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Social workers 'waiting for people to die' to get elderly clients the care they need

Social workers say as many of half of their clients who have gone into nursing homes could have stayed in their own homes with proper supports.
Often the situation is that you are waiting for someone to die to access hours.

SOCIAL WORKERS HAVE revealed the difficulties of securing the care and home help hours their elderly patients need.

In a new report, social workers who were interviewed said they believe as many as half of their clients who have gone into nursing homes or are waiting on places could actually stay at home if the appropriate supports were there.

One social worker explained his frustration when it comes to applying for home help hours:

I dread making home help applications…takes a huge effort…like begging. For example, a person fell out of bed broke ribs, couldn’t dress…I asked for one hour per week…process took three phone calls to the public health nurse…wrote a three-page report; included personal care for dressing and washing needed…. Home help co-ordinator allocated three quarter hours per week.

‘We can’t feed them’

Another said domestic tasks are often where the greatest needs lies for older people they come into contact with.

“It’s that big gap; we can wash them but we can’t feed them.”

And one said there is often no one to replace a social worker when they go on holidays or are sick. This means a person may not get a bath or shower that week.

Many of the social workers quoted in the report said the majority of older people want to be cared for in their own homes.

I have never met anyone who was happy to go to long term care; there’s a lot of grief and loss.

‘Grossly underfunded’

The full report will be launched by Age Action, the Alzheimer Society, the Irish Association of Social Workers and researchers at UCD at noon today.

Dr Sarah Donnelly, of the School of Social Policy in UCD, said acute hospitals and nursing homes are being prioritised over the kinds of community services that allow older people to stay at home.

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“Waiting lists for home helps and home care packages are growing. Community care is grossly underfunded and people are simply not getting the care they need,” she commented.

The report highlights a number key problems with the system, which it says often bases decisions on geography rather than need.  The authors are calling for investment and reform in community care services and for the government to make the allocation of care fair and equitable.

Read: Irish scientist gets €2m grant to develop new treatment for arthritis, MS and Alzheimer’s disease>

Read: “Before this I was a young 69, I was full of life. I’m a world away from that person now”>

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8 Comments
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    Mute Donal Carey
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    Jun 3rd 2016, 6:54 AM

    I have to agree there are people in care homes that could be cared for in the home with the right support which would free up beds for people who are more in need

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    Mute Joe Harbison
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    Jun 3rd 2016, 7:00 AM

    This isn’t even the full story. Quite a lot of hospitals in Ireland don’t even have social workers, they have ‘discharge coordinators’, who are usually nursing staff. It’s worth remembering that when a older person is sent to a nursing home rather than home with a care package, their savings, assets and even their home may be levied to help pay for that care.

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    Mute sally
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    Jun 3rd 2016, 6:54 AM

    Social workers and care workers are totally different professions. This article should read care workers

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    Mute Dubangel#irexit now
    Favourite Dubangel#irexit now
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    Jun 3rd 2016, 9:16 AM

    A social worker in Ireland differs greatly to a social care worker your article is incorrect. It’s the roll of a social care worker to wash cook etc a social worker puts the services in place

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    Mute Sue Phelan
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    Jun 3rd 2016, 3:43 PM

    I moved home from England to help my parents cover extra hours here with my great aunt and granny. They both have Alzheimer’s and need to be dressed, washed, toileted and fed. We get 15 hours of extra help and have been begging for extra hours for about a year now, a bit less perhaps. We have been approved for the hours a long time ago they just haven’t been given out to the likes of home help, comfort keepers and the Alzheimer’s association. We knew that we would be waiting a long time for the hours but it seems I will be putting my life on hold for a lot longer.

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    Mute Portia
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    Jun 3rd 2016, 6:00 PM

    Follow the money. More profit in care homes.

    Research who owna them and it all makes sense.

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    Mute Éilís NíCosgair
    Favourite Éilís NíCosgair
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    Jun 3rd 2016, 9:15 AM

    A social worker in Ireland differs greatly to a social care worker your article is incorrect. It’s the roll of a social care worker to wash cook etc a social worker puts the services in place

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    Mute Neil Mcdonough
    Favourite Neil Mcdonough
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    Jun 3rd 2016, 2:22 PM

    Mortality, and our avoidance of it, is a subject that needs to be discussed soon. Where do we think we are going here?

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