Report of Elderly Care Traiig i Nepal 1. Backgroud Globally, there is uprecedeted icrease i ageig populatio. Hece, this 21 st cetury is said to be the cetury of older persos. Ageig populatio accouts for 13% of world s total populatio. It is also estimated that the umber of ageig populatio will be tripled by 2050. I Nepal, there were 1.5 millio ageig populatio i 2001 ad 2.1 millio i 2011 which costitute 6.5% ad 8.1 % of the total populatio, respectively. Durig the years 1991-2001, the aual ageig populatio growth rate was 3.39 percet which is higher tha that of aual populatio growth rate (2.3 percet). O the other had, uclear family system has replaced joit ad exteded family system due to moderizatio ad urbaizatio. This coupled with high migratio of youth reders elderly members ulikely to receive proper care ad love eve though they are at home. I such coditio, the elderly with chroic disease ad helpless eeds a care taker. However, there is lack of well-traied caretakers i Nepal to take care of elderly. 2. Problem This large umber of populatio eeds special cosideratio for their iclusio i societal maistreamig. But the situatio of this populatio is very vulerable due to lack of proper care. I the cotext of Nepal, well-traied huma resource for the elderly care are ot available. 3. Itroductio of the Programme Ageig Nepal (AN) ad Hope Hermitage Nepal (HHN) i collaboratio with Miistry of Wome, Childre ad Social Welfare (MoWCSW) ad i support of Ageig Nepal Switzerlad orgaized a 10 day s log elderly care traiig programme from Feb. 15, 2016 to Feb 27, 2016. The programme was focused o policies ad programmes o ageig, rights of older people, cosequeces of elder abuse, elderly health, Alzheimer s ad
related ad way to cope elderly with differet persoality as caregiver i day to day life. 4. Objectives The traiig programme was orgaized to meet the followig objectives. To fulfill the gap of the caretaker shortage i Nepal ad to improve log term livelihood To icrease the employmet opportuity i Nepal ad raise awareess of choosig caretaker as a career To empower Nepalese wome belogig uprivileged backgroud ad eager i servig elderly 5. Participats We are very happy to ote that the participats of the traiig programme were from differet districts of Nepal. Red Circles idicate the traiee s district that they represet Geder Cosideratio I the cotext of Nepal, culturally the female are more resposible to provide care for the child ad elderly. As well as, to ehace the wome empowermet
the traiig programme was focused o female participats. So large umber of female (24) were ivolved tha that of male (2) i the traiig. 6. Subject Coverage The followig issues o elderly were covered i the traiig. a) Global ad atioal treds of ageig populatio ad its cosequeces ad termiologies b) Social Security ad older persos c) UN bodies, INGOs ad door orgaizatio i Nepal d) Aatomy e) Kiesthesia f) Policy ad programme of Miistry of Health, Govt. of Nepal g) Policy ad programme of Miistry of Local Developmet, Govt. of Nepal h) Nutritioal diet i) Elder abuse j) Huma Rights ad UN Priciples o the rights of older people k) Role of caregivers l) Commuicatio skill of caregivers m) Care ad eed assessmet ad care pla ) Nursig/ Medicatio maagemet tips for caregivers o) Livig space maagemet p) Alzheimer s ad related Demetia q) Potetial causes of behavioral symptoms r) Copig with chages i behavior s) Activities of daily livig ad persoal hygiee i care of persos with Alzheimer s ad t) Psycho-Social cousellig ad skills for caregiver u) SDG 2016 to 2030: Social cultural cosequeces, ecoomic cosequeces, political cosequeces, maistreamig v) Policies ad programs of Miistry of Wome, Childre ad Social Welfare, Govt. of Nepal w) Educatio ad care o daily livig x) Perso- cetered care y) Home Safety/ Eviromet
