Статті в журналах: "Older people Care Australia Curricula"

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Fetherstonhaugh, Deirdre M., Jo-anne Rayner, Elizabeth Beattie, Ann Harrington, Yun-Hee Jeon, Wendy Moyle, Deborah Parker, and Chris Toye. "BUILDING CAPACITY TO CARE FOR OLDER PEOPLE! HOW IS CARE OF THE OLDER PERSON TAUGHT IN AUSTRALIAN SCHOOLS OF NURSING?" Innovation in Aging 3, Supplement_1 (November 2019): S3. http://dx.doi.org/10.1093/geroni/igz038.007.

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Abstract As the Australian population ages the demand for nursing care which focuses on responding to the needs of the older person will increase. Few newly graduated Registered Nurses (RNs) currently enter the aged care workforce and few select a career in caring for older people; yet older people are the largest patient group in most health care environments. This research, conducted by the Australian Hartford Consortium of Gerontological Nursing Excellence (Aus-HCGNE), explored how care of the older person is currently taught in Australian schools of nursing (SoN). The interview guide included questions about: whether care of the older person is taught in separate subjects or integrated across the curriculum; academics’ qualifications; subject content; and aged care clinical placements. The head of each of the 33 Australian schools of nursing was contacted, invited to participate and asked to nominate the appropriate academics (undergraduate/curriculum co-ordinators) who would be the most appropriate person to participate in the interview. These academics were then contacted, written informed consent was obtained, interviews were scheduled and completed. This research is timely given the current Royal Commission into Aged Care Quality and Safety in Australia, one focus of which is nurses in residential aged care in respect to numbers, education and competence. This research will be completed by mid-2019. The results will be fed back to SoN to inform the development of their curricula and the preparation of future RNs who will undoubtably need to be expert in the care of older people across the health sector.

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MCCORMACK, JOHN. "Acute hospitals and older people in Australia." Ageing and Society 22, no. 5 (September 2002): 637–46. http://dx.doi.org/10.1017/s0144686x02008802.

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The Australian health care system is frequently portrayed as being in crisis, with reference to either large financial burdens in the form of hospital deficits, or declining service levels. Older people, characterised as a homogeneous category, are repeatedly identified as a major contributor to the crisis, by unnecessarily occupying acute beds while they await a vacancy in a residential facility. Several enquiries and hospital taskforce management groups have been set up to tackle the problem. This article reviews their findings and strategic recommendations, particularly as they relate to older people. Short-term policy responses are being developed which specifically target older people for early discharge and alternative levels of care, and which, while claiming positive intentions, may introduce new forms of age discrimination into the health system. Few of the currently favoured proposals promote age-inclusivity and older people's rights to equal access to acute care.

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McCormack, John, Alun C. Jackson, and Shane A. Thomas. "Gambling and older people in Australia." Australasian Journal on Ageing 22, no. 3 (September 2003): 120–26. http://dx.doi.org/10.1111/j.1741-6612.2003.tb00481.x.

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AlSenany, Samira, and Amer A. AlSaif. "Gerontology course in the nursing undergraduate curricula." Revista da Escola de Enfermagem da USP 48, no. 6 (December 2014): 1077–84. http://dx.doi.org/10.1590/s0080-623420140000700016.

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Objective To explores nursing faculty members’ attitudes towards older people, their thoughts about gerontological nursing education. Method Five focus groups and a survey were used with nursing faculty members 132 at the three nursing schools to explore their attitudes towards the care of older people and the perceived status of gerontological nursing education. The survey was given to 132 faculty members, including 76 clinical instructors, 40 associate professors and 16 professors. The nursing faculty in general had a positive attitude toward older people (M=3.36, SD 0.25), and teachers’ attitudes were higher than those of their nursing students (M=3.18, SD0.29). Results This study results suggests that Saudi nursing curricula should include more extensive gerontology content and clinical experience with older people. Conclusion This is the first time in Saudi Arabia that research has listened to their voices and examined their commitments toward gerontology education.

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Cheng, Winnie Lai-Sheung. "Roles of Knowledge and Attitude in the Willingness of Nursing Students to Care for Older Adults in Hong Kong." International Journal of Environmental Research and Public Health 18, no. 15 (July 22, 2021): 7757. http://dx.doi.org/10.3390/ijerph18157757.

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Due to the ageing population, nursing students will be more likely to work with older adults after graduation. It is important to assess whether Hong Kong nursing students are well prepared to care for older adults. A convenience sample of 139 nursing students was surveyed using questionnaires: Palmore’s Facts on Ageing Quiz (FAQ), Kogan’s Attitudes Toward Old People scale (KAOP), and the Willingness to Care for Older People (WCOP) scale to assess the knowledge of and attitudes toward older adult care, and willingness to care for older adults, respectively. The overall score in the FAQ was medium-low (mean = 15.1, SD = 2.8). The KAOP score was medium-high (mean = 121.6, SD = 12.0). The willingness score was slightly high (mean = 5.2, SD = 1.1). Positive attitudes and knowledge about ageing are the predictors of nursing students’ willingness to take care of older adults. The findings provide evidence to nurse educators and clinical mentors that (a) courses providing knowledge about ageing are valuable, and (b) elements that cultivate positive attitudes towards older adult care should be included in curricula. Nursing curricula that provide knowledge and experience about older adult care play a pivotal role in creating a workforce of nurses ready and willing to care for the ever growing number of ageing adults.

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Healy, Judith. "The Care of Older People: Australia and the United Kingdom." Social Policy and Administration 36, no. 1 (February 2002): 1–19. http://dx.doi.org/10.1111/1467-9515.00266.

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Henderson, Emily J., and Gideon A. Caplan. "Home Sweet Home? Community Care for Older People in Australia." Journal of the American Medical Directors Association 9, no. 2 (February 2008): 88–94. http://dx.doi.org/10.1016/j.jamda.2007.11.010.

