How do people live in nursing homes? How old people live in nursing homes. Disadvantages of nursing homes

Employee of the charitable foundation "Old Age in Joy", journalist "Mercy.ru"

Why grandparents don't live with their families

In our experience, “children betray their parents” is a rare option. I personally saw few situations when a grandmother lived with the family of her daughter or son, nursed her grandchildren, and then she was “surrendered”. Usually, family ties fall apart much before the grandmother enters the nursing home. For example, her children left their native village for a larger city, and her grandmother did not want to leave her place, even if she was called. As long as she managed herself, this was not a problem. When she can hardly walk, she cannot bring a pack of pasta from the store and wash her own clothes - all the more she does not want (and cannot) move far.

The Soviet system of distribution and labor conscription has played its part: children can live on the other side of the country. If a grandmother is 80 and her daughter is 60, chances are that the grandchildren, who are under 40, saw her in their lives a couple of times 20-30 years ago. Her children themselves are not very energetic and healthy, and for her grandchildren she is a stranger. So she goes to a nursing home in her native region - most often in a district or regional center, because there are large houses, 600 people each, and small ones - closer to her native village - were closed in the process of optimization. Although she would be much better off in a home for 30 people with a family atmosphere than in a boarding school for 600. But in general, a nursing home for her is not a punishment and a prison, but a physical salvation: bed linen is changed, food is brought 4 times a day, let not the one that grandma liked. Further, it depends on the warehouse of the personality: someone will live there for another 15 years, someone will die in two months.

There are far less socialized families. Here everyone can live close, but the children drink, and often drink away the pension of their grandmother or grandfather - grandfathers, however, rarely live to an old age, so we are talking mainly about grandmothers. When drunk, a son or grandson can hit a grandmother, she eats poorly: the money is drunk and there is no one in the family to cook. In this case, the nursing home is again a physical rescue.

At the same time, grandmothers most often do not condemn their relatives, they are very happy with their calls and visits, even if relatives come once a month to collect the rest of the pension (75% of the pension is transferred to the boarding school account, 25% remains for the elderly). They are glad they can be helpful. If we give soft toys to grandmothers, they are happy because they can give this toy to their great-grandson if they bring him to visit.

There are, of course, grandmothers for whom the nursing home is a prison, they perceive their children as traitors. Here, a very good nursing home, with attentive staff and a good material base, can be perceived as a life wreck, especially if the grandmother is intelligent (for example, a school teacher or accountant). And a perfect shack can be perceived as a normal house (if the grandmother, for example, was a milkmaid or a beet grower and did not see much comfort in her life). And there are also classic stories, when they sold their grandmother’s apartment or house, improved their conditions, first they took the grandmother, and then they showed her in every possible way that she was superfluous, and she herself asked for a boarding school or she was taken straight there. But these stories are dozens of times fewer than those from the series "it happened", "all relatives died", "the son drank and beat" or "the daughter herself is disabled and lives in a neighboring boarding school."

Who decides where the elderly will spend their last years

In a classic Moscow boarding school (for example, this one) there are 500 beds, of which 275 are for the bedridden and 75 for the blind. Nursing homes in Moscow are under the jurisdiction of the Department of Social Protection. But grandparents can end up in neuropsychiatric boarding schools (PNI) and even psychiatric hospitals for years. Many graduates of orphanages, especially correctional ones, or graduates with disabilities at the age of 18 end up in a nursing home if the disability is physical. If mental - then in PNI. And they stay there until they die.

In addition, there is the 216th order of the Ministry of Health on medical contraindications, in the presence of which a person may not be allowed into a nursing home and PNI. Therefore, if a person has tuberculosis or epilepsy with frequent seizures, then he should live in the system of the Ministry of Health. Hospices are also sometimes opened even in rather remote villages: a real hospice with a license for narcotic painkillers can also be called that, but then they will most often be taken there only with oncology, and there will be no neurological and other patients.

How is life in nursing homes

The situation decisively depends on the personnel. If the director takes care of the grandparents, he will motivate all the staff, invite sponsors, invite volunteers, and give money for gasoline, so that the residents of the orphanage go on an excursion somewhere on a state-owned bus, and allocate a room for a house church.

There are a lot of houses where the staff, led by the director, has burned out badly. Their salaries are low: nannies have 5-8 thousand rubles each, and they can have up to 50 bedridden old people for two in a shift - and at night she can be alone on her floor. They do not need anything other than to provide biological life. That is, somewhere a recumbent grandmother will be spoon-fed, shaken in every possible way - and she will get up after a fracture of the femoral neck, go even with a walker and keep her mind. Somewhere they will say “she has fallen ill” and leave it like that, and when she withdraws into herself, they will say: “She is sick, do not approach her again,” and she will die very soon.

There are no cases of criminal desire to quickly transport grandmothers to the other world in state nursing homes. In the extreme case, this is insured by per capita funding (if you kill everyone, you will remain on the beans) and prosecutorial and other checks. But there are plenty of cases of complete indifference - “they don’t need anything, they’re not in themselves” - despite the fact that grandmothers really need communication, comfort, and personal attention.

Fortunately, this burnout is treatable in many cases. It is easier in small houses, where the troubles were from poverty. We have several cases of turning a smelly hut into a completely cozy place simply because instead of bleach, nurses were given normal detergents in a decent amount, diapers for bedridden people, extra copies of bed linen, gloves. And they perked up, because before that they were sure that neither they nor their grandmothers were needed by anyone.

It’s harder in big houses - there you need a lot of diapers and detergents, and while you talk heart to heart with each of the staff (not to teach something, but just talk like a human being, maybe she has three children at home underfed with her something salary), a lot of time passes.

Yes, someone is stealing somewhere. We saw exemplary houses where everything is perfect precisely at the expense of the budget. We did not catch anyone by the hand - we have a different specialization, we are not the Investigative Committee, we just compare what happens when a director is happy and what happens in other cases. However, funding varies from region to region, and the building may have been built in 1905 or it may have been built in 1985.

Big houses are good. With attention to the bedridden, with labor and creative workshops, with walks. And there are bad ones - both large boarding schools and small ones, where they ask their grandmother for money for help in washing, money for going outside to breathe, where their feet stick to the floor, etc.

Why are private nursing homes better than public ones?

State nursing homes are not free, as many people think - they take 75% of the pension there. I know nursing wards where they take 95%. There are social beds in state wards of nursing care and boarding schools, where they take them for an additional payment from relatives (for example, for some reason, grandmother does not have the right to a place only for deductions from a pension). In the Moscow region last year, the additional payment was 22-25 thousand rubles per bed per month, that is, 75% of the pension plus these 22-25 thousand rubles. And these are quite ordinary wards, four people in a room and no preferences. It is relatively good there, our volunteers even pay for such wards for one grandmother, to whom the state offers only others, worse.

All kinds of boarding houses like "Dobrota", "Care", Senior Group (physically they are in the Moscow region, but are considered Moscow), Boarding house for the elderly - all these are private networks. The Senior Group helps us in every way they can: they held brief trainings for the staff of state houses from the regions, they took our blind blind grandfather to his place and put him on his feet when he was about to die, etc. But the price of living in such a boarding house goes off scale for 100 thousand per month, as far as I know. We are personally not familiar with other private networks. But if the price of living is about 30 thousand rubles a month, then these are guaranteed not the best conditions, and the staff, most likely, is not only without education - even without medical books. In the news, there was a buzz about a shelter in the Vladimir region, where they found dead and half-dead old people - living there cost 22 thousand a month.

A good private house (at Senior Group, for example) corresponds to, say, an Israeli one. That is, there are no bedridden as a class: even if a person is in a vegetative state, they wash him in the morning, put him in a stroller, take him to the dining room for breakfast (even mashed food from a spoon, but not in bed through a drinking bowl), then they take him to all sorts of morning news and discussion, then for a walk.

There is a round-the-clock supervision of those who are not in memory, classes in all kinds of art therapy and music, a psychologist, visits to cardiologists, and so on. In such places, the recumbent get up, relatives are invited to all holidays. In bad private nursing homes, everything is either the same as in bad public ones, or - in criminal cases - it can turn out to be much worse.

