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Geriatrics
Catch in social contribution
Courses of Geriatrics
 


 

Various modes of hospitalization:

The hospital law of 1991 envisages three types of assumption of responsibility hospital:

• Care of short duration

• Care of continuation and readjustment (stay means)

• Care of long duration (length stay)

A - SHORT STAY GERIATRIQUE:

Its goal is to define therapeutic objectives which will allow implementation the fast of the care and the complementary investigations.

Evaluation of the state of the patient

• Collection of data

• Previous

• Interrogations on its environment

• Somatic and psychological Examination

• Fast Preparation of a reintegration for a return to the residence

The objective of the short stay is to establish a diagnosis and to set up a treatment.

Price of day in geriatrics: 3200 F per day.

The majority of people are at 100%; they pay only the 70 F of the daily fixed price.

B - THE AVERAGE STAY:

It makes it possible to continue the treatment which was set up in the service of medicine, while ensuring a complement and a refinement of the principal diagnosis.

Functional assumption of responsibility (rehabilitation) and social more specific.

Follow-up of the regulation.

Intervention of the ancillary medical ones.

Intervention of the social workers.

Restoration of autonomy.

Decision of orientation.

Price of day between 1500 and 2000 F.

Daily fixed price of 70 F.

Possibility of a request for medical aid near the center of social action of their commune.

On the 93, ceiling of resources to 3500 F for a person and 4300 F for a couple.

C - CARE OF LONG DURATION:

Three conditions to be allowed longitudinally stay:

• Loss of autonomy incompatible with the return to residence.

• Existence of a medical pathology requiring a continuous monitoring

• Chronic Evolution of the affection

Participation of Secu of 248 F per day.

Addressed directly to the institution.

Fixed price lodging of an amount of 498 F per day paid by the person.

Account for approximately 15.000 F per month.

Social assistance:

A - RIGHT A SOCIAL ASSISTANCE:

Founded by the reform of 1953.

Law founding a right to the social assistance of the individuals in the need.

The public bodies become debtor.

The person in the need is the creditor.

1) NATURE OF RIGHT A SOCIAL ASSISTANCE:

It is a personal, imperceptible right.

No one cannot give up it a priori.

Right associated the person of the applicant, without contribution.

Right related to the concept of need.

Its exercise is subordinated to the entry in a definite category: handicap, old age…

2) CHARACTER OF the SERVICES Of SOCIAL ASSISTANCE:

They are specialized.

They are food.

They are also subsidiary.

They come including after the family help.

They can be in advance, recoverable on the goods.

3) FIELD OF THE SOCIAL ASSISTANCE:

It is a mode of assistance.

It is not related to any working condition of the recipient, but on its social or medical condition, and on conditions of resources.

4) FINANCING:

Financed by the tax.

Allotted on a case-by-case basis.

The commissions sit at the council general.

B - ADMISSION A SOCIAL ASSISTANCE:

1) ADMISSION REQUIREMENTS:

It is necessary to return in one of the profit categories.

To be deprived of resources.

It is necessary to be French resident or foreign residing regularly in regular situation.

2) ADMISSION REQUIREMENTS FOR the OLD PEOPLE:

To have more than 65 years.

60 years if there is inaptitude with work.

C - SOCIAL ASSISTANCE WITH the OLD PEOPLE:

1) SOCIAL ASSISTANCE AND MAINTENANCE A RESIDENCE:

a) Legal assistance in kind:

It is the medical aid in residence.

Assumption of responsibility of the medical care and male nurses. Help domestic.

Conditions:

• To have more than 60 years

• To be reprocessed

Intervenes in limited 30 hours per month.

Generally not the weekend.

Granted without specific conditions of health.

But granted in the facts on the basis of medical certificate.

No maintenance obligation.

On the other hand, there is recovery on the succession when this one is of a rising superior with 300.000 F.

Delivery of the meals.

Specific service dependence: law of July 25, 1994.

Extended to the whole of the French territory in 1997.

Financing of the expenditure of assistance beforehand definite and distinct from the care.

6 groups of dependence.

It is necessary to be in the first 3 groups.

Recovery on the succession from 300.000 F.

Ceiling of 11000 F for a person, service included/understood.

15000 F for a couple.

b) Legal assistance in cash:

Special allowance old age which contributes to bring the minimum income of a person to 3500 F.

Allowance housing poured by the case of family benefit.

2) SOCIAL ASSISTANCE AND PLACEMENT:

Two modes of placements:

a) Placement at private individuals:

Organized by the law of July 10, 1989.

The person is accomodated in a family which must have requested an approval from the Council general.

One cannot be approved for more than 2 or 3 people.

It is necessary to fill of the conditions of continuity of reception.

The conditions of reception must guarantee the protection of health, the safety and the physical and moral wellbeing of the old person.

A social and medical follow-up is assured.

A written contract signed between the person who accomodates and the accomodated person.

b) Placement in community:

Lodging longitudinally stay: medical lodging.

Lodging in social matter:

• Hearths residences: for the autonomous people

• Old people's homes

The department recovers 90% of the resources of the person dealt with.

Mortgage its goods.

Various protection measures:

Reserved with the adult people: major and minor émancipés.

Asked when mental or body faculties of a person are deteriorated or weakened by the disease.

When the infirmity or the age of the person prevents it from being expressed.

The request is to be addressed to the judge supervisions of the magistrates' court of the residence of the person concerned or to the public prosecutor.

There are 3 modes of protection adapted to the situation of the person:

A - SAFEGUARD OF JUSTICE:

Light protection.

Do not imply the recognition of an incapacity.

There will be not recognition of the acts only if that injures its interests.

Renewable once.

Out-of-date at the end of 2 months the first time.

The renewal is valid for 6 months.

Generally it is transformed into trusteeship or supervision.

B - TRUSTEESHIP:

Same conditions of request.

Also near the judge of the supervisions.

The recognition of an incapacity implies.

There can be a measurement of reinforced trusteeship.

C - THE SUPERVISION:

Recognition of a total disablement of the person.

Reasons and identical places for the request.

But loss of the civil laws; including right to vote.

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