ACAP Monthly Webinar

10:00-11:30 Thailand/Indonesia Time, 14 Oct. 2022

Towards New Normal Care for the Elderly

Resilient Long-term Care
under COVID-19
Takeo OGAWA, Ph.D.
Professor Emeritus, Kyushu University and Yamaguchi University
Representative, Asian Aging Business Center
Corporate Advisor, ASO Educatio Service Co., Ltd.
Focused Phase of COVID-19 by Our Researches
(Before Omicron Variant)
Cumulated Cases of Death Related to COVID-19 by Age in Japan

Under 10; 8; 0% 10s; 9; 0% 20s; 41; 0% 30s; 118; 0% 40s; 403; 1% 50s; 1111; 4%

60s; 2250; 7%

Over 90; 7394; 25%

70s; 6574; 22%

Over 70 years old

occupied 88% of
80s; 12197; 41% COVID-19 Death
Cases of Infection Cluster in Hospitals, Welfare Facilities for the Elderly and Schools in Japan
600

500
Focused Phase of COVID-19 by Our Researches
(Before Omicron Variant)
400

300

200

100

0
03 17 31 14 28 14 28 11 02 16 30 13 27 11 25 08 22 05 19 03 17 31 14 28 12 26 09 23 06 20 06 20 03 17 01 15 29 12 26 10 24
0 1/ 01/ 01/ 02/ 02/ 03/ 03/ 04/ 05/ 05/ 05/ 06/ 06/ 07/ 07/ 08/ 08/ 09/ 09/ 10/ 10/ 10/ 11/ 11/ 12/ 12/ 01/ 01/ 02/ 02/ 03/ 03/ 04/ 04/ 05/ 05/ 05/ 06/ 06/ 07/ 07/
1/ 1/ 1/ 1/ 1/ 1/ 1/ 1/ 1/ 1/ 1/ 1/ 1/ 1/ 1/ 1/ 1/ 1/ 1/ 1/ 1/ 1/ 1/ 1/ 1/ 1/ 2/ 2/ 2/ 2/ 2/ 2/ 2/ 2/ 2/ 2/ 2/ 2/ 2/ 2/ 2/
2 02 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202 202
~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~
01 11 25 08 22 08 22 05 26 10 24 07 21 05 19 02 16 30 13 27 11 25 08 22 06 20 03 17 31 14 28 14 28 11 25 09 23 06 20 04 18
01/ 01/ 01/ 02/ 02/ 03/ 03/ 04/ 04/ 05/ 05/ 06/ 06/ 07/ 07/ 08/ 08/ 08/ 09/ 09/ 10/ 10/ 11/ 11/ 12/ 12/ 01/ 01/ 01/ 02/ 02/ 03/ 03/ 04/ 04/ 05/ 05/ 06/ 06/ 07/ 07/
/ / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /
21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22
20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20

Medical institutions Welfare Facilities (For the elderly) Schools, etc.

 Vulnerability

Vulnerable LTC for the Elderly

depending on Vulnerable LTC for the Elderly
Family Caregiver, Depending on
Relatives, Friends, Neighbour, & Professional Service Providers &
Volunteers Professional Care Workers
in in
Thailand & Indonesia Thailand, Indonesia & Japan

Community Institutional
Care Care

Cocreation of Ideal Resilient LTC for the Elderly

Resilient LTC for the Elderly Based on Environmental Health, Training
Based on Program & Business Continuity Plan
Integrated Community Care System In
in Asia Thailand, Indonesia & Japan

Resilience
 Response to Risk

RESILIENCE
Creativity
Alternativity
Transformative
Tackles beyond
Structural
Adaptive Tackles Vulnerabilities
on Unknown
Vulnerabilities
Flexibility
Mitigative Tackles
to Happening
Vulnerabilities

Stability
Persistency Shock of Risk

Short-term Middle-term Long-term

 ACAP Monthly Webinar
10:00-11:30 Thailand/Indonesia Time, 14 Oct. 2022

Towards New Normal Care for the Elderly

RESILIENT LONG-TERM CARE for the Elderly under COVID-19

Dr. Panicha Boonsawad

Assistant Professor Dr. Kathryn Braun
Dr. Kaysorn Sumpowthong University of Hawaii
Srisavarindhira Thai Red Cross Institute of Assistant Professor
Nursing President of ACAP
Thammasat University

Dr. Takeo Ogawa Dr. Tri Budi Rahardjo

Ms Dinni Agustin Dr. Susiana Nugraha Professor Emeritus Rector, Professor
Researcher, Centre for Family and Ageing Studies, Assistant Professor Kyushu University University of Respati Indonesia
University of Respati Indonesia University of Respati Indonesia
 Findings of Resilient Long-term Care beyond Vulnerability
Vulnerable LTC to COVID-19 Catalyzing Factors Resilient LTC to COVID-19
• Infection Cluster in Facility & Home • Housing and Environment • Scientific Environmental Health

• Sacrifice, Abuse • Volunteerism • Mission, Collaboration

• Turnover, Burnout • Working • Professional, Multitasking

• Ignorance • Knowledge, Attitude, Practice • Enhanced Recurrent Training

• Deskilling, Absconders • Migrant Care Work • Career Path on Qualification

Framework,

• Health and Social Care Collapse • Contingent Business Continuity • Business Continuity Management

• Dysfunction of Referral System • Local Health Professional • Integrated Community Care

• Digital Divide, No-Infrastructure • Digital Literacy • Smart Care, Contactless Care

• Ineffective Intersectoral • Network (Professional and Non- • All-Inclusive Health and Social
Coordination professional ) Care System

• Panic • Accessibility of Information • Platform, Federation of Care

Providers
 Lessons Learnt
Caregiver Down Together with the
Infected Elderly, Family Sacrifice,
Burnout, Abuse, Household Crisis,
Ageism, Hiatus
Community Care
Universal Family/Community Tie, Well
Referral System, Smart Volunteerism,
Resilience Training, Enhancing
Complementary Volunteerism,
Inter-sectoral Coordination, Integrated
Community Care System
Vulmerability
Infection Cluster, Workforce Shortage,
No Inter-sectoral Coordination, Confused
Referral System, No Legal Base for Tele-
medicine & Smart Care, Lack of PPE, No
Ventilation Control, Banned Services,
Double Jeopardy of Migrant Care
Workers
Institutional Care
Scientific Ventilation Technology,
Multitasking,
Business Continuity Management, Back-
referral Programme, Contactless Care,
Career Path on Qualification Framework,
Federation of Care Providers
Resilience
 RESILIENCE of Long-term CARE
Response to Risk

Creativity Transformative
Alternativity Tackles to
Integrated
Adaptive Tackles Community Care,
on Qualifications
Deregulations Framework of
of Care, LTC
Flexibility Quarantine
Mitigative
Management
Tackles to
Referral
System,
Intersectoral
Coordination
Stability
Shock of Risk
Persistency

Short-term Middle-term Long-term