What are the "stones of other mountains" for the elderly in Japan?

The popular variety show "Strange Story" once talked about the three forms of old-age care - living alone, living in a nursing home, and living with children. Older adults cannot choose to live alone and can only rule out this option. But cohabitation and nursing homes are a dilemma, and the generation gap will make waves in the lives of both generations. As in the Japanese movie "Father and Mr. Ito", when the heroine Aya asks "Why can't Dad live by himself?" The brother immediately protested with words: "My father had a bad heart at the age of 74, and his mother was not there, and he never lived by himself..." Finally, the father proposed his own pension plan: to live in a nursing home with the money from the sale of the house and the pension. The Japanese people's pursuit of a sense of boundaries of mutual respect, as well as the ethical concept of family and beauty, has brought new enlightenment to China's elderly care.

Respect the laws of nature for the elderly "let nature take its course"

As an aging society, Japan has a rapid growth in the number of elderly people and has a lot of experience in the development of the pension industry. In recent years, the Japanese government has taken many measures to solve the problem of life security for the elderly and let them enjoy a happy old age, including: pension system reform, nursing care insurance system reform, medical insurance system reform, social security and tax integration reform... These measures have allowed the elderly in Japan to have no worries about food, clothing, housing and transportation.

Bus drivers, traffic guides, supermarket cashiers... In Japan, there are elderly people in many positions, and as long as they can pass the physical examination and vocational test every year, they can always work in related work. The Japanese respect the laws of nature, and they value it most not to spend a lot of time and energy to cure and improve the dysfunction or chronic diseases of the elderly. CCTV famous mouth Bai Yansong wrote in "Walking Between Love and Hate": Many Japanese retired elderly people do not spend their old age like the Elderly in China, but choose to re-employment and earn some pocket money to reflect their own value, which is the extension direction of advocating the laws of nature. What is even more valuable is that the elderly and their families in Japan understand this, they are willing to accept the concept of "going with the flow" pension, and they do not desire absolute long-lived hundred years. This value concept, the essence of the elderly is to maintain and delay the natural law of the elderly's life, their physical and mental conditions, and the stage of life to provide the corresponding characteristics of the elderly care services, rarely try to change the life development mileage by exerting external forces. Such a concept enables the elderly and their families, nursing institutions and even the whole society to concentrate "firepower" to ensure the quality of life of the elderly in their later years.

Promote nursing care insurance to focus on the quality of life in old age

Nursing care in Japan, also known as nursing care, focuses on the quality of life of the elderly, that is, in addition to the length of life or the degree of physical health, it pays more attention to the quality of life that the elderly have left. There are many types of nursing care, such as private elderly care and Alzheimer's care. In 2000, the nursing care insurance was also introduced, which belongs to the national nursing care insurance, which is the insurance paid by the elderly who need to be nursed in addition to the pension insurance, which is used to protect the pension institutions where they live, and the fees are paid separately in two stages. It is used in a variety of ways and in a variety of ways, with home-based services and day care centres accounting for a portion; The elderly are also temporarily admitted to pension institutions; Special facilities for the care of the elderly also account for a part.

In China, we have worked hard to help the elderly achieve a long life. To this end, Chinese nursing institutions often invest time and money with the elderly in seeking medical treatment. If the elderly do have great hope of healing, it is certainly worth the effort and money to spend. However, many diseases of the elderly are incurable chronic diseases or physical and mental dysfunction that are too depleting of their health. Hollowing out the mind for treatment will not only make the elderly suffer repeatedly, but also make them lose their quality of life in the time of "insufficient balance". Instead of this, it is better to choose conservative treatment, try to let the elderly spend the last happy time, and even help them realize their dreams. When appropriate, allow the elderly to drink, smoke, travel long distances, look for the people they want to see, and go along with people's wishes.

Japan respects and cares for the feelings of each elderly, which means that people-oriented, as far as possible to reflect personalized and differentiated services. The movie "Rainbow Old People's Home" tells the story of the personalized escort of the gay nursing home. Although the work of old-age care is boring and heavy, in recent years, the Japanese old-age service industry has more complied with the individual needs of nursing objects. As long as the old-age service institutions allowed by manpower and facilities, they will provide accompanying services such as diet, bathing, and going out for walks according to the personal preferences of the elderly as much as possible. Specifically, eat lunch at 12 noon, bathe in the morning or late at night, go out for a walk in rain and snow, and so on. Whether it is to respect heaven or love the elderly, it seems to originate from the essence of Wang Yangming's philosophical thought in China.

Do not tout high-tech attach importance to "people-to-people" escort

Recently, in the hit drama "All Is Good", it can be seen that home care is not the only choice. The sudden death of Su Mu made his father, Su Daqiang, who was about to retire, a "hot potato". The three sons and daughters first thought of letting Su Father and eldest son go to the United States to live in a big villa together, and Su Father was kicked everywhere as a leather ball. In Japan, the pension industry is developed, and there are countless types of institutions, which can be divided into six categories: apartments for the elderly, paid nursing homes, nursing homes for Alzheimer's disease, nursing care types, community service centers, and special nursing homes.

According to the survey, the elderly in Japan like to live in a convenient location with convenient transportation facilities, and they also attach great importance to service facilities and meals, that is to say, the service brand of pension institutions is crucial. There are three typical Japanese pension institutions that are worth learning from Chinese pension institutions: First, Fukuoka's small-scale multi-functional pension institutions. Small but complete, with day care, short-term stay functions, daily care nursing homes and door-to-door housekeeping services; Second, Chidori Mountain Villa in Kobe. Belonging to the large scale of the chain of institutions, the elderly live in the middle of the nurse, nursing staff office area and kitchen surrounded, characterized by grass mat tatami paving; The area of the flat layer is relatively large; Folding wheelchairs are placed at key points; It will also often organize children's escort activities; Third, hotel-style pension institutions. Kobe Iron and Steel's home pension institution has opened a nursing care pension institution nearby, connecting the two institutions together, and the combination of medical care and elderly care can see a doctor at any time.

Japan also pays attention to the escort with temperature, which means that the escort of "people to people" is the mainstay, rather than the excessive touting of high-tech Internet of Things escort like science fiction movies. Undoubtedly, Japan is very eye-catching in the fields of informatization, machinery, artificial intelligence and other fields, and in the field of pension, the intelligent robots developed and manufactured in Japan are the world's leaders. However, Japan has always insisted on providing temperature pension services, and they have not blindly adopted those "Internet +", artificial intelligence, bionic robots and other high-end equipment, but insisted on the care of nursing staff for the elderly as the core. The Japanese believe that only in this way can the elderly care service reflect the temperature and value. For example, for bathing services, japan 30 years ago there was a fully automatic mechanical bath. However, the survey shows that compared with the cold machine, most of the elderly prefer the bath service with nursing staff rubbing their backs, and at the same time, there are people accompanying and chatting, which is worth pondering.

(Text/Wang Min)