7. Resource Perso Mobilizatio Efforts were made to ivolve issue orieted well kow experts from wider sectors of Nepali society i the traiig. The resource persos were from Govermet bodies, INGOs, NGOs ad idividual experts. The followig table presets the ame of the experts, related orgaizatios ad the issue covered by them. S.N. Name Desigatio Orgaizatio Issue 1. Chairperso Ageig Nepal Global ad Natioal Tred of Ageig Populatio, Care ad eed assessmet 2. Sasmita Poudel Health Officer HelpAge Iteratioal Nepal 3. Sagita Nirola Fouder member of SWATI & Former Coutry Director of HelpAge Iteratioal Nepal SWATI 4. Dr. Prakash Mahoto 5. Shaligram Rijal Udersecretary Miistry of Local Developmet 6. Prof. Dr. Pushpa Kamal Subedi Social Security UN bodies, INGOs ad door orgaizatio i Nepal Psychotherapist KMC Aatomy ad Kiesthesia Policies ad Programs of Miistry of Local Developmet, Govt. of Nepal -Professor 7. Dr. Tritha Raa Public Health ad Nutritio Expert 8. Saju T. Magar Programme Officer Cetral Departmet of Populatio Studies Executive Board member of Nepal Public Health Foudatio Ageig Nepal Policy ad programme of Miistry of Health, Govt. of Nepal Nutritioal Diet Elder Abuse
9. Bhumidatta Programme Ageig Nepal Huma Rights ad Poudel Coordiator SDGs 10. Deepa Deewa Treasurer The Hope Role of Care giver, Hermitage Activities of daily livig ad persoal hygiee i care of persos with Alzheimer s ad Bathig, groomig, cleaig of people with Alzheimer s ad 11. Rajaa Gurug Board member The Hope Role of Care Giver Hermitage Nepal 12. Shata Rai Nurse KMC Nursig Medicatio Maagemet 13. Chairperso Hope Hermitage Persoal Safety Nepal Alzheimer s ad related Potetial causes of behavioral symptoms Copig with chages i behavior Perso Cetered Care Home safety for people with Alzheimer s ad 14. Preety Pu Nurse - Psycho-Social cousellig ad skills for caregiver 15. Meera Shercha Uder-Secretary Miistry of Policies ad Wome, programmes of Miistry Childre ad of Wome, Childre ad Social Welfare, Social Welfare Govt. of Nepal
8. Schedule The programme was orgaized uder the followig schedule. DAY 1 Moday, February 15 Time Cotet Areas Time Methodology Resposible / Resource Perso Facilitator 10.00-10.30 Registratio Welcome tea 10.30-11: Formal opeig Chairig the guest Traiig overview; expectatio ad objective Short speech by the guests Vote of thaks Chief Guest 12. 00 to 12.45 Luch 12.45-1.40 Objectives ad Itroductio expectatio from the traiig program What will be covered i the traiig course Scheduled ad traiig program pla Ifo about practical 1:45 2:40 Module 1a: Global ad atioal treds of ageig populatio ad its cosequeces ad termiologies 2:45 3:40 Module 1b: Social Security ad older persos Tea Break 15 4:00 4: Module 2a UN bodies, INGOs ad door sessio 1 What is ageig? Overview of ageig Natioal treds of ageig populatio ad its cosequeces. Chagig populatio structure of Nepal Global cotext of ageig i geeral Social security of older persos UN bodies, INGOs ad door orgaizatio i Nepal 30 Shati Dog/ Prakash 85 Short speech T hapa / MC - welcome Chief Guest MoWCSW Iformatio / Presetatio/ Power poit Presetatio/ Sharig ad iteractio HelpAge Iteratioal Sagita Nirola Lea Frei/ Lea Frei
