"I graduated from undergraduate in 1996 and served strangers in Japan."

Northeast girl Liu Siqi in 1996,

Go to Japan as a nursing intern in 2018,

After that, he has worked in the elderly and nursing homes in Japan.

The daily work is: call the elderly to get up and feed medicine,

Also take a bath and change diapers ...

In the past two years, she has begun to share her work experience on social networks,

There is a macro policy sharing of the Japanese pension industry,

There are also personal experiences and observations of yourself as a front -line care.

Netizens' feedback is very enthusiastic. In addition to blessings, there are no shortage of malicious:

There are so many elderly people in China,

You run to the old lady of the Japanese and the old lady to urinate ...

▲ Liu Siqi

One contact Liu Siqi,

Talk to her in detail what I have seen and heard in the Japanese care system for 5 years,

And facing the feedback of network hostility.

She said that there is tenderness and pain with my elderly husband.

"But the most important thing is to learn the mature pension experience and methods of Japan."

China's current pension industry,

There are gaps in more than 20 million professional caregivers.

She hopes to continue her studies and return to China at the age of 30.

Give more people you have learned to more people.

Self -report: Liu Siqi

Edit: You Weiling

Responsible editor: Chen Ziwen

"The threshold for urine in the care of the elderly, and the Japanese are unwilling to do it." -Since I chose Japan's care, I have been heard.

In 2022, it is the fourth year of my caregiver in Japan, which is the pension caregiver that we often say.

In the past 5 years, I have been nursing in a short -sighted agency in Songshan City, Aizhong County, Si Kingdom. In the busiest time, I have to take care of 10 elderly people at the same time. Each old man has his own room. One bell, you have to check what they need and give the corresponding support.

The daily work of the guardian includes the old man to get up early, pave the bed, share meals, and take them to play games. I came to Japan as a trainee in 2018. I was the earliest batch of Japanese open nursing talents.

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Siqi's work everyday

There are 7 nurses who go to Japan in the same group of me. I and another girl are undergraduate degree, and the other five people are nursing colleges.

Everyone comes out of different ideas. Some want to find a chance to apply for permanent residence in Japan, and some are going abroad to make money. Nursing workers in Japanese nursing homes, such as in Tokyo, after deducting the net income after deducting various expenses (including accommodation fees), the monthly salary can reach 10,000 yuan after tax, which is a good income for many people.

My original intention was to learn Japanese pension and plan to return to China later.

I was born in Yushu City under Changchun. When I filled in the college entrance examination, my parents strongly advocated that I chose a kindergarten teacher and felt that it was very suitable for girls. This is very complete. I have resisting the life at a glance at a glance. I have to choose a job that looks like "good people and good deeds" according to my own ideas: the welfare direction of social work majors.

▲ I saw a photo of the Great Wall in the Test Hall of the Welfare of the Welfare.

After enrollment, I found that the school followed the international situation and transformed teaching focus from social work to studying Japanese pensions. There was also an opportunity to exchange and internship opportunities to go to Japanese institutions. I am the third student of this major. In the four years of college, I learned Japanese pensions in the system.

In this way, he accidentally hit the pension industry and became a "pension."

During college, I was like a fish. I did not expect that I have always studied the scum.

The school offers those courses that introduce Japanese pension practices. I really admire and particularly interested. In the courses, the design of the recreation activities and the design of the elderly, and the analysis of specific cases I am better. In the last semester of the senior year, I went to Japan's pension institutions for internship.

In the year of graduation, I happened to meet the training opportunities for open care talents in Japan, so I came to Japan.

▲ Japan is facing a huge pressure on the elderly. It is estimated that by 2050, the population of Japan's aging (65 years old) will account for 38%of the total population, and an old man will be supported by only 1.2 years old who are 20-64 years old. Source: Japanese Nursing Welfare Facilities Association

Although Japan has a mature and perfect pension system, due to the persistent aging and declining childization, the talent gap in the pension industry is large.

Especially in 2015, the 65 million people born in the post -war babies after the war of Japanese war are all 65 years old. The population of 1/4 is the elderly, but the birth rate has been declining.