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Waling, Andrea, Anthony Lyons, Beatrice Alba, Victor Minichiello, Catherine Barrett, Mark Hughes, Karen Fredriksen-Goldsen, and Samantha Edmonds. "Trans Women’s Perceptions of Residential Aged Care in Australia." British Journal of Social Work 50, no. 5 (October 24, 2019): 1304–23. http://dx.doi.org/10.1093/bjsw/bcz122.

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Abstract Many older people in trans communities in Australia and elsewhere have experienced long histories of violence and discrimination in the health and social care sectors, making some of them fearful of interacting with contemporary health and social care providers. This study explored older trans women’s perceptions of these services. It involved a qualitative, thematic analysis of semi-structured, one-on-one audio-recorded interviews with ten trans women aged sixty years and older in Australia. Participants expressed a number of concerns about using residential facilities for older people in Australia, including potential for abuse and discrimination as a result of being trans, and not having access to appropriate treatments. Participants indicated a range of alternatives in using services, such as renovating the home, relocating to areas with greater access to trans-inclusive services and potential euthanasia. Participants perceived that service providers were not adequately trained for trans and gender diverse needs, and highlighted a number of ways aged care services could better support the trans and gender diverse community. The findings provide important information to assist health and social care professionals, including social workers, as well as residential care service providers, in supporting the health and well-being of older trans women.

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Alderman, Chris. "Special Pharmacy Challenges for Older People in Difficult Times." Senior Care Pharmacist 35, no. 3 (March 1, 2020): 108–9. http://dx.doi.org/10.4140/tcp.n.2020.108.

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Older people are especially vulnerable to the impacts of natural disasters such as the fires in Australia and elsewhere around the world. Health care professionals have a duty of care under these circumstances, and among those who respond are pharmacists who contribute their expertise, energy, and dedication to help where needed.

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Lamet, Ann R., Rosanne Sonshine, Sandra M. Walsh, David Molnar, and Sharon Rafalko. "A Pilot Study of a Creative Bonding Intervention to Promote Nursing Students' Attitudes towards Taking Care of Older People." Nursing Research and Practice 2011 (2011): 1–6. http://dx.doi.org/10.1155/2011/537634.

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Although numbers of older people are increasing, nursing students have negative attitudes towards older people and do not plan to care for them following graduation. Multiple strategies have been implemented to reverse students' attitudes with mixed results. The purpose of this pilot quasi-experimental study was to test a Creative-Bonding Intervention (CBI) with students implementing art activities with older people to promote students' willingness to take care of them. Using a self-transcendence conceptual framework, control () and experimental () student groups were pre- and post-tested on attitudes toward older people, self-transcendence, and willingness to serve. The CBI improved attitudes towards older people with negative attitudes significantly changed () but with no significant differences on self-transcendence and willingness to serve. However, willingness to serve results approached significance (). The willingness measure (one question) should be expanded. Curricula changes that incorporate creative activities such as the CBI with larger and equal numbers in student groups and longitudinal follow up to determine long-term results after graduation are suggested.

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Parker, D. "KNOWLEDGE INTO PRACTICE: IMPROVING ADVANCE CARE PLANNING FOR OLDER PEOPLE IN AUSTRALIA." Innovation in Aging 1, suppl_1 (June 30, 2017): 1266. http://dx.doi.org/10.1093/geroni/igx004.4611.

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Atakro, Confidence Alorse. "Knowledge of Ghanaian Graduating Undergraduate Nurses About Ageing." SAGE Open Nursing 7 (January 2021): 237796082110209. http://dx.doi.org/10.1177/23779608211020957.

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Introduction Knowledge on ageing has an impact on the quality of care provided to older people. Although older Ghanaians provide various forms of support to family and communities, many of them experience poor nursing care in the Ghanaian health system. There is, however, dearth of evidence regarding knowledge of ageing among Ghanaian nurses. Objective This study therefore used a descriptive survey approach to investigate knowledge of graduating undergraduate nurses on physiological, and psychosocial changes in ageing. Methods Seventy graduating undergraduate nurses were surveyed to identify their knowledge on physiological and psychosocial changes leading to care needs of older people in Ghana. Three undergraduate nursing programs with gerontological nursing courses were purposively selected for the study. Descriptive statistics were used to analyze the data in order to present quantitative descriptions of variables in this study. Results The response rate in the study was 42%. Findings of the study show graduating undergraduate nursing students have inadequate knowledge on ageing. Several gaps in knowledge regarding ageing were identified. Although undergraduate nursing schools had gerontological nursing courses in their programs, over 90% of participating graduating nursing students indicated pain, anxiety and depression are normal aspects in the ageing process. Conclusion It is imperative to improve the current curricula content on gerontological nursing in Ghanaian nursing schools to equip nurses with knowledge and skills needed to provide quality healthcare to older people in Ghana. Improving knowledge on ageing through evidence-informed gerontological nursing curricula content will lead to better nursing care of older Ghanaians. Providing educational opportunities for improved quality nursing care of older Ghanaians is in line with the United Nations (UN) Sustainable Development Goal 3, which aims at providing equal and quality healthcare to all age groups by 2030.

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Brodaty, Henry, Brian M. Draper, and David C. Lie. "Psychogeriatrics and General Practice in Australia." International Journal of Psychiatry in Medicine 27, no. 3 (September 1997): 205–13. http://dx.doi.org/10.2190/r7yg-7qlj-qjmh-v1cr.

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We describe the interface between general practice and psychogeriatrics in Australia. While aged care services are complex and there are serious deficiencies in the management of the elderly, several initiatives appear set to improve the level of care. Economic considerations, mutual education of general practitioners and psychogeriatricians, and social factors are strong determinants of good primary care of the mental health needs of older people.

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PETERSEN, MAREE, and JENI WARBURTON. "Residential complexes in Queensland, Australia: a space of segregation and ageism?" Ageing and Society 32, no. 1 (February 7, 2011): 60–84. http://dx.doi.org/10.1017/s0144686x10001534.

