Thursday, March 9, 2017

News from the Organization Diakonia Reghin

Use of donations received from Van den Heerik Foundation Breaza

            1. Services provided by our foundation
            Socio-medical home-care includes monitoring vital signs (pulse, temperature, blood-pressure, blood-sugar levels), administering medication (procuring medication, monitoring the dosage, and controlling the intake), mobilization and massage, assisting the beneficiaries in completing their physiological needs (changing adult diapers, bedpans), caring for sores, wounds, lesions, eschars; active and passive mobilization for stroke victims, applying the TENS device for muscle stimulation in order to prevent bedsores; changing the urinary catheter; inserting nutrients through nasogastric feeding tube; drawing blood for lab work; managing and changing ostomy pouches; managing tracheal cannulae; administering endovenous perfusions; administering per os and intramuscular or intravenous shots.
            Basic home-care consists of washing, bathing, putting on clothes, undressing, washing teeth, hair-care, shaving, cutting nails, sitting the beneficiary in an upright position, arranging the bed, changing bedsheets, assistance in nutrition (preparing food, serving food in bed or at the table), movement exercises, instructing family members. In the cases where the beneficiary is entirely dependent, the assigned case worker does the grocery shopping, helps in preparing and serving food and cleaning the house of the beneficiary.
            Community services include home maintenance, attending the beneficiary to the physician, pharmacy, bank, authorities; informing the beneficiary about alternative means of support; helping/assisting with treatment; supplying aid materials; distributing food packages. Due to the large distances between various villages and the cities, we provide help in obtaining prescriptions for the elderly unable to do this themselves; we also pick up medication from the pharmacies, set up the monitoring of the correct dosage, and the administration thereof.
            Social services: initial and periodic evaluations; identifying persons in need; mental hygiene; counselling; providing information pertaining to social services; establishing the intervention plan; counselling for making the necessary administrative steps for obtaining social rights.
            Palliative services: (these are services provided to persons who are terminally ill. Currently the entire staff of the foundation is trained in palliative care): basic hygiene, monitoring and controlling symptoms (through drugs and other means which do not involve medication), counselling for beneficiaries and their family members; mental hygiene; providing information with regard to diagnosis and intervention options.

            2. Short description of the social-medical situation
            We have eight working points from which two are cities and the rest are villages. A village working point has four to ten other villages that we attend because they administratively belong to that “comune” (the main village who administratively holds all the other small villages). In the villages there is an acute need for home care services because there are no permanent medical facilities. There is one or maximum three doctors in the comune who planes a day for each village that administratively belong to them. There are also no pharmacies in the small villages like: Petrilaca Mura Mare, Mura Mica, Sacalul de Padure , Iara ,Ilioara, Cinta, Tirimioara, Fitcau so the home care giver has to buy the medications based on the prescriptions and bring them to the patient. The above mentioned small villages have also another problem, and that is the fact that they are “out-elders villages” which means there are no young families and everyone is old. The community cannot help its members because they are all old and sick so there is an acute need for a caregiver and a nurse but it would also be useful to have volunteers that maybe help out with garden work in summer or wood cutting and bringing water inside the house in winter. Another provocation in these villages is that around 80 percent of them have no water inside the house and the toilets on the outside.
            Another problem we encounter is that most of our beneficiaries are people with minimum wages or even smaller who are not able to care properly for their sick beloved ones because they don’t have enough money to buy all sorts of special wound care gausses. The same money problem is sometimes the cause of bedsores: the family doesn’t have enough money to buy adult diaper so they change the diaper only once a day or once in two days so the skin doesn’t breathe and wounds easily appear. It also happens that the families sometimes believe that wounds will heal themselves and they don’t call for help until the wound is already infected or necrotic.
             In the cities the patients we care for are palliative patients. Paliative care is the care you give to people dignosed with terminal disease who are close to their death. In these cases it is important to care for wounds in order to prevent infection and have a good pain control management. Paliative care is relatively new here in Romania so we have to explain and negotiate with families what it actually means to control symptoms in order to maintain life quality rather than healing.    
            3. Donations received from Van den Heerik
            In 2016 we received medical aid materials that we could use in our work with the patients. We have received sterile gauze swabs, special wound care materials, fixation dressing, fixation bandages and cleaning bandages.
Special wound care materials:
            We have received hydrocolloid dressings, silver dressings, and calcium alginate dressings which we all used to treat infected wounds, ulcers and bedsores. We do not include photos in these reports because they are explicit content. If the donator would like to receive progress photos of the wounds and their healing process please inform us and we will send a wound care management report that contains explicit wound care pictures and anamnesis.
            We work with a lot of leg ulcers and diabetic ulcers that usually need extra support bandages and a lot of wound care dressing that most of the time the elderly cannot buy because they have low pensions.
            Having special wound care material allowed us to care for a deep post-op infected wound of which the surgeon said it will take a year to clear. The nurse used silver dressing and fixated with special bandages. When the patient went to the mandatory visit the surgeon said it is beautifully cleaned and he didn’t think it would go that fast. If it wasn’t for the received materials we would have treat with simple sterile gauze swabs and betadine and the wound healing would have been a much longer and tiring process.
Disinfectant solutions:
            We received a big number of disinfectant solutions these are very useful because some of them stay at the caregiver to disinfect wounds, clean wounds or clean the skin before starting any sort of intervention. Some of the disinfectants we leave at the patients home because we have villages were we are able to go only once a week and we leave dressings in case the dressing applied by us falls down or something else happens.
Special ointments:
            Special ointments are the ones that help us prevent infection of the wound, and sometimes even the appearance of a new wound. These ointments are very useful because the caregiver can have it all the time with her and this way she is able to moisturize skin or use it on some small bruises.
Our activity in 2016 in numbers
In the table below you can see the number of services we provided the last year. Theserepresent the total number of services realized in the 8 working points that totalize a number of 51 localities.