The Ministry of Labor, Labor, Ministry of Labor, issued a warning that before 2025, Japan's care talent gap will reach 377,000, and some industry associations even predict the gap will reach 1 million.

The Japanese government and all walks of life, which recognize this issue, have been trying various solutions, such as vigorously developing smart robots, and also open a visa, study abroad, and introduce nursing talents to foreigners. There are more policies to work in Japan now. For example, you can apply for a special skill visa, and you can also come to study abroad.

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Siqi participated in the nursing goodwill examination site

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From 2014-2018, the Japanese care of well-being of the well-known well-known students continued to increase

Picture source: Japanese nursing good well

Japan is short of people and Chinese lack of talents. In China, for our majors, it is still difficult to find a professional counterpart and appropriate salary. I have a classmate who works in a small -scale nursing home in Changchun after graduation. Even if he rises to the dean, the monthly salary is only 3,000 yuan. Soon he left the industry. Another classmate who worked at high -end pension institutions, since the epidemic, the elderly have returned home. The institutions with a low occupancy rate have worsened, and they have not paid for almost six months.

But in the future, I am very optimistic about the Chinese pension market. This is why I want to come to Japan. I have learned my experience here and returned to China to serve.

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In an interview with Yang Yansui, a professor and pension researcher at Tsinghua University, she said that China currently has only 2 million elderly caregivers, and the actual demand is as high as 30 million. Low wage is an important factor in restricting the development of professional pension caregivers

I have opened an account on a social platform to share my work experience, as well as the experience of nursing research and Japanese examinations. Many netizens commented, many of them are good and cute blessings and encouragement, and there are other sharing of well -being in Japan.

But there are sprayers, they will scold me: there are so many old people in China, you go to Japan to bring shit to the old lady of the Japanese.

I wanted to scold back at first. After a long time, I could only selectively ignore it.

I understand everyone's emotions, but I have to admit that Japanese pension is leading the world. Although I ca n’t directly move to China in the future, I can always make two or three and stay for myself.

In fact, our work is very similar to the kindergarten teacher. Bring children every day, take care of them to urinate, feed and feed. But no one would say that the kindergarten teacher's work was really nauseous and dirty.

They are all people. The old man is much worse than children. So I'm so afraid of getting older. I'm afraid that I don't have someone like me when I get old. I am happy, feed me to eat, and give me a fart.

The pension facilities I work are a professional care facility containing long -term and short -sists, which are divided into two layers in total.

Cognitive symptoms, elderly area

The elderly on the third floor are the long -cherished patients with severe cognitive diseases. Although there are also some that they can take care of themselves, they still need to be monitored at all times.

The common living and residence of a special cognitive elderly can only stay at the same time at the same time, and usually configure 4 to 5 employees. The service is more thoughtful and comprehensive, so many elderly people are waiting in line to stay. After entering, the old man can live until he dies. Such facilities are more expensive, and the general cost is about RMB 4800/month.

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Conventional single room, source source: Earth Support

For the elderly for semi -self -care: support them independence and autonomy

The elderly on the second floor are short -sighted, and the elderly are generally good. Most of them are semi -self -care, and their minds are sober.

I mainly have a short support on the second floor. Now there are 33 elderly people here, and up to 60 people can live at least 60, which is about RMB 500/month.

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Short -care Kangle facility, source: Earth Support

The short -term support mainly provides the elderly in short -term staying, providing living services and functional training such as bathing, excretion, eating, etc., to maintain and improve physical and mental functions.

The old people can apply for up to 3 months in a row, but basically live a day or two or one month, two months to go home. The short care is to help the family reduce the burden on care, or there is an emergency at home temporarily , I can't take care of it for a while.

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One day of the elderly in the short -handed facility

Our colleagues are divided into three classes. Depending on the elderly's activities, different classes have different contents: for example, the early shift needs to arrive at the post at 6:30, and then wake up the elderly; The evening shift is relatively simple, but it is on duty.

