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LONG TERM NURSING HOME CARE

Cuba is one of the few countries in the world with an inclusive and integral program for the care of elderly.

AMBULANCE TRANSPORTATION 3
ENTRENCE
IMG-20190306-WA0038
MEDICAL TEAMS
ENTRENCE 2
MASSAGE 2
OUTDOORS 3
OUTDOORS 5
REHABILITATION 2
REHABILITATION 6
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The approach to primary healthcare has enabled Cuba to meet it elderly population’s needs within their communities which allowed them to retain higher levels of dignity, independence and psychological health. Due to such approach, only 0.5% of Cuba’s elderly population are hospitalized and/or institutionalized which is not only positive for the elder individual but is less costly to society as well.

The Cuban medical programs for the elderly focus on primary and secondary and pre-emptive actions which can make a difference in the quality of life for the elderly. The final aim is to promote goals intended to achieve a healthier lifestyle.


THE APPROACH:

Through our relationship with La Pradera International Health Center, we have succeeded in producing a program that not only addresses the accommodation needs of the resident but also the quality of health and life by turning such stay in to a long-term health and rehabilitation vaccation in one of the Caribbean’s most beautiful islands. The center prides itself with its holistic approach to therapies of the body, mind and spirit. Its mission is to provide specialized medical care offered by specialists with high ethical, humanistic values, in addition to vast multi displinary medical experience, all in a natural, attractive and revitalizing environment.

The Cuban LONG TERM NURSING HOME CARE program is intended for residents who require constant living care due to significant deterioration of the ability to carry daily living activities. The program entails the initials need assessment (7 days) followed by a tailored care program. The tailored care program is considered to be one of the globe’s most extensive in terms of safety, around the clock medical and urgent care, hygene and personal care, rehabilitation and entertainment.

The services provided include:

  • 24-hour nursing and personal care
  • Person centered care
  • Restorative / rehabilitative care
  • Recreation and leisure activities
  • Recreation and leisure activities

Nutritional care

The program encompuses the following two phases:
1- Initial Needs assesment (7 days)

2- Tailored Care Program (continuous): Would be based on the conclusion of the above assesment


THE PROGRAM:

The details of said approach are found below:

1- INITIAL NEED ASSESSMENT (7 days):

In this phase, the presence of a companion is a must. The initial need assessment will include the following:

INITIAL PHYSICAL EVALUATION:

– Initial evaluation and clinical history;
– Biomedical evaluation;
– Social evaluation;
– Psychological evaluation;
– Functional evaluation;
– Ophthalmological evaluation;
– Audiological and stemmatological evaluation;
– Neuropsychological evaluation;
– Bladder Evaluation;

LABORATORY TESTS:

– Complete Blood Count (CBC) test
– Erythrocyte Sedimentation Rate (automated method) test
– Glycemia test
– Creatinine test
– Uric Acid test
– Urea test
– Liver Function tests
– Cyturia test
– Full lipid Profile study
– Glucose test
– Coagulation test
– Creatinine test
– Glutamic oxaloacetic Transaminansa (GOT) test
– Transaminansa glutamic pyruvic test
– Organisation chart test
– Alkaline Phosphatase test
– Gamma Glutamyl Transferase (GGT) test
– Serology test

IMAGING AND OTHER RELATED INVESTIGATIONS:

– Electrocardiogram (EKG or ECG) investigation
– Complete abdominal ultrasound exam
– X-ray and Bone Densitometry distance
– Clinical analysis of body composition

PLEASE NOTE THE FOLLOWING IMPORTANT INFORMATION:

  • The above program does not include medications for certain conditions such as depression, blood coagulation, etc.
  • Medicaments, fluids, blood and derivatives to be used, as well as additional procedure(s) performed not included in the exact treatment would be invoiced separately on upon the conclusion of said treatment /procedure(s)

ACCOMMODATION:

1- Three daily meals
2- Private room with the following features:

