Patronage for the elderly and disabled: at home, free

Many pensioners may have some difficulties in performing simple household tasks. Such difficult circumstances can be resolved through patronage of an elderly person, which will provide him with the necessary care. Let's take a closer look at how to formalize such relationships and what actions the law implies under this.

When is it necessary and possible to obtain guardianship over an elderly person?

Russian legislation provides for two types of possible guardianship:

1. Full care.
2. Patronage.

When a pensioner has any psychiatric disorders that do not allow him to behave adequately to the world around him, then in this situation foster care is not possible, and the first type is more suitable. First, the court must declare the elderly person incompetent and then assign full guardianship.

Before you take care of an elderly person, it would be better to analyze your own capabilities. The guardian takes full responsibility for the full and thoughtful management of the pension and benefits assigned to the pensioner, for paying utility bills, purchasing food, shoes, clothing, etc.

How to obtain patronage for an elderly person

To carry out such a difficult procedure, which involves great responsibility, you will have to comply with the principles established in the Russian Civil Code:

1. You cannot apply for patronage if a person has any mental disorders, because in such situations full-fledged guardianship is used.
2. Patronage can only be established if the guardian and the future ward fully agree with the conditions.
3. Patronage services cannot be provided by a social security employee who helps an elderly person with everyday life.
4. The guardian can be a family member or any other person who is not related to the ward.
5. Patronage of a pensioner implies the conclusion of a certain document.
6. Patronage care for a disabled person can be arranged even if he does not have mental disabilities.

The sequence in the procedure for registering guardianship over an elderly person as patronage:

1. An elderly citizen must submit an application to the relevant guardianship authorities , which indicates the need for patronage. The future ward must document the need for patronage with a medical certificate.
2. The potential guardian must also provide a statement of voluntary consent to provide patronage to an elderly person. Along with this, you will need to attach a document that regulates the relationship between the parties. The potential trustee must attach:

• Relevant certificates and references from their psychoneurological, drug addiction and tuberculosis dispensaries. Patronage cannot be entrusted to a citizen with any addiction, neurological problem or infection.
• Characteristics from work or study . Such a document can guarantee the reliability of the guardian as an assistant for the elderly person.
• Conclusion of a medical commission on health status.
• Documentary evidence of ownership or use of living space.

Legislation in the regions may also require the availability of other documentation necessary for registration of patronage.

1. When the commission of the guardianship structure determines the possibility of patronage over an elderly citizen, both parties will be notified in writing about this . Next, a certain agreement will have to be concluded between both parties, regulating the conditions of patronage.
2. Guardianship is established no later than within one month after a positive decision is made by the staff of the guardianship center.

Responsibilities and rights of a trustee who has granted patronage to a pensioner

The process of starting guardianship of an elderly person involves fixing rights and responsibilities in a strict contract.

The caregiver must take responsibility for the following:

• Fulfillment of requests and instructions from the ward, which may be of a domestic or legal nature.
• A report on which tasks have been completed and which are in the process of execution.
• Disposal of the personal property of the ward to meet his interests and needs.

The contract must contain a description of all the conditions for providing patronage to an elderly person. It is very important to specify in detail all the responsibilities of the guardian in the documents. It is also necessary to accurately describe in the contract the household duties that the guardian will perform in the elderly person’s home.

For the provision of such services, the guardian has the right to receive compensation payments for certain costs that were incurred in the course of fulfilling the terms of the patronage agreement or for the benefit of the pensioner.

All information regarding additional monetary incentives for the assistant, if any, must be included in the document that regulates patronage of the elderly person.

It should be clarified that the guardian will not receive any payments at the expense of the state.

Registration of patronage assistance does not in any way affect the ability to claim the inheritance of the ward. However, such options may occur if the old man himself agrees to include an assistant in his will.

The guardianship authorities must monitor the assistant’s fulfillment of all his duties under the terms of the patronage agreement. If the guardian violates the agreed terms, then representatives of the guardianship structure can use this as one of the reasons for canceling such an agreement .

In cases where a surety agreement has been concluded, both the elderly person and the assistant can terminate it unilaterally at any time.

Important features of patronage for an elderly person over 80 years of age

An assistant who cares for an elderly person over 80 years of age may qualify for payments . Such payments are due to an assistant in cases where he is an able-bodied person, but temporarily not working. It is worth noting that the entire time such services are provided to a pensioner will be counted by the guardian as his total length of service.