Japanese calling for care is not a chewing word, which is derived from the underlying logic of Japanese pension today.

It is not an old -fashioned care for us, but it is more like modern medicine, "cure without disease" for the elder , Keep.

Compared with the static care type, the care is the core of "independent support". It is the elderly support of "granting people with fishing" and supports the independent long -term care of the elderly. character.

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Since the 1980s, Japanese pension facilities have gradually transformed from "care -oriented care" to "independent support care" and "prevention of severity", and "living support" transformed into "independent support". The picture shows the old man who lives alone in the movie "Deeper than the Sea"

Therefore, in the pension institutions I work, for these old people who can take care of themselves, they try to use comprehensive means as much as possible. From the perspective of improving the four major perspectives of moisture, diet, defecation, and exercise, the functions of aging are delayed and aggressive.

Every afternoon, the old man has an hour of game time. According to the care theory, the game can keep the old people active. The content of the game is different every day, and the scale is small. The number of participants is 5 to 10, such as playing the ball, calligraphy, illustration, singing, etc.

However, there is also a certain gap between reality and ideals. The game time in the afternoon is a relatively less liked part. On the one hand, it is still challenging to make games smoothly in Japanese. On the other hand, most elderly people are actually prosperous to the game. Even if they do dozing dozing, they cannot let them sleep directly. In order to delay cognitive diseases, everyone must keep everyone active, focusing on long -term instead of now. ▲

Day care facilities, picture source: Earth Support

In addition, it is very important to make the elderly arrange a schedule. If you sleep too much during the day, you ca n’t sleep everywhere at night. For the evening shift with only one person, it is a large -scale disaster scene.

When I was on duty, I met an old man who had been inconvenient to move out of the room. The elderly with cognitive disease and mental illness "wandered" in the aisle, spoke loudly to wake everyone, and once, I toured the night. Looking back, I found a grandma secretly drinking the water in my cup.

Similar to my work, the short -sighted or long -care agency has always been the mainstream pension method of Japanese society. Everyone has a full consensus on "going to the nursing home".

In 2000, the Japanese government began to establish a sound government care service to release young people from the pressure of the elderly and the state of departure, and the government took over.

At the operation level, the process is roughly like this:

1) The elderly in Japan are 65 years old. When applying for an elderly care insurance, the "care identification" must be performed in advance.

2) Next, the special care support staff communicates with them to make a care plan, choose what kind of facilities and the number of utilizations.

3) In the process of protecting services, we must continue to accept the care level evaluation and formulate new care plans.

4) Regardless of whether the elderly and children choose home care or take care of their home care, they can get the support of the care system. Among them, on -site services and day care.

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Visiting the on -site bathing service in the care care, according to the different nursing level, the cost of the on -site bath once is about 55 yuan. At present, there are similar services in first -tier cities such as Shanghai. Essence Care level, from light to heavy, can be divided into required support (level 1 to 2, ordinary housekeeping such as drying bedding) and required care (level 1 to 5, mainly assumed to help the elderly bath and turn over body care services). Picture Source: Earth Support; Price Table Source: Lifull Senior

Regardless of whether the elderly and their children choose home care or take care of their home care, they can get the support of the care system. Among them, on -site services and day care.

In addition, there is also a corresponding -type access care institution at night, which mainly provides night services for the elderly (22 points to 6 o'clock the next day).

In addition to the many types of services, the elderly can also apply for a residential aging reconstruction. The content of the transformation includes the installation of armrests, canceling steps, modified anti -slip flooring, modified sliding doors, and the resettlement and replacement of design toilet.

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Siqi photographed the daily life in Japan's life neighborhood

Like all the workplace, sweet and sour and bitter.

Some elderly people are actually very pitiful, and they are content to help them. Like a snack every afternoon, my Japanese colleagues just leave the snacks on the pillows of the old people.

A grandmother had no effort to eat. I couldn't bear it, so I helped feed it, and then do the next job. Grandma stared at my eyes and praised me. You look so beautiful. Your parents must also look good to give birth to your good -looking children.

