Israel, like many countries worldwide, faces a significant challenge: the aging of its population. Those challenge of optimal aging in Israel, are not just a demographic issue, but also a social, economic, and health challenge of the highest order. In 2021, the Israeli government made an important decision (Government Decision 127) outlining the way to address this challenge, with an emphasis on optimal aging. This article will review the current situation, the challenges we face, and the strategies Israel is adopting to ensure a better future for its elderly citizens.
Current Situation
Demographic Overview According to current data, the elderly population in the world currently constitutes about 10% of the total world population. However, projections indicate that by 2050, the proportion of those aged 65 and over will rise to about 17% of the world’s population. In Israel, the picture is even more dramatic: within 50 years, the elderly population is expected to grow from about one million to about three million.
Characteristics of Optimal Aging in Israel
Studies show that about 80% of the elderly in Israel function at a high level, while 17% are in significant functional decline. Another interesting statistic is that 98% of the elderly live in the community, and only 2% in institutions.
The Health and Functioning Challenge
One of the central challenges in population aging is maintaining health and function. While life expectancy in Israel is among the highest in the world, the gap between life expectancy and healthy life years is growing.
Basic Assumptions for Addressing the Aging Challenge
To address the aging challenge, Israel has adopted several basic assumptions, including a holistic view, shared responsibility between the individual and the state, a common language, and an emphasis on prevention.
National Metrics Map for Optimal Aging
One of the central tools developed to deal with the aging challenge is the National Metrics Map for Optimal Aging. This map includes metrics in various areas such as quality of life and loneliness, healthy life years, functioning, economic resilience, health management, healthy lifestyle, active lifestyle, and digital literacy.
Government Decision 127
A Significant Step Forward In 2021, the Israeli government adopted Decision 127, which marks a significant milestone in dealing with the aging challenge. The decision includes several key components, including adopting the National Metrics Map for Optimal Aging and publishing a national report on the state of optimal aging in Israel every two years.
Strategies for Dealing with the Aging Challenge
Based on the data and insights that emerge from the metrics map and the national report, Israel is developing several central strategies to deal with the aging challenge. These include focusing on prevention, promoting a healthy lifestyle, strengthening social connections, economic preparation for old age, integrating technology, adapting the health system, and age-friendly urban planning.
The Budgetary Challenge
One of the significant challenges in dealing with population aging is the budgetary challenge. However, studies show that investing in prevention and early intervention programs can save many resources in the long run.
Inter-sectoral Collaboration
Dealing with the aging challenge requires cooperation between different sectors of society, including government ministries, local authorities, civil society organizations, the business sector, and academia.
Unique Challenges in Israel
While the aging challenge is global, Israel faces several unique challenges, including cultural diversity, geographical gaps, immigration, and security issues.
Innovation and Technology
Israel, known as the “Start-up Nation,” is also leveraging its technological capabilities in the field of aging. Innovative technological developments include home monitoring systems, adapted social platforms, technologies for cognitive improvement, and assistive robotics.
Preparing for the Future
One of the central issues in the concept of optimal aging is preparing for the future. This includes financial planning, career planning, healthy lifestyle, and housing planning.
Summary and Future Outlook
The challenge of optimal aging in Israel is complex and multidimensional. It requires rethinking the concept of old age, the place of the elderly in society, and the shared responsibility of the individual and society in ensuring a good quality of life in old age. The success in dealing with this challenge will be measured not only in numbers and statistics but also – and perhaps mainly – in the quality of life of the elderly in Israel, their integration into society, and their sense of value and meaning.
Happy Seniors Services
Happy Seniors offers a wide range of services to help elderly people living at home and their families. The services include assistance in finding suitable nursing caregivers, managing medical monitoring and personal care, and supporting daily challenges. The company also offers technological solutions that allow the elderly to stay connected with their families and enjoy community support, all with the goal of improving their quality of life and allowing them to age in a familiar and comfortable environment. Happy Seniors helps the elderly enjoy maximum support and advanced technology, thereby significantly improving their quality of life.
Welcome to HappySeniors! We’re your trusted platform for senior care services, providing unparalleled support to senior citizens, their families, and offering valuable employment opportunities for professionals in the senior care industry. In this guide, we’ll walk you through our employment job board, helping you find the best candidates for your senior care roles.