A pensioner who is provided with patronage assistance can count on additional charges in the form of 1,200 rubles, which are intended for payments to the guardian.

What cases require termination of a patronage agreement?

Federal Law No. 29 defines the circumstances in which patronage assistance may be suspended:

• Death of one of the parties involved in the contract.
• Removal of a trustee.
• Violated rights or interests of the elderly.
• Inadequate fulfillment of obligations by an assistant.

This federal law defines possible reasons for revoking foster care for an elderly person. Documents that confirm one of the above circumstances must be submitted to the court if the assistant shows his disagreement with the decision of government agencies.

The assistant has every right to challenge such decisions, however, such manipulations practically do not lead to the desired effect. Social service employees must provide irrefutable evidence, which they receive as a result of inspections, that patronage care is not being provided to the extent required.

Patronage can be a good way out of circumstances in which an elderly person cannot live without the help of others.

It is very important that the guardian has high moral qualities, which would allow him to ensure the rights and treatment of the pensioner selflessly.

You need to assess your strengths in detail, analyze all the positive and negative aspects before directly concluding a contract. Patronage of older people is a serious responsibility and heavy workload.

Patronage services for the elderly

In our country, patronage services for elderly people are rapidly gaining popularity. Most often, such services involve care for an elderly person, usually carried out by qualified specialists. It is possible to use “patronage” services in a private nursing home, such as Eden.

The main advantages of living in a private boarding house:

• In the modern network of boarding houses "Edem" all cottages for the elderly are located in the Moscow region, in clean areas with beautiful nature.
• 24-hour care is provided by professional caregivers.
• Balanced diet.
• Possibility to choose a room for a different number of guests (from one to four). Bedridden patients are placed in specialized wards.
• Individual and group lessons with a psychologist.
• Ample opportunities for relatives of a pensioner to visit at any time.
• Small and reasonable cost of maintaining a boarding house in a hospital.
• Possibility of free consultation via hotline number.

Home visiting services for the elderly

Many relatives and friends of elderly people have the opportunity to turn to the patronage service for help. It is also possible to receive such a range of services at the paid boarding house “Edem”. You can use a phone call from a specialist at home, he will be able to spend a predetermined day with your pensioner.

Such services are a good opportunity to provide assistance to a loved one who is bedridden due to paralysis, illness or injury. Quite often, it is very difficult for older people to care for themselves; in such circumstances, home visiting assistance would be the best solution. Certified specialists will be able to come to your home and provide the full range of necessary services.

Patronage for disabled people as a service

This assistance option is currently the most in demand, because people with disabilities need special care, control and care. A professional at the Eden sanatorium will be able to provide not only medical care, but also assistance with household chores, as well as attention and responsiveness for an elderly person.

Often people with disabilities are depressed or experience psychological trauma. Employees of the paid boarding house for the elderly “Edem” are trained in the basic principles of providing psychological assistance and support to older people.

Patronage of the sick and elderly

Patronage care is also provided to sick people. In such circumstances, the employee will adhere to all doctor’s recommendations and monitor the timeliness and dosage of medications. Helpers are very responsible for all the emotional experiences of elderly people, showing friendliness and caring. For example, when providing patronage to a citizen over 80 years of age, special attention, care and mandatory consideration of all psycho-emotional characteristics are required. The employee will be able to provide the entire list of necessary services to an elderly person at such a difficult period of life.

Patronage is quite a complex task. It's unfortunate, but older people can be extremely moody, and caring for them requires compassion, care and empathy. The professionals at the Eden private nursing home have practical skills in how to interact with older people and know very well how to act in unforeseen situations.

The private boarding house for the elderly “Edem” provides services such as patronage of the elderly. All workers have psychological stability and extensive experience in working with elderly patients. By entrusting your old man to us, you don’t have to worry about his safety, health and mood, as all this will be at the highest level!

Source: https://edem-msk.ru/kak-oformit-patronazh-nad-pozhilym-chelovekom/

Patronage for the elderly and disabled - how to apply?

It is difficult for people of advanced age and people with disabilities to cope with everyday issues, carry out hygiene procedures, prepare food, and clean the house. This becomes more difficult if he needs medical care every day. In this case, patronage will come to the rescue: it can be carried out at home or in specialized institutions, of which there are enough in St. Petersburg. In our article we will look at what patronage is, how it should be formalized by law and what responsibilities the trustee receives.