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ABSTRACTIn western countries, large residential complexes comprising retirement villages and care facilities have become synonymous with specialised housing for older people, but gerontology has tended to view retirement villages and care facilities as separate and different spaces. By researching these spaces separately, gerontology's examination of the development of residential complexes and older people's housing has been hindered. This paper explores the geographies of residential complexes in south-east Queensland, Australia, by employing data from a larger study that utilised Lefebvre's spatial framework, social space. Its specific focus is Lefebvre's concept of representations of space, part of the triad of social space. The paper outlines how the professional knowledge of designers, planners and policy makers shape and frame the place of older people in contemporary society. The findings indicate that professional knowledge is characterised by contradictions, and that business interests sustain stereotypes of older people as either ageless or dependent. Furthermore, spaces designed for older people reinforce historical legacies of separation from the community. This form of built environment can thus be seen as both a cause and effect of ageism. Generally, the lack of attention by gerontology to these spaces has hampered discussion of alternatives for older people's housing in Australia and, importantly, the development of responsive urban and social planning.

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Mckelvie, S. "536 NEGOTIATING INDIVIDUALLY TAILORED URGENT CARE PLANS FOR OLDER PEOPLE IN AMBULATORY EMERGENCY CARE." Age and Ageing 50, Supplement_2 (June 2021): ii1—ii4. http://dx.doi.org/10.1093/ageing/afab117.13.

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Abstract Introduction Ambulatory emergency care (AEC) provides hospital-equivalent medical care in out-of-hospital settings for acutely unwell complex older patients. This ethnography aimed to understand the cognitive work of the senior clinicians in the AEC environment. Methods Three AEC sites were purposively sampled to recruit twelve clinicians with backgrounds in Geriatrics, General Practice, Emergency and Acute Medicine. This qualitative investigation used focused ethnography within a case study approach to understand the decision-making processes in the context of the AEC environment. Participant-observation during an AEC shift was complemented by informant interviews. A framework approach to thematic analysis used a priori and data derived codes to develop explanatory themes. Ethnographic principles of constant comparison and cognitive task analysis were used to evaluate the clinicians’ decision-making processes for index patient cases. Results This ethnographic case study showed that AEC clinicians tailored their management plans to the individual patient based on their clinical assessment and needs, using creative problem solving and reflexivity. The AEC clinicians personalised their interventions based on the patient assessment, the patients’ wishes and disease severity. The individual tailoring of the AEC plan was negotiated with the patient, their next-of-kin and the multidisciplinary team (MDT). The discussions with patient and families allowed discussion of the differing priorities and facilitated compromise. AEC plans were also negotiated with the MDT to build a shared understanding of the patients’ needs. The MDT also provided cognitive and emotional support by challenging and validating the senior decision-makers clinical plans. Conclusion This tailored approach allowed the flexible delivery of AEC to meet the patients’ needs. It is hoped that by characterising the work of AEC clinician that this study will aid the development of medical training curricula, interdisciplinary working and health service design. Further research is needed on team-based decision-making for individually tailored care in urgent care settings.

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Tan, Heather, Robin Digby, Melissa Bloomer, Yixin Wang, and Margaret O'Connor. "End-of-life care in a rehabilitation centre for older people in Australia." Australasian Journal on Ageing 32, no. 3 (January 31, 2013): 184–87. http://dx.doi.org/10.1111/j.1741-6612.2012.00654.x.

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Braithwaite, J. "Regulating nursing homes: The challenge of regulating care for older people in Australia." BMJ 323, no. 7310 (August 25, 2001): 443–46. http://dx.doi.org/10.1136/bmj.323.7310.443.

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Duffy, Francis. "A Critical Perspective on Advance Care Planning for Older People." British Journal of Social Work 50, no. 4 (August 8, 2019): 1013–30. http://dx.doi.org/10.1093/bjsw/bcz092.

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Abstract How older people plan ahead for ageing in relation to accommodation, care arrangements, healthcare and medical treatment, and end of life decisions has attracted particular attention in recent years and as a result there has been considerable promotion of the importance of planning ahead and executing planning instruments with the aim of making one’s wishes and preferences known in advance. Planning ahead is promoted as allowing older people to have their voices heard, to advance their autonomy, choice and self-determination and to allow them to decide what treatment they may not want to receive. This article provides a critique of advance care planning, based on a subset of findings from a qualitative intergenerational study on ageing in Australia. The findings suggest that advance care planning is a much more complex and at times problematic endeavour, compared to what is promoted about advance care planning, in particular with regard to the use of planning instruments.

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Markey, Kathleen, Brid O’ Brien, Claire O’ Donnell, Catherine Martin, and Jill Murphy. "Enhancing undergraduate nursing curricula to cultivate person-centred care for culturally and linguistically diverse older people." Nurse Education in Practice 50 (January 2021): 102936. http://dx.doi.org/10.1016/j.nepr.2020.102936.

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Mackenzie, Lynette, and Amanda Clifford. "Perceptions of older people in Ireland and Australia about the use of technology to address falls prevention." Ageing and Society 40, no. 2 (August 28, 2018): 369–88. http://dx.doi.org/10.1017/s0144686x18000983.

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AbstractFalls are common events with serious consequences for older people. With an ageing population and increasing health-care costs, information and communication technologies (ICT) will have a potential role in future health-care delivery. However, research on technology acceptance in health care for older people is limited and its application to falls prevention is unknown. The aims of this study were to explore and describe the perceptions of community-dwelling Australian and Irish older people about their current use of technology, and the potential use of technology for falls prevention. Qualitative data were collected from three focus groups conducted in and around Limerick in Ireland, and three in the Sydney area, Australia. A total of 35 older people participated. Data were analysed using thematic analysis. Four themes emerged from the data: (a) perceptions of vulnerability to falls, (b) preferences for exercise interventions, (c) participation in and ownership of technology, and (d) perceptions about applications of technology for falls prevention. As the use of technology is an instrumental activity of daily living, health professionals need to assess the capacity of older people to adopt these technologies, and provide falls prevention interventions to accommodate the technology skills of older people. Some participants were reluctant to embrace technology and barriers to the effective use of technology to assist in preventing falls may conflict with future health service trends.