·         Monitoring vital signs: 23358
·         Administering medication: 7845
·         Wound care: 8864
·         Bedsore care: 2370
·         Managing and changing ostomy pouches, drain tubes, tracheal cannulae: 380
·         Managing catheters: 144
·         Drawing blood for lab work: 237
·         Therapeutic manoeuvres: 8795
·         Assisting the beneficiaries in completing their physiological needs: 2654
·         Auricular washing: 29

Basic home-care: 17050
·         Washing:3811
·         Bathing: 189
·         Changing clothes: 2722
·         Washing teeth: 22
·         Hair-washing: 982
·         Shaving: 245
·         Cutting nails: 967
·         Sitting the beneficiary in an upright position: 1623
·         Arranging and changing bedsheets: 3226
·         Assistance in nutrition: 316
·         Movement exercises: 1410
·         Instructing family members: 1537

Community services: 12018
·         Home maintenance: 1582
·         Physician office/pharmacy visiting in the name of the beneficiary: 2468
·         Attending the beneficiary to the physician/pharmacy 422
·         Act as authorized delegate instead of the beneficiary at the bank/authorities: 790
·         Attending the beneficiary to the bank/authorities: 164
·         Attending the beneficiary to events: 215
·         Shopping: 1141
·         Informing the beneficiary about alternative means of support:1875
·         Helping/assisting with treatment: 546
·         Supplying aid materials: 2503
·   Distributing food packages: 312

Community services: 17224
·         Social evaluation (initial and periodic): 3807
·         Identifying persons in need: 351
·         Mental hygiene: 24
·         Counselling and affective support: 5468
·         Providing information pertaining to social services: 3097
·         Establishing the intervention plan: 753
·         Counselling for making the necessary administrative steps for obtaining social rights: 382
·         Administrative social activities: 3342

We thank you very much for your support and all the good things we received from you. Our beneficiaries are very grateful for all the products you sent us. Thank you very much.

Szekely Anamaria Stefania

CEO Diakonia Reghin 
Filiala Reghin a Fundatiei Crestine Diakonia

Adresa: 545300 Reghin, str. Oltului nr. 69
Fix: +40374011113
Mobil:+40758 059 400
Fax:  +40265 513 718
e-mail: diakoniaregen(at)

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