Forms of care for the elderly

• Full custody. It is necessary for citizens over 18 years of age if they are declared legally incompetent by a court. For example, if a relative suffers from memory loss, mental disorders, and reacts inappropriately to people around him, then he must receive full-fledged, round-the-clock care.
• Patronage. It can be issued if an elderly person suffers only from physical ailments and is fully mentally competent. The trustee, who has taken patronage over the elderly, helps him solve everyday issues, financial, legal, but at the same time has limited rights and cannot dispose of the pension and property he receives.

In the case of patronage, a close relative or acquaintance of the pensioner can act as an assistant. If there are none, then an outsider can become one (for example, a visiting nurse who provides services for a fee).

Legal basis

You should be guided by Article 41 of the Civil Code of the Russian Federation. It is this document that sets out the exact procedure for registering patronage of an elderly person through the guardianship authorities.

The Civil Code also defines the categories of persons over whom this form of guardianship can be issued, and describes the procedure for monitoring the activities of persons who provide assistance to the elderly and disabled.

Information about guardianship and trusteeship is set out in Federal Law No. 48-FZ.

Rules for registration of patronage

1. It is possible to establish patronage if both parties agree to the terms;
2. An employee of the social protection service who provides assistance in everyday affairs does not have the right to obtain patronage;
3. The relationship between the two parties is documented.

Stages of registration of guardianship over a pensioner or disabled person

1. Submitting an application. The elderly citizen draws up a petition and submits it to the state guardianship authority. The paper indicates a request for patronage over him. A doctor's report must be attached.
2. Guardian's consent. 

   The prospective trustee also submits a statement in which he expresses consent to the patronage of this citizen. Attached is an agreement that will formalize the relationship between the parties.

3. Decision of the guardianship authorities. 

   If employees consider that patronage will not cause inconvenience to a pensioner or disabled person, and this is advisable, then the applicant is notified in writing about this. An order is prepared and sent to the trustee and ward.

4. An agreement is concluded fixing all the rights and obligations of the guardian.

The period within which patronage of an elderly or disabled person is established should not exceed 1 month from the date of filing the application.

Documents required by the guardian

• Certificates from drug treatment, tuberculosis, and psychoneurological dispensaries;
• Characteristics from the place of work or study;
• A doctor’s extract from the medical record about the state of health;
• A document that confirms that the future trustee has his own living space or apartment/room for use.

Additionally, regional authorities can make clarifications to this list and ask for a more complete package of documents.

Responsibilities of a Guardian

• Fulfillment of legal and everyday requests and instructions of an elderly person;
• Providing complete information and answers to any questions related to the progress of implementation for each of the assigned tasks;
• Disposal of property (if there is a corresponding agreement or power of attorney);
• Reporting to the guardianship authorities on the expenditure of the ward's funds (pension, disability payments).

All responsibilities are set out in detail in the contract, which also indicates the scope of personal services, the place of residence of a disabled person or an elderly citizen, and the procedure for resolving property issues.

Trustee's rights

The guardian has every right to receive payments for expenses incurred. Funds for this are allocated to those under care. The amount and procedure for settlements must be documented. Patronage does not imply that the trustee receives the right to a share in the inheritance of the person under guardianship. A pensioner or disabled person can do this only at their own request.

Paid services of boarding houses and nurses

If close people or relatives cannot find time or are unable to care for the patient, then other options are possible. Nowadays, many companies provide home health care for elderly people.

In St. Petersburg you will find dozens of organizations that offer foster care services.

Their responsibilities will include feeding, assistance with hygiene and medical procedures, monitoring the taking of medications, and the list may also include organizing leisure activities, cleaning, etc.

Among the advantages of this approach are the high professionalism of the employees, their specialized skills (giving injections, massage, etc.), and more careful control.

Source: https://yalta.spb.ru/stati/pravila-oformleniya-patronazha-dlya-pozhilogo-cheloveka/

Patronage assistance in Moscow: patronage of the elderly, group 1 disabled people and seriously ill people | "Social support"

Number of hours Cost Additional payment 2 hours 500 rub. 3 hours 550 rub. 4 hours 650 rub. 5 hours 700 rub. 6 hours 800 rub. 7 hours 900 rub. 8 hours 1000 rub. 9 hours 1100 rub. 10 hours 1300 rub. 11 hours 1350 rub. 12 hours 1400 rub. 24 hours (days) 1650 rub. minimum order - 10 shifts

Patronage of an elderly person or a disabled person is a type of guardianship. Services of this kind are offered by specialized agencies and private specialists.

