医療

【Caregiver】Advice for foreigners working in Japan

この記事は、日本で介護の仕事をしている外国人に向けて、注意点などを記載しています。

This guide is designed for foreigners working in Japan for nursing care.

Currently, there are not enough people working in nursing care in Japan.

The care worker, social welfare worker, and administrative scrivener worked together to make friends with your colleagues and work long hours without breaking your body.

table of contents

  1. Main types and contents of nursing care work
  2. Caregiver workplace is like this
  3. Characteristic ratio of male and female employees
  4. Working with Japanese people
  5. Let’s start from here
  6. Never break your body!
  7. How to write a record
  8. If an accident happens
  9. To Islam
  10. What should I do if I have trouble with work?




【Caregiver】Advice for foreigners working in Japan

Main types and contents of care work.
There are various kinds of nursing work in Japan. This section describes typical nursing care facilities in Japan.

Special elderly nursing home

It is a facility where elderly people who are judged to have a nursing care level of 3 or higher under the Long-term Care Insurance Act live. There is a “night shift” to work 24 hours a day. Most of the elderly living here will stay at this facility until the end of their lives, and there are also facilities that perform “nursing” (watching the death). Since it is the same as “home” for the elderly used, let’s support you to live a comfortable life.

Nursing care health facility

It is used for various reasons, such as until elderly people who have been hospitalized can return to their homes, or there is a vacancy in a facility where they can live a long life such as special needs. There are occupational therapists, physical therapists, nurses, etc., and it is characterized by high rehabilitation functions and medical functions. There is also a day-care facility called day care. This workplace also has a “night shift” for working 24 hours a day. Let’s help you get used to your life quickly because the elderly people who enter the facility change in a period of about 1 month to 1 year.

Day service center

It is a facility that elderly people use on a day trip, unlike special needs and old age.
We will pick you up at the user’s house by bus or car and spend the day by taking a bath, rehabilitation and eating. There are many facilities that focus on recreational activities.

Home care

Unlike a facility-type workplace, it is a work that goes to the elderly’s home to provide care. Since the homes of the elderly are different, we will support you to live a long time in a familiar home. It is characterized by loading a portable bath in a car and taking a bath in an elderly home.



This is where the caregivers work

Use your weak body

Care must be taken because elderly people are weaker and more susceptible to injury and illness than adults.
Often, it becomes a serious condition, such as a fracture with a slight pressure, or a pneumonia if you catch a cold.

Save life

You will leave the elderly while using or entering the facility.
In the event of a fire or earthquake, all elderly people must be evacuated. There are also cases in which suspicious individuals enter the facility, and in that case, the lives of the elderly must be protected.

Place of user’s life

In special nursing and old age, it becomes a place of life for the elderly and a home. Because elderly people live in facilities every day, they want to go home and meet their families.
It is hard to notice because the working side can go home every day, but let’s help you understand the pain and make your life easier.

Request from family

In the entrance type and commute type facilities, the elderly are kept in the meantime, so elderly families are worried.

There are many requests such as “I did this at home” and “I want to do this more”.
For family members, you can take care of their parents, so be sure to understand the anxious feelings and support them as much as possible.



Characteristic gender ratio

A characteristic of nursing care is the ratio of men and women. Many nursing care positions will have a higher percentage of female employees than male employees.
Care workers, nurseries, kindergartens, hospitals, etc. are characterized by a higher percentage of female employees than other jobs. Therefore, even for women, it is necessary to move the body of elderly people (transfer) and do powerful work as usual.
The work is exactly the same for men and women.
However, there are some tasks that cannot be done with the power of women. In that case, other staff may help or male staff will take the initiative, so let’s work while helping each other.



To work with Japanese people

Some people may be worried about working as a caregiver in Japan, but there are a lot of kind people in Japan. If you try your best, you will always be recognized as a member of the workplace.
Here we will explain what you should be aware of to work with Japanese people.