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Day, Jenny, Ann Clare Thorington Taylor, Peter Summons, Pamela Van Der Riet, Sharyn Hunter, Jane Maguire, Sophie Dilworth, et al. "Home care packages: insights into the experiences of older people leading up to the introduction of consumer directed care in Australia." Australian Journal of Primary Health 23, no. 2 (2017): 162. http://dx.doi.org/10.1071/py16022.

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This paper reports phase one, conducted from March to June 2015, of a two-phase, qualitative descriptive study designed to explore the perceptions and experiences of older people before and after the introduction of consumer directed care (CDC) to home care packages (HCP) in Australia. Eligible consumers with a local HCP provider were mailed information about the study. Data collection occurred before the introduction of CDC and included face-to-face, in-depth interviews, summaries of interviews, field notes and reflective journaling. Semi-structured questions and ‘emotional touchpoints’ relating to home care were used to guide the interview conversation. Line-by-line data analysis, where significant statements were highlighted and clustered to reveal emergent themes, was used. Five older people, aged 81 to 91 years, participated in the study. The four emergent themes were: seeking quality and reciprocity in carer relationships; patchworking services; the waiting game; and technology with utility. Continuity of carers was central to the development of a trusting relationship and perceptions of care quality among older consumers. Care coordinators and workers should play a key role in ensuring older people receive timely information about CDC and their rights and responsibilities. Participants’ use of contemporary technologies suggests opportunities to improve engagement of HCP clients in CDC.

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Steed, Lyndall, Duncan Boldy, Linda Grenade, and Helena Iredell. "The demographics of loneliness among older people in Perth, Western Australia." Australasian Journal on Ageing 26, no. 2 (June 2007): 81–86. http://dx.doi.org/10.1111/j.1741-6612.2007.00221.x.

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Giles, Lynne C., Julie A. Halbert, Maria Crotty, Ian D. Cameron, and Len C. Gray. "The distribution of health services for older people in Australia: where does transition care fit?" Australian Health Review 33, no. 4 (2009): 572. http://dx.doi.org/10.1071/ah090572.

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Introduction: The purpose of this study was to describe the distribution of hospital and aged care services for older people, with a particular focus on transition care places, across Australia and to determine the relationships between the provision of these services. Methods: Aggregation of health and aged care service indicators by Aged Care Assessment Team (ACAT) region including: public and private acute and subacute (rehabilitation and geriatric evaluation and management) hospital beds, flexible and mainstream aged care places as at 30 June 2006. Results: There was marked variation in the distribution of acute and subacute hospital beds among the 79 ACAT regions. Aged care places were more evenly distributed. However, the distribution of transition care places was uneven. Rural areas had poorer provision of all beds. There was no evidence of coordination in the allocation of hospital and aged care services between the Commonwealth and state/territory governments. There was a weak relationship between the allocation of transition care places and the distribution of health and aged care services. Discussion: Overall, the distribution of services available to older persons is uneven across Australia. While the Transition Care Program is flexible and is providing rural communities with access to rehabilitation, it will not be adequate to address the increasing needs associated with the ageing of the Australian population. An integrated national plan for aged care and rehabilitation services should be considered.

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Tran, My (Michelle), and Brenda Gannon. "The regional effect of the consumer directed care model for older people in Australia." Social Science & Medicine 280 (July 2021): 114017. http://dx.doi.org/10.1016/j.socscimed.2021.114017.

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Gardiner, Fergus W., Alice M. Richardson, Lara Bishop, Abby Harwood, Elli Gardiner, Lauren Gale, Narcissus Teoh, Robyn M. Lucas, and Martin Laverty. "Health care for older people in rural and remote Australia: challenges for service provision." Medical Journal of Australia 211, no. 8 (July 18, 2019): 363–64. http://dx.doi.org/10.5694/mja2.50277.

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Cordato, Nicholas J., Sabari Saha, and Michael A. Price. "Geriatric interventions: the evidence base for comprehensive health care services for older people." Australian Health Review 29, no. 2 (2005): 151. http://dx.doi.org/10.1071/ah050151.

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Specialist geriatric services apply a comprehensive, multidisciplinary evaluation and management approach to the multidimensional and usually interrelated medical, functional and psychosocial problems faced by at-risk frail elderly people. This paper examines currently available data on geriatric interventions and finds ample evidence supporting both the efficacy and the cost-effectiveness of these specialist interventions when utilised in appropriately targeted patients. It is proposed that substantial investment in these programs is required to meet the future demands of Australia?s ageing population.

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Hogan, Anthony, Kate O'Loughlin, Peta Miller, and Hal Kendig. "The Health Impact of a Hearing Disability on Older People in Australia." Journal of Aging and Health 21, no. 8 (November 6, 2009): 1098–111. http://dx.doi.org/10.1177/0898264309347821.

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Kralik, Debbie, Kate Visentin, Geoff March, Barbara Anderson, Andrew Gilbert, and Merilyn Boyce. "Medication Management for Community-dwelling Older People with Dementia and Chronic Illness." Australian Journal of Primary Health 14, no. 1 (2008): 25. http://dx.doi.org/10.1071/py08004.

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The purpose of this paper is to report the findings of an integrative review of the literature on medication management for individuals who live in the community and have both chronic illness and mild to moderate dementia. The aim of the review was to summarise what is known about this topic, evaluate and compare previous research on the topic of medication management for people with dementia, and locate gaps in current work, thus pointing to directions for future research. Dementia is a national health priority for Australia. A significant component of community care for people with dementia is the management and administration of the medications required for other chronic conditions. Medication management is a broad term that encompasses several aspects, such as client-centred medication review, rational prescribing and support, repeat prescribing, client information/education, capacity to communicate with multiple health providers and having access to medicines. Cognitive impairment has been associated with medication management issues so it is important to ensure quality outcomes of medicine use by community-dwelling older people with dementia. The literature revealed a number of issues, such as the importance of person-centred care, the need for the coordination of care, and consumer partnerships in medication management. These are all important considerations in planning primary care services to support people with dementia and chronic illnesses. People with dementia who have chronic illness require coordinated, tailored, and flexible care processes in the community. There exists a range of services and programs such as home medicine reviews to support people living in the community with chronic illness and dementia; however, there is little coordination of care and evaluation of interventions is, at best, inconsistent. Currently, Australia lacks an integrative primary health care (PHC) framework, within which consumer involvement in decision-making and/or care planning is valued and sought. Current services are limited in the degree to which there is collaboration between key partners and Australian PHC initiatives are fragmented and have limited impact on service delivery.

