I. E. S. DUQUES DE NÁJERAI. E. S. DUQUES DE NÁJERA

1.1. Presentation of my organizationPresentation of my organization

2.2. Project ideasProject ideas

3.3. MethodologyMethodology

4.4. Project goals Project goals

5.5. Expected resultsExpected results

PRESENTATION OF MY PRESENTATION OF MY ORGANIZATIONORGANIZATION

SPAIN, , LOGROÑO, IES DUQUES DE NÁJERA , IES DUQUES DE NÁJERA IES Duques de Najera www.iesduquesdenajera.es/www.iesduquesdenajera.es/

80 teachers and about 1000 students 80 teachers and about 1000 students Various levels: Secondary School, Various levels: Secondary School, High School High School

DegreeDegree, ,

Low /Intermediate/ High Vocational TrainingLow /Intermediate/ High Vocational Training Professional families: Professional families:

Personal Image : (Hairdressing and Aesthetics)Personal Image : (Hairdressing and Aesthetics) Administration and Management (Office Administration and Management (Office

Assistant-special education-)Assistant-special education-) HealthHealth

Intermediate Level : Intermediate Level : Nursing Assistant , Nursing Assistant , Pharmacy Assistant Pharmacy Assistant and Assistant in and Assistant in Emergency Health Emergency Health

Higher Level: Dietetics and Environmental Higher Level: Dietetics and Environmental Health.Health.

PRESENTATION OF MY PRESENTATION OF MY ORGANIZATIONORGANIZATION

Projects of interest holding in the center:Projects of interest holding in the center:

Erasmus ProjectErasmus Project for advanced cycles for advanced cycles

(several students do mandatory practices (several students do mandatory practices out of Spain (Germany: Hannover and out of Spain (Germany: Hannover and Bremen)Bremen)

Leonardo projectLeonardo project to perform students to perform students outside Spain (Denmark)outside Spain (Denmark)

Leonardo partnership projectLeonardo partnership project. . Others: language immersion projects , Others: language immersion projects ,

colaboration with the library, colaboration with the library, environmental audit, innovation environmental audit, innovation projects, web, etc.projects, web, etc.

PRESENTATION OF MY PRESENTATION OF MY ORGANIZATIONORGANIZATION

Structure: Structure: Management teamManagement team: with one director, four headteachers : with one director, four headteachers

and one secretary and one secretary DepartmentsDepartments of the different professional families. They of the different professional families. They

is a head in each department who is coordinating is a head in each department who is coordinating teachersteachers

Educational teamsEducational teams of each academic course coordinated of each academic course coordinated by a guardian teacher. by a guardian teacher.

School CouncilSchool Council: leads the educational policy in each : leads the educational policy in each centre and it comprise a representations of teachers, centre and it comprise a representations of teachers, parents, students, staff and services administration. parents, students, staff and services administration.

Pedagogical Coordination CommissionPedagogical Coordination Commission: It is formed by : It is formed by the heads of department, along with management the heads of department, along with management charges. This commission guides the teaching work in charges. This commission guides the teaching work in the center. the center.

Guidance DepartmentGuidance Department which works with the students which works with the students that have difficulties and it advises students on that have difficulties and it advises students on educational trajectories and educational trajectories and career opportunitiescareer opportunities..

PROJECT IDEASPROJECT IDEAS The study aims to determine the The study aims to determine the vulnerability vulnerability of our of our

elders from the nutritional point of view, not to elders from the nutritional point of view, not to mention the social and health aspects and quantify mention the social and health aspects and quantify for comparison with data obtained from other for comparison with data obtained from other countries. Later, we can elaborate simple conclusions countries. Later, we can elaborate simple conclusions to improve the training of our caregivers.to improve the training of our caregivers.

The The Healthy AgingHealthy Aging great indicator is the conservation great indicator is the conservation of functional autonomy (self-worth). It is manifested of functional autonomy (self-worth). It is manifested as the ability to make decisions and execute them by as the ability to make decisions and execute them by themselves.themselves.

In return, In return, Pathological AgingPathological Aging is manifested as is manifested as dependence, namely the need of partial or complete dependence, namely the need of partial or complete aid to make decisions and carry out the activities of aid to make decisions and carry out the activities of daily living.daily living.