Let’s respect seniors

In Japan, we must respect older people and those who have already entered work (seniors). This is a stronger feature than other countries.

Be sure to use honorifics for seniors as well as those older than you.

For this reason, new employees (newcomers) are hard at first.
You have to be careful with all the staff. At first you may think it is hard, but if you get along with the staff, you will be able to work more easily.
Let’s do our best because communication with the staff leads to getting used to the staff and the workplace quickly.

In Japan, time must be kept. There are many scenes where a delay of 1 minute is not allowed.
In Japan, we are educated from the childhood that “behave 5 minutes ago”.
Therefore, it is assumed that preparations are completed 5 minutes before and 10 minutes before the set time.
It is unavoidable to be late for any trouble, so contact your workplace beforehand if you are late. If you continue to be late, you may receive a warning (business caution) or disciplinary action (business punishment).

I think many employees are good people, but some are bad.
You may be saying something you don’t care about, or you may be rude.
However, as you get used to it, you may not be bothered so much, and on the other hand, you may become friends, so do your best to communicate.
If you are told too terrible or violent, talk to your supervisor.



Let’s start from here

There are a few things to keep in mind when you start working in a Japanese nursing workplace. I hope these will be appreciated by the staff and the staff and will get along quickly.

Japanese people prefer greetings. On the contrary, be careful because you may be hated just because you can’t greet. Let’s say “Nice to meet you” and “Thank you” to the staff you meet for the first time as well as the morning greetings such as “Good morning.” Also, if you fail, you should always like “I’m sorry”. “Sorry” in Japan has an element of “apology” compared to foreign countries, but in many cases it is often said that even if it is not a big deal, let’s use it without worrying.

It ’s very important in Japan that “I ’m sorry” can be said properly.

In Japan, people who take the initiative are preferred. Moreover, it is important to show that you are ready to take the initiative when you are new to work.

Let’s show the attitude that newcomers like to challenge their seniors to challenge anything, and want to quickly merge with everyone. After receiving a general job description, first try saying “Please let me do it!” Don’t say “I don’t know because I’ve never done it”.

That’s because Japanese people who work in nursing homes don’t like it. The attitude of “I have never done it but want to challenge it so please watch my seniors” is very popular among Japanese.

Many nursing homes have “nurse calls”, so it is a good idea to take the initiative of “nursing call me”. Let’s start from there.

There are many “doctors” and “nurses” in nursing homes. This is because there are treatments (medicine, diagnosis) that can only be done by a doctor and treatments (drip and gastric fistula) that can only be done with a nurse’s license. However, caregivers must have medical knowledge. This is because there is a very close relationship between care and medical care.
“This is a medical treatment, so I don’t care.”
It ’s a very good idea to ask a nurse to “Look at Mr s treatment for study”.



Never break your body!

I want everyone to be most careful.
More than half of those doing care work have “back pain”. This back pain, especially “disc herniation”, can be difficult. Intervertebral hernia is not abrupt. This is because the bones of the hip gradually deform. Therefore, when the bone deforms without being noticed and the bone touches the nerve, symptoms suddenly appear. Intervertebral hernias are rarely cured at all, so many people have lost their ability to work together for a lifetime.
You should never become a herniated disc. Explain what you want to do every day for that.

I think everyone is studying for nursing care, but the amount of “transfer”, such as moving elderly people from wheelchairs to beds in the field, should be more than expected.
In large entrance facilities, it is often necessary to transfer 30 people on a day when bathing assistance is available. If you don’t transfer at a certain speed, you may be out of order because your work may not be in time. However, since it often hurts the lower back at such times, “use knees” for transfers at any time. Don’t forget this.