What is it like to live in a Russian nursing home

The guests of the house "Pervomaisky" in the Tula region tell their stories

Grandmother Evdokia

Photo: Maria Borodina

We go back and forth here, three times a day we go downstairs, to the dining room - training. Someone is sick, someone else can walk. We also have Masha, Lida, Zoya on the floor. Zoya is in the hospital now. We came from Belev. At home, of course, it is better, but at home there is no one with whom.

The houses have wood-burning heating, no hot water, no gas, but the bathroom and toilet are separate. We have been living in the Tula region for 20 years, and the whole village is without gas, they only used firewood. Recently, I have not even cultivated the garden, I had no strength.

My birthday this month is October 28, and my great-grandson was born a month ago. Weight 4500 - a hero, they did a caesarean section. Named Ilya. Now I will show you my daughter, she was beautiful to me. She died two years old at 52. After her death, I wander around these houses. I often look at the photographs - and we will winter. Volunteers came from Tula, there was a concert in the canteen, homemade cakes, it was so great. We also have our own accordion player - he plays on Tuesday and Friday at three o'clock, some of them sing. Today my granddaughter came to me by correspondence, we saw each other for the first time, we have been corresponding since March 29. At first I thought from the threshold that this was my youngest daughter. They have two cars, they could come, but they don't.

We have a lot of people texting. A girl, a granddaughter by correspondence, also goes to Bogomolova. She gave her a bathrobe, a sleeveless jacket, often with her. Filippova writes the most, sends photos, gifts. True, she is going to Tula now to have an eye operation, I'm worried about her.

Grandma Zina

Photo: Maria Borodina

I have a third stroke already, I am learning to walk again. I've been here for three months. But I have almost learned to walk. I was born in Plavsk, I am Plavsk. I have no one, only one niece, she comes to me. For lonely people like me, it's good here.

To return to the main building by the New Year is my dream. You just need to heal. There is a big difference between a recumbent body and a non-lying body. We are walking around the area. And here it is not very interesting, there is little communication. I have a fiancé there. Now I will learn to get up from the potty, the leg will adapt, and I will return to it.

His name is Alexander, he visits me every day, we have been talking for two years, so everything is fine. I like it so much! Do you know what a good character is? Not rude at all. True, he is paralyzed, but he comes to see me every day. He always greets and says goodbye to all my neighbors. He is kind. And it looks like nothing.

When I had only two strokes, we walked, went to concerts together. They even offered us to live together, they wanted to give a separate room. But I'm not ready for that yet. Maybe by the First of May, in the spring. I now need to recover, and not think about family life. And then, what kind of wife am I? He once came to me, takes off his socks and puts them on the table. Wanted me to wash. I ask, why put on the table? I would say wash it. I washed, of course, and he put them on the table again, clean, but on the table. I told him: “Sash, well, why are there socks on the table?” But he is very good and kind.

My niece is a miracle, she comes to me, communicates with me. Her son and daughter are adults, very decent, like her mother herself, they are doctors. I have to be looked after all the time, but they can't.

I always said that I would not survive the third stroke, but it turned out - wait for the fourth. They tell me that I'm young, I'm 66 in total. True, Alexander is still not very pleased with me: I walk here in a dressing gown, not always combed. I told him, you wait for the New Year, I'll dress up, put myself in order. And recently she asked: “Are you going to leave me?” He said not yet. And he came recently, he said that he definitely would not quit. Thank you Lord. On the other hand, who will he find better than me? And we have, you know, what kind of women, because a woman needs a man at the age of 90. I told him that no one needs him except me. But then I regretted it, he's good.

Grandpa Kolya

Photo: Maria Borodina

Photo: Maria Borodina

Photo: Maria Borodina

I am from Tula. My son died of a stroke in Moscow, and my grandson died almost immediately after that. As soon as my grandson died, I had a heart attack - my legs gave out, so I ended up here. I have a special exercise machine for charging. I really want to walk, I want to get up and go and see my house in Tula, how it looks now. I have been working on a collective farm since the age of 13. Life is already ending, and life has only recently begun. But I still have a goal - I want to get up on my own, without help.

Grandmother Raya

Photo: Maria Borodina

I am the grandmother of Ray. In my youth I had an accident, I was diagnosed, I could not give birth to children. I have no one.

Grandpa Vitya

Photo: Maria Borodina

I have a birthday on Wednesday - well, I'm still young, I'm only seventeen to a hundred. My family will come to me, my grandson is 30 years old, he will bring everyone, they will amuse us, the whole ward. He is my captain, his name is Denis.

I was a senior apparatchik at a chemical plant, I worked for 28 years, up to 75 years. I have a pension of 25,000, is that good? Of course it does. Some get 10-13 thousand. I served in Sevastopol, in the Navy for four and a half years, and the volunteers remembered and brought Crimean photographs, postcards - very nice and beautiful. I look and cry, but these are tears of joy, tears of memories.

In general, I understood: the main thing is the family, when there are children, nothing is scary. PI keep replaying memories of my youth and childhood in my head. I myself did not finish my studies, my parents were old, I had to look after, help. Fate is, well, nothing. Each person has his own destiny. The daughter is a high school teacher, she teaches French, now she has become the head teacher at the gymnasium. Grandson Denis loves me very much. Granddaughter lives in America - Masha, beauty. When she was a 4th year student in Moscow, she went to America for an internship, she liked it, found a man for herself, fell in love with him, got married and stayed there. Her husband's parents are Russian, and he himself was born in America. Masha has been living there for the second year, but she speaks so well. He told his parents that this was his wife and he would never let her go anywhere. So be it. We love her very much. She has not yet come to me, but she promises.

Grandpa Gennady

Photo: Maria Borodina

I was born in the village of Shamai, Pizhansky district, this is the Kirov region, I worked there as a signalman. I was here only the first night, my son-in-law brought me here, and he left for Moscow. Don't kiss me, I'm unshaven. You can take pictures. My surname is beautiful - Khristolyubov.

Grandpa Valera

Photo: Maria Borodina

Photo: Maria Borodina

I was born in Belarus. Close relatives have died or died. She worked on a collective farm, then she was transferred to a state farm, they began to pay money. But not enough. The pension is minimal. Then I came to Tula, we have a three-room apartment here, 9 people live in it - relatives, my sister's children. They bought me a folding chair, and my niece and her husband slept on the floor. I was very uncomfortable that they sleep on the floor, I asked to be brought here so that they would have somewhere to sleep. They didn't want to let me go, but I asked for it myself. It's hard with me. Volunteers come to me, they are like granddaughters and grandchildren to me. Bring gifts, photographs. In general, I have a great-granddaughter - Masha. I've been here for three years now. Every day I pray. Such is my life.

Grandma Masha

Photo: Maria Borodina

I am Maria Mikhailovna, but Baba Masha is better, I was born on January 14, 1930, I am a peasant woman. Tula region, Kireevsky district. Although I am deaf, I sing well, I love to sing - and I loved to scream.

I worked at the mine as a coal handler, at the construction site I worked as a bricklayer. My uncle arranged for me, they didn’t let us leave the collective farm just like that. And then I got sick - I have glaucoma. I can't lift heavy things, and I retired at 50. I wanted to work, but my mother had a heart attack. Mom died, I screamed a lot for my mother. My brother lived with me, he was afraid that I would go crazy. I buried him and was left all alone. I was hit by a car, I had a fracture in three places, I spent six months in the district hospital. Then they transferred here.

It will soon be five years since I've been here. A week later, my cousin Galya comes to visit me. She erases everything for me, brings gifts, takes care of me too, she is 68 years old, she worked as a teacher. And I’m already used to it here. I get up, straighten the bed and do exercises for more than 30 minutes. The girls who work here help us. They support us. Many of us have children, but they do not come, I wonder what kind of nature people have.

I was married, lived five months in marriage. Husband drank, God knows what he was doing. I don't want to look at men at all. Make no mistake. I do not believe that it is impossible to live without them, but it is also impossible to get confused with one or the other. And if you get married, respect your husband. Only it would be nice not to live with his mother, you will be nicer.

Whoever wishes me harm, I still do not wish life alone. What if we stayed at home? So what do we do one by one? Our beds are always clean here, breakfast is good, lunch is good. Warm. Health is very important. And sang with you well today. Still, there are good people in Russia, thank you, don't scold me for wheezing when I sang.