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Flicker, Leon. "Clinical issues in aged care: Managing the interface between acute, subacute, community and residential care." Australian Health Review 25, no. 5 (2002): 136. http://dx.doi.org/10.1071/ah020136a.

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Although there is considerable evidence for the use of geriatric assessment and rehabilitation in many clinical settings, there exists relatively poor access in various regions of Australia. There has been considerable growth of community support services to assist in personal care of older people. Unfortunately, a lack of uniform assessment has hindered prioritization of clients,with the resultant need,and delivery, of post-acute hospital care services.In addition, there has been considerable progress in the clinical management of the age dependent disabling problems,such as dementia, osteoporosis, incontinence and falls, but the appropriate mix of funding between primary, secondary and tertiary interventions has not been determined. The health care needs of older people in residential care have been totally neglected, placing the sector at considerable risk. There need to be a fundamental rethink in managing the interface between acute, subacute,community and residential care.

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Draper, Brian, Tanya Jochelson, David Kitching, John Snowdon, Henry Brodaty, and Bob Russell. "Mental Health Service Delivery to Older People in New South Wales: Perceptions of Aged Care, Adult Mental Health and Mental Health Services for Older People." Australian & New Zealand Journal of Psychiatry 37, no. 6 (December 2003): 735–40. http://dx.doi.org/10.1080/j.1440-1614.2003.01259.x.

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Objective: To compare the perceptions of aged care services, adult mental health services and mental health services for older people regarding aspects of mental health service delivery for older people in New South Wales, Australia. Method: The NSW Branch of the Faculty of Psychiatry of Old Age in association with the NSW Centre for Mental Health, sent a postal survey to all aged care services, adult mental health services and mental health services for older people in NSW. The survey canvassed issues ranging across service profiles, regional variations, availability of resources, processes of care, views on working relationships between services, difficulties and gaps experienced, and ways to improve co-ordination and service delivery. Clinical issues such as the management and practice of psychiatric disorders of old age, educational/training requirements and skill and experience in working with older people were explored. Results: An overall response rate of 86% was achieved, including 95% from aged care services (n = 58), 74% from adult mental health services (n = 62) and 90% from mental health services for older people (n = 20). Only 59% of aged care services and adult mental health services considered that their local mental health services for older people provided an adequate service; resource and budget limitations were portrayed as the main constraint. Mental health services for older people varied widely in structure, settings and activities undertaken. Access to mental health beds for older people was also variable, and alongside staffing levels was considered problematic. Lack of staff training and/or inexperience in psychogeriatrics posed a challenge for aged care services and adult mental health services. Conclusion: Relationships between aged care services, adult mental health services and mental health services for older people are affected by lack of access to psychogeriatric staff, resource limitations of mental health services for older people, and inadequate liaison and support between the service types. Joint case conferences, education, increased funding of mental health services for older people, and cross referrals were considered ways to address these issues.

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Mordike, Sally Louise. "“If There Isn’t Love, It Isn’t Home”: An Exploration of Relationship Qualities and the Meaning of Home for Residents in Aged Care." Religions 13, no. 7 (June 29, 2022): 604. http://dx.doi.org/10.3390/rel13070604.

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Exploring the meaning of home is essential for the quality of life and well-being of older people in residential aged care. ‘Home’ is a spiritual concept that is deeply personal and important for older people. Using a qualitative, phenomenologically-based methodology, the meaning of home for ten older people living in residential aged care in Australia was examined using in-depth interviews to draw out the depth of meaning around the home. A key finding of the study showed that ‘home’ means connection through meaningful relationships and meaningful connection to place. The current paper focuses on meaningful relationships required for an older person to feel ‘at home’ in residential aged care. Drawing on residents’ personal narratives, fresh insights are provided into essential relationship qualities, and suggestions are made on how quality relationships can be facilitated and maintained, both for and by residents, to increase a sense of homeliness in residential aged care.

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Laver, Kate, Emmanuel Gnanamanickam, Craig Whitehead, Susan Kurrle, Megan Corlis, Julie Ratcliffe, Wendy Shulver, and Maria Crotty. "Introducing consumer directed care in residential care settings for older people in Australia: views of a citizens’ jury." Journal of Health Services Research & Policy 23, no. 3 (March 9, 2018): 176–84. http://dx.doi.org/10.1177/1355819618764223.

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Objectives Health services worldwide are increasingly adopting consumer directed care approaches. Traditionally, consumer directed care models have been implemented in home care services and there is little guidance as to how to implement them in residential care. This study used a citizens’ jury to elicit views of members of the public regarding consumer directed care in residential care. Methods A citizens’ jury involving 12 members of the public was held over two days in July 2016, exploring the question: For people with dementia living in residential care facilities, how do we enable increased personal decision making to ensure that care is based on their needs and preferences? Jury members were recruited through a market research company and selected to be broadly representative of the general public. Results The jury believed that person-centred care should be the foundation of care for all older people. They recommended that each person’s funding be split between core services (to ensure basic health, nutrition and hygiene needs are met) and discretionary services. Systems needed to be put into place to enable the transition to consumer directed care including care coordinators to assist in eliciting resident preferences, supports for proxy decision makers, and accreditation processes and risk management strategies to ensure that residents with significant cognitive impairment are not taken advantage of by goods and service providers. Transparency should be increased (perhaps using technologies) so that both the resident and nominated family members can be sure that the person is receiving what they have paid for. Conclusions The views of the jury (as representatives of the public) were that people in residential care should have more say regarding the way in which their care is provided and that a model of consumer directed care should be introduced. Policy makers should consider implementation of consumer directed care models that are economically viable and are associated with high levels of satisfaction among users.

