Bereavement Can Be A Risk Factor

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We know Shakespeare’s tragic story of two young lovers who both lost their lives through bereavement. Romeo and Juliet are the quintessential lovers, forever in love. In their tale they took their own lives due to the grief of losing their loved one, but studies have found that a bereaved person is actually at a higher risk of dying due to health problems. Following the loss of a loved one it has been found that often a person will experience increased heart rate, blood pressure and blood clotting, as well as increases in symptoms of anxiety and depression. The expression dying from a broken heart takes on a clinical meaning.

A randomised clinical trial at the University of Sydney lead by Professor Geoffrey Tofler looked at a total of 85 people and showed that it is possible to reduce several cardiac risk factors during this time, without adversely affecting the grieving process. The oldest person in the study was 85 years of age with the average age of all subjects in the study being 66.

Following on from previous studies on cardiac health risks, increased depression and anxiety after bereavement Professor Tofler noted “However, there have been no interventions to address this with the goal of lowering cardiac risk, so we aimed to provide this with an approach that does not adversely affect the grief process.”

Forty-two subjects received low daily doses of a beta blocker and aspirin for six weeks, whilst the control group of 43 were given placebos. Heart rate and blood pressure were carefully monitored, and blood tests assessed blood clotting changes.

“The main finding was that the active medication, used in a low dose once a day, successfully reduced spikes in blood pressure and heart rate, as well as demonstrating some positive change in blood clotting tendency,” Tofler said.

The investigators also carefully monitored the grief reaction of participants.

“We were reassured that the medication had no adverse effect on the psychological responses, and indeed lessened symptoms of anxiety and depression.”

Professor Tofler advocates the use of this therapy as a risk prevention strategy in those recently bereaved. He also encouraged the medical profession to give extra attention to the health of recently bereaved people,rRobson-and-Jeromeeople, as well as family and friends, who should provide social support and report any health symptoms to medical practitioners.

 

 

Opposition Leader’s Vision for Aged Care

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Pictured Leader of the Opposition, Anthony Albanese

The release in recent weeks of the interim report on the Royal Commission into Aged Care has raised responses from both the Federal government and the opposition. Leader of the Opposition, Anthony Albanese spoke this week about Labor’s response. Firstly, he reaffirmed Labor’s pledge from their last election campaign to enact a dental plan for pensioners and also spoke of funding better pay for the aged care workforce. He also said that the ACAT (aged care assessment system)won’t be privatised under his leadership.

COTA chief executive Ian Yates agreed with the Opposition Leader’s assessment that older Australians are a diverse group of people who cannot be treated all the same.

“They require a diverse policy response that addresses issues across employment, health, finance, care, welfare and industrial relations, which I expect Labor’s proposed Positive Ageing Strategy would address” said Mr Yates. He did disagree with Mr. Albanese on one point, however, the characterisation of the Federal Government’s response to the interim report with a planned single aged care assessment system as ‘privatisation’. “A single consumer-focused professional national assessment service with many local access points has been recommended for years by successive reviews and by COTA and the National Aged Care Alliance. This is an essential front door for a reformed aged care system” he said.

Mr. Albanese also spoke highly of the experiment on intergenerational aged care, as documented on the ABC program “ Old People’s Home For 4 Year Olds”. It has given him a vision for the future of elderly people who live at home with their families going to daycare with kindergarten children on a regular basis, brightening their days and, with the proven physical and mental health improvements shown in the experiment, keeping them healthier.

After all my years working in the aged care sectorI am thrilled to atlast see some positive responses coming out of this long, drawn out Royal Commission. We have heard so many sad stories so it gives me a sense of hope that governments will take a strong lead in ensuring aged care is of the highest quality, providing a positive and enjoyable lifestyle for older Australians whether living at home or in an aged care facility.

Fires Force Evacuation of Aged Care Home

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On New Year’s Eve mega fires near Mallacoota, in the East Gippsland region of Victoria, forced approximately four thousand holidaymakers and locals onto the beach as a last refuge. Fortunately all survived.

The intensity and speed of the fires was far worse than predicted – and they were soon moving north at a great pace, towards the popular tourist towns of Eden and Merimbula in New South Wales. The fire became known as the ‘border fire’.

People in Eden sheltered on the wharf as they watched the town’s chip mill catch fire. Pictured above: wood chips burn at the local timber mill in Eden (Image:AAP).

The people of Eden were told to leave and evacuate to the next town, Merimbula.
Evacuees flooded into Merimbula’s bowling club (known as the Sapphire Club or the “Bowlo”). After the first day, 3 January, the club was totally full, with 1000 people. The Bega Valley Shire Council then also appointed the town’s other club, the RSL Club and the nearby Country Club, as evacuation centres to take in more evacuees.

