July 10, 2009

Australian Ageing Agenda - July August 2009

Dementia care gap
In just 2 decades there will not be enough cares to support people with dementia, according to new research conducted by Alzheimer’s Australia and Access Economics…see full report www.alzheimers.org.au p.9

Community care feeling the squeeze
As demographic pressure tightens on the thinly spread resources in community aged care, the nature of those services is going to have to adapt…Data from NATSEM 2004
Between 2001 and 2031 the number of carers over 65 will grow by 91000 or 110%
The number of older people with a severe or profound disabilities is projected to grow from 539000 in 2001 to 1390000 in 2031 and increase of about 160%
In 2031 it is expected that there will be on 35 primary carers for every 100 older people requiring care currently the ration is 57:100 page 25

When quality hits home
as the community aged care sector continues to mature the complicated and controversial issue of quality and reporting for home care deepens…the standards:
the draft common standards are based on existing HACC standards and were endorsed by the Community and Aged Care Officials (CACO) 2008, the standards cover:
Efficient and effective management
Access to Services
Information and Consultation
Coordinated, planned and reliable service delivery
Privacy, dignity, confidentiality and access to personal information
Advocacy …p. 27

Where to next? Consumer control in OZ
Global attention has turned to consumer directed care to offer more choice to clients and as a cost effective way of expanding community based care- we look at what the future of consumer directed care will look like in Australia…p. 32

Making connections - report on an innovative program that helps re-connect carers and family members with the community…p. 34

Dementia Supplement
the Dancing Way
- the agitation which is often expressed by people with dementia can be stressful and debilitating for both the individual and the carers. A small trial of an alternative form of dance therapy by Alzheimer’s Australia WA has produced encouraging results… p. 36
Enabling care
Three of Australia’s leading dementia academics are collaborating on a project which will measure the benefits of person centred care and change of practice
…p. 37

Randwick revisited: Montefiore masterpiece continues to impress
in 2006 AAA brought readers a story about a visionary not-for-profit provider that was transforming traditional models of residential care aged care through its brand new flagship facility in Sydney’s east. Montefiore employs what it calls the ‘neighborhood’ model of care and it works by:
Dividing large areas into smaller, more home like units - known as neighborhoods
Assisting residents with orientation (using visual prompts and signage, memory boxes and other cues
Ensuring team leaders within each neighborhood understand the care needs of the residents and coordinate the care teams maximizing care outcomes
Tailoring the skills of the care team to suit the residents
Neighborhoods supporting the streaming of residents into areas with other residents who have similar or complimentary care needs
Helping to facilitate team work, build staff morale and encourage pride and friendly competition between neighborhoods… p. 39

Exercising restraint

looks at the legal complexities surrounding the use of restraints for people with cognitive impairments…restraints must be used as a last resort and when used, must be at the minimum amount to restraint to manage the situation…p. 44

Clinical Governance
Beyond box-ticking- as we learn the language and adopt the systems of clinical governance in aged care we need to ensure strong connections between bureaucracy and the bedside…looks at the processes and outcomes…p. 48

Mission implementation

looks at the people side of implementing technology solutions in aged care…’ask dumb questions’ conduct an analysis of the outcomes and requirements that the new system will be expected to deliver; ‘debates are good’ and ‘two-way training’ …p. 5

H.E.L.P for IAD
- despite the devastating effect it can have, there is little hard evidence concerning how best to avoid and treat incontinence associated with dermatitis - article explores the ‘best’ advice that is currently available…p. 54

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