You may have heard about “body mechanics” after studying nursing techniques, but using your knees to move your body up and down is a burden on your hips when you move your waist up and down while stretching your knees. It ’s quite different, and the thigh muscles are very big
So you can use the force effectively. Even if you don’t hurt your back, you can reduce the risk of herniated discs by using a knee transfer.
In addition, it is a transfer method with less burden such as bringing the person to be moved into close contact with the body and rotating the whole body without twisting the waist.

Although it is different from the herniated disc, let’s pay attention to the hip sprain “Gikkuri waist”.
Gickly hips accumulate fatigue in the muscles of the hips, and when some force is applied to them, sprains occur at once.
The intensity of the pain varies depending on the symptoms,
You may not be able to move one step from.
But don’t worry, the pain doesn’t last long when you get sick. After several days of medical treatment, restore
You don’t have to worry that you will not be able to work.

Most care workers have a “waist band”.
The price is about 2,000 yen if it’s cheap, and there are things that cost more than 10,000 yen if it’s expensive.
It is good to have one because it is cheap. The burden on the hips if you do it only during the bathing assistance that performs many transfers at once
Can be softened.
However, if you wear it for a long time, you will lose your lower back muscles.
In addition, there are “night shifts” at entrance facilities. During night shifts, we will respond to the excretion and requests of the elderly while taking a nap instead. Even if you take a nap, you can’t get enough sleep, so sleep well the day before night shift so that you can work well that day.
If the night shift continues, the staff will be broken. Although it is difficult, you can only manage your physical condition yourself, so be careful with your body.



How to write “Record”

“Records” are important in nursing care. If you record the state of life and symptoms of the elderly used, it will lead to a solid explanation to the family and risk management (to avoid the responsibility of the company). The record of is important.
First of all, you will receive an explanation of how to write the record.
It is said that how to write a record is “5W1H”.

  • WHEN
  • WHERE
  • WHO
  • WHAT
  • WHY
  • HOW

I think that it will be a good record if you write a record with this in mind.
I think that it is rare to leave a record at the beginning, but remember to remember this 5W1H if you decide to write a record.



If an accident happens

Many elderly accidents are seen in nursing homes. Older people often break the bone at the base of the foot, the femur, and if the femur breaks, the life movement of the whole body is significantly reduced, so this is the most important accident.
Others, such as drowning while taking a bath or suffocating while eating, caregivers must always be careful to avoid accidents.
However, accidents can still occur. In that case, it is absolutely necessary to report honestly.
Explain in detail and record the situation of the accident. If there is a contradiction in the situation of the accident, you may lose credibility.
It is often better to tell honestly that an accident has occurred.



To Islam

There is not much knowledge about Islam and other religions in Japan
Not. Therefore, you must be careful if you have religious restrictions.
Many Japanese nursing homes have a job called “checking”.
The staff eats and evaluates meals for the elderly that are served at the facility.
The checkups often come in turn, and as a general rule, any staff member will have a checkup.
Obviously, food inspection does not correspond to halal food, so let the facility know that food inspection is not possible in advance.

In addition, when conducting events or “hike” excursions, staff may eat special meals prepared at the facility.
Make sure that you can eat the lunch you brought.
Also, the facility frequently uses alcohol disinfection. There are many opportunities to wipe off various things with alcohol in cotton.
Sodium hypochlorite may be used, but since most facilities use alcohol, it is necessary to understand that those who cannot touch alcohol cannot use it in advance.



What should I do if I have trouble working?

There will be a lot of worries because this is my first time working in Japan.
This section explains the people who should consult when in trouble.
⇒You may want to consult with an “administrative scrivener” who has been registered for residence.
Administrative scriveners often know about work that they do not do, so ask the administrative scrivener you rely on.

⇒ First of all, it is better to consult with the boss of the workplace, but if that still does not work, there is a “labor union”. There are cases where there are labor unions created by employees of the company, but there will be almost no, so in that case there is also a place called “Japan Care Craft Union” where you can consult and join individually.

In addition, there are “Labor Bureau” and “Labor Consultation Center” where you can consult for free.