Care for elderly people in thailand

  1. 0
    I'm working as a journalist in Berlin/Germany on an article for a
    nursing magazine about care for elderly people in thailand. Can anbody here give
    me some information, actual data, examples and so on about this topic?

    e.g. How many old people's homes and how many places are there in
    thailand? How many private hospitals offer long-term care? What can you
    say about the standards in these institutions? Is there a special
    educating programme for nurses for elderly? How many nurses are working
    in this field?

    Is there anbody on the list working in an old people's home in thailand? Can you give me first hand information about the working situation?

    And do anybody know something about old people's "care tourism" from europe and the united states to thailand?

    Thank you a lot and regards
    Jörg

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  2. 20 Comments...

  3. 0
    The Thais usually stay with their families, that is the culture, You find three to even five generations living in the same home............

    For the Farangs (foreigners), many actally also try to stay in their homes and have private duty nurses around the clock...........cost is very cheap to do that in Thailand. There are some newer hotels that are offering assisted-care type programs, but LTC facilites as we know of the title in Europe or the US are not usually found. There are a few of the larger hospitals in the BKK area that have LTC wings for farangs, but not on a routine basis.

    I have lived in Thailand for a number of years, if you need more info, send me a pm.
  4. 0
    hello suzanne,

    thank you for your message.

    You are right: The principal form of LTC in Thailand is informal care provided by the family.

    But the rapid growth in Thailand’s ageing population, along with socio-economic changes, have led to an increase in the number of family units unable or unwilling to care for their older members. However, while the number of older persons who need formal long-term care services is increasing, neither the existing institutional care nor home/community care are adequate to support informal family care or provide acceptable care for those who cannot stay in the community, particularly among low-income families. Nevertheless there are some residental and nursing homes for old people: 20 residental homes under the supervision of the Department of Social Welfare, 7 residental homes, organized by non-governmental organizations, in seven provinces, Bangkok, Prathumthani, Samutprakarn, Sakolnakorn, Saraburi, Chonburi and Angthong. As there have been no registrations or state records of nursing homes in Thailand, it is difficult to know the exact number of such homes providing care for older persons. From data currently collected by the Department of Social Welfare, there are some 10 nursing homes (providing a total of approximately 500 beds) that provide care and rehabilitation for frail elderly people whose families can afford to pay. Another trend in care provided to older persons that has emerged during the years since the 1997 economic crisis in Thailand is hospital-based care. Pressurized by the downturn of the economy after the crisis, more than 400 private hospitals were struggling for survival. Care for frail or chronically ill elderly people therefore became additional service that the private hospitals offered to the middle and high-classes, in order to increase their revenues, by turning their acute illness wards into facilities for long-stay care. 2001, there were over 50 private hospitals in Thailand providing hospital-based care for older persons.

    "Older persons should live with their families and in their communities with a reasonable quality of life", so the Second National Long-Term Plan for Older Persons (2002–21). But the need for institutional long-term care for older persons in Thailand arises. I only know the above mentioned data. Now I'm interested in some inside information, e.g. I've heard that in a nursing home in Phuket one nurse is resonsible for 20 old people.

    Maybe you can give me some general information about the social/cultural status of nurses in Thailand. I think they are still seen as the helping hand of the doctors. Do nurses in Thailand work with the same standards and concepts of care as in Europe and U.S.? And so on.

    Thank you! I post this message also in the forum.

    Jörg

    Quote from suzanne4
    The Thais usually stay with their families, that is the culture, You find three to even five generations living in the same home............

    For the Farangs (foreigners), many actally also try to stay in their homes and have private duty nurses around the clock...........cost is very cheap to do that in Thailand. There are some newer hotels that are offering assisted-care type programs, but LTC facilites as we know of the title in Europe or the US are not usually found. There are a few of the larger hospitals in the BKK area that have LTC wings for farangs, but not on a routine basis.

    I have lived in Thailand for a number of years, if you need more info, send me a pm.
  5. 0
    I answered your pm...................
  6. 0
    Dear Suzanne or Jorg,

    Hi! I’m a foreign resident of Thailand, and am doing some research for overseas friends of the family regarding retirement/long term care/nursing home care that is available in Thailand. While searching the internet, I spotted this thread.

    So far I’ve found out that there are some fairly new Board of Investment sponsored projects for foreigners that offer assisted living arrangements in places like Chiang Mai or Jomtien, with 24 medical care on-call. But I’ve had a hard time finding out about other possible arrangements for older foreigners, such as nursing homes or private in- home nursing arrangements. Have contacted the big Bangkok hospitals, but all they offer is short-term (1-2 month) stays for patients of the hospital.

    Please, if possible, could either of you post some direction of where I should look for nursing home or in-home nursing for older foreigners retired in Thailand? Or can you email me any information that you may have?

    Many thanks for any help, Peg
  7. 0
    There are several hospitals in the BAngkok area that have LTC type care or you can easily have rounf the clock RNs in home for the patient, which may be the easier thing to do. Also depends on the area where you are located, and does the patient speak any English or Thai? You can send me a pm if you do not want to post here.

    Private duty pay is around $12 to $15 per ****, which is twelve hours long in the home.

    There are also some hotels that have actually started long-term programs but I need more specifics form you as to what to recommend. Such as what type of care that the paitent actually needs, etc. What type of medical issues does the patient have, etc.
  8. 0
    Many thanks Suzanne! I'll send you a pm about regarding my research to date, within the next day or two.
    Best regards, Peg
  9. 0
    Hi Suzanne,

    Have you received my pm yet?

    Cheers! Peg
  10. 0
    I received you r pm, but I thought that you were going to send more information.

    I had a list of places that were being set up about 18 months ago, will have to try and track it down. There was a big push at that time for these types of places. But if the person has any money at all, their best bet is to stay in their own home, if they have one there, and use private duty round the clock RNs for their care. Beleive it or not, it will be the most cost effective way to go. I can give you a better breakdown of costs, if you need it.
  11. 0
    Hi again! I guess I thought I'd answered all your questions in the pm? I.e., the couple speak only English. They live in the US, but would like to retre in Thailand (but haven't picked a specific place.) They don't have any specific medical needs now, but 10-20 years down the line may need some form of assisted care as they age. As a favor to their son, I'm researching what is available. Please let me know if you have any other questions, and I'll try to answer them...
    Again, really appreciate any help. Peg


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