OVERVIEW TOT
CAREGIVERS FOR THE ELDERLY
Activity 1:What qualities should you have as a
TOT?
• In twos(Turn to your neighbor and discuss at least 2 qualities a TOT
should have
• You have two minutes, then share in plenary
Qualities of TOT
• Place home based caregivers training in context
• Demonstrate understanding of the curriculum and training materials
• Develop a training plan and training materials
• Train Caregivers
• Review participants’ pre-work
• • Conduct training
• • Monitor and evaluate progress after training
• • Provide technical support for training and quality implementation
• • Evaluate and refl ect
THE TOT
• TOT based on the Curriculum for Training Caregivers for the Elderly
developed by Shining Sunset Ltd’s Care for the Elderly program.
• We have developed this training curriculum to standardize the care
we provide to the elderly. All care providers under Shining Sunset Ltd
must undergo training using this curriculum.
• It is meant to provide basic knowledge and skills to frontline staff
who provide care for the elderly.
• Currently, families provide most long-term care and do so without any
organized training or support. Reliance on families alone to provide
this care results in inconsistent care quality
The types of services that are provided as
part of the home health care package include:
• Health education: for the elderly and family members including on
nutrition, prevention of falls, healthy lifestyles, among others
• Personal care: exercising, checking vital signs such as blood pressure,
pulse, heart rate and blood glucose level.
• Preventive services and early detection: prevention of bed ulcers,
dressing of wounds if needed, measuring blood pressure, breast selfexamination.
• Psychosocial support and social services: counselling for the elderly
and family members.
THE CURRICULUM
Modules
• Home-based care,
• Understanding ageing and its challenges,
• Baseline assessment and developing a care plan,
• Nursing care for the elderly,
• Nutrition and the elderly,
• Fitness and simple exercises for the elderly,
• Basic communication skills,
• Counselling,
• Legal and ethical issues,
• Record keeping
Overall objective of the TOT
• To train trainers so that in turn they train and equip caregivers with
knowledge, skills and the right attitude to enable them provide
quality care to the elderly.
Target of the training
• TOTs will be nurses and social workers who may be involved in the
supervision of caregivers
Methodology
• Adult experiential learning principles.
• Group work/discussions
• Simulation exercises
• Role Plays
• Skill demonstrations,
MODULE 1: HOME-BASED CARE FOR THE ELDERLY
This module aims to
• expose participants to contemporary issues of ageing in Kenya,
services available and possible opportunities and challenges they
might encounter.
• discuss the wide-ranging duties and responsibilities of Shining
Sunset’s in-home caregivers,
• provide the trainers with knowledge and skills to enable them
manage self-stress and avoid burning out. share some tips for good
caregiving, and discuss caregiver burnout and tips for preventing
these burnouts.
Ageing in Africa
 Currently 59.7 million people over 60+ years (6%) of population. By 2050, 215
million older people-10% of the African regional population*
 Numbers and proportion of older people increasing in all countries despite
HIV/Aids, wars, famines and other natural and man made disasters
 Africa is ageing more rapidly than any other continent, however are we prepared
in terms of relevant economic and social opportunities and protection?
 HelpAge International’s Global Age Watch Index 2013: 8/54 African countries
featured- overall shortage of internationally comparable data measuring quality
of life and well being based on 4 domains: income security, health status,
employment and education, enabling environment**
 COVID 19,Urbanization and climate changes are producing a new and different set
of challenges especially for the older population- issues of age friendly
environments
*Source: UNDESA, Population Division (2012) www.unpopulation.org
** Source Global Age Watch Index Report, HelpAge International (2013)
Options for home care
• Half day care sessions: The home caregiver spends a few hours in a
day at the client’s home to support them with specific tasks.
• Full day support: The family members may be away at work and
require the older person to be taken care of during the day while they
take over at night.
• Twenty-four hour support: The caregiver lives with the elderly client
and provides support round the clock.
Rationale for providing home-based care
• populations are ageing rapidly.
• family units become smaller, and
• younger adults move to find work,
• increasing numbers of older people are left living alone.