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Crane, Maureen, and Louise Joly. "Older homeless people: increasing numbers and changing needs." Reviews in Clinical Gerontology 24, no. 4 (October 31, 2014): 255–68. http://dx.doi.org/10.1017/s095925981400015x.

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SummaryEvidence from England, Australia, Canada, Japan and the USA indicates that the single homeless population is ageing, and that increasing numbers of older people are homeless. This paper reviews evidence of changes in the age structure of the single homeless population, and the factors that are likely to have had an influence on the growth of the older homeless population. In many Western cities, the housing situation of older people is changing and there is a growing reliance on the private rented sector. Unemployment is also having an impact on older people who are under the official retirement age. An increasing number of older people are experiencing problems linked to alcohol, drugs, gambling and criminality, and these are all behaviours that can contribute to homelessness. Despite high levels of morbidity and disability among older homeless people, they are a relatively neglected group and receive little attention from policy makers and mainstream aged care services.

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Tabatabaei-Jafari, Hossein, Jose A. Salinas-Perez, Mary Anne Furst, Nasser Bagheri, John Mendoza, David Burke, Peter McGeorge, and Luis Salvador-Carulla. "Patterns of Service Provision in Older People’s Mental Health Care in Australia." International Journal of Environmental Research and Public Health 17, no. 22 (November 17, 2020): 8516. http://dx.doi.org/10.3390/ijerph17228516.

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Australia has a population of around 4 million people aged 65 years and over, many of whom are at risk of developing cognitive decline, mental illness, and/or psychological problems associated with physical illnesses. The aim of this study was to describe the pattern of specialised mental healthcare provision (availability, placement capacity, balance of care and diversity) for this age group in urban and rural health districts in Australia. The Description and Evaluation of Services and DirectoriEs for Long Term Care (DESDE-LTC) tool was used in nine urban and two rural health districts of the thirty-one Primary Health Networks across Australia. For the most part service provision was limited to hospital and outpatient care across all study areas. The latter was mainly restricted to health-related outpatient care, and there was a relative lack of social outpatient care. While both acute and non-acute hospital care were available in urban areas, in rural areas hospital care was limited to acute care. Limited access to comprehensive mental health care, and the uniformity in provision across areas in spite of differences in demographic, socioeconomic and health characteristics raises issues of equity in regard to psychogeriatric care in this country. Comparing patterns of mental health service provision across the age span using the same classification method allows for a better understanding of care provision and gap analysis for evidence-informed policy.

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Durvasula, Seeta, Cindy Kok, Philip N. Sambrook, Robert G. Cumming, Stephen R. Lord, Lynette M. March, Rebecca S. Mason, Markus J. Seibel, Judy M. Simpson, and Ian D. Cameron. "Sunlight and health: Attitudes of older people living in intermediate care facilities in southern Australia." Archives of Gerontology and Geriatrics 51, no. 3 (November 2010): e94-e99. http://dx.doi.org/10.1016/j.archger.2010.01.008.

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Nishtala, Prasad S., Andrew J. McLachlan, J. Simon Bell, and Timothy F. Chen. "Determinants of antipsychotic medication use among older people living in aged care homes in Australia." International Journal of Geriatric Psychiatry 25, no. 5 (May 2010): 449–57. http://dx.doi.org/10.1002/gps.2359.

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Rota-Bartelink, Alice, and Bryan Lipmann. "Supporting the Long-Term Residential Care Needs of Older Homeless People With Severe Alcohol-Related Brain Injury in Australia: The Wicking Project." Care Management Journals 8, no. 3 (September 2007): 141–48. http://dx.doi.org/10.1891/152109807781753763.

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For years, community service providers have been frustrated with the lack in availability of long-term, specialized supported accommodation for older people, particularly older homeless people, with severe acquired brain injury (ABI) and challenging behaviors. Although the incidence of ABI (particularly alcohol-related brain injury) is far wider than being confined to the homeless population, it is frequently misdiagnosed and very often misunderstood. Wintringham is an independent welfare company in Melbourne, Australia, that provides secure, affordable, long-term accommodation and high quality services to older homeless people. The high incidence of alcohol abuse among the resident population has led us to adapt our model of care to accommodate a complexity of need. However, there are some individuals with severely affected behaviors that continue to challenge Wintringham’s capacity to provide adequate support. The deficiency in highly specialized, long-term supported accommodation for older people with severe alcohol-related brain injury (ARBI) is the driving force behind this project. We aim to further develop and improve the current Wintringham model of residential care to better support people with these complex care needs. We will report on the synthesis of this project, which aims to test a specialized model that can be reproduced or adapted by other service providers to improve the life circumstances of these frequently forgotten people.

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Kortes-Miller, Kathy, Sonja Habjan, Mary Lou Kelley, and Marilyn Fortier. "Development of a Palliative Care Education Program in Rural Long-Term Care Facilities." Journal of Palliative Care 23, no. 3 (September 2007): 154–62. http://dx.doi.org/10.1177/082585970702300305.

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In North America, people 85 years and older are the fastest growing age cohort and long-term care homes are increasingly becoming the place of end-of-life care. This is especially true in rural communities where services are lacking. Staff in long-term care homes lack education about palliative care, but in rural areas, accessing education and the lack of relevant curricula are barriers. The focus of this paper is to describe an approach to developing and delivering a research-based palliative care education curriculum in rural long-term care homes. The approach included conducting a detailed assessment of staffs’ educational needs and preferred educational formats; developing a 15-hour interprofessional curriculum tailored to the identified needs; and delivering the curriculum on site in rural long-term care homes. Staff confidence and participation in delivering palliative care increased. Based on work in northwestern Ontario, Canada, this approach can serve as a model for palliative care education in other rural areas.