Grandmother Galya


It's scary to say how old I am: 82 years old. I was born in the village of Butyrka. I worked in a sanitary and epidemiological station, and then at the age of 45 I was given a disability group: the diagnosis was polyarthritis. It's incurable. I had an operation twenty years ago, they said I won’t live more than three months, but I still live. My husband cried, cried, buried me, but I stayed.We didn’t have children, I couldn’t give birth, the diagnosis is like that. But we lived well, together, in love. And he kept telling me these three months how I would live without Jackdaw, how I would live without my Jackdaw. And then I buried him. Such is life, little ones.

Grandma Polina

Photo: Maria Borodina

I lived in Tula. My grandson was hit by a car, then his wife died. Only my nephews remained, they brought me here. We feel good here, they work with us, but it still gets boring. I didn’t walk at all for a long time, but I started walking here after training. It was hard and very scary. And now nothing, we live.

Grandma Tanya

Photo: Maria Borodina

Photo: Maria Borodina

Baba Valya I. I have always loved and love our youth. At first she worked in a kindergarten, got a job as a nanny there, and was hired as a cook. She cooked food for the children, you know how delicious it was, she cooked best of all. In prison, she worked on the phone, next to the cameras. I was the controller, I looked through the peephole so that there were no fights, conflicts. And if there is a fight, there is a telephone nearby, you call, they will come to sort it out. The doors were closed with two locks, but I have the keys, I don’t open them - it’s not allowed. In her youth, she could assemble and disassemble a pistol, but she could not. Then they fired me. Valentina Vasilievna, senior sergeant. Written like this, what's the point?

And I went to work as a cleaner. They paid little. In the hospital again as a cook, she lived in Skuratovo, went by six in the morning, served breakfast to everyone. I was able to do everything. After all, in life as it is, if you know how, you will live everywhere.

This is my third year here. I have two daughters - 69 years old and 72 years old, they sold the apartment, and I was left with nothing. I am from Tula in general, I lived next to the Zarya store, on Galkin Street, on the fourth floor. My husband and I lived together for 40 years, but he left earlier.I have not seen my eldest daughter Galya for 15 years, the youngest came. Life is generally upside down. I am embarrassed to be photographed, they will ask later where you got this one. I'll put on a scarf - and hello, I'm your aunt. I'm going to dance, I'm jack of all trades.

Grandma Anya

Photo: Maria Borodina

I've been here for four years. In her youth, she worked at a military factory, as a mechanic, in a mine - she had to suffer everywhere. And my family life is bad, all separation and separation. So I sing with you, from separation. I have a great-granddaughter - Dasha, small, beautiful. The granddaughter gave birth to an Armenian, he is a good husband. Dasha dances and sings, they are cheerful people. Granddaughter's husband loves her. What I want to say is, live together, never offend suitors, otherwise we girls also bite.

Grandma Masha

Photo: Maria Borodina

I have a niece, she got a very good husband. I didn't get married, I don't have children of my own. The nephews are coming. And there are also volunteers from Moscow, so I got a granddaughter by correspondence, Anya. She used to come to my house in Belev, we met there, and now she comes here to me. She and her husband are very good - Ilyusha.

We have good nurses, they are for us. I understand everything, it’s hard with grannies, one does not hear, the other does not walk, the third does not see. I'm Tamara Borisovna Kryuchkova from room 97, it's on the second floor. Write me letters.

This material would not be possible without the fund "Old Age in Joy", which helps residents 120 nursing homes from the Moscow region to Tatarstan. The Foundation collects donations for treatment, pays for additional staff, and sends caregivers. Volunteers bring linen, clothes, strollers, care products. They also organize tea parties with sweets and songs. An important part of the work of the foundation is the established regular correspondence with the elderly. You can also start and maintain communication with people who have no one.

In Soviet times, the phrase “he/she was sent to a nursing home” was a horror story for all the elderly. Boarding schools were afraid - what to say, and now they are afraid - at the genetic level. Somehow it so happened that the slogan “The young are dear to us everywhere, the old people are honored everywhere” remained a slogan. At least in the second part. Rather, there may be honor, but warmth and human participation are in short supply. But, what pleases, not everywhere. And, most importantly, the attitude towards old and helpless people is changing. Especially in young people.

Elizaveta Oleskina, Director of the Joy of Old Age Charitable Foundation

The most important thing that each of us can do is to change our attitude towards people who need help, to see them not as an object of assistance, but as a person with whom it is interesting to communicate. Help and support cannot be average, each of us needs something different. And it's not about the money, it's about the attitude.

Little things that we sometimes do not notice can be very important, very valuable.

Life is made up of little things, so don't think that help is very long, very difficult and requires some kind of heroism. It requires a little bit of our compassion, even compassion for ourselves.

We become richer and happier when we understand that “there, thanks to me, my grandmother has a new mattress”, “I know that grandmothers now go out into the corridor, because we bought good strollers for them”, “and our nannies, to whom we pay money, they plant grandmothers, take them out into the street, feed them, take care of them. When I know this, I feel good, warm; no matter what, there are places where I am always welcome.

If I go there just without anything, hungry, they will feed me and say: “Stay, lie down on my bed, we will make room here.” Therefore, it seems to me that it is a great sadness that we are a little bit ignoring our nursing homes and the wonderful people who live there. Hope this all changes.

Yulia Borisova, Tula coordinator of the Old Age for Joy Foundation

Our Foundation originated from a volunteer movement. Liza (now the director of the Charitable Foundation "Old Age in Joy" Elizaveta Oleskina) is a philologist by education. Once she went to the outback to collect folklore. I went to a nursing home and ... it turned her worldview upside down. It turned out that the grannies were not ready to communicate - Lisa was the first person who spoke to them over the past few years in a normal human language and did not ask “do you want to eat? change a diaper?"

I myself worked for 7 years in a psycho-neurological boarding school. And now Liza and I are working together at the Foundation. Without false modesty, I will say that thanks to Lisa and me, a 3-year-old has begun in the Tula region. It implies the introduction of uniform standards of care, correct and competent financial models for the provision of assistance, and uniform approaches in the medical and social spheres.

We patronize 11 houses in the Tula region. Now we are adding to them nursing care wards in the institutions of the Ministry of Health.

It is very important that home patronage approaches will change. We will provide psychological and methodological assistance to families where elderly people are dependent. For example, it is planned to introduce such a practice as social leave. A lot of training is planned for all those who work in the social assistance system. And aid itself will expand and change.

Myslo Help

The Joy of Old Age Charitable Foundation was formed from the volunteer movement of the same name, which has existed since the spring of 2006. It is they who are looking for elderly people from nursing homes for grandchildren by correspondence (and also oversee more than 50 institutions in Central Russia, help with the necessary and go to visit). "Old Age in Joy" helps nursing homes in two directions - morally and financially.

Pervomaisky boarding school for the elderly and disabled, perhaps, can be considered exemplary.

We have repeatedly written both, and about its inhabitants, and. How does the house live today?


A three-dimensional layout of the boarding school adorns the hall on the first floor. It was made by a resident of the house Lyubov Khramovicheva.

5 hectares of the territory of the house turn into a flower garden in summer. And the seedlings are grown by the inhabitants of the house themselves. For many, this is real life. And in the spring to plant lilacs, cherries and flowers for the subbotnik come out with the whole composition. Not under duress, just because it's their home and they want it to be beautiful.

Elena Petrovna Biyatova has been running the Pervomaisky boarding school for the elderly and disabled since November 2015. In general, Elena Petrovna has been working in this area for 14 years.

We have a different population. Many consider themselves deceived and betrayed relatives. After all, in fact, it is a myth that only lonely people get into nursing homes. Most have children. Only 30% have no direct relatives.

Unfortunately, our Soviet people - and the guests of our house, of course, come from the USSR! — not ready to understand and accept compassion and mercy. Plus, there is also a feature of old age - it is not for nothing that they often compare the old and the small. They love touches, hugs, but at the same time they are jealous, capricious, offended. As they say, "my sore is the sickest."

305 people live in the house, 150 of them have lost their self-service skills. They are also all different - someone cannot get up, but can be controlled by a spoon and eat himself. And someone can stand, but the hands do not work. The average age of people living in our house is 76 years.

53 veterans of the Second World War and 103 labor veterans, 42 disabled people under the age of 50 live here, and 37 of them are employed at rates and work with pleasure for the benefit of all residents of the house.

They do not need to be reminded that, for example, the snow in the yard needs to be cleaned - they really appreciate their work and their need in life at home.

