Rīgas pilsētas pašvaldība (turpmāk – Pašvaldība) īsteno projektu “Sociālie pakalpojumi un aprūpe personām ar demenci Ziemeļvalstīs” (Nr.PA-GRO-1147); turpmāk – Projekts) Ziemeļu Ministru padomes biroja administrētās Ziemeļu un Baltijas valstu mobilitātes programmas „Valsts administrācija” projektu konkursa ietvaros.
Projekta mērķis ir iegūt jaunas zināšanas par pakalpojumu organizēšanu un attīstīšanu vecāka gadagājuma cilvēkiem ar demenci Norvēģijā un Dānijā, lai uzlabotu un attīstītu Rīgas pašvaldības pakalpojumus un uzlabotu dzīves kvalitāti cilvēkiem ar demenci sociālās aprūpes institūcijās.
Projekts sekmē Rīgas pašvaldības starptautisko sadarbību ar ziemeļu kaimiņu pašvaldībām, kā arī veicina Rīgas pašvaldības starpinstucionālo sadarbību, jo pieredzes apmaiņā dosies gan Rīgas domes Labklājības departamenta pārstāvji, gan ilgstošas sociālās aprūpes un sociālās rehabilitācijas iestāžu “Mežciems”, Gaiļezers” un “Stella maris” vadītāji un darbinieki.
Īstenojot Projektu astoņi Rīgas pašvaldības Labklājības departamenta un padotības iestāžu – ilgstošas sociālās aprūpes un sociālās rehabilitācijas iestāžu pārstāvji laika periodā no 01.10.2018. līdz 04.10. 2018. devās pieredzes apmaiņas braucienā uz Oslo pašvaldību Norvēģijā.
Pieredzes apmaiņas brauciena laikā tās dalībnieki apmeklēja “Oslo profesionālās attīstības un pētniecības centru” (turpmāk – Centrs), kas galvenokārt nodrošina apmācības profesionāļiem, kuri strādā ar dementiem cilvēkiem, taču specializētu izglītošanu var nodrošināt arī speciālistiem, kuri nav tieši iesaistīti sociālo vai veselības pakalpojumu nodrošināšanā, piemēram bibliotekāriem, aptiekāriem, u.c. Oslo ir izstrādāts Demences plāns 2014.-2019.gadam “Laba dzīve Oslo pašvaldībā cilvēkiem ar demenci”. Plāna galvenais mērķis ir veidot cilvēkiem ar demenci draudzīgu sabiedrību un rast iespēju paildzināt cilvēku ar demenci iespējami ilgāku dzīvi mājās. Plāns aptver dažādas jomas: pilsētas attīstību, kultūru, biznesu, veselības aprūpi un izglītību un paredz aktivitātes četros galvenajos virzienos: nodrošināt pakalpojumus un informāciju cilvēkiem ar demenci ikdienas līmenī, veicināt sabiedrības izpratni par demenci pilsētas un sabiedrības līmenī; nodrošināt uz individuālu cilvēku vērstu veselības aprūpi un sniegt atbalstu dementu cilvēku radiniekiem. Tikšanās laikā tika minēts, ka grūtības sniegt pakalpojumus cilvēkiem ar demenci Oslo pilsētā rada tas, ka šie cilvēki bieži vien dzīvo vieni un izolēti, kā ar pārstāv dažādas nacionalitātes. Oslo tiek veidoti muzeji un bibliotēkas, kas ir draudzīgas cilvēkiem ar demenci. Jāņem vērā, ka Norvēģijā pakalpojumi demences problēmas risinājumam primāri ir veselības aprūpes atbildība. Norvēģijā veselības aprūpi nodrošina pašvaldība, līdz ar to pakalpojumu saturu vieglāk veidot, nodrošinot veselības un sociālā satura integrāciju. Lai nodrošinātu iespējami pilnvērtīgāku aprūpi mājās, tiek meklētas iespējas, kā nodrošināt 24 stundu aprūpi mājās gadījumos, kad tas ir nepieciešams. Plāns paredz arī pasākumus, kā uzlabot ilgstošās aprūpes pakalpojumus un nodrošināt jēgpilnu dzīvi pansionātos. Apmeklējuma laikā bija iespēja iepazīties arī “Almas māju” – demonstrācijas un apmācību telpām, kas iekārtotas kā dzīvoklis vecāka gadagājuma cilvēkam un cilvēkam ar demenci. “Almas māja” izveidota, lai sniegtu informāciju trīs galvenajām mērķa grupām – sabiedrībai (kaimiņiem, bērniem, tuviniekiem, vecvecākiem), veselības aprūpes speciālistiem un lēmumu pieņēmējiem (t.sk. žurnālistiem). “Almas māja” demonstrē, kādā veidā pareizi izvietot mēbeles, kādas labklājības tehnoloģijas var tikt izmantotas šādu cilvēku vajadzībām, t.sk. ierīce, kura atgādina, ka laiks iedzert zāles, pielāgotas TV pultis, matracis, kurā ierīkots sensors, ārdurvju drošības poga u.c.