One day, a grandfather gave me a large paper diamond ring in handmade class. I was happy for a whole day.

Sometimes, taking everyone to play games, although the old people are not interested, they will still fight for the spirit. When the game is over, they will be particularly jumping. As our student days, they are the same as the ringtone.

Female cares must also help the elderly for the elderly. Some grandpa will be ashamed because of their incompetence. At this time, we generally comfort him to say that it doesn't matter and soothe the emotions of the elderly.

Some people slowly adapted. I also encountered a cute grandpa before. After taking off my clothes, he covered himself shyly and said that so many girls were really embarrassed.

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Siqi is at work

The corridor in the institution is less than 100 meters long, but my WeChat steps every day are tens of thousands. Accompanying the elderly will make people feel comfortable, because they are often simple like a child, but they are also unhappy and often feel frustrated.

Once a male old man, every time I replaced him with diapers, he would be furious and then attacked me. He loudly asked me if he was so stinky if he was eating garlic, his mouth was so smelly. "

At first I thought it was a misunderstanding, and after a long time, he found that he had to attack when changing diapers. Instead of saying that he was dissatisfied with me, he was dissatisfied with himself, and he had the embarrassment and pain of losing his ability to take care of himself.

After several times, the incident was passed to the ears of the manager. I was immediately arranged for a rest, and the old man was arranged to leave, and was permanently blackened by the facilities.

In the nursing home, there is no shortage of death. At first someone died, I had to cry for a long time, and now it is better, and it will not be so sad.

The short support I work, the old man basically lived in one day or two, or went home in one month and two months, and then came again for a while. Most people did not like the nursing home. Heart disease. At dusk, it is the peak period for the elderly to think of home. The elderly people of cognitive disease will be particularly disturbed and restless. In fact, they don't know where they are, but they just want to go home and will evolve into a helpless move. They will ask every three or five minutes:

"When can I go home?"

"My family knows that I am here?"

"I seem to have no lights at home, can you call my son?"

"My door is not locked, I want to go home and see, my house is nearby, I just go back by myself."

A grandma said, my family is nearby, do you accompany me back? But we can't do this.

Another grandma, knowing that I am a foreigner, I always ask me when you go home? Your mother should miss you very much, right?

In fact, she wanted her son, grandson, and grandson. They had come to see grandma several times before. The little children laughed in the institution, adding a touch of color to our work.

Since the epidemic, our elderly institutions have banned their families from visiting. Until now, it has been two and a half years.

In order to prevent the elderly from accidentally losing, the door of the nursing home locked with a password.

For so many years, there are only one old lady. Since the facilities have come back, they have basically not returned to the room. Follow me every day, I write a record in the cafeteria, and she watched me write a record. I stacked my clothes and packed the apron, and she chatted with me next to me.

She said that she likes to be in a nursing home. It is very lively. She is only herself when she goes home. The children are in the field. She is too lonely.

These elderly people who can live in nursing homes for a long time have longevity, rich, but pitiful. The elderly who have children are more pitiful than those who do not have children.

In fact, we have all discussed collectively. The most challenging should be patients with cognitive diseases, and the elderly who are awake but feel irritable and like to toss the staff; the favorite facility is probably: completely self -care, or the elderly in bed without bed in bed Self -consciousness ... this may be tired, but it is really easy.

However, if you are easy to place, I don't want to "recruit people" to grow old like this.

Although I am determined to take care of the elderly, I do not intend to live in the front line. It is not very good to carry the oldness and death, or it becomes numb to see life and death.

In the future, I hope that I can study in Japan for graduate students. At present, my goal majors are majors in social welfare. This major is not only cared for the elderly, but also autistic children, young people, edge people, and disabled people.

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When you return to the northeast, take a picture of the street scene near your home

I am a daughter -in -law at home. I hope that I can return to China at the age of 30 to set up a well -being training school, or go to school as a teacher to bring more people in Japanese pension to more people.

After knowing that I do old -age care, my relatives will say that in the future, let's open a pension institution for everyone to retire together, but I still think that my home care is best, I have my own familiar home and familiar life.

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