The former have an important advantage - reliability (guarantee of quality of care).

Our patronage agency is a company that has been operating in the market for a long time and has earned a strong reputation. Our area of ​​work is patronage of patients at home, in medical institutions, nursing homes, and sanatoriums.

• The nurses working in our company are carefully selected according to professional and human criteria; most of them have diplomas of nurses, paramedics and experience in practical work with all injuries and diseases known to science.
• Patronage is carried out within the framework of the basic principles that the Social Support Center uses in its work.
• Company specialists:

• treat their students with respect;
• always friendly, attentive, patient;
• take into account the psychological characteristics of aging people, tactfully treat possible manifestations of dissatisfaction on the part of their wards, their changes in mood, irritability, and whims;
• are attentive to medical and household aspects of care.

Social Support specialists are always ready to provide professional assistance to relatives of people with special needs and disabilities. A patronage nurse for an elderly person in Moscow will replace the ward's guardian or loved ones during their absence.

Special requirements are placed on patronage service specialists. First of all this:

• availability of specialized education, special training;
• ability to patiently care for patients with disabilities;
• knowledge of methods of caring for patients with a specific diagnosis;
• ability to provide first aid.

Types of patronage

Patronage in the range of modern services is presented in two types: medical and social. Each has its own characteristics. Also, patronage in Moscow by the “Social Support” service is offered in a comprehensive, medical and social way.

Medical patronage provides for accompaniment of the ward in a hospital setting and at home with the performance of certain procedures and manipulations. It includes monitoring the physical and psychological state, following doctor’s orders (physical therapy, giving medications, administering drugs intravenously, intramuscularly, drip, etc.).

Patronage assistance of a social nature focuses on psychological and everyday aspects. The tasks of the profile service worker include organizing a comfortable environment and atmosphere in the house, and the ward’s walks.

Also, social patronage for disabled people of group 1 and for older people provides assistance in restoring lost functions (primarily communicative).

Peculiarities:

• With accommodation
• Hourly
• Without accommodation
• Escort
• Shipping
• In hospital

Social patronage for older people is a popular and accessible service. If relatives do not have the opportunity to care for an elderly family member, this care should be entrusted to a professional nurse.

A medical and social specialist can take on patronage care of an elderly person. For the customer, hiring such a visiting nurse is beneficial by optimizing the costs of regular medical care (checking physiological indicators, monitoring the execution of doctor’s instructions, taking medications, etc.).

It is recommended to choose a caregiver through a foster care agency for the elderly. The “Social Support” service offers an individual selection of visiting nurses taking into account the requirements, condition, and diagnosis of the pensioner.

Our specialists can organize patronage for an elderly person over 80 years of age. The average age of the wards is 70 years.

We organize support in hospitals, sanatoriums and home visits; relatives are often afraid to leave elderly people unattended. The services of a nurse are a rational solution if social and medical assistance is needed.

Patronage of the disabled and seriously ill

Our patronage center also offers support services for disabled people of groups 1 and 2. We work with clients with any diagnosis. Patronage for a group 1 disabled person is organized by specialists with specialized medical education. Experienced nurses serve patients in hospital and at home. They perform medical and social functions.

Patronage of disabled people of groups 1 and 2 provides for various types and forms of cooperation. When selecting a range of services for a particular patient, we take into account his condition, requirements and capabilities of relatives (guardians).

You can order one-time or long-term patronage from our agency. In the first case, accompaniment is provided, for example, during the guardian's vacation or the ward's stay in the hospital. In the second - constant service for a person with disabilities.

Social and medical patronage is extremely convenient today; the price of specialist services is quite acceptable. This makes professional support affordable.

The Social Support Center offers affordable professional patronage in Moscow. Cooperation with a specialized company is an opportunity to transfer to specialists part or a full range of functions for caring for a sick relative.

At the Social Support Center:

• Each nurse is a highly qualified professional, patronage is carried out by medical and social specialists;
• work is carried out around the clock, patronage of elderly people is carried out on weekdays, weekends, and holidays;
• patient care is organized anywhere: in a country house, in a country house, in a city apartment, in a clinic;
• patronage of disabled and seriously ill patients provides a full range of household and medical procedures (relatives are relieved of these responsibilities and can concentrate on work, personal life, etc.);
• Patient care is carried out according to a schedule convenient for customers: hourly, nightly, daily;
• when choosing a nurse, professional advice is provided;
• caregivers begin to perform duties immediately after concluding a contract for patronage services;
• At the client's request, the nurse is promptly replaced.