If you’re an employer in the senior care industry, or seeking employment opportunities in social work, caregiving, nursing, and related fields, you’ve come to the right place. HappySeniors facilitates the best matchmaking process for you. Our job board allows employers to find the best candidates by posting jobs and letting our recruitment team identify the ideal candidates.
Why Choose HappySeniors?
Unlike other job-seeking websites, HappySeniors is dedicated to senior care, health, and rehabilitation. This means our recruitment team is highly professional in finding the best employees for your business – whether it be social workers, nurses, physicians, caregivers, or nursing home managers.
Creating an Account and Posting a Job
In this session, we’ll guide employers on how to create a new account and post their first job. As an employer, you can post jobs on our job board, which will be seen by thousands of candidates. Our recruitment team will handpick the right candidates for your role and send you their details.
You have two methods to post a job: the best one is to become a registered user by opening an account at HappySeniors. This process is free and gives you higher priority in the matchmaking process over unregistered users.
To open an account, go to our employment job board and click on “Employer Registration”. You’ll need to provide your email address, full name, phone number, and create a password.
Terms and Conditions
Please read the terms and services on our website. The process of finding employees for open positions is free, but once we find the right person for you and they begin working, you will need to pay a placement fee for each position.
Completing Your Profile
Next, fill in your contact person information—usually the HR manager. Our team will be in contact with this person throughout the matchmaking process. Finally, provide your company details—company name, website, and location. You can add an additional contact person and upload your company logo.
After completing your registration, you’ll be directed to your account page where you can manage your company settings, such as password and profile details.
Posting a Job
Let’s move on to creating a new job post. Click on “Add Job”. Type the position name and work address. Note that some information will remain private and be used by our recruitment team. You can assign a recruiter to handle the communication with our team or stay with your default choice.
In the next step, provide the basic information about the new position: position status, category, experience level, work location, and position type. Also, include the salary or hourly rate and any signup bonus (optional).
Detailed Job Information
This is the main stage of the recruitment process. Provide detailed information on the position description, responsibilities, and requirements. You can also add information about benefits or other details. You can add questions for potential candidates to help evaluate their fit for the position. We recommend adding no more than three questions. These can be multiple-choice, open-ended, or yes/no questions.
For example: “Which types of senior care facilities have you worked in the past?”
Once you’ve added all the information, submit the job post. It will be pending approval by our recruitment team.
Managing Your Job Posts
After approval, go to “My Account” and refresh the position. The job will now be published. You can track how many applicants have applied and cancel the posting once the position is filled. Our recruitment team will offer you the best applicants for the position. Only registered users have personal accounts to manage their jobs.
Posting a Job Without Registration
You can post a job without opening an account, but this is only advisable if you don’t plan to use the job board regularly. Go to the job board as a non-registered user and click “Post a Job Without Registration”. Fill out the required fields and post the job. Note that this job is posted anonymously, so you won’t be able to manage it as if you were a registered user.
That’s it for today. Thank you for staying with me. If you have any questions, don’t hesitate to contact us.
Be happy with HappySeniors, and see you in our next lesson.
Welcome to HappySeniors, your trusted platform for senior care services, offering unparalleled support to senior citizens, their families, and providing valuable employment opportunities for professionals in the senior care industry. My name is [Your Name], and in today’s session, I’m excited to introduce you to our Caregiver Employment Board.
The purpose of our job board is to seamlessly connect families in need of caregiving solutions for their senior loved ones with professional caregivers seeking full-time, part-time, or temporary relive positions in senior homes.
Overview of the Job Board
Let’s dive into how the job board works. The job board features detailed listings created by families looking for caregivers. Each listing includes essential information about the senior, such as age, gender, status, and residence.
For Caregivers
Filtering Listings: If you are a caregiver, here’s how you can use our platform to find your ideal job. First, you can filter the job listings based on your preferences, such as location and gender of the senior.
Detailed Information: By clicking on a listing, you will access comprehensive details about the senior, including their capabilities and needs, such as whether they can shower, eat, or walk independently.
Apply for a Position: To apply for a job, you can create an account or log into an existing one. Registered users receive priority in the application process. Moreover, you only need to enter your details once, saving you valuable time.
Complete Your Application: During the application process, you must fill out all required fields, including personal details, employment history, areas of expertise, and recommendations. Providing a strong recommendation letter significantly boosts your chances of securing a job.
