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I will take care of an elderly person. Caring for the elderly: how to organize the process correctly? When do payments stop?
The Russian Federation has laws that allow citizens to take care of their own and other people's elderly relatives and receive a small allowance for this. In addition, a number of regulations define other preferences for citizens who are unable to take care of themselves.
It must be taken into account that the benefit for caring for an elderly person is small. Nevertheless, in some situations it allows to solve a number of problems of people who do not want to place an elderly relative in a government institution.
Who is considered an elderly person in need of care?
The legislation clarifies the use of terms related to the age of citizens. The gradation is defined quite specifically. So:
- Elderly people include:
- men whose age ranges from 61 to 70 years;
- women - from 56 to 70;
- Elderly people include citizens whose age ranges from 70 to 90 years;
- Those who have crossed the 90-year-old threshold are usually classified as centenarians.
Forms of formal care for the elderly
According to current legislation, there are several forms of care for disabled citizens:
- Full guardianship is provided for disabled people of the 1st group and other people with serious illnesses, as well as incapacitated persons.
- patronage is carried out in relation to capable citizens whose capabilities are limited.
- As a rule, relatives take care of elderly people over 80 years of age.
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Who is allowed to provide care?
Persons who have crossed the 80-year-old threshold, disabled people of group 1 and incompetent persons can take care of:
- relatives;
- other persons;
- social service workers.
Conditions for assigning care assistance to citizens who have reached their 80th birthday
- registration and permanent residence within the borders of the Russian Federation;
- ability to work;
- lack of official employment, including registration with employment authorities;
- written approval of the ward;
- in some cases, permission from parents or official representatives is required for such activities;
- failure to receive pension or social benefits;
- age over 14 years.
The process of applying for long-term care benefits
To assign compensation payments, it is necessary that the ward:
- reached his 80th birthday;
- or received a conclusion from a medical and social examination that he needs outside care;
- has a document confirming disability of the 1st group (except for children with disabilities).
Additionally you need to know:
- Compensation payments are not due if the ward receives two pensions, including one assigned for length of service in the law enforcement agencies.
- It is not necessary to live together with the elderly person under guardianship.
- Care responsibilities include:
- organization of catering and household services (cleaning, laundry);
- purchasing food and hygiene products;
- assistance in making mandatory payments from the ward’s funds.
Where to contact
Compensation is assigned and paid by the Pension Fund of the Russian Federation (PFR). Therefore, it is necessary to apply to your local office. You will need to attach the following documents to it:
- consent of the ward;
- a certificate from a medical institution about his state of health;
- copies of both passports;
- work books;
- a document confirming the lack of registration with employment authorities;
- for schoolchildren:
- certificate from the educational institution;
- parental consent to perform activities to care for the elderly;
- for students:
- confirmation of full-time education.
Attention: PFR specialists independently determine:
- whether a pension has been assigned to the candidate for compensation;
- how many pension files are registered for a disabled citizen (a special request is sent).
How much will they pay
The amount of compensation is fixed. In 2018 it was 1200 rubles. However, in some regions it increases by a multiple of the northern coefficient. The compensation is paid monthly along with the pension accruals of the elderly citizen. A separate account with the Pension Fund of Russia is not issued for her.
For comparison: close relatives caring for disabled children are entitled to an allowance of 5,500 rubles. Download for viewing and printing:
Design algorithm
In order for compensation to begin to accrue, the following actions must be taken:
- Obtain a written statement from the senior citizen.
- Contact the Pension Fund branch:
- personally;
- through the government services portal;
- through a representative (a notarized power of attorney is required).
- Receive a response within 10 days (as long as required by law to make a decision).
The benefit will begin to accrue from the month in which the following are transferred to the Pension Fund:
- application;
- package of documents;
- but not earlier than the date on which the right to compensation arises.
The refusal is sent to the applicant within five days. If it is caused by failure to submit documents, then the applicant for compensation is given up to three months to correct errors.