Our grandparents live in single and double rooms. And of course, it happens that after living together for some time, the neighbors get tired of each other. And they're leaving.

But it happens the other way around - they come together, forming married couples. And not only among young people with disabilities. For example, last year we formed two families, this year we already have one, and it looks like there will be more soon.

The strangest thing that sits in our heads is that almost everyone who lives in nursing homes dreams of only one thing - someday to return home. Moreover, often the houses are unheated or completely unsuitable for normal housing. But for some reason, Russian people are afraid to die not at home.

The phrase “it’s better for old people at home” I would finish with a few question and exclamation marks with ellipsis. This is a question to which there is no definite answer.

The life of our inhabitants here is more active than if everyone lived in their own apartment. There is a concentration of older people here, this is a big club of interests.


Svetlana Ilyukhina, young girl, disabled person, very deftly navigates the Internet on a large tablet.

Yes, a nursing home is a place where a lot of things are decided for you. For example, that there will be tea for breakfast, and lunch at 13 o'clock. But, you see, in kindergarten or at school, our children also live according to the schedule. And in families? Very many elderly people living in a family with their children often do not go anywhere from home. Well, in extreme cases - to the store for bread.

Our life is in full swing. Five or six times a year we go to the local theater. We have been in Yasnaya Polyana for two years in a row at the Tolstoy Weekend - and this despite the fact that there are always a limited number of places and tickets for it for everyone! When the Moskvarium opened in Moscow, we went there for a performance just a month later. Not to mention trips to our museums - Kulikovo Field, Yasnaya Polyana ... And we take out not only the elderly - our wheelchair users also actively participate in all events. We have concerts every week, and various classes in the halls every day for any request. Well, what kind of elderly Russian pensioner will be able to organize such an active life for himself?!

Although, of course, there are those who object. “Come on, some kind of concert?! Why am I going to paint children's coloring books ?! are the usual objections. But when they try twice, then you won’t pull it off. You should have seen the inspired faces of our artists!

The staff of the house is 205 people, fully staffed. And so God decreed that there are no indifferent and indifferent people. There are special people here. For example, nurses. And, thank God, we now have a competition among junior staff (a salary of 28,000 rubles is quite competitive).

Our home is a place where elderly people and adult disabled people live. This is the so-called long-term care. Therefore, there is a need for trained professionals.

In long-term care, the main specialist is the nurse, the person who is directly around the clock with our residents. Correctly turn over and change diapers, dress a person to take him for a walk, notice a change in mood in time and call a psychologist - all this is very important.

Of course, our house is equipped with special equipment - functional beds for bedridden people, strollers ... But all this will be nothing without the soul of the staff.

Working at home is emotionally difficult. And you should always be kind and patient. A psychologist helps to cope with emotional burnout. He is the only one in the state - both for patients and for staff.

75 medical staff work in the house - from nurses to doctors, including 3 general practitioners - doctors from God, they treat not only with medicines, but also with a kind word and attitude. If narrow specialists are needed, we turn to the Shchekino Central District Hospital.

And for another 10 years we have been cooperating with the Old Age for Joy Foundation. And we are grateful to them, first of all, for the joy of communication that they give to our grandparents.

They get here on the basis of a voucher from social security. According to the legislation, each of the tenants of the house pays no more than 75% of the average per capita income of a person, which is calculated according to the decree of the Government of the Russian Federation. In addition, tariffs for each service are set - they are posted on the website of the Ministry of Labor and Social Protection of the Tula Region.

In the corridor we met a very charming woman. In a business suit, carefully combed, with light make-up, Svetlana Dmitrievna was a resident of this house. Lived here for 3.5 years.

All her life she worked as a speech therapist and oligophrenic pedagogue. How did I get here? Well, it looks like fate decreed it that way. It's hard to talk about it.

Lyudmila Grigoryevna Tsareva has been working as a therapist in the house for 10 years.

Working with the elderly has its own characteristics. After all, people during their lives accumulate not only experience, but also illnesses and resentments. Many of our grandparents have relatives. And often they are offended by them. Offended by fate. Volunteers from the Old Age for Joy Foundation work with our house. Young people come on their days off, give joy to the elderly and infirm. All our medical pills do not bring as much benefit as smiles, good mood and life optimism.

Of course, our work requires certain emotional costs. Older people are both capricious and touchy. And like children, they quickly move away, forget their grievances.

We all face old age. I think taking care of the old is not only a noble, but also a grateful thing. In all the time I've been working in the house, I've never had a feeling of despair or regret.

The nursing home is provided with facilities for caring for the sick and bedridden. But, as Lyudmila Grigorievna explains, alas, you don’t have to choose - you can’t indicate in the contract that Hartmann MoliCare diapers are needed. But these same diapers should be as convenient and comfortable as possible. It is these diapers that are brought by volunteers of the Old Age for Joy Foundation. In addition to providing care products and equipment, the foundation pays for and trains staff, especially nurses. It's no secret that correctly, quickly and deftly putting on a diaper is a whole science.

Natalya Alexandrovna Punina, nurse, works in the house recently:

I am retired, I am 64 years old, but I work all the time. I used to have to take care of my elderly relatives. And, probably, the heart prompted - go, help. I called and asked if there were any vacancies. Everything turned out to be busy. But I left my coordinates, and one fine day they called me. In May 2018, it will be three years since I have been working as a nurse here. The work schedule is convenient - in three days, it is enough to recover. My duties include helping residents to wash, dress, clean up after them, turn bedridden people over, change diapers, and feed them.

I am a believer, I look at my wards through the eyes of the Lord, and this helps both me and them.

Natalya Mikhailovna Sharykina has been working as a nurse in the house for 6 years. Prior to that, she worked in surgery at the Shchekino regional hospital.

I will not compare work in surgery and in a nursing home. There are difficulties and joys both there and there. It’s just that here my patients don’t go home after the operation, as they did in the hospital. They just live here. I know all of them by name and patronymic, their characters and needs.

Lidia Ivanovna Muschinkina and Nikolai Semenovich Kirsanov began to live together recently.

It’s warm, light and flies don’t bite here,” Nikolai Semenovich joked about his life. I have been living here for eight years. Wanted to get here - and got. I used to work in the district executive committee, I have the military rank of major and state awards. 54 years of work experience. And now here ... Yes, everyone knows that they come here to die! But in general, we are satisfied with everything here.

And the main thing is that we arrange each other, - added Lydia Ivanovna.

It turned out that they met in ... the corridor. Went to charge. Word for word, we got to know each other. Then they met at concerts in the hall.

Nikolai sculpts well, his work was taken to the exhibition, - Natalya Mikhailovna boasted of her husband's success. She herself has been living in the house for three years. Moves in a wheelchair - came here after a fracture of the femoral neck. She is visited by her grandchildren and her daughter, who works nearby. Nikolai Semenovich has two sons.

Maria Mikhailovna Borisova“walked” along the corridor of the house with a walker. According to the doctor, at first she was a resident of the Mercy Corps (this is the name of the wing where bedridden people live. - Approx. Aut.). But after a while, working hard, she got up and went.

I have been living here for eight years. This year I will be 89 years old. It is very scary to remember what happened to me, how I got here. I won't talk about it. For four years I lay flat. Now I'm moving a little. I will say that they received me well here. Volunteer girls work with us, read books to us, do gymnastics. Soon the heat will come, I'll try to get outside.

My roommate is older than me, she is 98 years old, but she is sane, we have lunch and talk with her. She wants to catch up with her sister, who lived to be 106 years old. Here are our plans!

Nadezhda Vladimirovna Chernous, head of the canteen production, has been working in the house for 10 years.

Prior to that, I worked for 30 years in a children's sanatorium. Now fate has brought me here. I'm the chef here. We, like in a sanatorium, have a common table, there is a diet for those who suffer from gastrointestinal diseases. Meals for residents are organized according to the menu, which is approved for 2 weeks in advance - there is fish, meat, and poultry. Wards are very fond of borscht and mushroom soup. Of course, sometimes people want what they used to eat at home. For example, fried potatoes, we have something mostly mashed potatoes or roasts. On the floors in the buildings there is an opportunity to cook something different for yourself. We have five cooks and five waiters, a dishwasher. The disabled guys who live here help a lot - they are part of the rate.