Oslo tiek īstenotas dažādas iniciatīvas cilvēkiem ar demenci. Piemēram, alcheimera slimniekiem tiek nodrošināts “draugs”/ mentors, kura uzdevums ir palīdzēt ikdienas gaitās- pavadīt uz veikalu, iziet ārā pastaigāties. Plaši tiek organizēts un nodrošināts brīvprātīgo darbs dienas centros un aprūpes centros. Tiek nodrošināta iespēja, ka cilvēki tiek atvesti un nogādāti mājās pēc dienas centra apmeklējuma. Dienas centri strādā līdz pulksten 14:00. Vajadzības gadījumā dienas centri piedāvā arī iespēju nakšņot. Dienas centri ir liels atbalsts cilvēku ar demenci piederīgajiem, jo ļauj viņiem iesaistīties darba tirgū. Daudz tiek strādāts arī ar klientu piederīgajiem, tiek veidotas atbalsta grupas, kopīgi pasākumi. Katrā no 15 Oslo rajoniem ir cilvēks, kas strādā veselības jomā, nodrošinot demento cilvēku jautājumu koordinēšanu. Ar dementajiem cilvēkiem institūcijās strādā medicīnas māsas, medmāsu palīgi, fizioterapeiti, mūzikas terapeiti, darba terapeiti, nozīmīga loma ir veselības aprūpes speciālistiem. Lai nodrošinātu ilgāku palikšanu dzīvesvietā, ir izveidota 6 cilvēku komanda (dažādi speciālisti, kas dodas pie cilvēka uz mājām un izstrādā atbalsta un integrācijas programmu, pielāgo izmantojamās labklājības tehnoloģijas).
Apmeklējot Frogner rajona (viens no 15 Oslo administratīvajiem rajoniem) Sociālo pakalpojumu centru, tā pārstāvji norādīja, ka viņu darbības priekšrocība ir tā, ka vienā mājā atrodas vairākas struktūras, kuras atbild par noteiktām jomām, jo šādi ir vieglāk organizēt sadarbību starp dažādiem sektoriem. Oslo aktīvi tiek ieviesta un īstenota veciem cilvēkiem draudzīga politika. Rajonā ir dienas aprūpes centri cilvēkiem ar demenci. Apmeklējot šādus centrus nevajag iesniegumu un arī ārsta izziņu. Centra uzdevumos ietilpst motivēt cilvēkus saņemt arī veselības aprūpes pakalpojumus. Dienas centru vidēji apmeklē 2-3 dienas nedēļā. Pašvaldībā noteikts, ka pie cilvēkiem, kuri sasnieguši 80 gadus, pie katra jāiet uz mājām un jāsniedz informācija par pieejamo atbalstu.
Oslo ir divi aprūpes nami, kuri ir tikai personām ar demenci un ir arī tādi, kuros vecāki cilvēki uzturas kopā ar dementiem cilvēkiem. “¨kern aprūpes centra” pārstāves viedoklis ir, ka centriem ir jāspecializējas, jo prakse rāda, ka speciālisti no kopējiem aprūpes centriem nāk mācīties specifiskās prasmes un attieksmes darbā ar dementiem klientiem. Centrā dzīvo 56 klienti, kuru dzīve tiek organizēta 6 grupās pa 8 cilvēkiem. Aprūpētāju uzdevums ir iesaistīt un aktivizēt klientus. Pat tad, ja klients nevar tieši iesaistīties pusdienu gatavošanā, viņam ir iespēja būt klāt – viņš var vērot gatavošanas procesu, sajust smaržu. Centra personālam tiek nodrošināti kulinārijas kursi. Galvenais izaicinājums ir panākt, lai personāls pieņem šo filozofiju, ka centrā ir klients un viņa specifiskās vajadzības. Dzīve ģimeniskā vidē ir arī parādījusi, ka cilvēkiem samazinās izlietoto medikamentu klāsts. Aprūpes centrā ir 2 dārzi, kurā dzīvo vistas, truši, centrā ir daudz zivju akvāriji. Tiek izmantota arī canis terapija. Centrā pievērš lielu uzmanību mēbeļu izvietošanai. Aprūpes centra pagrabstāvā ir izveidots restorāns un bārs, kur uz maiņām strādā centra darbinieki un viņi iejūtas pavāru un viesmīļu lomās. Klienti par restorāna apmeklējumu nemaksā, bet piederīgie gan maksā paši. Centra pirmajā stāvā ir izvietots Dienas centrs 17 personām, kurā tiek piedāvātas vairākas brīvā laika aktivitātes un nodarbības, kuras organizētas dažādu klubu (mūzikas, kulinārijas) veidā.
