AMA Calls For Innovation In Aged Care

japanese robotics

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.

 

 

 

 

 

A New Test To Tackle Falls in The Elderly

david-monje-lady with walking stick

Older people fear having a fall, more than a bag snatch or a home invasion, according to Professor Stephen Lord, a senior principal fellow at Neuroscience Research Australia at the launch of a new screening test for falls, a collaboration between NeuRA and the aged care company, the Mark Moran Group. He stated that the reason they fear this so much is it is often the precursor to losing their independence. Once an elderly person goes to the Emergency Department of a hospital as a result of a fall and into the hospital system, they are often assessed as being unable to continue caring for themselves, resulting in them moving to an aged care facility.

Research shows one in three people over 65 will have one or more falls every year. At that rate the number of new hospitals will have to increase at a rapid rate to cope with falls related injuries.

Professor Lord stated that the cost of falls to the economy is greater than any other injury, including car crashes.

If a fall is serious, 43 per cent of people aged 70 or older who have one will be admitted to hospital. Currently, falls account for 250,000 hospital bed days every year, and will rise to 450,000 by 2050. Of those who are hospitalised, about 10 per cent will move to an aged care facility for the first time.

The new screening test, launched this week, can predict with 75 per cent accuracy the risk of someone over 60 having a fall – and recommend ways to prevent one. The kit, FallScreen +, has nine assessments. These relate to general wellbeing, including pain and mental health; regular exercise; executive function (which includes ability to assess and negotiate hazards in an unfamiliar place), and eyesight, including ability to see light and shade (which helps to avoid trip hazards).

The kit will be trialled at aged care facilities owned by the Mark Moran Group, and will also be released as an app pitched at those who work in aged care, including physiotherapists, psychologists and others. A simplified test is being developed for general practitioners.

As an Aged Care Placement Consultant I highly recommend that elderly people have a future plan in place so that if they do have a fall or several falls and find themselves in a situation where they can no longer stay safely in their home, they have a plan B ready to go. If they have developed a plan, they are in a position of having more choice and being able to move to a facility that suits their needs, tastes and location. This can make a big difference to the outcome; it can be a positive move.

Some facts taken from Julie Power’s Sydney Morning Herald article published Aug 27 2019.