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Rayner, Jo-Anne, and Michael Bauer. "“I Wouldn’t Mind Trying It. I’m in Pain the Whole Time”: Barriers to the Use of Complementary Medicines by Older Australians in Residential Aged-Care Facilities." Journal of Applied Gerontology 36, no. 9 (February 9, 2016): 1070–90. http://dx.doi.org/10.1177/0733464816629852.

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Older people living in the community use complementary medicine (CM) to manage the symptoms of chronic illness; however, little is known about CM use by older people living in care settings. Using focus groups and individual interviews, this study explored the use of CM from the perspective of 71 residents, families, and health professionals from six residential aged-care facilities in Victoria, Australia. Residents used CM to manage pain and improve mobility, often covertly, and only with the financial assistance of their families. Facility policies and funding restrictions constrained CM use at the individual and facility level. An absence of evidence to support safety and efficacy coupled with the risk of interactions made doctors wary of CM use in older people. These findings have relevance for the large number of CM using “baby-boomers” as they move into residential aged-care.

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Kamil, Wisam, Estie Kruger, Berwin Turlach, and Marc Tennant. "Hospitalization for Oral Health-Related Conditions of the Australian Ageing Population: Two Decades of Analysis." Geriatrics 7, no. 1 (December 22, 2021): 2. http://dx.doi.org/10.3390/geriatrics7010002.

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The burden of oral health care increases among older people, with a profound challenge in utilising dental services in primary dental care settings. This study aimed to analyse two decades of nationwide hospital separation patterns due to oral health-related conditions among older people. Ageing population data were obtained from the Australian Bureau of Statistics, including people aged 65 years and older. All principal diagnoses of oral health conditions (ICD-10-AM) were analysed in this study. The hospitalisation data included all separations of older people for the financial years 1998–1999 to 2018–2019. A total of 205,461 hospital separations were recorded for older people over a period of twenty-one years. More than 60% of these separations were collectively attributed to dental caries, disorders of teeth and supporting structures, diseases of the jaws, diseases of the pulp and periapical tissues. However, the average rate of separations per 10,000 people due to dental caries was the highest among the dental conditions (8.68). Furthermore, the remaining oral health-related conditions predict an annual percentage increase in the rate that would compromise their oral health quality of life. Dental caries and its sequela seem to be the leading cause for oral health-related hospital admissions in Australia for people aged 65 and older. This could be an indicator of the inadequacy of disease management in the primary dental care setting.

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Edmiston, Natalie, Erin Passmore, David J. Smith, and Kathy Petoumenos. "Multimorbidity among people with HIV in regional New South Wales, Australia." Sexual Health 12, no. 5 (2015): 425. http://dx.doi.org/10.1071/sh14070.

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Background Multimorbidity is the co-occurrence of more than one chronic health condition in addition to HIV. Higher multimorbidity increases mortality, complexity of care and healthcare costs while decreasing quality of life. The prevalence of and factors associated with multimorbidity among HIV positive patients attending a regional sexual health service are described. Methods: A record review of all HIV positive patients attending the service between 1 July 2011 and 30 June 2012 was conducted. Two medical officers reviewed records for chronic health conditions and to rate multimorbidity using the Cumulative Illness Rating Scale (CIRS). Univariate and multivariate linear regression analyses were used to determine factors associated with a higher CIRS score. Results: One hundred and eighty-nine individuals were included in the study; the mean age was 51.8 years and 92.6% were men. One-quarter (25.4%) had ever been diagnosed with AIDS. Multimorbidity was extremely common, with 54.5% of individuals having two or more chronic health conditions in addition to HIV; the most common being a mental health diagnosis, followed by vascular disease. In multivariate analysis, older age, having ever been diagnosed with AIDS and being on an antiretroviral regimen other than two nucleosides and a non-nucleoside reverse transcriptase inhibitor or protease inhibitor were associated with a higher CIRS score. Conclusion: To the best of our knowledge, this is the first study looking at associations with multimorbidity in the Australian setting. Care models for HIV positive patients should include assessing and managing multimorbidity, particularly in older people and those that have ever been diagnosed with AIDS.

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FINE, MICHAEL, and JENNY CHALMERS. "‘User pays’ and other approaches to the funding of long-term care for older people in Australia." Ageing and Society 20, no. 1 (January 2000): 5–32. http://dx.doi.org/10.1017/s0144686x99007643.

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It has been argued that without some system in which future generations of users are able to pay for their care the cost of services for an increasingly large group of older people will be borne by a declining base of economically active younger people. Is the answer a user pays approach to the financing of aged care, as promoted by recent changes to aged care financing? This paper reviews this concept and its recent history in Australia. On the basis of a brief review of alternative funding systems, it also considers the potential of public and private insurance schemes to increase funding by potential service users and underwrite the long-term viability of funding for aged care services.

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Tropea, Joanne, Jo-Anne Slee, Caroline A. Brand, Len Gray, and Tony Snell. "Clinical practice guidelines for the management of delirium in older people in Australia." Australasian Journal on Ageing 27, no. 3 (September 2008): 150–56. http://dx.doi.org/10.1111/j.1741-6612.2008.00301.x.

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Hodgkin, Suzanne, Pauline Savy, Samantha Clune, and Anne-Marie Mahoney. "Navigating the marketisation of community aged care services in rural Australia." International Journal of Care and Caring 4, no. 3 (August 1, 2020): 377–93. http://dx.doi.org/10.1332/239788220x15875789936065.

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The aged care policies of many Organisation for Economic Co-operation and Development countries reflect free-market principles. In Australia, the recently introduced Consumer Directed Care programme centres on markets in which a range of organisations compete to provide services to community-living elders. As consumers, older people are allocated government funding with which they select and purchase items from their chosen service organisation. This article presents findings from a case study that explored the impacts of this programme on a group of rurally based, not-for-profit providers and consumers. The findings portray the challenges and advantages associated with providing and accessing services in limited rural markets.