Oslo pašvaldība aktīvi darbojas nacionālajā, ziemeļvalstu un Eiropas (t.sk. EUROCITIES) sadarbības līmenī. Oslo aktīvi tiek ieviesta un īstenota veciem cilvēkiem draudzīga politika. Oslo īsteno plānu, kura galvenās sadaļas veido fiziskās aktivitātes, transports, mājoklis, līdzdalība sabiedriskajā dzīvē, komunikācija un līdzdalība, veselība un sociālie pakalpojumi.
Pieredzes apmaiņas brauciens sniedza iespēju klātienē tikties ar nozares profesionāļiem un uzzināt, kā tiek plānots un organizēts darbs Oslo pašvaldībā un aprūpes centros cilvēkiem ar demenci, sniedzot iespēju veidot labākus pakalpojumus cilvēkiem ar demenci Rīgā un veidot izpratni sabiedrībā par šo problēmu.
The workout routines are additionally appropriate for anybody who needs to extend muscle mass
and definition of their shoulders. Incorporating cable shoulder workouts into
your regular exercise routine can help stop muscle imbalances, improve
posture, and enhance athletic performance.
With the variety and the constant tension, a cable shoulder exercise is a robust software for any fitness fanatic seeking to take their shoulder training to the next stage.
Cable workout routines are supposed to isolate the muscle
so don’t go too heavy on these workout routines.
Additionally, remember to focus on every motion you perform in the course of the exercise.
Begin the exercise by transferring your hands up while keeping
your arms straight and pause when your palms are just above your shoulder height.
This train is doubtless one of the finest cable workouts for the entrance a half
of your shoulder. You can completely isolate your front delts with this exercise.
Lastly, prioritize handles that are ergonomic, snug, and supply
a safe grip to stop slippage and hand fatigue.
Rigorously considering these elements will allow you to select battle ropes that finest fit your
wants and enhance your general exercise expertise.
And as I’ve found, this tool is MUCH more than only a approach to
make you drained and fatigued. When used intelligently, the possibilities are truly endless.
A-wave is the alternative of the V-wave, and it really
works the mid again rather more than the higher again. Another exercise to improve posture
and again strength for improved movement, feel, and looks.
Like ANY training software, getting probably the most out
of battle ropes is about pristine execution and aware programming.
If you’ve been to the park or out of doors area at the gym these days, you’ve
in all probability seen someone swinging a rope round.
After that, you would want to deload or concentrate on other upper or decrease body areas.
Break plateaus and maximize your features with these prime
pushing workout routines. Master the Battling Ropes to build explosive power, maximize conditioning
and speed up your metabo… Relaxation for 1-2 minutes between exercises to
allow enough restoration. Shoulder Supplement – Choose 1-2 to add to your full body routine.
They don’t take up much area however still let you do plenty
of different workouts.
Then, your upper physique goes to be working as usual with waves – endurance,
endurance, endurance. But guess what, there might be absolutely hypertrophy benefits in endurance training, don’t let
anyone idiot you. This is the kind of train that can build lean, sculpted muscle mass.
For a cable machine shoulder workout to be effective in constructing shoulder mass, it should goal all
deltoid muscle tissue. As cables are very versatile, you can simply set them to do workout routines that target
each the front, side, and rear deltoids. Cable shoulder exercises are a great way to make your shoulder muscle tissue stronger.
Since you’re working your rear deltoid and never your latissimus dorsi,
use a lighter weight than you’d with the wide-grip cable
row. Utilizing the ropes for fats loss targets is a wonderful selection because of how onerous you
presumably can work in a brief area of time. A conditioning rope will
assist construct muscle and burn fats at the same
time, and they keep issues fascinating because of the massive variations of exercises.
The battle ropes aspect to side incorporates a twisting movement which is going to work on the horizontal airplane of the
body. Double waves use two arms together somewhat than creating
alternating waves individually.
The exerciser will sit down with their legs out to the entrance
and straight. The chest muscular tissues, generally known as the pecs are
composed of the pectoralis major and minor, with the pectoralis main being the largest.
