When a child for work commitments or reasons of distance is unable to take care of the elderly parent who no longer knows how to take care of himself, not knowing who to ask for help, can have a sense of bewilderment. Who washes it? Who dresses it? Who prepares his food? All requests that are answered in home care provided by the Social Services of the Municipality of residence.
The figures employed are Oss (social and health workers) and Asa (socio-welfare auxiliaries), with the task of taking care of the hygiene of all parts of the patient’s body, of helping him to bathe (even in bed), of dressing him, raising him and putting him back down for the night. The service can be carried out on alternate days, or only once a week: the frequency and times are agreed with the family according to the needs of the person to follow.
Meals and medicines
If necessary, the operators provide the preparation and administration of meals and to monitor the intake of medicines. Also on request, they also guarantee the cleaning of the accommodation and the washing of linen. This type of home care is guaranteed not only to bedridden or lonely elderly people who have difficulties in daily activities, but also to minors and adults with disabilities. Activation of the service does not depend only on economic and health conditions and on the presence of a caregiver or a family support network. The service, in fact, is always started after the assessment of a real need for help, to favor the dignified stay of the person in their own home by delaying as much as possible a possible hospitalization in residential structures. It is a form of aid that has no health relevance and for this reason it does not fall within the essential levels of assistance covered by public health. a right that largely depends on the resources available to the municipalities.
Home help for hygiene and personal care operations aimed at frail elderly, not necessarily bedridden, with loss of autonomy, who live alone and are at risk of marginalization, or who have a relative who is not able to care for them. The service can also be accessed by i patients in discharge protected by health facilities, people with physical or psychophysical disabilities, those who are no longer self-sufficient due to chronic degenerative diseases (come l’Alzheimer), cancer, or at the end of life. Then there are the extraordinary situations, for example the Municipality of Milan has organized the personal hygiene service also for citizens over 65 or with diseases in quarantine for suspicion of Covid (valid only for the duration of the quarantine).
How to request it
To activate the assistance you need contact the municipal social counter. In Tuscany the service is coordinated by the health societies, social and health consortia between one or more local authorities and the local health authority. A Trieste there are the single integrated points, unified counters between municipal social service and health care. In Milan the request can be forwarded to the Ats Frailty Points. In Bologna there is a very prompt activation service that allows those who end up in the emergency room (for a trauma or a fracture) and are not hospitalized, but need support for the daily menage, to receive social benefits at home. The only documents to be presented are the Isee certification and, in some cases, the medical certificate certifying the health status of the applicant.
Service free within a maximum Isee threshold defined by the Municipalities. For example, in Milan citizens do not pay up to an Isee value of 10 thousand euros. A L’Aquila free under an Isee of six thousand euros. In the Emilian capital of three thousand euros. For people who exceed the established ceiling, part of the cost is covered by the public administration, the rest by the citizen in proportion to income and assets. Beyond certain income brackets the full price rate. Some cities such as Milan (through the Wemi online portal) and Bologna provide the list of accredited cooperatives for families interested in privately activating assistance with a guarantee of reliability and controlled prices.
Cchi takes care of caregivers
The first of March in Municipality of Bologna party a project to support family carers which provides seven services: five home care interventions for the assisted person in the event of the caregiver’s absence (due to illness or holidays); a psychological intervention on the management of family fragility; is the advice of a physiotherapist on patient handling and the adaptation of domestic spaces to his needs. The project also includes a telephone counter (to be selected by calling the single number of the social counters, 051 2197878) for information on how to access social and health services, on the opportunities and resources to help you or the client, on INPS practices, for the ISEE and on Spid credentials.
June 11, 2021 (change June 11, 2021 | 19:04)
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