Important: if circumstances arise that prevent the accrual of compensation, the recipient is obliged to report them to the Pension Fund. Five days are given for this. Information can be transmitted in person or through the government services portal.
When do payments stop?
From the beginning of the next month, accruals will stop if in the previous month:
- the death of one of the participants in the relationship has been recorded;
- The provision of services has been terminated and this is recorded:
- recipient;
- a person caring for an elderly person;
- a special inspection commission;
- curator:
- got a job;
- applied for a pension;
- registered with the employment authorities;
- the period of assignment of disability group 1 has ended;
- the ward was placed in a social inpatient facility.
Additional Information
In some cases, it is necessary to notify the Pension Fund authorities. Namely:
- if the ward has died;
- when the recipient changed his place of registration (moved).
It is possible to receive compensation for past periods:
- So, if accruals were not made due to the fact that citizens did not apply for them, the amount for the three previous years will be reimbursed upon application. However, it is necessary to provide written confirmation of the receipt of services by the elderly citizen, as well as justify the right to assistance.
- If Pension Fund employees are to blame for non-receipt of payments, then the debt is compensated in full.
Other types of preferences for citizens providing care
Caregiving activities for elderly people often do not allow for work activities. And this deprives a person of the opportunity to receive income not only while fulfilling his obligations, but also in the future. In this regard, the decision was made:
- For each year of official care for an elderly person over 80 years of age, pension points of 1.8 are awarded.
- To receive them, you must interrupt your work activity before leaving the job and return to it immediately after the end of the contract.
Guardianship
Another type of care for the elderly, those in need of outside care, or incapacitated citizens is arranged through the guardianship and trusteeship authority (TPA). Its essence is to transfer some of the rights of the person under guardianship to the person caring for him.
The guardian is obliged not only to take care of the elderly citizen (as in the case described above), but also to protect his rights. His responsibilities include:
- consumer services for the elderly;
- management of its financial receipts;
- property management;
- participation on his behalf in official events, including courts.
Are caregivers paid an allowance?
At the legislative level, there is no separate allowance for guardians. These people can count on help from the state if the ward:
- crossed the 80-year-old threshold;
- is a disabled person of the 1st group or a disabled child.
At the same time, the guardian has the right to dispose of the following income of the ward:
- pension accruals;
- lump sum payments;
- social benefits.
Adoptive family
In many constituent entities of the Russian Federation, such programs have been productively implemented for a long time (for example, in the Republic of Tatarstan, Rostov, Kirov regions, Trans-Baikal Territory, etc.).
General essence: social security authorities enter into an agreement with an elderly person in need of care and a party willing to provide such care - to create a foster family. It prescribes all the basic conditions for actual care:
- the family’s residential address, its full composition,
- what specific outside help does the elderly person need (listed), etc.
It is quite logical that all adult members of the caregiver’s family are required to confirm in writing their consent to the creation of a foster family.
Social privilege of caregivers:
- monthly cash payments, the amount of which averages 3-10 thousand rubles. They are approved by regional parliaments depending on the financial capabilities of the corresponding budget. For older citizens who are officially recognized as needing outside assistance (for example, disabled people of the 1st degree), increased payments are most often provided;
- benefits for housing and communal services - because Accommodation of an elderly citizen together with a caring party under the terms of the program is mandatory - the latter enjoy all the current benefits (federal/regional level) available to pensioners in the housing and communal services sector. Mainly, this is a 50% discount on housing and communal services payments due to a pensioner who has the status of a veteran, disabled person or other grounds for benefits;
- free travel when accompanying an elderly person in a city and intercity vehicle - when traveling with him to the place of treatment and back;
- When registering a pensioner for a foster family, the agreement must stipulate the procedure for financing the costs of his maintenance. After that, no more than ¼ of all his income remains at the disposal of the oldest person. The rest goes into the general budget “pot” of the foster family. This means that the caregiver does not spend his personal savings at all.