Post-Application Process: After submitting your application, our recruitment team will review it and contact you to discuss the position further. Remember, registered caregivers enjoy a faster and more streamlined process, increasing your chances of getting hired.
For Families
Register or Post a Job: Now, let’s talk about how families can use our job board to find the best caregivers for their loved ones. You have the option to register on our job board, which is free and offers numerous benefits, including better management of the caregiving process and becoming part of the HappySeniors community. Alternatively, you can post a job without registration.
Provide Detailed Information: Start by entering your personal details and information about the senior. Uploading a photo of the senior is optional.
Describe the Senior’s Condition: Clearly describe the senior’s condition, including their mobility, cognitive and physical health, sleeping habits, and living environment. This information is crucial for matching the senior with the right caregiver.
Specify Care Needs: Outline the activities the caregiver will need to perform and what the senior can or cannot do.
Social Security Details: Indicate the senior’s entitlement to social security hours and whether you prefer direct employment or hiring through a nursing company. This information affects the financial aspects of caregiving.
Living Arrangements: Mention whether the senior lives alone or with others, as this can impact the caregiving requirements.
Location and Assistance: Provide the senior’s residence details and specify if any additional social assistance is needed.
Budget: Clearly state your budget for caregiving services to ensure a transparent and effective matchmaking process.
Submit Application: Once you submit the application, our team will review it and get back to you promptly. Providing accurate and comprehensive information increases your chances of finding the perfect caregiver match.
Remember, registering and posting jobs on our platform is currently free of charge.
Be happy with HappySeniors. Thank you for watching, and see you in our next session.
Welcome to ‘HappySeniors’, the senior care platform created from the passion and professionalism of Irit Rabinovich, a social worker with a master’s degree in rehabilitation and health. Irit’s vision is to empower families and caregivers by enriching them with knowledge and tools that will improve the quality of life for seniors and their families.
Join me, Avidor Rabinovich, for a tour of our website. We’ll start with the homepage, which serves as a gateway to all our resources and services. Here you will find easy and quick access to everything you need.
In the ‘Senior Care Services’ section, we offer a variety of solutions tailored to seniors and their families. Our services include professional consultation, customized and comprehensive care planning, and guidance to find the most suitable care environment.
If you need a caregiver or you are a caregiver looking for work, our ‘Caregiver Board’ connects families with professional caregivers. Here you can post a job ad or apply for various roles and find the perfect match for every need.
On our ‘Employment Board’, professionals in senior care can find or post jobs. We serve employers looking for certified and professional workers, such as social workers, nurses, and doctors, as well as job seekers wanting to contribute to the lives of seniors.
Do not hesitate to return to our homepage for easier navigation on the site. Subscribe to our blog to receive up-to-date and in-depth information on senior care, and contact us for more information or questions.
Thank you for joining me today.
In the next video, I will teach you how to use our caregiver board and show you how easy it is to make connections and find the right solutions for care.
Until then, take care of yourselves and be happy with ‘HappySeniors’!
Galit, a nurse who works full-time at a geriatric center. She remembers very well the time when she had to communicate for the first time with a dementia patient from the department where she worked. She was a young nurse at the time and had just finished her bachelor’s degree in nursing. The patient she had to communicate with for the first time was called Shoshana. A 70-year-old woman, who was diagnosed in the early stages of the disease, about two years ago. After working in the geriatric department for several months, one thing was very clear to her: there are many caregivers who are still not sufficiently aware of how to properly communicate with dementia patients.
A nurse makes eye contact with an elderly woman suffering from dementia – illustration picture.
Tips for effective communication with dementia patients-
Remove all the environmental factors that may hinder you from communicating with the person with dementia such as: an open television, a beeping cell phone, a radio, and more.
Speak slowly and clearly, use simple words.
Ask him closed questions and make sure that all the questions you ask can be answered yes or no. Instead of asking, what would you like to have for lunch? Ask, would you like to eat a sandwich with cheese?
Speak clearly and use the names of the people and things you are talking about. Instead of using body words such as: she, he, they – did you like it? Ask did you like the cake?
Try to have short conversations with him. People with dementia may lose the sequence of the conversation, if you have long conversations with them.
Give the dementia patient time to respond to your questions. Try to avoid frustration, if the time you have to wait for an answer is longer than expected.