• Most older people want to stay in their homes if their quality of life
can be maintained.
• This has brought about the growing need for home-based care
services.
Benefits of home-based care
• social,
• economic
• policy
Providers of home care services
• Individuals
• CBOs
• NGOs
• Companies
Key Players and Roles
• The Elderly themselves
• Family Members Relatives Neighbors Community members
• Community Health Workers (CHWs)
• Health Facility Health Workers(HFWs)
• Others
Tips to Caregivers
Summary
• There is a huge demand for home care services than can be met.
•
Home care programmes should be designed to suit local needs, resources and culture.
• Care provided should be comprehensive and tailored to the needs of each individual.
•
Caregivers can either be paid or unpaid (volunteers).
•
All caregivers must be trained.
•
Currently, very few caregivers are trained, affecting the quality of home care programmes.
•
Long-term funding is a key issue for many programmes.
• Communication between different community-based services and agencies must be improved.
•
Programme developers should consider gender aspects.
• The skills and capacity of home care organisations need to be increased.
• Information and experiences between programmes, countries and regions need to be shared.
• Families need support from the state, if they are to continue their roles as caregivers.
• The public’s awareness of home care issues is very low.
• More research is needed on the need for home care, especially in rural, disadvantaged and minority ethnic communities.
Roles and responsibilities of caregivers in the
care of the elderly
Duties of a caregiver
• Personal care
• Meal planning and food preparation
• Mobility
• Companionship
• Medication management
• General health care
• Memory care
• Family support
Caregiver stress and burnout
• What is caregiver burnout?
• Signs and symptoms of caregiver stress and burnout
Tips on how to avoid caregiver burnout
•
Empowerment
•
Practice acceptance
•
Embrace your caregiving choice
•
Look for the silver lining
•
Don’t let caregiving take over your life
•
Focus on the things you can control
•
Celebrate the small victories
•
Applaud your own efforts
•
Talk to a supportive family member or friend
•
Ask for caregiving help
•
Look into respite care
•
Speak up.
•
Spread the responsibility
•
Set up a regular check-in
•
Say “yes” when someone offers assistance
•
Be willing to relinquish some control
•
Maintain your personal relationships
•
Share your feelings
•
Make yourself laugh
•
Get out of the house
•
Take care of your own health
•
Exercise.
•
Practice a relaxation technique
•
Eat well
•
Join a caregiver support group
Session 3: Duties and responsibilities of the
Shining Sunset caregiver
•
Shining Sunset’s in-home caregiver’s duties and responsibilities
•
Home maintenance
•
Prescription medicine management:
•
Assist with personal hygiene and care
•
Help with meals and nutrition
•
Emotional support and companionship
•
Transportation and mobility assistance
•
Health monitoring and reporting
•
Immediately respond to medical crisis or emergencies
Tips for good caregiving
Core values for Shining Sunset caregiving for
the elderly
MODULE 6: FITNESS AND SIMPLE EXERCISES FOR THE ELDERLY
• Learning objectives
• By the end of the session, learners should be able to:
• Understand and explain the importance of fitness for the elderly
• List the reasons why the elderly should exercise
• Perform 14 simple exercises for the elderly
• Perform massages for the elderly
• Exercises for the elderly to improve strength and balance
• Live longer
• Prevent falls
• Reduced risk of stroke or heart attack
• Better bone density
• Reduced risk of developing dementia
• Prevent or delay disease
• More confidence and independence
• Exercise 1: Single limb stance
• Exercise 2: Walking heel to toe
• Exercise 3: Rock the boat
• Exercise 4: Clock reach
• Exercise 5: Back leg raises
• Exercise 6: Single limb stance with arm
• Exercise 7: Side leg raise
• Exercise 8: Balancing wand
• Exercise 9: Wall push-ups
• Exercise 10: Marching in place
• Exercise 11: Toe lifts
• Exercise 12: Shoulder rolls
• Exercise 13: Hand and finger exercises
• Exercise 14: Calf stretches