Other benefits
Elderly people are provided with preferences in various areas:
- reduction in tax amount for:
- transport;
- land;
- real estate;
- depending on category:
- to pay for utilities;
- to receive free spa treatment;
- use of urban and suburban transport (except taxis).
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June 27, 2017, 10:43 Oct 20, 2019 14:24
From this article you will learn:
Who has the right to provide care for an elderly person?
What are the conditions for caring for an elderly person?
What responsibilities do you need to take care of an elderly person?
What documents do you need to provide to register caring for an elderly person?
How long does it take to process an application for guardianship?
In what cases can they refuse to provide care for an elderly person?
What is the amount of compensation payments when caring for an elderly person?
Does your work experience include caring for an elderly person?
Old people living alone are a fairly common phenomenon in our country lately. Despite the fact that their life was full of difficulties, even in old age they can only rely on themselves. At the same time, most older people in the age group of 75–80 years and older have difficulty even going to the pharmacy. Some of the old people are truly lonely, while others have been abandoned by their relatives. But careful care is very important for elderly people. 75 years is the age from which a person is considered helpless, in need of sensitivity and special care from loved ones. However, not everyone knows that care for an elderly relative can be paid for by the state. In this article we will look at the question of how to arrange care for an elderly person, and most importantly, who can do it.
Who can arrange care for an elderly person?
Registration of guardianship over an elderly person is available to any adult citizen who does not have an official place of work, is not registered with the employment authorities, or does not receive unemployment benefits. Compensation payment for care can be assigned only if the specified conditions are met, for which the candidate for guardianship must submit a work book and a certificate from the employment service about the absence of unemployed status.Guardianship can be granted in relation to:
mother or father;
other relatives;
completely strangers.
When registering guardianship for strangers, you will additionally need to submit a notarized consent of relatives to guardianship of a person close to them.
What are the conditions for caring for an elderly person?
Provide care for an elderly person Any adult capable citizen has the right to receive patronage if the following conditions are met:The person under guardianship does not suffer from mental disorders. In the presence of such diseases, it is only possible to obtain full guardianship over a person on the basis of a court decision.
To obtain patronage, the consent of both the candidate for guardian and the pensioner himself is required.
An employee of a social security agency who provides assistance to an elderly person in housekeeping cannot be appointed as a guardian.
This form of guardianship is formalized by the pensioner concluding an agreement with the candidate for guardianship, containing a list of the basic rights and responsibilities of the assistant.
Registration of guardianship in the form of patronage is also possible in relation to a disabled person, but only if the disability did not arise as a result of a mental illness.
An elderly person cannot take care of himself.
The person under guardianship has a mental illness due to which he is not aware of his actions.
The court made a decision recognizing the elderly person as incompetent and in need of guardianship.
Summarizing what has been said, we note again that care for an elderly person can be arranged in the form of full guardianship or patronage, depending on the fulfillment of the conditions listed above.
What responsibilities do you need to take care of an elderly person?
A candidate who decides to provide care for an elderly person must clearly understand the scope of his future responsibilities.The guardian must provide assistance to the person under guardianship in solving everyday issues and provide physical care.
His task is to pay for housing and communal services, tax payments at the expense of the ward’s funds, and to carry out the required monetary transactions in his interests.
The guardian must protect the rights of the person under guardianship and act in all situations based on his interests.
The guardian is responsible for such concerns as purchasing hygiene products, clothing, and food.
How to formalize care for an elderly person
Documentation requirements required for the appointment of guardianship depend on its form. To apply for care for an elderly person in the form of patronage, the following set of papers must be submitted to the social security authority:Passport of a candidate for guardianship.
Application for registration of patronage (from both the pensioner and the guardian).
An act of examining the living conditions of a candidate for guardianship of an elderly person.
Medical report on the health status of the potential assistant.
A document from a medical institution about the health status of the person under care.
A written reference from the place of work of the future assistant (if available).