These muscular tissues are responsible for transferring the arms throughout the body
and pressing the hands away from the body. These muscular tissues are activated whereas squatting
or leaning again whereas utilizing the battle ropes.
Years in the past, the spark of my life’s ardour ignited in my thoughts the
second I stepped into the local gym for the primary time.
Theoretical information paired seamlessly with sensible expertise,
reinforcing my belief that the transformation of people under my steerage was additionally a reflection of
my personal progress. Every day, I try to push the boundaries
and explore new realms.
They report that it breaks simply, the handle begins ripping
after a couple of weeks, and the 50-pound band snaps loudly throughout normal workout routines.
Battle ropes offer a method to train endurance and strength
if you want one thing that is low-impact however provides you great results.
There are so many different ways to make use of the ropes and goal a selected muscle group or to train every little thing in one go.
Bodyweight workout routines just like the burpee are onerous however
will get you results.
The length of the ropes ought to be determined by the space you have
for exercises, with longer ropes providing extra versatility and shorter ropes being perfect for limited areas.
When selecting the best battle ropes, several factors come into play.
First, consider the fabric of the ropes, corresponding to nylon or polyester, primarily
based in your preferences and exercise surroundings. These high 30 workout routines and the three biggest mistakes provide
an incredible start line to start incorporating one of the versatile tools in any
gym- the battle rope. It is great for beginners, youth, and elderly,
because it only delivers as a lot pressure as you’ll find a
way to generate.
This unilateral version makes it potential to lift
your hand greater and get an extended stretch on the bottom,
thereby producing extra work for the posterior deltoid.
You can use various attachments with the cable that may hit almost each muscle group
a method or another. The deltoid muscle of the shoulder consists of three separate sections or heads.
If you’re not utilizing cables for shoulder work, you’re leaving a lot of
potential on the burden room flooring. This full-body move requires continuous actions of your arms and legs without pausing.
You can tweak your arm workout to incorporate bicep curls by switching between load weights.
It is lively during elbow extension when the forearm is supinated or pronated.
Also, you might have decreased shoulder ROM when you have had shoulder surgery like a
rotator cuff or labrum restore. Shoulder energetic vary of motion (ROM) workouts may help enhance shoulder joint mobility.
These exercises may be prescribed in case you have a shoulder
condition, such as shoulder ache, that causes limited mobility in your shoulder
and arm. Shoulder ROM exercises help you move the affected joint in all directions that
it ought to be able to transfer. Ropes have been an integral half within the advancement of human history, as both a tool and method to amplify human power.
Some historians trace the history of ropes to predating bronze,
clay, metal, and iron. While it has existed as a device applied in a big
selection of ways in human history, its use as a device
to advance human efficiency is a current utility.
Cable machines can be used at a degree of problem where should you had been to push close to
failure and want to let go, there’s a lower threat of harm
than if you were to use a dumbbell. Hi, my name is Anthony Maritato, PT and I wrote this text.
I truly have been a bodily therapist since 2006 and a content material producer since earlier than I can bear in mind.
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It includes both pressing and rotating actions,
which might help prevent muscle imbalances.
Presumably probably the most challenging exercise on this list,
the 180-degree leap slams are just for people who can carry out a bounce squat correctly.
Whereas there aren’t any magic bullets within the pursuit of fitness
and athleticism, the face pull is as close to
at least one as we’re going to get! Individuals
who correctly carry out the movement have reported improved posture, elimination of neck, again and shoulder pain as nicely as a reduction in continual headaches.
Regardless of your coaching goals, you need to keep your postural muscle tissue wholesome, so
throw in some face pulls on the end of every workout.
He presently lives in Massachusetts and continues to compete in powerlifting.
The design of the cable machine means a more joint-friendly exercise
experience. They alleviate the burden placed on stabilizing muscle tissue and joints which would possibly be
normally stressed during compound barbell and dumbbell movements.
This makes them a better choice for preserving your joints healthy.
Doing rope crunches could make performing functional movements a
lot simpler because the train reinforces the
core muscular tissues. As A End Result Of it’s performed leaning ahead against an incline bench, this exercise positions the arms
in such a means that it minimizes the involvement of other muscle teams.
Alternatively, you possibly can add a rope flow session at the end of
your typical exercise routine. If you’re new to rope circulate exercises,
you’ll probably need to make a DIY circulate
rope, or buy a branded move rope so as to give it a strive.
If this sounds fascinating, you may wish to learn more about the
benefits of rope circulate workout routines and how one can add them to your exercise routine.
Cables are a great piece of apparatus to focus on each space
of your shoulders.
The adjustability of the cable machine lets you change the angles simply without having to fully change workout routines or get any heavy dumbbells or barbells out.