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Winterton, Rachel, Kathleen Brasher, and Mark Ashcroft. "Evaluating the Co-design of an Age-Friendly, Rural, Multidisciplinary Primary Care Model: A Study Protocol." Methods and Protocols 5, no. 2 (March 7, 2022): 23. http://dx.doi.org/10.3390/mps5020023.

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In the context of increased rates of frailty and chronic disease among older people, there is a need to develop age-friendly, integrated primary care models that place the older person at the centre of their care. However, there is little evidence about how age-friendly integrated care frameworks that are sensitive to the challenges of rural regions can be developed. This protocol paper outlines a study that will examine how the use of an age-friendly care framework (the Indigo 4Ms Framework) within a co-design process can facilitate the development of models of integrated care for rural older people within the Upper Hume region (Victoria, Australia). A co-design team will be assembled, which will include older people and individuals from local health, aged care, and community organisations. Process and outcome evaluation of the co-design activities will be undertaken to determine (1) the processes, activities and outputs that facilitate or hinder the co-design of a 4Ms integrated approach, and (2) how the use of the Indigo 4Ms Framework within a co-design process contributes to more integrated working practices. This protocol contributes to the development of a field of study examining how rural health and aged care services can become more age-friendly, with an emphasis on the role of co-design in developing integrated approaches to health care for older adults.

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Baker, Daniel. "Creative approaches to working with older people in the public realm." Working with Older People 18, no. 1 (March 4, 2014): 10–17. http://dx.doi.org/10.1108/wwop-11-2013-0027.

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Purpose – The purpose of this paper is to illustrate practical examples of arts projects that have successfully engaged older people in the public realm and to stimulate debate and provide practical insights for the arts, planning and social care sectors. Design/methodology/approach – The paper presents research gathered during an international fellowship supported by the Winston Churchill Memorial Trust to the USA, New Zealand and Australia. A selection of the projects researched are included, to illustrate three key approaches to working creatively with older people in the public realm: engaging older people in creative retelling of public histories; enabling older people to become individual artists in the public eye; creating performances by and with older people in the public realm. Findings – The paper finds that the arts can offer a range of practical methods for engaging older people in the public realm which have a number of potential outcomes: increasing their visibility in public life; increasing their active role in communities; and exploring important questions about the public realm and ageing. Practical implications – Older people can be “invisible” and feel threatened in public life and the public realm, however, arts projects can offer a number of ways to increase their visibility and agency in public spaces and services, particularly through enabling and supporting their creative expression and foregrounding communication and collaboration. Originality/value – The paper illustrates a number of key projects from the first major international research project into creative interventions involving older people in the public realm.

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Islam, Mohammad Shamsal, Reza Majdzadeh, Abul Hasnat Golam Quddus, and Mahfuz Ashraf. "Does Integrated Healthcare System Reduce the Cost of Quality of Care for Older People? A scoping review." Asia Pacific Journal of Health Management 14, no. 2 (July 21, 2019): 74–84. http://dx.doi.org/10.24083/apjhm.v14i2.263.

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This study provides a summary of published reviews of academic literature on the cost-effectiveness and quality outcomes of integrated healthcare approaches for the older people of Australia. The published English-language literature between January 2001 and July 2017 was retrieved from search results in eight highly resourceful journal databases using the specific terms. The majority studies reported limited information about the cost intervention and quality of outcomes. The benefits of integrated healthcare included patients’ satisfaction, reduction of costs and increasing quality of care. However, the evidence of reduction of cost is varying with the different settings. The home and community-based healthcare for older people have garnered much attention in the past decades in Australia and many researches have been done on it. The majority of the studies focused on defined problems of healthcare service and outcomes, but did not incorporate the priorities of cost-effectiveness or quality of care. Practitioners are interested to understand how the integrated health care approach is achieved and to examine the reduction of cost and quality of outcomes.

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Chen, Jian Sheng, Judy M. Simpson, Lyn M. March, Ian D. Cameron, Robert G. Cumming, Stephen R. Lord, Markus J. Seibel, and Philip N. Sambrook. "Risk Factors for Fracture Following a Fall Among Older People in Residential Care Facilities in Australia." Journal of the American Geriatrics Society 56, no. 11 (November 2008): 2020–26. http://dx.doi.org/10.1111/j.1532-5415.2008.01954.x.

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Harrington, Ann, Victoria Williamson, and Ian Goodwin-Smith. "Understanding the Diverse Forms of Spiritual Expression of Older People in Residential Aged Care in Australia." Journal of Religion and Health 58, no. 5 (December 7, 2018): 1561–72. http://dx.doi.org/10.1007/s10943-018-00742-1.

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Benbow, Susan Mary, and Derek Beeston. "Sexuality, aging, and dementia." International Psychogeriatrics 24, no. 7 (March 14, 2012): 1026–33. http://dx.doi.org/10.1017/s1041610212000257.

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ABSTRACTBackground:Sexuality in later life and its relationship to dementia is a neglected topic: greater understanding of the area has the potential to contribute to the quality of life of people with dementia, their family members, and formal carers. We review current knowledge about sexuality, aging, and dementia.Methods:We undertook a review of the recent literature to examine of the following areas: what is known about sexuality and aging, and about attitudes to sexuality and aging; what is known about the relevance of sexuality and aging to people living with dementia and their care; and the management of sexual behaviors causing concern to others.Results:Sexual activity decreases in frequency with increasing age but many older people remain sexually active; there is no age limit to sexual responsiveness; and sexuality is becoming more important to successive cohorts of older people, including people living with dementia and gay, lesbian, bisexual, and transgendered elderly people. Attitudes and beliefs toward sexuality and aging are strongly influenced by stereotypes and myths, not only among the general public but also among those working in health and social care.Conclusions:Professional bodies should include sexuality, aging, and dementia in their training curricula. More work is needed on the impact of environmental issues, particularly in group living situations, on older adults’ sexuality, and on consent issues. Ethical decision-making frameworks can be useful in practice. Organizations should investigate how to support staff in avoiding a problem-orientated approach and focus on providing holistic person-centered care.

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