Emergency services advised that residents of aged care facilities in Eden should be evacuated and some were moved to the RSL Lifecare aged care facility in Merimbula. They were the fortunate ones as there was room available for them. Others were moved to a newly constructed aged care facility in nearby capital city Canberra that had not yet opened, three hours travel away, whilst the overflow were looked after at a makeshift medical centre at the evacuation centre at the bowling club. A nurse was on duty to attend to those at the evacuation centre.

Whilst the fires in the area have been contained following milder weather conditions and an influx of resources, such as helicopters, planes, the army and extra police, they are not yet out and continue to be a threat to the region. As a precaution many of the Eden residents still remain in the Merimbula aged care facility.

I am a Placement Consultant. My job is to find suitable aged care accommodation for clients. I know how stressful it can be finding the right accommodation for a loved one and my role is to minimise the stress, time and cost to my clients. I feel for all those involved in the bushfire regions and send my best wishes and support for both the aged residents needing to be evacuated and those entrusted with their care and the responsibiity for evacuating them to suitable accommodation.

 

 

 

 

 

 

 

 

This Year in The Aged Care Sector

Arcare Templestowe lounge

The year 2019 has been a very important one for the aged care sector. I am an Aged Care Placement Consultant and have shared many of the issues, developments and opinions that are helping to shape the future of aged care in Australia.

Developments in the treatment of dementia have featured quite prominently. In January the Specialist Dementia Care Program (SDCP) was beginning to roll out. Offering specialised, transitional residential support for people exhibiting very severe behavioural and psychological symptoms of dementia (BPSD), which focuses on reducing or stabilising symptoms over time, the program will provide care for those who are unable to be appropriately cared for by mainstream aged care services. The first specialist units are scheduled to be operational in 2020, with a further roll out in 2021-23.

Assistive technologieswere being developed through the year. One example is a prototype called DRESS to help people with dementia dress themselves. The carer initiates the dress sequence via a mobile device and the recorded voice prompts the person to dress themselves, correcting mistakes. Japan is heading to a workforce crisis in numbers with a rapidly aging population, so the government is encouraging the use of technology in aged care. An example is a robotic device that helps frail residents get out of bed and into a wheelchair or ease them into bathtubs.

And talking robots, I met my first robot in May this year, Lamson, when visiting a newly built aged care facility, Trinity Manor in Greensborough. It delivers medicine and meals, takes laundry and can even use lifts. Also, Griffith University has been using social robots to interact with people with dementia.

Ikkiworks has developed a robot called Ikki, who is a companion and a clinician and will eventually be used in aged care. Ikki can take a patient’s temperature and identify medication and alert the patient if the medication is incorrect.

Another approach to dementia care is the Montessori Inspired Lifestyle ® (MIL) developed by Dr. Cameron Camp. “Within this new paradigm, abilities, interests, and preferences will be respected, encouraged and maximized. Providing choice throughout the day is central to all interactions. Central to MIL is the creation of meaningful activities and social roles within the context of a community.” said Dr. Camp.

The aged care workforce was a subject that kept coming up, particularly the need for more nurses to be on call within facilities. I reported on an interesting study by Adelaide University published in April 2018 into the attraction and retention of staff to aged care. There were many reasons why working in the sector was attractive but the perception of this work as low level and underpaid was a negative.

In defence of the work Melanie Mazzarolli, Regional Business Manager, Residential Services at Benetas wrote in an article about the privilege of supporting someone on their journey to death, similar to supporting birth, and that relationships can be formed over long periods, rarely matched in other nursing roles. She also mentioned the passion of those employed in this sector. With the increase in the aging population more workers will be needed in the sector but finding and retaining them will be an ongoing challenge.

The Royal Commission into Aged Care was prevalent on the news for much of the year and painted a very negative picture of the sector. Clearly improvements across the sector are needed and a statement by the AMA this month spoke of using technologiesto assist meet the demands for care for the elderly. These technologies are already being developed and support for more development is needed.

Ending on a bright note the touching and beautifully produced documentary series The Old People’s Home for 4 Year Olds aired on ABC in August and September took a look at an experiment in an intergenerational program. This experiment is the first of its kind conducted in Australia with structured activities used to encourage interactions between the children and adults as they worked together to achieve particular goals. Health measurements were taken before and after the program and showed positive outcomes. Professor Susan Kurrle, who oversaw the program, believes the implications of this successful trial could be huge.

I look forward to a more positive focus on aged care in 2020, with improvements and developments that will assist the sector to deliver a high level of quality care to all our older residents.

AMA Calls For Innovation In Aged Care

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As we draw to the end of a year in which the aged care sector was put under the microscope during the Royal Commission into Aged Care Quality and Safety, it is time to take a deep breath and consider how to improve the operations of aged care facilities moving forward. I am a Placement Consultantand assist my clients to find suitable aged care accommodation so I am always inspecting aged care facilities and keep a close eye on their operations. It was with great interest I saw the Australian Medical Association President, Dr Tony Bartone, has recently issued a statement in which he said the Royal Commission had uncovered an aged care system plagued by “rigid conformity and an absence of innovation”.

