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Care for elderly

Glossary related to housing for the elderly in Israel.

Care for elderly

On the Geriatric side:

Beit Horim (Parents' house): These are small Homes up to 30 residents suitable for independent seniors.

Beit 'holim gueriatri (Geriatric Hospital): It is a hospital for the elderly who need complex nursing care, recovering from a surgery or medical specific heavier care.

Elder Abuse: The abuse can take many forms, which are not always immediately visible: neglect, emotional abuse or moral, to acts of physical or sexual abuse. Gross negligence is a form of abuse: for example, the failure to make fairly frequent exchange of incontinence, which first causes discomfort and bedsores.

There are also psychological and moral violence, such as lack of respect for privacy and modesty (eg, a resident of the toilet made without closing the bedroom door). Because beyond acts of abuse themselves, many elderly or disabled people also suffer from indifference. This is sometimes called "passive abuse" takes the form of small oversights: for example, sunrise residents too soon, do not answer calls, make hasty toilet, serve meals too soon ...

As well as by the necessary increase in the number of professionals in schools, the answer to this situation through a dual action with personal, to be sensitized and trained to positive treatment and receive counseling if necessary.

The abuse can be financial. These range from embezzlement to fraud or aggravated theft.

Richayon bar Tokef 'avour batei Avot (Authorization for retirement home): it is licensed by the Administration (the Department of Health and Social Affairs) to the Retirement Home.

On the medical front:

Osteoarthritis (Daleket miprakim niyounit): Osteoarthritis is a chronic alteration of various joints, often premature aging kind of articular cartilage.

Stroke (Teouna Keley dam Mo'hi): A cerebrovascular accident (CVA) or stroke, is a failure of blood circulation affecting a greater or lesser area of the brain. It occurs due to blockage or rupture of a blood vessel and causes the death of nerve cells, which are deprived of oxygen and nutrients essential to their functions. For most people, there are no signs of an attack. However, several risk factors can be monitored.

Stroke have very different consequences. More than half of people are affected negatively. About 1 in 10 individuals recovers completely. The severity of late effects depends on the region of the brain's damage and the functions it controls. Over the region starved of oxygen, the greater the consequences may be significant. Following stroke, some people will have difficulty in speaking or writing (aphasia) and memory problems. They may also be suffering from a greater or lesser paralysis of the body.

Dementia (Dementsia): Dementia is a serious loss or a decreased cognitive capacity large enough to sound an alarm in the life of an individual and a loss of autonomy. Brain functions may be particularly affected such as memory, attention, and language. It may be temporary, following a brain injury or a major decline in the long-term.

Occupational therapist: An occupational therapist is a health professional evaluating and treating people to preserve and develop their independence and autonomy in their daily and social environment. In most cases, occupational therapists are working with physiotherapists, doctors, nurses, psychologists and social workers.

Eschar (Petsa 'la'hats): A pressure ulcer is a wound caused by a deletion of the blood supply to tissues. Healing is not spontaneous. Bedsores can take several forms of different severity: a simple redness lasting more than a day, a hardening of the skin, a wound that can be more or less deep, in severe cases, it reaches the muscles or the underlying bone . The occurrence of pressure ulcers is promoted extensively in the case of bedridden people. It is also favored by the states of malnutrition and dehydration, as well as fever.

Prevention from the nursing staff is crucial in this process. Few enough hours in onset, precipitating factors must be reduced and monitored regularly. The healing time of a pressure ulcer can range from several days to several months; prevention thus plays an essential role in the person at risk. To prevent the occurrence of pressure ulcers, a set of measures must be adopted to maintain hygiene and prevent skin maceration, in cases of incontinence, change regularly protections; observe or enforce daily skin condition; ensure that food is adequate and appropriate; drink or to drink regularly and in sufficient quantity, use mattresses and cushions called "aid in the prevention of pressure ulcers" tailored to the patient's condition; change the position of the person frequently (at least every 2 to 3 hours).