More tips for effective communication with dementia patients –
Talk to the dementia patient at eye level. Address him by his first name, to make sure you have his full attention.
Try to have one-on-one conversations with him. If you cannot avoid talking in a group, try to make sure that you talk to one person at a time.
Try to avoid finishing the sentence for the dementia patient. If he insists on finding the right word, think about the topic of the conversation and ask a question that should help and stimulate what he wanted to say. If the dementia patient tells you – I want… I want… ask a question such as – do you want to go for a walk?
During the conversation, never say to the dementia patient, “I told you so before.” It is important to remember that if the person starts repeating the things he said before, and asks you repeated questions. It is possible that, he simply forgot that he asked the same question before.
Try not to argue with the dementia patient, as this will make them feel anxious. It is much more effective to accept what he says as the truth and continue the conversation.
If the dementia patient has behavioral disturbances, help them gain control. Think of tasks or activities he can do that can help him feel appreciated. For example, daily activities that he used to do and enjoy. Activities he can do at home such as: folding clothes, or cutting vegetables before dinner.
An elderly woman tries to remember – photo illustration.
Latest tips for proper communication with dementia patients-
Give the person with dementia clear and helpful instructions. When his cognitive (mental) state continues to deteriorate, control must be maintained with him through simple and effective communication. If you ask him directly – “Can you make me a cup of coffee please?” The request can cause him frustration. On the other hand, if you offer him to make coffee together with you and guide him through simple instructions. This way, you can give him back his sense of control. Instead: “Can you make me a cup of coffee please?” “Please fill the kettle with water”, “Boil the water”, “Take the coffee beans out of the cupboard” etc.
I will be flexible to their world! Many people who live with dementia lose track of time. If the dementia patient is not ready to talk to you at that moment, try to understand the reason for this. It’s possible that he just woke up, or he was up all night, or he’s just not in the mood to talk, or he wants to rest and watch TV. It is important to remember that, if you do not receive any response from the dementia patient, you must continue to talk with him patiently and respectfully. All this, in order to avoid frustration and a feeling of lack of appreciation.
It is very useful to find sources of mental support! When dementia worsens, it is important to have someone to talk to. You have to take breaks and gather strength for the rest of the way.
Know when to walk away! If the dementia patient becomes irritable or threatening, take a deep breath and walk away. Remember that living with a dementia patient is not easy – you can always come back and try to deal with it later.
In conclusion-
You must remember that the dementia patient is not always responsible for his actions. It is the terrible disease that causes his behavior and the gradual deterioration of his brain functions. I really hope that one day there will be a cure for this disease. But, now you must learn how to deal with its consequences. The best way is to focus on the positive things you achieve with the person dealing with dementia. Try to spend every day with him as much as possible.
Written by Irit Rabinowitz – attorney with a master’s degree in the field of health and rehabilitation – with extensive experience with mentally ill and nursing patients.
I started my work in nursing homes, in 2008. First in small nursing homes, and then I moved to work in a relatively large nursing home in the northern region. I really enjoyed working in community, individual and group work with the tenants and also, I enjoyed helping the families of the elderly, both in emotional support and in exercising their rights in front of the various offices.
What did I enjoy least about my work in nursing homes?
From the gray exceptional events, from the fact that I could not always work according to the ethics rules of the profession, because I was subordinate to management that preferred to hide (not all managements).
But, of course, I didn’t give up and where it was necessary to report, I insisted on reporting even if it resulted in criticism towards me or even dismissal.
Lack of manpower in the wards and the fact that sometimes as a result, the work of the treating staff led to those unusual events. The reluctance of the care teams to receive training and professionalize, just because they had to stay another hour at their own expense.
All this, made me gradually lose my desire to continue working in nursing homes.
In this article, I’m going to scan the state of nursing homes in Israel, with an emphasis on long-term nursing homes. Of course, not all nursing homes in Israel are in the same situation, some are of better quality and there are less, and I am going to give general information about what is happening in the nursing homes in Israel both from the literature and from my personal experience.