An extract from the house register, both at the place of residence of the pensioner and at the place of residence of the potential guardian.
A certificate in the prescribed form confirming the presence of registration at the place of residence (for both parties).
In case of registration of guardianship in relation to a stranger, notarized consent is additionally required from all members of the pensioner’s family. In addition, employees of the guardianship and trusteeship authorities have the right to request a certificate from the candidate for guardianship stating that he is not registered in a psychoneurological and drug addiction clinic. In order to obtain full guardianship, you must submit the following: documentation:
A certificate confirming that the potential guardian has no criminal record.
Household characteristics from the place of residence.
Certificate of income of the potential guardian.
A court decision declaring an elderly person incompetent and in need of guardianship.
Having collected all the necessary documents, you should contact the social security authorities to register guardianship.
There are a number of circumstances under which a candidate will be denied guardianship of an elderly person.
These include:
Lack of consent of the elderly person (when registering for patronage).
Alcohol or drug addiction of the potential guardian.
Criminal record of the candidate for guardianship.
He has serious illnesses that pose a danger to others (for example, tuberculosis).
Lack of notarized consent of close relatives when registering guardianship for a stranger.
The basis for refusal may also be the guardian’s lack of residential premises belonging to him that meet the established sanitary and technical standards (for this purpose, an inspection report of living conditions is drawn up). A potential assistant should not have arrears in paying for housing and communal services (a certificate from the housing authorities is provided to confirm this fact). If the guardianship authorities decide to refuse to assign guardianship, the candidate must be notified of this within five working days. The notice must contain detailed reasons justifying the decision.
How are compensation payments calculated when caring for an elderly person?
In any case, is it possible to apply for benefits to care for an elderly person? Not every pensioner who has reached the age of 80 is eligible to receive paid outside assistance. Thus, if an elderly person is an individual entrepreneur or a university teacher, he is considered able to work, and caring for him does not imply payment of compensation. Compensation payments (CPP) are payments made to able-bodied citizens caring for an elderly disabled person. This is a government subsidy, and today its amount is 1,200 rubles. KVU is paid for each ward. That is, if a citizen has registered guardianship for two elderly people who have reached the age of 80, then every month he is entitled to a compensation payment in the amount of 1200 x 2 = 2400 rubles. It is also worth noting that for a number of districts, the KVU increases due to the regional coefficient. For example, in the Murmansk region the coefficient is 1.5. Therefore, KVU = 1800 (1200 x 1.5). The current legislation of the Russian Federation does not provide for indexation for KVU. Of course, 1,200 rubles is not enough to provide full care for an elderly person. However, it should be remembered that this is only an additional payment to the pension, material assistance that the state is ready to provide to a person who wants to brighten up the hardships of old age for a lonely pensioner. When an elderly person needs outside care, but there is no one to formalize guardianship for him, the state guarantees the pensioner free assistance from social service employees.
When the right to compensation payments for caring for an elderly person is lost
Is it possible to terminate compensation payments if guardianship over an elderly person is formalized and care is provided? TLC will not be paid if the following circumstances occur:In the event of the death of a ward or guardian.
An elderly person's dissatisfaction with the way he is being cared for is the basis for his appeal to the guardianship authorities with a statement about this. In this case, the arguments given in the application are verified, after which an act is drawn up, and the production of compensation payments to the guardian is stopped.
Placement of an elderly person under care in a hospital. In this case, his care is carried out by employees of the medical institution, and there is no need to pay the TLC to the guardian.
Retirement of the guardian, receipt of unemployed status or official employment.
The guardian must notify the guardianship authorities of the occurrence of these circumstances within five days. Otherwise, the funds received will be collected from him in court.
Is time spent caring for a pensioner included in length of service?
Article 12 of the Law of the Russian Federation “On Insurance Pensions” states that the period of care provided by an able-bodied person for a group I disabled person, a disabled child or a person who has reached the age of 80 years is included in the insurance period along with periods of work. Thus, caring for the elderly not only financially stimulates able-bodied citizens through the payment of pension benefits, but also guarantees them the completion of the length of service necessary for granting a pension.
