The most rewarding part of the university's social responsibility practice process is to grow up with the community. Wanhua District is the earliest developed area in Taipei City. But, many social problems have arisen due to population migration, rapid growth of the elderly population, and living alone. However, although the community is old, the residents are still full of vitality, trying to find their own position in ordinary life. The following two stories to share our social responsibility in the practice of the process of moving from the university community self-help and mutual assistance power.
Under the impact of the Cov-19 this year, self-protection is certainly important. However, chronic diseases and dementia accompanied by poor lifestyles have been silently eroding and continuously affecting people's quality of life. Self-management of chronic diseases can help the elderly move towards a healthy life, control the disease within a certain range, and reduce the chance of seeking medical treatment. Based on the Longshan Elderly Service Center, we invited 18 local elderly with chronic diseases to participate in a seven-week chronic disease self-management program. During the program, the elders learn to understand their overall health status from self-assessed health status, perceive the impact of chronic diseases on daily life, and finally make up their minds to develop a weekly action plan to break the cycle of adverse physical and mental symptoms. At the beginning of the weekly class, the elders shared in the group the situation of practicing the action plan in the previous week, the difficulties encountered and propose alternatives. For example, Uncle Jackie Chan made a daily ten-thousand-step plan, but he was unable to exercise outdoors due to the rain. In order to achieve the plan, he changed to walk on the nearby subway underground street and became a self-manager who knows how to adapt.
When the difficulties cannot be resolved, the elderly can use brainstorming among peers to find suitable methods. In the process of asking questions and answering each other's questions, the elderly will use life experience, memory, cognitive thinking, cost assessment and other abilities to find problem solutions for others and themselves. This is an indispensable part of self-management of chronic diseases. During the course, Grandma AFang told her partner about her recent troubles... "I am 85 years old this year, and my husband has passed away. I live alone. When I know there are tourist activities in the community, I signed up with the village chief. But he rejected me. He said: "You are so old with no one to accompany you, if something happens in the process, how am I responsible?"...", during the group activities, the elders (Grandpa Phantom) shared their opinions and provide A-Fang’s strategies to solve their troubles, and even someone (Aunt Azhu) volunteered to accompany him, it was not only to solve AFang’s troubles, but increased the cohesion of the group.
Aunt Meiyu, who is suffering from cancer and undergoing chemotherapy, attends punctually every week except for a week off for chemotherapy in the hospital. She said that it is his responsibility to take good care of himself. Joining this group allows him to know how to face his own disease. Getting everyone's caring and blessing from everyone in group is his most grateful expectation every week.
In order to build the self-management ability of the elders, our program used the three elements of "making decision", "making an action plan" and "problem solving" and accompany the elderly to learn step by step how to coexist with chronic diseases. What is incredible is that the elders of this group are all present almost every time. Even after our course is over, their LINE group is still lively. Greeting each other and health warnings has become their daily routine.
The students were lucky enough to meet Zhang Guixiang, the chairman of the Zhixing Market Self-Government Association during the community assessment. When she knew that the students were investigating the Wanhua Dementia Friendly Community, she actively offered to assist us to understand the needs of the community. She said: "Zhixing Market is a traditional market where Wanhua has been around for a long time. It is one of the most frequent corners where residents gather. I grew up here from childhood, and now I am back here to do business. I don't want this market declining. People in our community are getting old. The prevention of dementia is very important. Seeing your students touched me and gave me hope. I hope I can do my best to help the neighbors. I don’t know how to do what the elders do, but I want to do it. You teach me, and I will do my best.” Chairman Zhang provides the office of the self-government association as our activity base to assist in recruiting residents to participate in activities. He hopes that the residents can learn about dementia issues and care knowledge from here, and make this base a favorite place for the elderly.
We hope that through the social responsibility of universities, the residents' awareness of dementia can be improved, and the prevention and treatment of dementia can be carried out in the community. At the same time, we also promote taking care of neighborhood together and mutual learning of neighborhood, allowing students to step out of campus and serve the community, so that community people have the opportunity to enter the classroom to learn care skills with students. The ultimate goal is to enhance the ability of care overall community.
In the process of practicing university social responsibility and working together to create a friendly community for dementia in Wanhua, we found that the most beautiful scenery is people, and the greatest strength comes from the self-awareness and mutual support in the community. The above stories are still in progress... (to be continued).