidelines for the construction of friendly communities in various regions。Shanghai launched the first batch of friendly communities construction pilots since 2019,and released the "Guidelines for the Construction of Shanghai Cognitive Disarior Community Construction (Trial)" in 2021,Basic construction involved in a friendly community、full service、Community environment、The guarantee mechanism and other basic content,This standard puts forward clear requirements for the solid promotion of friendly communities in the pilot areas of Bet365 lotto review Shanghai,It also provides a reference basis for pilot work supervision and evaluation。The national level should actively absorb the day、The successful construction experience of developed countries such as Britain and Shanghai,Adhere to "people -centered",Standard Guide for the establishment of a friendly community in science,Promote the construction and development of friendly communities across the country。Second,Develop and introduce special policies and development plans for the elderly cognitive obstacles,Provide policy guarantee and support for the construction of a friendly community。Based on this,Based on the characteristics of their respective communities,Integrate existing resources in the community,Create a special friendly community。

2,Create a good atmosphere for the construction of a friendly community in the old age。First,Actively carry out the popular science education of cognitive obstacles for the elderly,Eliminate the fear and discrimination of community residents' cognitive obstacles for the elderly,Strengthening scientific cognition,Realization of "Increasing Consciousness"。At the same time,Guide and encourage community residents and various types of enterprises and institutions in the region to become the "good friends" and "friendly units",A good humanistic atmosphere to create a friendly community construction。Second,Uniformly adds to the elderly cognitive obstacles and friendly logo and friendly elements in community public space and service facilities,Help patients with cognitive disorder to identify the surrounding environment,Easy to use residence、Traffic、Public space, etc.,A good space atmosphere of creating a friendly community construction。Through the above measures,Help patients with cognitive disorder to achieve better "social participation"。

third,Constructing a multi -main body coordinated joint working mechanism for the construction of a friendly community for the elderly cognitive disorder。The construction of a friendly community involves health education、Risk assessment、Resource link、Family support、Resource link、Platform construction、Environmental transformation and other job content,Need a local government and the residents of the community where they are located、Commercial institutions、Medical、care service agency、Social Organization、Community environmental planning Bet365 lotto review and other diverse subjects participated in it。To achieve this goal,First,The national and local governments should be policy at the level、Funds、Places to give strong support,Fully mobilize the enthusiasm of the multiple subjects to participate in construction。Second,Establish local government -led、Street functional departments are responsible for、The coordinated linkage work mechanism of the joint participation of the multi -subject。Multiple subjects give full play to their respective advantages,Form an advantage to complement、Working mechanism for win -win cooperation,and based on common construction goals and construction standards,Cooperation to create a science science from the previous period、Community prevention、Family support after the diagnosis after screening、Professional care service provision、Community home environment transformation and other full chain service mode,Provide comprehensive guarantees and support for patients with cognitive disorder and their families。

Fourth,Establishing a continuous supervision and evaluation mechanism for the construction of a friendly community construction for the elderly。First,Governments of various places should combine local actual situation,Established by medical treatment、care、A friendly community construction work supervision team composed of cross -disciplinary teams,Perform targeted tracking supervision of the entire process of pilot construction。With the professional force and rich experience of supervision,With the professional force and rich experience of supervision,Accelerate the construction process。At the same time,Fully excavate community resources,Promote the pilot communities to combine their respective advantages,Create a friendly community mode with various characteristics。Second,A friendly community long -term dynamic evaluation mechanism combined with daily evaluation and regular evaluation,Process evaluation and effectiveness evaluation of the pilot community。Through evaluation,On the one hand,helps to discover the advantages and deficiencies in the construction process in time,Continuously improving the construction plan,To achieve the high -quality development of the construction bet365 Play online games of friendly communities; on the other hand,,It is conducive to the government level comprehensively mastering the construction process and construction effect of the friendly community,and combined with the actual situation and needs,Formulate and improve relevant policy standards, etc.,Provide policy guarantees and multi -party support for the high -quality development of the construction of a friendly community。

 (Author Unit: School of Social Development and Public Management of Suzhou University of Science and Technology)

Editor in charge: Chen Jing
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