One year of caring for a pensioner allows the caregiver to earn 1.8 points, and the specified year will be included in the work experience. In the case of caring for several elderly persons, if the dates of care do not coincide, the total period during which the citizen provided assistance to disabled persons will be included in the length of service. For inclusion in the insurance period, the very fact of caring for an elderly person is important. One time years may be included in the length of service, another time points are counted, regardless of the number of persons under guardianship. In this case, a compensation payment is assigned for each elderly person under guardianship (trusteeship).
Is it possible to arrange care for an elderly person for an apartment?
In Russian legislation there is no such concept as “guardianship over an elderly person with the right to inherit his property.” Thus, the guardian will not automatically become the heir of the warded pensioner. However, an elderly person has the right to independently decide on leaving his property, for example, housing, to a guardian as an inheritance. This issue is resolved by drawing up a will, including a guardian in it, or by drawing up an annuity agreement. Sometimes for lonely old people this is a real opportunity to receive appropriate care in old age. For a caregiver who does not have his own home, the opportunity to inherit an apartment from a single pensioner may also seem very attractive, despite the need to care for the old person for a number of years. In such a case, the parties have similar interests, and, subject to mutual good faith, each of them will get what they want. However, both parties can resort to abuse of their rights, and older people, as the most vulnerable in these legal relations, often become victims of scammers. However, without focusing on issues of morality and compliance with laws, we can say that cooperation between a guardian and an elderly person, which is based on the inheritance of living space, can be mutually beneficial. A guarantee for both parties will be the legally correct registration of relations. If a contract is drawn up between the parties, it is necessary to specify in it all possible risks and minimize them. Practice shows that such agreements (for example, an annuity agreement) are drawn up infrequently, since both the guardian and the ward are afraid of dishonest actions on the part of each other.Elderly people are afraid of being alone with a scammer.
Potential renters are worried that they will not be able to fully fulfill their obligations.
It is often easier for older people to enter into an annuity agreement with the state rather than with a citizen. In this case, the pensioner is guaranteed minimal care. Most often this is placement in a nursing home, where pensioners are under constant supervision, including medical supervision. Caring for the elderly entails many burdensome situations that are not compensated by the amount that the state is willing to pay to caregivers. In addition, social security authorities regularly check whether the person under their care is being cared for properly. Citizens who care about the conditions in which lonely old people live out the twilight of their lives may be interested in arranging care for the elderly. A significant number of elderly people are left alone with their old age. In this case, the only hope left is for caring people who are ready to help. And there are such people. And the state, in turn, unobtrusively shows them which path to choose.
The duties of a nurse are not limited to simply monitoring the client’s relative. If necessary, a nurse from the Social Support service helps the patient at home in the following ways:
- gives IVs and injections;
- feeds, waters, monitors medication regimen;
- takes care of hygiene;
- cleans, cooks, goes shopping;
- gives massage and periodically changes the position of the bedridden patient;
- pays attention to the general condition and mood;
- communicates and can fully replace friendly communication for an elderly person.
Live-in care for the elderly
Grandparents' relatives usually work and devote the rest of their time to their family. It is not always possible to provide constant care for the elderly at home. In addition, a sick or old person may live alone. In such a situation, the rest of the family members usually do not want to move into one apartment.
They can be understood - it is emotionally difficult to see how a loved one gradually leaves. In addition, this is accompanied by psychological, everyday and hygienic inconveniences for the family - you need to help the sick or elderly relieve themselves, wash their things, spoon feed them. For a family, such a situation is stressful and can lead to internal discord. A good solution is to invite a live-in caregiver to care for the elderly.
Specially trained and stress-resistant employees of “Social Support” constantly live with the elderly person, providing care and helping him. Caregivers understand that the patient needs not only a diet and medication regimen, but also emotional stability and a general sense of comfort. Our employees are modest, gentle and pleasant to talk to, while being well-versed from a medical point of view and not at a loss in cases of unforeseen complications in a sick elderly person.