We offer patronage services at affordable prices. The system and method of mutual settlements are selected individually, taking into account the wishes of the customer. We guarantee quality of services, 24-hour customer support.

Psychological patronage

A nurse's patronage includes more than just daily care work. It is also important to maintain the patient’s desire to live and recover, not to become discouraged and not to focus on the illness.

Cultured, tactful and psychologically stable nurses of our patronage service will find the key to wards with various character traits, help them find an interesting activity, become pleasant companions, and, if possible, help them do feasible housework so that the person does not feel useless.

By choosing support from the Social Support service, you don’t have to worry about the comfort of a loved one with special needs. A professional nurse will do everything necessary to ensure it, patronage will be organized competently, and the work will be done efficiently.

Patronage - what is patronage and service for older people

The concept of “patronage” in modern society is understood as a type of social service that provides assistance in the care and maintenance of seriously ill people, the disabled and the elderly who have completely or partially lost the ability to self-care.

Patronage combines several types of assistance:

• medical;
• social;
• psychological.

Such an integrated approach can significantly make the life of not only patients, but also their loved ones.

When may patronage be required?

The main clients of patronage services are elderly people who need care due to senile frailty and numerous health problems. In this case, maintenance usually includes:

• monitoring the timely intake of prescribed medications;
• carrying out medical procedures;
• accompaniment when visiting medical institutions;
• assistance in implementing hygiene measures;
• household assistance.

People of working age may need nursing care in case of severe injuries and illnesses, during the recovery period after operations. So, today one of the most common diseases that leads quite young people to weakness is oncology. People also often become bedridden as a result of being involved in an accident.

In the case of bedridden patients, patronage includes not only monitoring the timely administration of medications and monitoring the patient, but also carrying out special events, such as:

• prevention of bedsores;
• prevention of pneumonia.

Prevention of bedsores involves regularly (every 2-3 hours) shifting the patient in bed, keeping his clothes and bed in a clean, dry condition. Prevention of pneumonia involves performing special breathing exercises.

Many nursing services can be handled by people without medical education. However, given that the wards have serious health problems, a medical professional is preferable. His qualifications and experience in the medical field will allow him to promptly recognize health and life-threatening conditions and, without being confused, take emergency measures.

Patronage in Russian realities

Compulsory health insurance provides for the provision of visiting nurse services free of charge, but it only includes the most basic medical procedures: examination, blood pressure checks, administration of IVs and injections.

As a rule, a visiting nurse from a clinic has more than a dozen patients, so it is impossible to pay enough attention to everyone. There is no question of supervising the patient. All responsibilities for the care and supervision of infirm patients fall on their relatives.

If for this a relative has to leave his main place of work, he is entitled to financial assistance, but its amount is so small that living on this money is out of the question.

In addition, not everyone can fully devote themselves to caring for a seriously ill person; it is difficult both physically and psychologically. This is why many people in Russia resort to the help of private patronage services.

Until recently, only wealthy people could afford to use patronage services. You could only hire a cheap nurse without special education at your own peril and risk, which often led to unfavorable consequences: under the guise of a nurse, thieves and swindlers entered the house.

Fortunately, today the situation has changed. The development of the foster care market in Russia has led to an increase in supply and a decrease in prices.

Now anyone can hire a qualified specialist with a guarantee of quality service, especially since the conditions can be negotiated.

So, in order to save money, you can hire an employee only for a few hours a day, and the rest of the time you can provide care on your own. In any case, it is much easier than taking on all the responsibilities yourself.

Patronage services for the elderly

Elderly people often cannot do without outside help. They become distracted and forgetful, they may develop mental illness and dementia, and many experience constant tremors and other movement disorders.

At the same time, older people in most cases do not like to change their environment and refuse to move to their children or to a nursing home.

Patronage services make it possible to provide elderly people with everything they need without taking them away from their usual lifestyle and environment.

In addition to purely medical procedures, patronage service employees can provide a wide range of other services:

• accompany wards on walks;
• go shopping;
• keep the house tidy and clean;
• prepare food, including in accordance with the diet prescribed by the doctor;
• organize leisure time, etc.

Due to senile infirmity and illness, many old people become irritable, aggressive, and may become depressed, therefore, to work with older people, a social worker is required to have special psychological training. An employee must show tolerance, be able to smooth out conflict situations and provide psychological comfort. This is especially important for caring for patients with mental disorders.