PROJECT IDEASPROJECT IDEAS Concept of fragilityConcept of fragility (Lalive d'Epinay, Chistrian - Geneva)(Lalive d'Epinay, Chistrian - Geneva)

Fragility is a personal condition in which physiological aspects and Fragility is a personal condition in which physiological aspects and neuro-sensory aspects of a human being are affected. It implies neuro-sensory aspects of a human being are affected. It implies the loss of the reserves which allow balance with the environment the loss of the reserves which allow balance with the environment and / or recover after a negative event.and / or recover after a negative event.

The fragile state involvement is defined by The fragile state involvement is defined by five dimensionsfive dimensions and it is and it is found that the involvement of at least two of them, determines that found that the involvement of at least two of them, determines that an older adult is fragile.an older adult is fragile.

These dimensions are related to the following aspects:These dimensions are related to the following aspects:- - SensorySensory:: mainly vision and hearing.mainly vision and hearing.- - Neurology-locomotiveNeurology-locomotive:: related to the structural and functional related to the structural and functional mobility.mobility.- - CognitiveCognitive:: in relationship with mental health. in relationship with mental health. - - Metabolic EnergyMetabolic Energy:: related to an unstable equilibrium of the related to an unstable equilibrium of the internal environment and close to the boundary between the internal environment and close to the boundary between the normal and the pathological.normal and the pathological.- - DiseasesDiseases

METHODOLOGYMETHODOLOGY We need to establish measurable We need to establish measurable indicatorsindicators that will be that will be

obtained through validated obtained through validated surveyssurveys, adding an aspect , adding an aspect that we deem relevant to our project.that we deem relevant to our project.

There are already a number of instruments designed to There are already a number of instruments designed to assess the social and nutritional risk.assess the social and nutritional risk.

ANNEXESANNEXES POSSIBLY ITEMSPOSSIBLY ITEMS

Another issue that we must decide is the Another issue that we must decide is the sample sizesample size and the and the samplesample characteristicscharacteristics. We propose a . We propose a representative model of stratification. For example, age representative model of stratification. For example, age and social situations (institutionalized elderly and and social situations (institutionalized elderly and elderly living with family or alone). elderly living with family or alone).

Another idea would be to propose surveys to following Another idea would be to propose surveys to following experts: geriatricians, social workers, heads of experts: geriatricians, social workers, heads of institutions, canteen managers, managers of fun institutions, canteen managers, managers of fun centers for elderly, etc.centers for elderly, etc.

ANNEXESANNEXES1.1. DETERMINE (Disease; Eating; Tooth; DETERMINE (Disease; Eating; Tooth;

Economic; Reduced; Multiple; Economic; Reduced; Multiple; Involuntary; Needs; Elder)Involuntary; Needs; Elder) National National Screening Initiativa (NSI)Screening Initiativa (NSI)

2.2. Screening nutritional method validated. Screening nutritional method validated. Ward, J. y col.Ward, J. y col.

3.3. MNAMNA4.4. Nutritional Risk Screening – NRS (2002)Nutritional Risk Screening – NRS (2002)5.5. Global valuationGlobal valuation6.6. Risk factors in relatioship with nutritionRisk factors in relatioship with nutrition7.7. Activities of daily life Activities of daily life 8.8. Survey of preferences of food Survey of preferences of food

consumptionconsumption

POSSIBLY ITEMSPOSSIBLY ITEMS1.1. SOCIODEMOGRAPHICSOCIODEMOGRAPHIC::

a. Age in yearsa. Age in yearsb. Weight and height (Body Mass Index)b. Weight and height (Body Mass Index)c. Sexc. Sexd. Academic Leveld. Academic Levele. Marital Status: Married, single, widowed e. Marital Status: Married, single, widowed f. Type of housing f. Type of housing g. Other: Ex. economic levelg. Other: Ex. economic level

2.2. HABITSHABITS:: alcohol and snuff alcohol and snuff

3.3. DISEASESDISEASES::a. An opened list or a closed list such as: diabetes, cholesterol, hypertension, COPD, a. An opened list or a closed list such as: diabetes, cholesterol, hypertension, COPD, neurological, sensory, heart disease, depression and other.neurological, sensory, heart disease, depression and other.b. The existence of dental or oral problems to hamper foodb. The existence of dental or oral problems to hamper food