The shortage of nursing personnel in nursing homes –
A woman takes care of an elderly woman
It is no secret that the shortage of personnel in nursing homes and hospitals is high. As a result, the care given to the elderly staying in nursing homes is sometimes deficient. As proof of this, a quote from an article in Globes-
In the administrative petition, it was claimed by the Association of Nursing Homes in Israel that the reduction in the number of foreign workers in Israel, through the Population and Immigration Authority, resulted in a great shortage of nursing care workers for tens of thousands of elderly people who need it. According to the petitioner union, the construction industry did not suffer from the lack of foreign workers, because it was important for the state to solve the housing crisis in Israel, but tens of thousands of the state’s nursing and mentally exhausted elders were abandoned by it.
Lawyers Bombach and Ronen add and write, on behalf of the nursing homes, that
The population in the world, and in Israel in particular, is living longer and longer. But at the same time, the attention of the decision makers in Israel was not drawn to this, and the emphasis was not placed on finding a systemic-national solution for the treatment of the aging population.
The phenomenon of abuse in nursing homes-
The phenomenon of abuse of residents Among the staff members, it was found that the auxiliary forces are the group of caregivers who are at high risk of abuse of residents, as a result of the abrasive nature of their work (Shannan-Altman and Cohen, 2009).
These caregivers are professional support workers, who are required to exercise basic skills in care and their work involves physical care of the elderly, assistance in fulfilling their mental and social needs and maintaining their quality of life.
In studies carried out in the United States and Israel, it was found that the nursing profession in Israel and the United States is characterized by low status, little income, poor employment conditions, lack of promotion opportunities and low job security.
What causes therapists to become frustrated and how can this be overcome?
All that was said above, causes people involved in this profession a lot of frustration and confusion. They come to work reluctantly and have nothing to make them want to continue working.
Institutions, which have learned to understand this, organize fun days for those therapists, rewarding them with bonuses for good work. It will also not hurt to pay a salary that is above the minimum wage. Also, organizations that will give more paid training to those caregivers, will cause more responsiveness on the part of the caregivers to participate in that training.
Another testimony that causes the phenomenon of abuse in nursing homes was given by Dr. Tova Band Winterstein, from the Gerontology Department at the University of Haifa.
In the research I have conducted over the past 16 years, I have witnessed the high risk of the elderly population for abusive and neglectful behavior.” According to her, this is a population that depends on the staff members and is subject to the procedures and routine of life at the institution. This dependence, combined with stereotypical age attitudes that see the elderly as a burden, transparent, and irrelevant, allow in certain situations the existence of abuse and neglect.” She says and adds that Many times the atmosphere and the demanding organizational climate cause a great burnout of the staff, a great deal of stress and therapeutic burden that can cause lack of compassion.
Who are the factors enforcing this problem and how?
Another problem related to the phenomenon of abuse in the nursing homes comes not only from the nursing homes and caregivers, but also from the police and supervisory authorities. The police encourage family members to file complaints on this issue, in many cases it is difficult to convict due to a lack of evidence. In addition to that, the physical condition of the nursing elderly does not allow them to testify, or they are afraid to testify due to their proximity and dependence on caregivers.
Therefore, many times even the professional workers who come to talk with them, do not always receive information on this subject from the elderly. In addition to reporting to the police, it is also possible to report to the regional welfare officer, especially when it comes to grayer cases, where it is not possible to collect clear evidence from the elderly or his environment regarding any suspicion of abuse. Even after reporting to the relief officials, the cases are not always handled optimally, this is due to the heavy burden on the relief officials and the social workers handling this issue.
According to the data of the Ministry of Welfare in Israel, each social worker dealing in this field handles hundreds of cases. One of the important mechanisms to deal with this phenomenon is through a relief official in the elder service. Due to the load, the treatment is lacking and there is insufficient monitoring of the cases of abuse reported to the welfare officer.
It should be noted that there is a procedure that the follow-up will be on the part of the abuse committee, which is obliged to take place once every three months by the members of the committee for the prevention of abuse, which consists of the multi-professional team of the institution. Of course, it is mandatory that a lawyer, a doctor and a nurse, the other professional employees participate, depending on the reported case.
What is the process of hiring caregivers for the nursing home?
In addition to this, there is a very problematic phenomenon in the recruitment of caregivers to nursing homes. Due to the lack of auxiliary staff, there is no regulated and professional selection process for accepting people who wish to work as caregivers in the nursing homes. As a result, anyone interested in being accepted to work as a therapist enters the job, without a thorough examination of their personality and experience. In addition, many therapists who were negligent in their duties in a certain institution, were fired and moved to work in another institution.