If it is necessary to undergo treatment in a hospital, the patronage worker can also provide care in a medical institution. In this case, relatives can rest assured that their elderly relative will receive full treatment and will not be deprived of the attention of medical personnel.

Patronage services for disabled people

Caring for patients with severe disabilities requires the constant presence of a worker next to the patient.

The health care worker must perform all necessary medical procedures, monitor the patient’s well-being, feed him in accordance with the diet allowed for his illness, bring a bedpan, carry out hygiene procedures, and monitor the cleanliness of the room. When serving wheelchair users, it is possible to include an item on walking with the patient in the air.

It is important to pay attention not only to medical and household, but also to psychological aspects.

Feeling their helplessness and apathy, disabled people are often in a depressed mood; a positive attitude and a healthy sense of humor of service personnel can significantly brighten up the monotonous everyday life of such a patient and even restore the joy of life. Ideally, a warm, trusting relationship should be built between the patronage service employee and his ward.

Patronage during recovery after injuries and operations

Recovery after serious injuries and operations is a long process that requires an individual approach, taking into account the specific disease and characteristics of the patient’s body. To speed up the process of returning to normal life and prevent possible complications, a special rehabilitation program is being developed, which includes:

• nutrition according to a certain scheme;
• a special anesthesia regimen;
• application and removal of fixing bandages and plaster;
• massage;
• exercise therapy;
• physiotherapy;
• social adaptation, etc.

The program, as a rule, is drawn up by the attending physician, but the accuracy and correctness of its implementation will completely depend on the patient’s environment, especially when he is discharged home.

Not everyone will be able to devote several months exclusively to the rehabilitation of their relative and at the same time comply with all the requirements, and any deviations from the program can significantly complicate the rehabilitation process.

And this is where patronage services come to the rescue.

Modern patronage services are teams of qualified specialists with medical education; they can optimally organize rehabilitation so that it brings maximum benefit. In addition, patronage services provide for regular monitoring of the patient’s condition, which allows prompt adjustments to be made to the rehabilitation program in order to increase its effectiveness.

An important component of rehabilitation is the correct moral attitude of the patient. Psychological comfort, good mood and healthy humor provide significant support on the path to recovery; qualified staff will always be able to create the right psychological environment in the patient’s family.

Where to go

Patronage services today can be obtained in any city. In large cities, more than a dozen companies offer them. The question immediately arises: where to turn? Don't rush to agree to the first offer you come across. It is better to give preference to companies that have been operating on the market for a long time and have a large staff of patronage personnel.

In this case, it will be easier to select a worker with the required qualifications. It is also a good idea to study reviews from clients who have already used the services of the chosen patronage service. Keep in mind that patronage involves long-term contact between staff, the patient and his relatives.

If for some reason the patronage nurse is not suitable for you, the service should be able to promptly replace her with another employee.

All relationships between the client and the company providing patronage services must be documented. Usually, at the beginning of cooperation, an agreement is concluded, which spells out the duties of the visiting nurse, the schedule of visits, the cost of services and all other important nuances.

Patronage of the elderly: how to register correctly

Alexandra Krasnova

Many retirees have difficulty performing basic household tasks. In such a difficult situation, patronage of the elderly is the only way to take care of a loved one. Let's consider how such relationships are formalized, and what actions the law requires in such cases.

In what cases is it possible to obtain guardianship over an elderly person?

According to the Civil Code of the Russian Federation, there are two options for guardianship:

If a pensioner has mental disorders that do not allow him to adequately assess reality, then in such a situation patronage is impossible, and the first option is preferable. First, incapacity is recognized in court, and then guardianship is issued.

Before registering guardianship for an elderly person, you need to assess your options. The guardian takes responsibility for the competent management of pension payments and benefits that an elderly person receives, timely payment of utilities, purchase of food, clothing, etc. By the way, guardianship of a child involves performing similar tasks.

Patronage of an elderly person is preferable when the pensioner is unable to fulfill his duties and exercise his rights.

How is patronage for older people arranged?

How to arrange patronage for an elderly person? To do this, you must comply with the following rules established by the Civil Code of the Russian Federation:

1. patronage is impossible if the pensioner suffers from any mental disorder, since in such a situation full guardianship is issued;
2. patronage is established if both parties, that is, the guardian and the pensioner, agree to its terms;
3. patronage does not have the right to be carried out by a social security worker who helps a pensioner with household chores;
4. a guardian can be either one of the family members or someone who is not a relative of the elderly person;
5. patronage of an elderly person presupposes that the relationship between the parties is documented.
6. Patronage for a disabled person is issued if the pensioner does not suffer from mental disorders.