Editorial

Dear users of our portal! If suddenly a spark of desire to help the elderly flares up in your soul - no, we are not talking about money (although, probably, they are not superfluous either, we are talking about the warmth of communication! -

Employee of the charitable foundation "Old Age in Joy", journalist "Mercy.ru"

Why grandparents don't live with their families

In our experience, "children betray parents" is a rare option. I personally saw few situations when a grandmother lived with the family of her daughter or son, nursed her grandchildren, and then she was “surrendered”. Usually, family ties fall apart much before the grandmother enters the nursing home. For example, her children left their native village for a larger city, and her grandmother did not want to leave her place, even if she was called. As long as she managed herself, this was not a problem. When she can hardly walk, she cannot bring a pack of pasta from the store and wash her own clothes - all the more she does not want (and cannot) move far.

The Soviet system of distribution and labor conscription has played its part: children can live on the other side of the country. If a grandmother is 80 and her daughter is 60, chances are that the grandchildren, who are under 40, saw her in their lives a couple of times 20-30 years ago. Her children themselves are not very energetic and healthy, and for her grandchildren she is a stranger. So she goes to a nursing home in her native region - most often in a district or regional center, because there are large houses, 600 people each, and small ones - closer to her native village - were closed in the process of optimization. Although she would be much better off in a home for 30 people with a family atmosphere than in a boarding school for 600. But in general, a nursing home for her is not a punishment and a prison, but a physical salvation: bed linen is changed, food is brought 4 times a day, let not the one that grandma liked. Further, it depends on the warehouse of the personality: someone will live there for another 15 years, someone will die in two months.

There are far less socialized families. Here everyone can live close, but children drink, and often drink away the pension of their grandparents - grandfathers, however, rarely live to an old age, so we are talking mainly about grandmothers. When drunk, a son or grandson can hit a grandmother, she eats poorly: the money is drunk and there is no one in the family to cook. In this case, the nursing home is again a physical rescue.

At the same time, grandmothers most often do not condemn their relatives, they are very happy with their calls and visits, even if relatives come once a month to collect the rest of the pension (75% of the pension is transferred to the boarding school account, 25% remains for the elderly). They are glad they can be helpful. If we give soft toys to grandmothers, they are happy because they can give this toy to their great-grandson if they bring him to visit.

There are, of course, grandmothers for whom the nursing home is a prison, they perceive their children as traitors. Here, a very good nursing home, with attentive staff and a good material base, can be perceived as a life wreck, especially if the grandmother is intelligent (for example, a school teacher or accountant). And a perfect shack can be perceived as a normal house (if the grandmother, for example, was a milkmaid or a beet grower and did not see much comfort in her life). And there are also classic stories, when they sold their grandmother’s apartment or house, improved their conditions, first they took the grandmother, and then they showed her in every possible way that she was superfluous, and she herself asked for a boarding school or she was taken straight there. But these stories are dozens of times fewer than those from the series "it happened", "all relatives died", "the son drank and beat" or "the daughter herself is disabled and lives in a neighboring boarding school."

Who decides where the elderly will spend their last years

In a classic Moscow boarding school (for example, this one) there are 500 beds, of which 275 are for the bedridden and 75 for the blind. Nursing homes in Moscow are under the jurisdiction of the Department of Social Protection. But grandparents can end up in neuropsychiatric boarding schools (PNI) and even psychiatric hospitals for years. Many graduates of orphanages, especially correctional ones, or graduates with disabilities at the age of 18 end up in a nursing home if the disability is physical. If mental - then in PNI. And they stay there until they die.

In addition, there is the 216th order of the Ministry of Health on medical contraindications, in the presence of which a person may not be allowed into a nursing home and PNI. Therefore, if a person has tuberculosis or epilepsy with frequent seizures, then he should live in the system of the Ministry of Health. Hospices are also sometimes opened even in rather remote villages: a real hospice with a license for narcotic painkillers can also be called that, but then they will most often be taken there only with oncology, and there will be no neurological and other patients.

How is life in nursing homes

The situation decisively depends on the personnel. If the director takes care of the grandparents, he will motivate all the staff, invite sponsors, invite volunteers, and give money for gasoline, so that the residents of the orphanage go on an excursion somewhere on a state-owned bus, and allocate a room for a house church.

There are a lot of houses where the staff, led by the director, has burned out badly. Their salaries are low: nannies have 5-8 thousand rubles each, and they can have up to 50 bedridden old people for two in a shift - and at night she can be alone on her floor. They do not need anything other than to provide biological life. That is, somewhere a recumbent grandmother will be spoon-fed, shaken in every possible way - and she will get up after a fracture of the femoral neck, go even with a walker and keep her mind. Somewhere they will say “she has fallen ill” and leave it like that, and when she withdraws into herself, they will say: “You are sick, do not approach her again,” and she will die very soon.

There are no cases of criminal desire to quickly transport grandmothers to the other world in state nursing homes. In the extreme case, per capita financing insures against this (if you kill everyone, you will remain on the beans) and prosecutorial and other checks. But there are plenty of cases of complete indifference - "they don't need anything, they're not in themselves" - despite the fact that grandmothers really need communication, comfort, and personal attention.

Fortunately, this burnout is treatable in many cases. It is easier in small houses, where the troubles were from poverty. We have several cases of turning a smelly hut into a completely cozy place simply because instead of bleach, nurses were given normal detergents in a decent amount, diapers for bedridden people, extra copies of bed linen, gloves. And they perked up, because before that they were sure that neither they nor their grandmothers were needed by anyone.

It’s harder in big houses - there you need a lot of diapers and detergents, and while you talk heart to heart with each of the staff (not to teach something, but just talk like a human being, maybe she has three children at home underfed at her salary), a lot of time passes.

Yes, someone is stealing somewhere. We saw exemplary houses where everything is perfect precisely at the expense of the budget. We did not catch anyone by the hand - we have a different specialization, we are not the Investigative Committee, we just compare what happens when a director is happy, and what happens in other cases. However, funding varies from region to region, and the building may have been built in 1905 or it may have been built in 1985.

Big houses are good. With attention to the bedridden, with labor and creative workshops, with walks. But there are bad ones - both large boarding schools and small ones, where they ask their grandmother for money for help in washing, money for going outside to breathe, where their feet stick to the floor, etc.

Why are private nursing homes better than public ones?

State nursing homes are not free, as many people think - they take 75% of the pension there. I know nursing wards where they take 95%. There are social beds in state wards of nursing care and boarding schools, where they take them for an additional payment from relatives (for example, for some reason, grandmother does not have the right to a place only for deductions from a pension). In the Moscow region last year, the additional payment was 22-25 thousand rubles per bed per month, that is, 75% of the pension plus these 22-25 thousand rubles. And these are quite ordinary wards, four people in a room and no preferences. It is relatively good there, our volunteers even pay for such wards for one grandmother, to whom the state offers only others, worse.

All kinds of boarding houses like "Kindness", "Care", Senior Group (physically they are in the Moscow region, but are considered Moscow), Boarding house for the elderly - all these are private networks. The Senior Group helps us in every way they can: they held brief trainings for the staff of state houses from the regions, they took our blind blind grandfather to his place and put him on his feet when he was about to die, etc. But the price of living in such a boarding house goes off scale for 100 thousand per month, as far as I know. We are personally not familiar with other private networks. But if the price of living is about 30 thousand rubles a month, then these are guaranteed not the best conditions, and the staff, most likely, is not only without education - even without medical books. The news made a noise about a shelter in the Vladimir region, where they found dead and half-dead old people - living there cost 22 thousand a month.

A good private house (at Senior Group, for example) corresponds to, say, an Israeli one. That is, there are no bedridden as a class: even if a person is in a vegetative state, they wash him in the morning, put him in a stroller, take him to the dining room for breakfast (even mashed food from a spoon, but not in bed through a drinking bowl), then they take him to all sorts of morning news and discussion, then for a walk.

There is a round-the-clock supervision of those who are not in memory, classes in all kinds of art therapy and music, a psychologist, visits to cardiologists, and so on. In such places, the recumbent get up, relatives are invited to all holidays. In bad private nursing homes, everything is either the same as in bad public ones, or - in criminal cases - it can turn out to be much worse.