orgaizatio i Nepal Day 2 (Tuesday, February 16) 4 Gatay 9.30-10.00 (Tea & Cookies) 10:00 11: Module 3a: Aatomy Aatomy: Educatig about body structure of Ageig 12:00 12: 45 Luch 12:45 2:40 Module 6g: Kiesthesia 2:45 3:40 Module 2d: Policies ad programs of Miistry of Health, Govt. of Nepal Tea Break 15mis 4:00-4: Module 2e: Policies ad Programs of Miistry of Local Developmet, Govt. of Nepal Hadlig patiets, techiques of movig ad support Policies, Programs of the Miistry of Health Policies, Programs of Miistry of Local Developmet DAY 3 (Wedesday, February 17) 5 Gatay 9:30 10:00 (Tea & Cookies) 10:00 11: Nutritioal diet Module 3c: Nutritioal diet tips for healthy eatig Tips for healthy eatig 12:00 12: 45 Luch 12.45-1.40 Defiitio, Module 4a: Types, Defiitio, types, Symptoms, symptoms ad Cosequeces of elder cosequeces of abuse elder abuse 1:45 2:40 Huma Rights of older Module 4b: perso Huma rights, UN priciples o the rights of older 2x Presetatio/Cha rt papers ad power poit presetatio 2x Chart papers ad power poit presetatio Presetatio/Po wer poit/ Presetatio/ 2x Presetatio/ Lecture PowerPoit presetatio Presetatio/ Dr. Prakash Mahato (Physiotherapist Ortho, KMC) Dr. Prakash Mahato (Physiotherapist Ortho, KMC) Profess. Dr. Puspa Kamal Subedi Vijaya KC Vijaya KC Shalikgram Dr. Mrs. Tirtha Raa (Public Health ad Nutritio Expert) Saju T. Magar Bhumidatta Poudel
persos, legal ad orgaizatioal arragemets 2:45 3:40 Role of Caregivers Module 6a: Role What is a caregiver? of Caregivers What are the types of care givig? What are the resposibilities of caregivers? Tea break 15 4:00 4: Commuicatio, Module 6b: Skills for caregivers Commuicatio skill of Caregiver DAY 4 (Thursday, February 18) 6 Gatay / presetatio Deepa Dewa, Rajaa Gurug Deepa Dewa Observatio i Elderly Home 10:00-5:00 Module 5a: Practical sessio 1, observatio i elderly home Observatio 6 hours Hope Hermitage Deepa Dewa DAY 5 (Friday, February 19) 7 Gatay 9:30 10:00 (Tea & Cookies) 10:00 11: Module 5b: Reflectio of practical sessio Reflectio 2x 12:00 12: 45 Luch 12:45 1:40 Module 6c Care ad eed assessmet ad care pla 1:45 3:40 Module 6d: Nursig/ Medicatio maagemet tips for caregivers Tea break 15 4:00-4: Module 6e Livig space maagemet, Assessig care eed Plaig for meetig assessig care eeds Ageig Nursig care Medicatio maagemet tips for caregiver First Aid care Persoal safety i ad aroud house Presetatio from participats Presetatio/ 2x Presetatio/ Presetat io/ Video/ / RajaaGurug, RupaGurug Deepa Deewa Lea Frei Lea Frei
home ad public space DAY 6 (Moday, February 22) 10 Gatay 9:30 10:00 (Tea & Cookies) 10:00-10: Module 7a: Educatio about Alzheimer s ad related Demetia 12:00 12: 45 Luch 12:45 1:40 Module 7b: Potetial causes of behavioral symptoms 1:45 2:40 Module 7c: Copig with chages i behavior 2:45 3:40 Module 7d: Activities of daily livig ad persoal hygiee i care of persos with Alzheimer s ad What is Alzheimer s ad related Demetia? Causes, Behavior, Symptoms of Alzheimer s ad How to cope as a caregiver with causes of Alzheimer s ad Persoal hygiee i care of persos with Alzheimer s ad Tea break 15 4:00-4: Module 6f: Psycho-Social couselig Psycho-Social skills for caretaker cousellig ad skills for caregiver Stress maagemet for caretakers Caretakers role as psychosocial cousellor DAY 7 (Tuesday, February 23) 11 Gatay 9:30 10:00 (Tea & Cookies) 10:00-10: Module 2b: SDG What is SDG 2016 to 2030? 2016 to 2030: Social cultural Social cultural cosequeces cosequeces, ecoomic Ecoomic cosequeces cosequeces, Political cosequeces political Maistreamig 2x / Video Presetat io/ Presetat io/ Video/ Presetat io/ Presetat io/ Deepa Dewa, Rajaa Gurug ChetaLoks hum (The Relief Trust) Bhumi Dattapoude l