Let's consider the main stages of registering guardianship over an elderly person in the form of patronage:

1. An elderly person who needs help submits an application to the guardianship authority , asking for patronage over him. The applicant must also confirm that he requires patronage, that is, provide a medical report.
2. Future the guardian must also submit an application for his consent to patronage over an elderly man. In addition, you will need a document in the form of a document regulating the relationship between the elderly person and his assistant. The future guardian must submit:
   • certificates from dispensaries (psychoneurological, drug addiction, tuberculosis). Patronage cannot be entrusted to a person with psychoneurological problems, addictions, or infectious diseases;
   • a reference from the place of work/study will be required to confirm that the guardian can become a good assistant for an elderly person;
   • medical report on health status;
   • document confirming the availability of living space in ownership/use.

   Regional laws may also provide for the provision of other documents to establish patronage.

3. If employees of the guardianship authority consider that patronage of an elderly person can be established, then they notify the applicant in writing of a positive decision. The employee prepares the order and sends it to the assistant and the pensioner . Next, an agreement is concluded between the parties that regulates patronage.
4. A guardian is installed no later than a month after the guardianship authority employees learn that the pensioner requires patronage.

What rights and responsibilities do a guardian have who has granted patronage to an elderly person?

When guarding an elderly person,  the rights and obligations of the guardian and the pensioner are fixed in the contract.

The guardian assumes the following responsibilities within the framework of patronage:

• carrying out assignments that may be of both a legal and everyday nature;
• providing information about how tasks are performed;
• dispose of property for the benefit of the elderly.

The conditions governing patronage of an elderly person must be described in the contract. It is essential that it contains details of what the guardian's responsibilities are. It is necessary to clarify in the document what household chores he must perform, where the elderly person lives under patronage, etc.

The guardian has the right to receive compensation payments for costs incurred in providing services to the pensioner. Information about the assistant’s remuneration, if any, must be included in the agreement regulating patronage of the elderly person. By the way, the guardian is not entitled to any government payments.

The fact that an assistant exercises patronage does not make him a claimant to the inheritance. However, if an elderly person wishes for their property to go to an assistant, then this issue can be resolved by drawing up a will.

The guardianship authorities monitor how the assistant fulfills his obligations within the framework of patronage.

If the guardian violates the conditions described in the contract, then the representative of the guardianship authority may consider this a reason to cancel it.

By the way, if an agency agreement has been concluded, then both the assistant and the pensioner have the right to terminate patronage of an elderly person unilaterally at any time.

Patronage of a person aged 80: important nuances

An assistant caring for an elderly person over 80 years of age is entitled to a payment. Patronage for an elderly person over 80 years of age is paid if the guardian is an able-bodied person who is currently not working anywhere. By the way, the period of time during which an assistant provides patronage to an 80-year-old elderly person is considered work experience.

A pensioner under patronage receives an additional payment in the amount of 1,200 rubles, intended to pay for the services of a guardian.

If we are talking about an incompetent elderly person, then 1200 rubles for patronage of an elderly person are transferred to the guardian.

In what cases is it possible to terminate accepted obligations?

Federal Law No. 29 defines the cases in which patronage is suspended. Let's list them:

• death of a caregiver or elderly person;
• removal of a guardian;
• violation of the rights/interests of the elderly;
• The guardian fulfills his obligations in an inappropriate manner.

Federal Law No. 29 determines the reasons for the cancellation of patronage of an elderly person. Documents confirming the occurrence of one of the listed cases are submitted to the court if the guardian does not agree with the decision of the government body.

The assistant has the right to challenge it, but most often such actions do not lead to the desired result. Social workers provide conclusive evidence, obtained through regular audits, that the case management was carried out inappropriately.

Patronage is a way out of a situation where a pensioner cannot live without outside help. The guardian must have high moral principles, because he will have to provide treatment and represent the rights of the pensioner free of charge. Carefully evaluate your strengths, weigh all the pros and cons before you start processing. Patronizing an elderly person is a big burden.

Patronage for older people as a service

In our country, the service “patronage for the elderly” is offered more and more often. It consists of caring for the elderly, which is carried out by real professionals. You can also use the patronage service in private nursing homes.