  • Electronic patient bed
  • Equipment for disabled patient
  • Oxygen hookup
  • Three à la carte meals taking into account the patient’s preferences and / or special diets prescribed by physician
  • Fully equipped private bathroom
  • Infirmary and nursing care
  • Colour TV with national and international channels
  • Local and international phone services (extra cost will apply)
  • Safe box
  • Internet service on every floor
  • Laundry services

Time allocated: 7 days

2- THE LONG TERM NURSING HOME CARE TAILORED CARE PROGRAM:

Based on the above mentioned “Initial Needs Assessment Program”, a tailored care program will be tailored. The Care Program will include the following services:

– SAFETY:

1- 24/7 Specialized nursing team trained at addressing all medical needs including urgent medical situations. The nursing teams mandate includes addressing medical and personal needs, as well as assistance in daily activities such as feeding (if needs be), medication management, transportation within the
compound for the purpose of activities, etc…
2- The center is a gated compound with trained support staff on the ground 24/7

– MEDICAL CARE:

1- Around the clock physicians with internal medicine speciality for the care, prevention, diagnosis, and treatment of diseases in the elderly, including prescribing applicable medicine
2- Regular internal medicine checkups
3- Medication Management
4- On site, fully equipped emergency room for immediate events. Upon the medical situation control, and if the need arise, the patient could be transferred to a more specialized hospital for additional specialized care. Kindly note there will be additional costs for hospital care outside of the center. CubaHeal will utilize its credit facility to pay for such service and will either bill the family, or the resident himself.
5- Specialized nursing team trained at addressing all medical needs including urgent situations
6- Regular dental checkup and care. Kindly note should the patient require complex dental care such as extraction, filling or surgeries, additional costs would apply. CubaHeal will utilize its credit facility to pay for such service and will either bill the family, or the resident himself.
7- Regular podiatry checkup and care

– HYGIENE AND PERSONAL CARE:

1- Once a day showers and complete body wash, or twice a day for patients with
bedsores
2- Complete personal hygiene such as mouth care, toileting, shaving, diapers change and around the clock perineal hygiene?
3- Daily supply of clean towels and clean bed linen
4- Monthly pedicure and manicure, as well as hair dressing services
5- rooms, floors, bathrooms, dining room, hallways, contact places etc are cleaned daily

– NUTRITIONAL DIET (included in the program):

Nutritionist tailored and balanced diet programs which will take into consideration the following:

  • Diabetes sensitive diets
  • Calories reduced diets
  • Salt reduced diets
  • Puree diet
  • Minced food diet
  • Soft food diet
  • Juice, milk, soup and dessert are offered with every meal
  • Religious adhering diets (could be accommodated at an additional cost)

– REHABILITATION PROGRAM:

Important Note: the decision of applying some, or all the following rehabilitation
protocols would be based on the “Initial Need Assessment” and on the resident’s
physical and mental capability.

The resident may undergo the following:

  • Quality of life gymnastics: They are exercises to increase the joint arches and muscle tone for the independence of the daily life activities. With six frequencies a week in the afternoon schedule 9:00 pm, for 30 minutes.
  • Holistic psychomotor medicine exercises: These exercises take into
    consideration the whole person — body, mind, spirit, and emotions — to
    establish good health and balance so that the mind and body function
    harmoniously. This program is carried out twice a week on Tuesdays and
    Fridays at 11:00 am for the duration of 40 minutes .
  • Foot reflex therapy: This includes the improvement of nerve functions,
    increase energy levels and increase circulation. Carried out once a week in the afternoon at 3:00 pm, with duration of 40 minutes.
  • Training to perform complex manual work: Such activity is intended to improve the functional impairment in disability situations, including immobility, instability and intellectual deterioration suffered by some patients.
    This activity is carried out from Monday to Friday at 10:00 am, with a
    duration of 45 minutes.
  • Dance therapy: This form of therapy combines music and movement to
    different rhythms, stimulating the flow of energy in a harmonious and
    controlled way, for the improvement of balance and gait for the elderly. Dancetherapy is carried out twice a week on Thursday and Saturday at 3:00 pm, with a duration of 1 hour. Moxibustion therapy .
  • Aquatic therapy and hydrotherapy: this type of therapy utilizes the physical properties of water, such as temperature and pressure, for the treatment of symptoms of certain diseases, such as arthritis.
  • Cognitive rehabilitation: the objective of this therapy is to help the elderly in reducing or eliminating thinking and behavioral patterns that contribute to late life cognitive distortions relating to the difficulties experienced in adapting to a range of losses such as physical disability and loss of independence.
    Typically, a therapist and patient work together to replace dysfunctional
    patterns with those that promote health and well-being.
  • Ozone Treatment: This form of treatment is used for the improvement of the intake and use of oxygen as well as to activate the immune system and to limit the effects of bacteria, viruses, fungi, yeast, and protozoa. Ozone treatemnt is also ussed to combat and reduce anxiety and depression.
  • Transcranial stimulation therapy: a non-invasive procedure that utilizes magnetic fields for the purpose of stimulating the brain’s nerve cells, which leads to improving symptoms of depression.
  • Lymphatic Drainage massage: This is a gentle massage to the skin
    following in the directions of the structure of the lymphatic system so that
    lymph fluid can drain through properly. Lymphatic drainage is used to balance the body’s internal chemistry and to help in normalizing the immune system.
  • Tai chi: This is a very slow, deliberate, repetitive, and low impact exercises to help elderly people with relaxation, strengthen muscles, increasing flexibility and motor coordination.
  • Bladder Rehabilitation (electro-stimulation): For people with bladder issues, electrical stimulation of the urinary bladder to improved urinary tract function.
  • Revitalizing Treatment with Biomoduline T and other natural products
  • Group and holistic therapeutic exercises which will include:
  • Gardening therapies
  • Equine therapies

– ENTERTAINMENT, WELL-BEING, CULTURAL AND RELIGION SERVICES:

1- By-weekly outdoor entertainment programs which will entail trips to any of the following:

  • Restaurants
  • Museums
  • Cultural, art and/ or musical shows
  • Parks

2- Nursing staff presence during any of the entertainment programs
3- Television and DVD recorded English programs?
4- Birthday parties, sing along programs, religious holidays celebrations?
The above services will be coordinated with CubaHeal sister company in conjunction with the center.


ACCOMMODATION:

3- Three daily meals
4- Private room with the following features:

  • Electronic patient bed
  • Equipment for disabled patient
  • Oxygen hookup
  • Three à la carte meals taking into account the patient’s preferences and / or special diets prescribed by physician
  • Fully equipped private bathroom
  • Infirmary and nursing care
  • Colour TV with national and international channels
  • Local and international phone services (extra cost will apply)
  • Safe box
  • Internet service on every floor
  • Laundry services

ADDITIONAL SERVICES INCLUDED IN THE PROGRAM:

  • Local airport pickup and drop off
  • A personal CubaHeal field member attending to residents need. The field

member’s role and mandate would include the following:

– Proper adherence by the center to the program and addressing any personal need of the residents
– Facilitate communication between the facility and CubaHeal head office in Canada
– Facilitate communication between the resident and resident’s family, or CubaHeal head office in Canada
– Translation services outside of the facility

  • 20 hours internet car per month
  • Other personal needs

PLEASE NOTE THE FOLLOWING IMPORTANT INFORMATION:

  • The above program does not include medications for certain conditions such as  depression, blood coagulation, etc.
  • Medicaments, fluids, blood and derivatives to be used, as well as additional procedure(s)
  • performed not included in the exact treatment would be invoiced
  • separately on upon the conclusion of said treatment / procedure(s)

TIME ALLOCATED: 29 days renewable

TOTAL MONTHLY COST:

*Companion receives full accommodation and three meals a day



Have an inquiry about this program? Please reach us by filling out the following online form:



In short words


CubaHeal Medical is a global organization specialized in facilitating medical treatments, medical education, in addition to patient and student care in the Republic of Cuba. CubaHeal is a loyal supporter of the Republic of Cuba, the Cuban people, the Cuban revolution, and the Cuban revolutionary leadership.




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