1. Aged people with severe dementia and their services in Helsinki City

2. Old age of my kind Vision for Elderly care services 2020 in Helsinki City

3. The leading thought is a seamless care path Operations models are regional networks In a networked operations model, a client-tailored service consists of an array of services provided by the municipality, organisations and businesses The future of Elderly services in Helsinki City

4. Aged people (65+) with moderate or severe dementia in Helsinki City

5. Aged people with moderate or severe dementia in different parts of Helsinki City in 2010 and 2020

6. Aging and dementia a carepath has been developed for the dementia client –the special regional dementianurses train home-care teams to proceed according to this model using as an example a real demanding case of a client in the team education –lessons to the personnel, for example how the encounter the demanding dementia client, stimulus activity for the dementia client, how to inform and collaborate with the relatives, how to notice and respect the autonomy of the client etc. –multiprofessional meetings with the physician of the team, dementianurse and with other collaborators (e.g. geriatrician, social worker, physiotherapist) dealing with demanding clients in team As a part of a project to Cultivate promising practices for prevention of social exclusion of elderly people in the Helsinki home care system. Professor Yrjö Engeström, Helsinki University, Project Manager, Ph.D. Anna-Liisa Niemelä, City of Helsinki Health Center, Home Care Manager, M.Sc., PhD Student Jaana Nummijoki, Helsinki University, City of Helsinki Health Center and Senior Planning Officer, Ph.D. Juha Nyman, City of Helsinki Health Center

8. Kustaankartano Elderly Centre Activating Daily Living -model

9. The individual care plan is complemented with a model of Activating Daily Living which focuses on utilizing the individual`s strengths encouraging spontaneous activity enrichment of every day life with a ”Carpe diem” perspective Activating Daily Living -model

10. Knowledge of every residents lifespan RAI Resident Assessment Instrument Analyse of Resource and Risk factors Individual care plan Activating daily living board Implementation and evaluation Activating Daily Live with every residents Activating Daily Living Process Knowledge that is important and meaningful for elderly and to ensure these activities in their daily lives in residential home is also supporting residents functional capacity. Activating Daily Living Process

11. I like to be with other people (dancing, singing etc.) I like to do housework I exercise with Motomed twice a week (on Tuesday and on Thursday) I love dogs and whenever there is dogvisitor in the house, I would like to be there I love to spend time in Kustaankartano´s garden at least once a week Taimi’s activating daily living board

12. ” I like to be with other people (dancing, singing etc.) “ Planning and having happenings in the ward and take a part to Kustaankartano’s events Active daily living in practice

13. ” I like to do housework” Even when elderly have functional disabilities it is possible to do or help in different kind of housework

14. ” I exercise with Motomed twice a week” (on Tuesday and on Thursday)

15. “I love dogs and whenever there is dog visitors in the house, I would like to be there”

16. ”I love to spend time in Kustaankartano garden at least once a week” Enjoying outdoors environment in every time of year

17. Severe withdrawal of social participation an initiative (%) & No activities (%), RAI data

18. Residents (%) who are in bed 24/7, RAI data

19. ”When you are active, you are feeling alive” (Resident of Kustaankartano, 92 years)

20. Thank you for your attention! 20 Eeva-Liisa Tuominen, Head of Elderly Care Homes and Service Housing Tuulikki Siltari, Purchased Services Manager Seija Meripaasi, Head of Long Term Care for Elderly Tarja Itkonen, Executive Adviser Helsinki City, Social Services Department, Services for Elderly Email firstname.lastname@hel.fifirstname.lastname@hel.fi Additional information www.hel.fiwww.hel.fi