Let's look at the benefits of staying in such an establishment:

• boarding houses "Autumn of Life" are located in the most beautiful places of the Moscow region (Istrinsky district, Odintsovo);
• professional nurses provide round-the-clock care;
• dietary nutrition;
• 1-2-3-place accommodation. For a bedridden patient, a specialized bed is offered;
• Leisure activities are organized for guests daily;
• group and individual work with a psychologist;
• older people are regularly examined by a doctor;
• relatives can visit guests on Sundays;
• staying in a boarding house costs from 30,000 rubles/month;
• You can get advice on the conditions for admitting guests to the boarding house by calling +7 (499) 506-81-83.

Services: home care for elderly people

Many relatives of pensioners turn to patronage services for help. You can also get similar services at the private boarding house “Autumn of Life”. You can call a specialist to your home by phone, and he will spend the whole day with your grandfather or grandmother.

Such a service is an opportunity to take care of a loved one who is bedridden. Often, an elderly person is unable to take care of himself, and in such a situation, home care is the best way out. A qualified specialist will come to the rescue and provide all the necessary services.

Services - patronage of disabled people

This type of assistance is the most in demand, since it is people whose capabilities are limited who require special care, control, and care. A specialist from the Autumn of Life boarding house can provide not only medical services, but also help with household chores and pay attention to an elderly person.

Often a disabled person is depressed and experiences mental trauma. A specialist from a private nursing home “Autumn of Life” can also provide psychological assistance to an elderly person .

Patronage of the sick and elderly

Patronage is also provided for sick people. In this case, the specialist follows all the doctor’s recommendations and controls the time and dose of medication.

The assistant respects the internal experiences of the elderly person and communicates with him in a friendly manner. For example, patronage of a person over 80 years of age requires special attention, care, and consideration of psychological characteristics.

The specialist will provide all the necessary services that the elderly need during this difficult period of life.

Patronage is not an easy matter. Alas, pensioners are often very capricious, and caring for them is impossible without the ability to sympathize, care, and empathize. The specialists at the Autumn of Life boarding house know how to behave with an elderly person and know how to act in an unforeseen situation .

The private boarding house “Autumn of Life” provides a service such as patronage for an elderly person. All employees are psychologically stable and have extensive experience working with the sick and elderly. By entrusting your elderly relative to them, you can be sure that he is in good hands.

Source: https://pansionat-osen.ru/poleznye-materialy/patronazh-nad-pozhilyimi-lyudmi/

How to get social, medical and patronage services at home

To receive an individual program for the provision of social services, you must prepare a list of documents:

• application of a citizen (his legal representative) for the provision of social services;
• a passport or other identification document of a citizen, including a birth certificate in relation to a minor citizen under 14 years of age, containing information about the place of residence in the city of Moscow, and in the absence of such information in the specified document - in addition to the identification document the identity of the citizen, another document containing information about the place of residence in the city of Moscow;
• a document containing information about circumstances that worsen or may worsen the living conditions of a citizen (Article 15 of the Federal Law of December 28, 2013 No. 442-FZ “On the fundamentals of social services for citizens in the Russian Federation”);
• a certificate from a federal state medical and social examination institution confirming the fact of disability (in the case of an application from a disabled citizen for the provision of social services);
• conclusion of the medical commission of a psychoneurological dispensary or hospital with a detailed diagnosis and an indication of the recommended type of social service organization;
• information about the income of a citizen and his family members for the last 12 calendar months preceding the application for social services (with the exception of information about the amount of disability and (or) old age pensions, which are paid by the branch of the Pension Fund for the city of Moscow and the Moscow region);
• if necessary, additional documents.

Documents are submitted in originals or copies certified in the prescribed manner, or copies with the presentation of original documents.

With the prepared package of documents, you must contact the department of social protection of the population of Moscow at the applicant’s place of permanent residence.

After the application is registered, specialists will check the information specified in the application within three working days. Then an examination of material, living and social living conditions will be organized - with a visit to the applicant’s home.

Based on the results of the survey, a report is drawn up and the amount of your average per capita income is established. No later than two working days after this, the Moscow Department of Social Protection at your place of residence will make a decision.

If a positive decision is made, an individual program for the provision of social services will be drawn up within three working days, depending on the applicant’s needs.

This program will indicate the composition, volume, frequency, conditions, timing of the provision of social services, and social support activities. The individual program will be delivered to you no later than two working days from the date of its preparation.