What is it like to live in a Russian nursing home

The guests of the house "Pervomaisky" in the Tula region tell their stories

Grandmother Evdokia


Photo: Maria Borodina

We go back and forth here, three times a day we go downstairs, to the dining room - training. Someone is sick, someone else can walk. We also have Masha, Lida, Zoya on the floor. Zoya is in the hospital now. We came from Belev. At home, of course, it is better, but at home there is no one with whom.

Houses - wood heating, no hot water, no gas, but the bath and toilet are separate. We have been living in the Tula region for 20 years, and the whole village is without gas, they only used firewood. Recently, I have not even cultivated the garden, I had no strength.

My birthday this month is October 28, and my great-grandson was born a month ago. Weight 4500 - a hero, they did a caesarean section. Named Ilya. Now I will show you my daughter, she was beautiful to me. She died two years old at 52. After her death, I wander around these houses. I often look at the photographs - and we will winter. Volunteers came from Tula, there was a concert in the canteen, homemade cakes, it was so great. We also have our own accordion player - he plays on Tuesday and Friday at three o'clock, some of them sing. Today my granddaughter came to me by correspondence, we saw each other for the first time, we have been corresponding since March 29. At first I thought from the threshold that this was my youngest daughter. They have two cars, they could come, but they don't.

We have a lot of people texting. A girl, a granddaughter by correspondence, also goes to Bogomolova. She gave her a bathrobe, a sleeveless jacket, often with her. Filippova writes the most, sends photos, gifts. True, she is going to Tula now to have an eye operation, I'm worried about her.

Grandma Zina


Photo: Maria Borodina

I have a third stroke already, I am learning to walk again. I've been here for three months. But I have almost learned to walk. I was born in Plavsk, I am Plavsk. I have no one, only one niece, she comes to me. For lonely people like me, it's good here.

To return to the main building by the New Year is my dream. You just need to heal. There is a big difference between a recumbent body and a non-lying body. We are walking around the area. And here it is not very interesting, there is little communication. I have a fiancé there. Now I will learn to get up from the potty, the leg will adapt, and I will return to it.

His name is Alexander, he visits me every day, we have been talking for two years, so everything is fine. I like it so much! Do you know what a good character is? Not rude at all. True, he is paralyzed, but he comes to see me every day. He always greets and says goodbye to all my neighbors. He is kind. And it looks like nothing.

When I had only two strokes, we walked, went to concerts together. They even offered us to live together, they wanted to give a separate room. But I'm not ready for that yet. Maybe by the First of May, in the spring. I now need to recover, and not think about family life. And then, what kind of wife am I? He once came to me, takes off his socks and puts them on the table. Wanted me to wash. I ask, why put on the table? I would say wash it. I washed, of course, and he put them on the table again, clean, but on the table. I told him: “Sash, well, why are there socks on the table?” But he is very good and kind.

My niece is a miracle, she comes to me, communicates with me. Her son and daughter are adults, very decent, like her mother herself, they are doctors. I have to be looked after all the time, but they can't.

I always said that I would not survive the third stroke, but it turned out - wait for the fourth. They tell me that I'm young, I'm 66 in total. True, Alexander is still not very pleased with me: I walk here in a dressing gown, not always combed. I told him, you wait for the New Year, I'll dress up, put myself in order. And recently she asked: “Are you going to leave me?” He said not yet. And he came recently, he said that he definitely would not quit. Thank you Lord. Well, on the other hand - who will he find better than me? And we have, you know, what kind of women, because a woman needs a man at the age of 90. I told him that no one needs him except me. But then I regretted it, he's good.

Grandpa Kolya


Photo: Maria Borodina


Photo: Maria Borodina


Photo: Maria Borodina

I am from Tula. My son died of a stroke in Moscow, and my grandson died almost immediately after that. As soon as my grandson died, I had a heart attack - my legs gave out, so I ended up here. I have a special exercise machine for charging. I really want to walk, I want to get up and go and see my house in Tula, how it looks now. I have been working on a collective farm since the age of 13. Life is already ending, and life has only recently begun. But even now I have a goal - I want to get up on my own, without help.

Grandmother Raya


Photo: Maria Borodina

I am the grandmother of Ray. In my youth I had an accident, I was diagnosed, I could not give birth to children. I have no one.

Grandpa Vitya


Photo: Maria Borodina

I have a birthday on Wednesday - well, I'm still young, I'm only seventeen to a hundred. My family will come to me, my grandson is 30 years old, he will bring everyone, they will amuse us, the whole ward. He is my captain, his name is Denis.

I was a senior apparatchik at a chemical plant, I worked for 28 years, up to 75 years. I have a pension of 25,000, is that good? Of course it does. Some get 10-13 thousand. I served in Sevastopol, in the Navy for four and a half years, and the volunteers remembered and brought Crimean photographs, postcards - very nice and beautiful. I look and cry, but these are tears of joy, tears of memories.

In general, I understood: the main thing is the family, when there are children, nothing is scary. PI keep replaying memories of my youth and childhood in my head. I myself did not finish my studies, my parents were old, I had to look after, help. Fate is, well, nothing. Each person has his own destiny. The daughter is a high school teacher, she teaches French, and now she has become the head teacher at the gymnasium. Grandson Denis loves me very much. Granddaughter lives in America - Masha, beauty. When she was a 4th year student in Moscow, she went to America for an internship, she liked it, found a man for herself, fell in love with him, got married and stayed there. Her husband's parents are Russian, and he himself was born in America. Masha has been living there for the second year, but she speaks so well. He told his parents that this was his wife and he would never let her go anywhere. So be it. We love her very much. She has not yet come to me, but she promises.

Grandpa Gennady


Photo: Maria Borodina

I was born in the village of Shamai, Pizhansky district, this is the Kirov region, I worked there as a signalman. I was here only the first night, my son-in-law brought me here, and he left for Moscow. Don't kiss me, I'm unshaven. You can take pictures. My surname is beautiful - Christolyubov.

Grandpa Valera


Photo: Maria Borodina


Photo: Maria Borodina

I was born in Belarus. Close relatives have died or died. She worked on a collective farm, then she was transferred to a state farm, they began to pay money. But not enough. The pension is minimal. Then I came to Tula, we have a three-room apartment here, 9 people live in it - relatives, my sister's children. They bought me a folding chair, and my niece and her husband slept on the floor. I was very uncomfortable that they sleep on the floor, I asked to be brought here so that they would have somewhere to sleep. They didn't want to let me go, but I asked for it myself. It's hard with me. Volunteers come to me, they are like granddaughters and grandchildren to me. Bring gifts, photographs. In general, I have a great-granddaughter - Masha. I've been here for three years now. Every day I pray. Such is my life.

Grandma Masha


Photo: Maria Borodina

I am Maria Mikhailovna, but Baba Masha is better, I was born on January 14, 1930, I am a peasant woman. Tula region, Kireevsky district. Although I am deaf, I sing well, I love to sing - and I loved to scream.

I worked at the mine as a coal handler, at the construction site I worked as a bricklayer. My uncle arranged for me, they didn’t let us leave the collective farm just like that. And then I got sick - I have glaucoma. I can't lift heavy things, and I retired at 50. I wanted to work, but my mother had a heart attack. Mom died, I screamed a lot for my mother. My brother lived with me, he was afraid that I would go crazy. I buried him and was left all alone. I was hit by a car, I had a fracture in three places, I spent six months in the district hospital. Then they transferred here.

It will soon be five years since I've been here. A week later, my cousin Galya comes to visit me. She erases everything for me, brings gifts, takes care of me too, she is 68 years old, she worked as a teacher. And I’m already used to it here. I get up, straighten the bed and do exercises for more than 30 minutes. The girls who work here help us. They support us. Many of us have children, but they do not come, I wonder what kind of nature people have.

I was married, lived five months in marriage. Husband drank, God knows what he was doing. I don't want to look at men at all. Make no mistake. I do not believe that it is impossible to live without them, but it is also impossible to get confused with one or the other. And if you get married, respect your husband. Only it would be nice not to live with his mother, you will be nicer.

Whoever wishes me harm, I still do not wish life alone. What if we stayed at home? So what do we do one by one? Our beds are always clean here, breakfast is good, lunch is good. Warm. Health is very important. And sang with you well today. Still, there are good people in Russia, thank you, don't scold me for wheezing when I sang.