When care for a loved one is provided, the whole family has the opportunity to work and study in peace, from time to time visiting a beloved relative who is under the sensitive care of a nurse caring for the elderly at home.
Features of caring for pensioners at home
Care for the elderly in Moscow and the Moscow region is provided by the social support agency. His staff includes many nurses who have knowledge in the fields of medicine and psychology, sociology and social pedagogy. Next to your close relative around the clock there is an attentive and efficient person who knows what the elderly ward needs for the most comfortable stay.
Nursing services for elderly people
A nurse provides care for the elderly in Moscow, takes care of the physical and psychological health of an elderly person, and therefore provides various types of services:
- helps the client drink and eat;
- gives IVs, enemas, injections, gives medications;
- conducts exercise therapy classes or does massage;
- helps with natural functions;
- changes clothes and bedding;
- keeps the home clean;
- goes grocery shopping, pays bills;
- calls a doctor, provides first aid in critical conditions;
- communicates, plays various games to concentrate attention and preserve memory.
If you are looking for a caregiver to care for the elderly in Moscow, we recommend contacting the Social Support service. We guarantee that your loved one will be under qualified supervision. In addition, when selecting people for our staff, we are guided not only by their professional skills, but also by their human qualities. The students feel cared for and treated kindly.
Caring for lonely elderly people at home is a challenge faced by most. Grandparents get sick and injured more often, as the protective properties of the human body are depleted with age. Organizing home care for elderly and elderly people on your own is not easy, because in addition to the problems of a sick person, there remains the usual course of life with work, study and everyday issues.
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Home care nurse for sick elderly people
Aging leads to destructive changes in the functioning of the brain, which affects character: people of retirement age are suggestible, fearful, touchy, prone to aggression, and selfish. Even relatives have a hard time finding an approach to them.
An outside assistant is invited to the home to care for an elderly woman or man when their own experience is not enough. Serious diagnoses require medical skills, as well as knowledge of the psychology of old age. A qualified worker caring for lonely elderly people will free up your time and organize decent conditions for the ward. Hiring him is a responsible task.
Age-related changes are inevitable; they manifest themselves to one degree or another in all people who have reached old age. Even if a person took care of his health, gave up bad habits and led an active social life, old age will definitely make itself felt. Character changes (often due to worsening psycho-emotional difficulties), metabolism slows down, vision becomes blurred, chronic illnesses worsen, and memory deteriorates. Sometimes these symptoms become harbingers of Alzheimer's disease, as well as a number of other disorders and diseases characteristic of older people. Having noticed the first alarming signs, it is better to show elderly relatives to a gerontologist.
What to do if the diagnosis is confirmed? First of all, don't panic! You do not have to completely change your life, adjusting it to the need for constant care for the patient. The Moscow patronage service “Trust” will select you, which will always be in your home. This will be a professional assistant who has skills and experience in caring for older people, has already encountered cases of dementia in her practice and knows how to behave in a critical situation. We make sure that you get into your home not just a physically strong woman who knows how to carry out hygiene procedures and distinguishes one drug from another, but also has spiritual qualities - patience, the ability to empathize.
Specifics of care for the elderly
Even if you have only occasionally communicated with elderly people, you understand that they need a special approach, knowledge of their psychological characteristics. A home nurse, in addition to her immediate duties (washing, feeding, accompanying on walks), is an indispensable assistant and listener.
The list of responsibilities of a live-in caregiver always includes walking. Elderly people are often capricious, refusing to leave the house, which negatively affects their well-being. The ability to calm down, cheer up, and make a joke at the right time if the patient’s mood has worsened is highly valued. The “Trust” nursing service pays great attention to the psychological compatibility of employees and their charges, and may even replace the nurse if no other solution can be found. Psychological comfort is an indispensable condition for complete care.