The triceps are a smaller muscle group, but that doesn’t
imply you don’t must heat up properly. Make sure you’re doing a little arm swings –
getting the arms shifting and blood flowing earlier than you hop into a workout.
This is similar to the first train on the list – the cable overhead
extension with the rope. Both are necessary to include
in a well-rounded training program. Nonetheless, this variation lets you
focus on burning out one arm at a time. Regular practice of this train helps strengthen your
higher again and shoulder muscle tissue.
Workouts of this sort are often applied as a means of keeping conditions similar to arthritis under control, and as
a half of rehabilitation after surgical procedure. While most range
of movement workout routines may be carried out with out supervision, some are
intended to be carried out under the direction of a helper or physical therapist.
Shoulder ache is frequent, but it could be prevented
and handled. Being unable to do day by day tasks might be severely affected by shoulder ache.
Even after you start to feel better, maintaining with
the workout routines and coverings will help maintain the pain from returning.
To relieve ache and promote recovery, you might try
home remedies along with shoulder workouts. Wall pushups focus on the muscular tissues of the
higher body, together with the arms, shoulders, and chest.
However, as at all times, it is essential to consult a
licensed physical therapist for customized steerage tailored to your particular wants.
This is as a outcome of cables present constant tension all through the entire range of
movement, which helps increase strength and sculpt
your muscle tissue from head to toe. This train is similar to
the drugs ball slam because it’s all about power. Due to the
battle rope energy slam being an influence exercise, the
units shall be shorter as the focus here
is constructing explosive energy and not muscular endurance.
For a begin, perform 2 to 3 sets of 10 to 12 repetitions to
familiarize yourself with the motion.
It’s good for focusing simply on shaping up those shoulders without needing plenty
of different weights or machines. Plus, it can be adjusted simply by altering
the load on the cable machine, making it perfect for both beginners and advanced lifters aiming for progressive overload.
Maintain your elbow near your aspect and hold the cable deal with with the
hand closest to the machine. Then, rotate your arm in course of your stomach without shifting different body elements.
They’re additionally portable and straightforward to retailer,
so they’re perfect for home use, resort workouts, or benefiting from a small area at the fitness center.
Aaron Guyett is a devoted husband, father, Living.Fit Education Director,
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& Combat Teacher. He teaches individuals to move
better, really feel higher, and look higher through his Battle Ropes Certifications.
He was the founding father of Progressive Results (sold 2017), Battle Ropes Training (sold 2019), and Leaders of Leaders.
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This may be very similar in set-up to the single-arm
plank waves suggested by Mitrea, however a easy change in angle and wave direction is all it takes to additional fire up your obliques.
Dip at the knees and use your legs to help explosively press the load overhead.
Feel free to exchange the non-shoulder workout routines together with your typical full-body exercises; these listed are there as examples.
Cable upright rows are a cable shoulder workout that targets the
entrance a part of the shoulder. Upright rows are an excellent accent exercise to
add to your higher body days. Incorporating a spread
of units and reps based on each exercise’s issue will aid in progressive overload, resulting in improved
energy and definition in the shoulders. It’s necessary to focus on maintaining proper
kind throughout all repetitions to ensure optimal muscle contraction and development.
Cable and free weight exercises each have their very own advantages, so it is determined by what you’re on the lookout for.
Free weights are good at building muscle and strength,
whereas cables offer constant tension and a managed path of movement which makes them
good for isolation.
This aircraft is often forgotten, and it pays to train the physique in all planes of
movement for a better-performed and injury-resistant
physique. This is a development of the facility slam train,
so be certain to have that one down earlier than doing this one.
Right Here we’ll get into the benefits of battle rope coaching, five great
workouts, and a HIIT workout to have you ever sweating and smiling in no time.
Now that you realize the basics of shoulder muscle tissue and why precisely we’re recommending cable
exercises, listed below are the workout routines that you need to construct sturdy shoulders.
Cable machines allow for a variety of workout routines concentrating
on completely different elements of the shoulder muscular tissues.
This is sweet for those new to training the rear
delts, however the bands won’t provide sufficient resistance to challenge superior exercisers.
Also, many exercise safety consultants caution in opposition to using
resistance bands on workout routines near your face as a result of they can hurt you if the
bands slip or break. Skilled lifters can problem their deltoid muscular tissues
with heavier masses to drive hypertrophy and muscle progress.
As we keep consistent pressure all through
our shoulder exercises, leveraging a quantity of angles of assault
is critical for complete deltoid improvement. This strategy targets the anterior,
lateral, and posterior deltoids effectively by various the angle of resistance.
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