Grandmother Galya


It's scary to say how old I am: 82 years old. I was born in the village of Butyrka. I worked in a sanitary and epidemiological station, and then at the age of 45 I was given a disability group: the diagnosis was polyarthritis. It's incurable. I had an operation twenty years ago, they said I won’t live more than three months, but I still live. My husband cried, cried, buried me, but I stayed.We didn’t have children, I couldn’t give birth, the diagnosis is like that. But we lived well, together, in love. And he kept telling me these three months how I would live without Jackdaw, how I would live without my Jackdaw. And then I buried him. Such is life, little ones.

Photo: Maria Borodina

Baba Valya I. I have always loved and love our youth. At first she worked in a kindergarten, got a job as a nanny there, and was hired as a cook. She cooked food for the children, you know how delicious it was, she cooked best of all. In prison, she worked on the phone, next to the cameras. I was the controller, I looked through the peephole so that there were no fights, conflicts. And if there is a fight, there is a telephone nearby, if you call, they will come to sort it out. The doors were closed with two locks, and I have the keys, I don’t open them - it’s not allowed. In her youth, she could assemble and disassemble a pistol, but she could not. Then they fired me. Valentina Vasilievna, senior sergeant. Written like this, what's the point?

And I went to work as a cleaner. They paid little. In the hospital again as a cook, she lived in Skuratovo, went by six in the morning, served breakfast to everyone. I was able to do everything. After all, in life as it is, if you know how, you will live everywhere.

This is my third year here. I have two daughters - 69 years old and 72 years old, they sold the apartment, and I was left with nothing. I am from Tula in general, I lived next to the Zarya store, on Galkin Street, on the fourth floor. My husband and I lived together for 40 years, but he left earlier.I have not seen my eldest daughter Galya for 15 years, the youngest came. Life is generally upside down. I am embarrassed to be photographed, they will ask later where you got this one. I'll put on a scarf - and hello, I'm your aunt. I'm going to dance, I'm jack of all trades.

Grandma Anya


Photo: Maria Borodina

I've been here for four years. In her youth, she worked at a military factory, as a minder, in a mine - she had to suffer everywhere. And my family life is bad, all separation and separation. So I sing with you, from separation. I have a great-granddaughter - Dasha, small, beautiful. The granddaughter gave birth to an Armenian, he is a good husband. Dasha dances and sings, they are cheerful people. Granddaughter's husband loves her. What I want to say is, live together, never offend suitors, otherwise we girls also bite.

Grandma Tamara


Photo: Maria Borodina

Natasha Lavrova writes letters to me, she is a volunteer from Moscow. She is studying now, she cannot come, she has to study a lot. She is my pen pal granddaughter. I was born nearby, in Shchekino, in the Tula region, I worked as a cleaner. In winter, I will be 77 years old on February 3rd. Children do not come to me. I call them, they have problems there, they are unlucky with work, something else. I am a stranger to them. March 13 will be 4 years since I've been here. It's good when the family has both a mother and a folder. Children should grow up this way.

We have good nurses, they are for us. I understand everything, it’s hard with grannies, one does not hear, the other does not walk, the third does not see. I'm Tamara Borisovna Kryuchkova from room 97, it's on the second floor. Write me letters.

This material would not be possible without the fund "Old Age in Joy", which helps residents 120 nursing homes from the Moscow region to Tatarstan. The Foundation collects donations for treatment, pays for additional staff, and sends caregivers. Volunteers bring linen, clothes, strollers, care products. They also organize tea parties with sweets and songs. An important part of the fund's work is the established regular correspondence with the elderly. You can also start and maintain communication with people who have no one.

In Russia, almost all families try to inspect elderly relatives. Usually the grandchildren take on this burden. But sometimes such a decision brings a lot of trouble, making the life of a young family unbearable. Then people try to apply to state nursing homes. In them, you can identify older people and visit them at a specially allotted time. The elderly will be under the constant supervision of specialists and will be able to receive medical assistance in a timely manner if necessary. But not everyone knows how to correctly identify an old man in a boarding house or nursing home for free. In the case of commercial residence, everything is simple. But free nursing homes are not always and not for everyone. You will have to work hard to bring the idea to life.

Some statistics

A state nursing home is a place where older people who are unable to provide for themselves live. The bulk of the population of the Russian Federation believes that handing over old people to such institutions is a betrayal. Instead, you just need to grit your teeth and endure all the "charms" of dementia and other senile abnormalities. In fact, this practice is detrimental to families. It is capable of destroying the cell of society.

Despite the fact that state-run nursing homes in Russia are not distinguished by their comfort, such organizations are almost always overcrowded. Therefore, it will not be so easy to identify a grandmother or grandfather in such an institution.

The state nursing home is able to save the family from destruction, as well as have a beneficial effect on the elderly. Here he will always be under the supervision of doctors.

Payment

It should be noted that the stay of an old man in a boarding house or nursing home requires certain costs. Even government agencies charge money for looking after the elderly. This is normal practice.

The state nursing home can be paid for:

  • personally a pensioner - 75% of his pension is taken away, and 25% is given to him;
  • relatives of the resident.

Of course, the first scenario is the most common. The choice of the type of payment for accommodation is provided when registering a citizen in a boarding house.

Property issues

A huge issue is the topic of disposing of the old man's property. When a person is placed in a state nursing home, the person's property may be disposed of by relatives.

If the citizen does not have close people, then the following options are possible:

  1. The property is transferred to the boarding house/boarding house. Such a step is regarded as payment for living in an institution.
  2. The property is given to the state. This is possible if a single person has not registered ownership of a boarding house.

Accordingly, the placement of a grandparent in a nursing home is not a reason for disinheritance. More precisely, the heirs may lose it, but the final decision is made either by the old man or his legal representative.

Boarding house type

State nursing homes in the Moscow region and other regions of the Russian Federation are often overcrowded. Therefore, before determining somewhere an elderly person, relatives must choose a specific place.

Boarding houses are divided into several types. Namely:

  • state;
  • private.

In the first case, the tenants are on state support. They are offered minimal comfort and medical care. Private nursing homes are expensive. They allow you to enjoy comfortable and varied living conditions.

In addition, attention should be paid to exactly which citizens are placed in institutions. Boarding houses share:

  • housing for ordinary older people;
  • institutions for the disabled;
  • organizations caring for the bedridden;
  • boarding houses for mentally ill people (not to be confused with psychiatric hospitals).

Instruction

Finding a state nursing home in Moscow for a pension is not so difficult. However, as in any other region. In order to send an elderly relative to the selected institution, you will need to follow some instructions. Otherwise, the process of registration in a boarding house will become impossible.

To settle a relative in a state-type nursing home, you need:

  1. Apply for a boarding house. This is done in the departments of social protection of the population.
  2. Pass a medical examination. You will need to get a complete list of existing diseases and abnormalities in an elderly person.
  3. Order a certificate from the BTI about the old man's housing.
  4. Apply to social security with the received papers.
  5. Wait for tickets. Sometimes you have to wait in line for a long time.
  6. Re-register documents for retirement (if necessary).

It would seem that nothing difficult or incomprehensible. But in practice, the registration of a person in a nursing home causes a lot of problems. Especially when it comes to a disabled citizen. For example, the passage of a medical commission can cause a lot of trouble.

Who has the right

It is allowed to apply to the state nursing home either personally or through a legal representative. But not everyone can count on help from the state.

The thing is that state boarding houses for the elderly and disabled, despite the modest living conditions, are overcrowded. Therefore, you will have to wait for a ticket from social protection. Without it, living in a boarding house will not work for free.

In addition, only women over 55, men over 60, as well as disabled people of the 1st and 2nd groups can count on state support when they are placed in a nursing home. The incapacitated are also allowed to be placed in a specialized institution for permanent residence.

Documents for registration

To register a person in a state home for the disabled and the elderly, some documents will be required. Namely:

  • applicant's identity card (preferably a passport);
  • medical report on the state of health of a citizen;
  • certificates of disability (if any);
  • SNILS;

As a rule, collecting documents is not difficult. Unless some difficulties arise during the passage of the medical commission to determine the boarding house.

Where to turn for help in Moscow

Many are interested in where you can find state-run nursing homes in the Moscow region. Prices for accommodation in private boarding houses often go off scale for 100,000 rubles a month. Not everyone has this amount. Therefore, it is necessary to look for state institutions.