cosequeces, maistreamig 11:00 11: Module 2c: Policies ad programs of Miistry of Wome, Childre ad Social Welfare, Govt. of Nepal 12:00-12:45 Luch 12:45 1:40 Module 7e: Educatio ad care o daily livig 1:45 2:40 Module 7f: Perso cetered care 2:45 3:40 Module 7g: Home Safety/ Eviromet Policies, Programs of Miistry of Wome, Childre ad Social Welfare Bathig, groomig, cleaig of people with Alzheimer s ad Perso cetered care for persos with Alzheimer s ad How to commuicate? How to divertig their mid. Home safety for people with Alzheimer s ad Tea Break 15 Miu 4:00 4: Iformatio for the Module 8a Preparatio for practical practical 2 DAY 8 (Wedesday, February 8) 12 Gatay Caregiver i Elderly Home 10:00-5:00 Practical sessio 2, caregiver i elderly home, day 1 Orietatio for practical 2 DAY 9 (Thursday, February 25) 13 Gatay Caregiver i Elderly Home 10:00-5:00 Practical sessio 2, caregiver i 6 hour s 6 hour s Presetat io/ Presetat io/ PowerPoi t presetat io Presetat io/ Video/ Iformati o Hope Hermitage Hope Hermitage MeeraSerch a Deepa Dewa, Rajaa Gurug Rajaa Gurug, Rupa Gurug Rajaa Gurug, Rupa Gurug Rajaa Gurug, Rupa Gurug Krisha M.
elderly home, day 1 DAY10 (Friday, Febrary 26) 14 Gatay 9:30 10:00 (Tea & Cookies) 10.00-11: Report Module 8d Presetatio Report/presetati o/questios Luch 1:00-1:45 1:45 2:10 Module 8d Report/presetati o/questios Tea Break 15 Miu 2:30 4:00 Fial exam 4:00 4:30 4.30 5:00 Questios of the practical 2 Report Presetatio questios of the practical 2 Course Evaluatio Closig Ceremoy 2x 85 90 30 30 Participa ts Presetati o Participa ts Presetati o Questio aire Rajaa Gurug, Rupa Gurug Rajaa Gurug, Rupa Gurug Lea Frei/ Krisha M. Lea Frei/ Krisha M. Chair by Meera Shercha from Miistry / All team members Ageig Nepal / HH / Bajrcharya Shati Dog Prakash 9. Evaluatio There was a detailed evaluatio of every lesso, the practical s ad the whole course. Here the most sigificat results are poited out. I a ratig from 1 to 10 the studets gave a average of 9.6 poits for the questio how useful they thik the taught subject will be for their work as a caregiver. Almost the same result showed us the evaluatio filled i by the teachers. They rated 9.4 poits. By the evaluatio of the geeral degree of difficulties, the umber give by the studet is 4.7 ad the teachers rated a average of 5. The ratig i the studets ad the teachers evaluatio was far spread betwee 1 ad 10. To metio is that the level of educatio of participats reached from very low to high. Some of them ca t read or write ad others are highly educated.
For the mediatio of the subject matter, the studet rated a average umber of 9.4. 10. Lessos Leared This is the very first traiig for Caregivers o Ageig i Nepal. It has bee proved as a milestoe i the field of elderly care i Nepal. The orgaizig team got a opportuity to lear the followig lessos. Time frame of traiig: The orgaizig team triggered that the time frame was ot coveiet for the traiees as some of them were workig already as caregivers i differet old age homes. So, the team realized that the traiees faced problem i time maagemet. Compulsio of power poit i Nepali laguage: As most of the traiees were from grass root level of the society, they faced difficulty i uderstadig the traiig materials which were preseted i Eglish laguage. The traiig would be more effective if all slides were i Nepali laguage. Degree of difficulties: The ratig was spread. Parallel to the kowledge level of the studets. The traiig would be more effective if the studets would have the same level of experiece ad educatio.
11. Glimpses of the traiig Ms. Meera Shercha, Chief of Seior Citize s Uit, Miistry of Wome, Childre ad Social Welfare, Govermet of Nepal deliverig speech i the first day of the traiig Chief Guest ad guests of the traiig at opeig ceremoy
Ms., Chairperso of Hope Hermitage Nepal ad Mr. takig Sessios Traiees at The Hope Hermitage Nepal for the practical sessio
Group Work ad Presetatio