He states “Innovation is vital to improve the level of care provided, to deliver consumer-centred care, and enable the sustainability of the aged care system. ”

The position statement contains six principles:

Resourcing

Electronic records

Medication management

Assistive technology

Communication

Data

The AMA is calling for more investment in assistive technologies, citing wearable sensors, virtual reality testing and smartphones have assisted with monitoring functionality in older people and detecting falls. “Monitoring technologies provide opportunities for longer independent living of older people, a better focused and personalised care in both home care and residential aged care settings,” it says. Also highlighted was the need for clear data privacy guidelines around sensor-based monitoring technology, wearable sensors and implantable technologies.

Due to the frequency with which older people move between aged care, primary care and acute care settings electronic record keeping and information exchange between care settings is crucial. “Interoperability between My Health Record, My Aged Care, and clinical software systems would enable electronic health record sharing between the health and aged care systems,” the position statement says. Communication technologies such as telehealth can enhance access to GP services, further improving health care access.

Looking at more resourcing for technological innovation the position statement says “Investment in innovation is needed to ensure that mainstream developments are accessible to all those accessing aged care services, not just those who can afford them.” The AMA stresses that this technology should not replace human care and engagement, confirming that “Adequate staffing numbers and appropriate mix of care staff skills is a continuous resourcing requirement in aged care.”

 

 

Read the full AMA position statement here.

 

 

 

 

 

New Aged Care Facility Sparkles in Templestowe

 

Arcare Templestowe lounge

A delightful new aged care facility opened in Templestowe, Melbourne earlier this year. Its official opening date was April 4th. I have since placed four of my clients there, who are very happy with the facility. It is a single storey residence, has lovely, large suites including double suites for couples.

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This is good news for me because, as a Placement Consultant, I often have requests from couples for a double suite and, in the past, it has been hard to place couples in suitable aged care accommodation where they can share a room. Thankfully we can see in the new facilities being built there is more awareness of the need for couples’ accommodation.

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Intimate dining and lounge areas create a cosy feel for residents and there is a separate dining room where residents can invite their families for a meal. A boutique café caters for casual snacks and drinks through the day and food is cooked fresh daily for meals. There is 24/7 nursing care for all residents.

Feeling good about yourself is important and the hair dressing salon onsite ensures residents can have a bit of pampering and lovey hair styles. Entertainment is at hand with a good sized billiards table, movie room and a wide range of activities and outings.

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During the year residents visited the Heide Museum of Modern Art at Bulleen and Montsaalvat in Eltham where one of the residents commented on how the building was constructed in the 1930s by its then residents, mainly out of recycled materials.

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Picture from Arcare Templestowe website.

Lifestyle coordinator Noelene said, “It important that our clients to come out on these bus trips, as they enable the clients to feel connected to the community and encourage the clients to socialise with each other. It always so interesting to hear the conversations that come from our outings; the clients have so many quirky stories, history and knowledge that come out.”

Arcare Templestowe also incorporates The Marsden sensitive care unit, a secure area which specifically cares for clients who are living with progressed dementia or Alzheimer’s disease.

I have over twenty year’s experience in aged careand a good knowledge of the facilities available in Melbourne and surrounds. If your client or family member needs support in finding the most suitable facility please contact me.

 

Aged Care As the Population Ages

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It’s a great outcome in health terms that Australians have one of the highest life expectancies in the world. But this presents certain challenges with an increasing ageing population. The baby boomers, those born just after the second world war, are now ageing, with the first of them turning 65 in 2011. As a result in 2017 3.8 million Australians were in the 65 and over age range. This represented 15 per cent of the population. By 2050, 1.8 million people will be over the age of 85.

At the same time we have a decline in fertility rates, with the number of children per woman falling from 3.5 to 1.8.

Healthcare

Naturally, health care is going to become a high priority as the population continues to age. According to a report by the Parliamentary Budget Office, demand for health services rise upon a person reaching their 70s, with the need for aged care services increasing further when they reach the age of 80.

There is a movement away from hospital care to at-home support services. People would much rather be treated and looked after within their own home than spend lengthy periods of time in hospital. It is also a more cost effective method of providing adequate health care to the elderly. So, in terms of primary care costs this is an improvement. However, the system needs re-evaluation to keep up with demand.

Aged care facilities will still be needed for people with high demand needs, such as 24 hour care. Ensuring they are managed and staffed to a level that the community finds acceptable is of utmost importance. I know from my experience as a Placement Consultant that there are many very well run aged care facilities that meet expectations, but there are those that do not. I scrupulously research facilities for my clients and follow up with them to ensure they and their families are satisfied.

We must aim for a standard across the board that provides excellent care and respect for our elderly. After all they paved the way for the rest of us to live in such a privileged society.