There are more than enough of them in Moscow and the Moscow region. But all institutions are still filled to the maximum. Today you can contact the following organizations for help:

  • boarding houses for labor veterans;
  • house-boarding house of veterans of science of the Russian Academy of Sciences;
  • psycho-neurological boarding schools;
  • gerontopsychiatric center of mercy (Prospect Shipilovsky, 31/2);
  • house of cinema veterans (Nezhinskaya, 5);
  • the house of veterans of the Yablochkina scene (highway Enthusiasts, 88).

Private nursing homes are also common in cities. There are a huge number of them. Deciding on such institutions is much easier than it seems.

Service rates

State nursing homes for bedridden patients and not only, as we have already found out, provide services not entirely free of charge. How much will you have to pay for living in a boarding house in one case or another?

In general, a citizen is asked for 75% of the pension. But the bulk of the institutions studied offer a price list with specific services.

State nursing homes in the Moscow region offer the following prices:

  • accommodation in a single superior room - 1774 rubles;
  • stay in a single two-room suite - 3047 rubles 20 kopecks;
  • one-room double room - 1523 rubles 60 kopecks;
  • triple room - 1015 rubles 73 kopecks.

Typically, the price includes five meals a day. But as a rule, citizens simply register old people in boarding houses on account of their pensions. Therefore, one should not think about how much to pay a state nursing home in St. Petersburg or Moscow.

Private pension - worthy old age

So we got acquainted with the process of registering a person in state nursing homes in the Moscow region and beyond. But as already emphasized, it is problematic to get a place in a state-supported nursing home in the presence of able-bodied children and other relatives. Actually impossible.

Therefore, some decide to register in a private nursing home. Such organizations for a fee offer the most comfortable living conditions. Some compare them to hotels. For registration, it is enough to collect the previously listed documents (without a ticket and appeals to the social protection of the population) and contact the selected institution. The boarding house doctors themselves will conduct an examination and help with the execution of the relevant papers.

Instead of a conclusion

Public nursing homes in Russia are getting mixed reviews. Some people have a negative attitude towards them, and someone prefers to send older people to specialized institutions consciously. This is not caused by a desire to get rid of an elderly relative, but by the desire to provide him with normal care.

Now it has become clear how to identify a person in a state boarding house or in a private nursing home. If you try hard, you can be successful. The main thing is to pass a medical commission and prove the need to place a person in a specialized institution.

Most pensioners prefer to spend their old age at home, within their walls. However, it happens that an elderly person does not have children or who can provide proper care. In this case, you just need to know how to get into a nursing home.

Registration in a state institution

Every year more and more lonely elderly people are recorded who are not able to provide a good life for themselves. The only way out is a nursing home. Of course, it cannot be said that living conditions there are at the highest level. However, the staff provide the necessary care for each guest. In addition, do not forget that communication with other people in old age also plays an important role.

How they get into nursing homes, you can find out in the social protection authorities at the place of residence of the person. There you will need to write an application and provide a package of documents for registration.

What documents will be needed:

  • Applicant's passport.
  • Medical insurance policy - original.
  • Pensioner's ID.
  • If you have a disability, you must provide a certificate without fail.

When all the necessary papers are prepared, they must be handed over to the social service so that they check everything. A special commission will be appointed, whose duties include checking the living conditions in which the pensioner is located, and whether he has any relatives. If it is confirmed that an elderly person is not able to take care of himself on his own, then he will be assigned to a boarding house, issued a conclusion and a referral to stay there.

Who can go to a nursing home

Before you get into a nursing home, be sure to fill out a special questionnaire in the social security authorities and provide a full package of necessary documents. The candidate must meet the following criteria:

  • Age category. Men must be at least 60 years old, women - at least 55.
  • The presence of disability of the first and second groups, confirmed by a certificate.
  • War veterans.

Psychoneurological departments

In institutions of this type, disabled people of the first, second groups or those pensioners who suffer from senile dementia can be registered. In addition to the application and documents, the guardian or relative will need to submit a certificate from the attending physician, which confirms the diagnosis of the pensioner.

Depending on the group of disability or the degree of incapacity, special care will be assigned. Each specific case is considered taking into account many secondary factors.

Payment for stay in a boarding house

In most cases, pensioners are sent to a state nursing home. How to get there, who will pay for the stay - these and other questions are clarified with the social protection authorities.

There are two main scenarios:

  • The pensioner pays for his living independently from his pension. Usually 75% of the amount is spent on payment, the other 25% is given to the person.
  • It is possible that a pensioner has children, but they live abroad and cannot provide the parent with attention and care. In this case, any close relatives can make payment for living in a nursing home.

To whom does the pensioner's property go?

When processing documents, you need to know not only how you can get into a nursing home, but also who will get the property of a pensioner. There are three scenarios for the development of events:

  • In the event that an elderly person has children or other close relatives, they have every right to dispose of the property that remains.
  • If a pensioner has no one, he can transfer real estate or other possessions to the boarding house in which he will live. This will be payment for his maintenance and stay in a nursing home.
  • In the event that a pensioner has no relatives and he has not transferred his property to anyone, the state has every right to withdraw everything into its own property.

Private boarding house - a worthy old age for everyone

Today there are not only state boarding schools, but also private ones. Institutions of this type are considered the best for pensioners who want to meet their old age with dignity. Private nursing homes are characterized by the best care for the residents, a high level of comfort and qualified medical care. Here, pensioners will not only communicate with other people of their age, but also receive the necessary treatment.

However, it is worth noting that not everyone can afford such a luxury. If state institutions are overcrowded, then there are a lot of private places. The thing is the cost of living: it is very high. If you are interested in how to get to live in a nursing home, then contact the social service, they will provide you with a list of public and private institutions.

Benefits of a nursing home

Of course, many may say that it is terrible - when an elderly person spends his old age in such a place. But, if you look at this question from the other side: what should those pensioners who do not have anyone, who just want to meet their old age with dignity, do? There is only one way out - a nursing home. It is very easy to find out how to get there, the main thing is to prepare the necessary documents.

So, let's consider the advantages that can be distinguished in boarding schools:

  • The elderly are cared for around the clock.
  • Good nutrition, mostly dietary, which is safe for the body of a pensioner.
  • Availability of special wheelchairs, comfortable beds for those who cannot walk on their own.
  • Various leisure activities - walks, books, games.
  • Constant examination by specialized doctors, drug treatment.
  • Communication with your peers.
  • You can pay for living in a state institution from your pension.
  • If there are relatives, they can visit the pensioner on any day off and even sometimes go to the city for a walk.

It doesn't matter if it's a public or private institution, a nursing home is a great option for those retirees who want to feel needed and confident. Constant communication, care from the boarding house staff and other criteria give guests a smile, which has a great effect on the general state of health.

Psychological and medical assistance

Every person who enters a nursing home needs constant help. And not only medical, but also psychological.

In any institution there is a staff of experienced doctors who constantly monitor the condition of the guests. In addition, do not forget that pensioners will be able to communicate with each other at any time. In fact, this is a huge plus. At home, within four walls, sometimes there is a feeling of helplessness and uselessness. This will not happen in a nursing home. Constant communication will make you feel much better, learn a lot from your peers and even make friends. After all, you can’t live without friends, regardless of age.

How to get into a nursing home for a pensioner

How can a pensioner who cannot take care of himself, has no relatives and has difficulty moving around get into a boarding house? In fact, there is a way out of this situation. If you are unable to reach social services, you can simply call them and ask them to come home. Provide employees with all the necessary documents for registration, and they will take care of everything.

Do not be afraid: there you will be provided not only with medical care, but also with psychological help.

Brief instruction

How they get into nursing homes is now more clear. It is not at all necessary that all the people there were abandoned by their families. It is quite possible that they simply have no one, and the boarding house has become a second home. For such people it is very important that they do not spend their old age alone.

How do they get into nursing homes and what you need to do for this:

  • Contact the social security authorities.
  • Fill out an application and check if you meet all the criteria.
  • Decide who will get your property. If there are no relatives, then the best option would be to transfer the property to the boarding house as payment for living with them.
  • Wait for all the documents to be processed (usually this does not take much time).
  • Spend old age in the circle of your peers, find proper care and good mood.

Now you know how they get into nursing homes and what it is for. You personally do not need this, but you know a disabled neighbor who has no one to look after, help her, give her a decent old age in the circle of care and communication with people. The boarding house will be a real salvation, a godsend for that category of pensioners who want to enjoy life and not feel lonely.