Fractured neck of femur (Chever Tsavar Heyrekh): It occurs mostly after 60 years and can have serious consequences if not properly supported. The femoral neck fracture heals better and better, but should alert the patient's bone health. The femoral neck means the top of the thigh bone, where it articulates with the pelvis. We talk about when this bone fracture is broken due to trauma.

The fracture of the femoral neck mainly concerns people over 60 years. A third of people 90 and older have undergone or will undergo one day such a fracture. It is especially common in women. The femoral neck fracture usually occurs after trauma. In the elderly, it can be quite minor, it is most often a simple fall of his own height. If the bone breaks so easily, it is often due to osteoporosis, which occurs after menopause: the bones are less able than before to fix calcium and become brittle, breaking easily at the slightest shock . The femoral head is already more fragile than the rest of the skeleton in normal and becomes more vulnerable. The first symptom, the most obvious, of course, is the sharp pain in the upper thigh and the pelvis. The victim can not walk. Sometimes, the leg is deformed in the pelvis. Besides clinical examination, the doctor can confirm and clarify the diagnosis by radiography. It can precise location of the fracture. The treatment is almost always surgical.

Several options exist:

- Installation of a partial or total hip. It involves replacing the femur joint basin by artificial "bones" in metal. The operation is often carried out under epidural, sometimes under general anesthesia. This is the most often chosen, particularly in the elderly, whose bones are repaired more slowly.

- The installation consists of osteosynthesis with nails, screws and plates sometimes, to stabilize the fracture, which will then consolidate all alone. Rather, it is recommended for active people, a good prognosis.

Hemiplegia (Bchitouk): Hemiplegia is a paralysis of one or more body parts of one side (affecting one hemibody). Recovery of walking, movements of an arm, elbow or shoulder, speech, understanding stems much from the patient's age and its affect on the brain. The elderly have more difficulty at this level. The ductility factor (brain plasticity) of the brain plays a big role.

Incontinence (Bri'hat Cheten): Urinary incontinence is defined by an accidental or unintentional loss of urine. This condition affects both men and women, and the origin is often multifactorial. Urinary incontinence can be improved by age, anxiety, obesity, neurological disorders, infections (cystitis), prolapse, or a relaxation of the sphincter or pelvic floor muscles following a surgery abdominale. Surgery to remove the prostate (prostatectomy) can cause incontinence. Smoking and caffeine abuse may also have effets on incontinence.

Alzheimer's disease (Altseimer): Alzheimer's disease is an incurable neurodegenerative brain desease that causes progressive and irreversible loss of mental functions including memory. It was first described by German physician Alois Alzheimer (1864-1915). Leading cause of dementia in the elderly, affecting approximately 26 million people worldwide in 2005 and could reach four times in 2050 according to the article "Global prevalence of dementia: a Delphi consensus study."

Parkinson's disease (Ratetet): Parkinson's disease is a chronic degenerative neurological disease affecting the central nervous system which causes disorders mainly motors. It is progressive. Its causes are unknown. The onset is usually between 45 and 70. This is the second neurodegenerative disease after Alzheimer's disease.

Miv'han ADL (ADL Test): These are the first letters of "Activities of Daily Living". This test examines the capabilities of the elderly to perform 6 activities of daily life: waking and sleeping, dressing, bathing, feeding, elimination and continence, move indors and outdoors.

Miv'han Mini-Mental (MMSE Test): This test estimates the level of dementia of an elderly with a level of annual decline of 3 points out of 30. It asks simple questions like "what day is it today? "" What time is it about? ", Etc.. A person in good health generally receives at least 29 points.

Siyoudi (Requiring Nursing): The elderly person can not make 4 of 6 activities of daily living (getting up and going to bed, dressing, bathing, feeding, elimination with continence and walking) is considered Requiring Nursing.


Sources: , Wikipedia


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