4.4. DRUGSDRUGS:: poly-pharmacy, self-medication, etc. poly-pharmacy, self-medication, etc.

5.5. PHYSICAL ACTIVITY AND RESOURCESPHYSICAL ACTIVITY AND RESOURCES::a. Mobility difficulties: depends on other people, walker required, etc.a. Mobility difficulties: depends on other people, walker required, etc.b. To walk dailyb. To walk dailyc. To participate in an activity (courses, sports ...)c. To participate in an activity (courses, sports ...)d. To go to the physiotherapeutic or massage: frequencyd. To go to the physiotherapeutic or massage: frequencye. Spa (Hydrotherapy)e. Spa (Hydrotherapy)

6.6. SIMPLE NUTRITIONAL SURVEYSIMPLE NUTRITIONAL SURVEY: : about food preferencesabout food preferences

7.7. PREFERENCES IN FOOD CONSUMPTIONPREFERENCES IN FOOD CONSUMPTION

8.8. WATER INTAKEWATER INTAKE

9.9. COOKING METHODS USEDCOOKING METHODS USED

PROJECT GOALSPROJECT GOALSa)a) The progressive aging of our society presents unavoidable The progressive aging of our society presents unavoidable

challenges for which caregivers must be trained.challenges for which caregivers must be trained.

b)b) We need to know more about the situation of our elderly because We need to know more about the situation of our elderly because they are more vulnerable to nutritional problems.they are more vulnerable to nutritional problems.

c)c) To develop a simple survey, easily understood by the elderly, to To develop a simple survey, easily understood by the elderly, to allow to obtain simple conclusions: demographic data, common allow to obtain simple conclusions: demographic data, common chronic diseases, nutritional screening or simple food. After that, it chronic diseases, nutritional screening or simple food. After that, it could be used statistics programs or spreadsheets to draw the main could be used statistics programs or spreadsheets to draw the main conclusions.conclusions.

d)d) We want our students to participate in the survey to make them We want our students to participate in the survey to make them more aware of the problem. The students could work in this as a more aware of the problem. The students could work in this as a complement to his classes and his practical work.complement to his classes and his practical work.

e)e) We must be able to differentiate some situations of increased risk: We must be able to differentiate some situations of increased risk: the elderly living alone, those with mobility problems, the sick, the elderly living alone, those with mobility problems, the sick, those with mental problems, etc.those with mental problems, etc.

f)f) To try to get some conclusions relevant to caregivers. We can To try to get some conclusions relevant to caregivers. We can discuss about the points in which we must emphasize to improve discuss about the points in which we must emphasize to improve the nutritional status and physical health of our elders.the nutritional status and physical health of our elders.

g)g) To learn about the differences between the feed of the different To learn about the differences between the feed of the different countries; food preferences and cooking methods.countries; food preferences and cooking methods.

h)h) To deep in the resources available to the elderly (and the use to To deep in the resources available to the elderly (and the use to make of them) related to physical activity, walking, sports courses, make of them) related to physical activity, walking, sports courses, spas, etc.spas, etc.

EXPECTED RESULTSEXPECTED RESULTSa)a) To improve the links with the rest of partners on having To improve the links with the rest of partners on having

shared the aim of improving the education of our keepers. shared the aim of improving the education of our keepers.

b)b) To elaborate simple conclusions to apply them to the care of To elaborate simple conclusions to apply them to the care of our elderly.our elderly.

c)c) To sensitize ourselves with regard to the differences between To sensitize ourselves with regard to the differences between European countries, so much for respecting the different European countries, so much for respecting the different cultures all that for improving the most problematic cultures all that for improving the most problematic situations. situations.

d)d) To contribute to the knowledge of an important part of To contribute to the knowledge of an important part of Europe. Europe.

e)e) To construct the knowledge of future keepers. To construct the knowledge of future keepers.

f)f) To collaborate, if it is possible, between the partners for To collaborate, if it is possible, between the partners for other projects that we could share. It is a way of creating other projects that we could share. It is a way of creating Europe, from the learning, the mutual knowledge and the Europe, from the learning, the mutual knowledge and the shared feeling.shared feeling.