They were hired due to the lack of caregivers. It should be noted that if it is a large institution – with several departments – if the caregiver is suspected of certain negligence, he will not be fired immediately, the first few times, he will be transferred to another department in the same nursing home. This is in order to preserve it, because again the problem that repeats itself in this case too: there are not enough experienced therapists who want to work in a nursing home.
Supervision of the Ministry of Health or Welfare –
The roles of the Ministry of Health and Welfare-
The Ministries of Health and Welfare, their role is to issue procedures to the institutions under their supervision and supervise them in the various controls. There are private nursing homes that are not supervised by these ministries and the clients pay for them privately and there are nursing homes that are under the supervision of these ministries and most of the clients who come to them receive funding through them.
The Ministry of Health supervises institutions for nursing and debilitated people and the Ministry of Welfare supervises institutions for the independent and debilitated. If you are interested in getting to know the different functional conditions and the funding process for them, you are invited to enter the article on functional conditions in the third age.
Reporting Obligation-
When there is any suspicion of any negligence or abuse, it is mandatory to report to the Ministry of Health or Welfare depending on the nursing home where the elderly person is staying.
The Ministry of Health or Welfare, their role is to contact the responsible attorney and the abuse committee at the nursing home and find out about the case.
Also, to follow up on the case and how it is handled. To tell the truth, this follow-up is not always done, but the Ministry of Health does check in controls whether the members of the abuse committee, which is also their role, do follow up on the reported cases of abuse.
The review of the Ministry of Health-
In addition to this, there is an audit by the ABA Nursing Homes Association on the conduct of the Ministry of Health in the nursing homes:
The Ministry of Health is the one that pays for most nursing beds Says Roni Ozari, chairman of the ABA (Association of Nursing Homes and Sheltered Housing in Israel), which represents over 200 public (non-profit) and private nursing homes and shelters where about 25,000 residents live. “But in fact he pays 30% of the actual expenses of the nursing homes. He wants to save money at the expense of nursing homes.
A situation has arisen where those who are not good survive and exist. It should be understood that this is not substandard.
The standards are correct, but there is no manpower to fulfill them. I expect the Ministry of Health to lift the glove and do two things immediately: He will approve another 2,000 foreign workers out of the 5,000 required for the nursing industry as a start and then he will establish a forum led by an economist, which will determine the rate for the day of hospitalization, so that we will not reach what we have reached so far. That way the criminals also knew they had something to lose.
Background data from the Taub Center for the Study of Social Policy in Israel on the subject of nursing care indicate that the system for long-term geriatric hospitalization has approximately 21,000 beds in 333 geriatric institutions.
About 70% of the beds are occupied by hospitalized patients financed by the Ministry of Health according to law. The rest of the beds are financed by the hospitalized patients and their families privately.
About two-thirds of the nursing homes are privately owned and the rest are publicly owned, but they all operate according to the professional guidelines of the Ministry of Health and serve as the operational arm of the Ministry of Health, that is, It is the state that is obligated to give the elderly the good, adequate and proper nursing care in the last chapter of their lives. It is she who determines the mandatory therapeutic guidelines through the Geriatrics Division of the Ministry of Health, which dictates the guidelines and supervises their implementation, and she is the one who bears the brunt of the ongoing failure.
In conclusion-
According to the data of the Population and Immigration Authority, in many developed countries there is a very serious shortage of local personnel in the nursing sector.
This is mainly due to the rapid pace of the aging of the population and a change in the family structure, which resulted in a considerable reduction in the informal workforce.
According to an analysis of demographic, economic and social trends, this shortage will get worse in the coming decades. As a result, policy makers must intervene in market forces and look for creative solutions in order to stabilize the level of demand and supply of personnel in the nursing field. Also, it is very important that the police treat the reported cases more seriously and not close almost every case reported to them by the nursing home due to lack of evidence.
Standards must also be increased among public service workers in the field of aging: more relief clerks, because their role is important and decisive in locating and treating cases of abuse in nursing homes. Paid therapist training, more bonuses, fun days, discounts and fair treatment of the institution’s management towards the therapists. Strict selection of employees.
And in addition, changing the way social workers are paid in order to avoid a conflict of interest: The social workers working in nursing homes will receive their salary from the Ministry of Health and not from the managers of the nursing homes. That way, they would be less afraid to speak up for fear of being fired. But, for now it’s just a dream
