Accommodation payment plans in residential aged care: The impact of consumer choice

2019 ◽  
Vol 39 (1) ◽  
Author(s):  
Olukorede Abiona ◽  
Serena Yu ◽  
Mike Woods ◽  
Kees van Gool
Author(s):  
Tiffany K Gill ◽  
Steve Wesselingh ◽  
Maria C Inacio

IntroductionMusculoskeletal problems, including conditions such as back pain, neck pain, rheumatoid arthritis, gout and osteoarthritis are common in the population and significant contributors to global disease burden. Age is one of the most common risk factors for musculoskeletal conditions and over 40% of older people accessing residential aged care have a musculoskeletal condition. It is not known whether individuals living in the community with musculoskeletal conditions have similar needs to those in permanent care and this is important to know in order to provide appropriate care. Objectives and ApproachThe objective of this study was to profile individuals with musculoskeletal conditions in different aged care service settings (i.e. permanent care, community care only, transition/ respite care, or no services). Specifically, we examined the concurrent chronic conditions, health risk factors and functional limitations of individuals by service setting. A cross-sectional evaluation of individuals in the National Historical Cohort of the Registry of Senior Australians (ROSA) between 2004 and 2014 was conducted. Multivariable logistic regression models estimated the factors associated with being in different aged care settings. Odds ratios (OR) and 95% confidence intervals (CI) were determined. Results401,026 (42.5%) individuals with musculoskeletal conditions were assessed for aged care service eligibility during the study period. Of these 197,181 (49.2%) accessed permanent care, 37,003 (9.2%) accessed home care, 54,826 (13.7%) transition/respite, and 112,016 (27.9%) - no care. Individuals accessing community care compared to residential care were more likely to be female, have pain and have difficulty maintaining their home, as were individuals accessing no services compared to residential care. Conclusion / ImplicationsCompared to those in residential care, individuals with musculoskeletal conditions in the community with or without assistance had few differences related to other chronic conditions and functional limitations. But the reasons why some had support, while others did not, are unclear.


2019 ◽  
Vol 4 (1) ◽  
pp. 256-286
Author(s):  
Ilona Pappne Demecs ◽  
Evonne Miller

For six months, a tapestry artist/researcher moved her studio into an aged care home to conduct a participatory art project. Drawing on ethnographic-based qualitative approaches, narrative inquiry and researcher-generated photographs, this arts-based research textually and visually documents the impact of introducing the studio-based craft activity of participatory tapestry weaving into an aged care environment. As well as highlighting the joy of creative collaboration and of learning a new skill, this project explores how tapestry weaving facilitated the understanding of the participants’ worlds through stories and reminiscence. This paper also disseminates that craft, as a practice and method, connects materials, ideas and people through engagement, and facilitates wellbeing. Given rapid population ageing, and the fear and stigma surrounding aged care homes, this paper argues that craft practice might help demystify and connect aged care with the broader community, as well as enhancing residents’ quality of life.


2018 ◽  
Vol 53 (4) ◽  
pp. 355-371 ◽  
Author(s):  
Julie Henderson ◽  
Ian Blackman ◽  
Eileen Willis ◽  
Terri Gibson ◽  
Kay Price ◽  
...  

2014 ◽  
Vol 23 (2) ◽  
pp. 68-74 ◽  
Author(s):  
Rosemary Frey ◽  
Michal Boyd ◽  
Sue Foster ◽  
Jackie Robinson ◽  
Merryn Gott

2020 ◽  
Vol 9 (4) ◽  
pp. 1053 ◽  
Author(s):  
Janet K. Sluggett ◽  
Ria E. Hopkins ◽  
Esa YH Chen ◽  
Jenni Ilomäki ◽  
Megan Corlis ◽  
...  

In the SImplification of Medications Prescribed to Long-tErm care Residents (SIMPLER) cluster-randomized controlled trial, we evaluated the impact of structured medication regimen simplification on medication administration times, falls, hospitalization, and mortality at 8 residential aged care facilities (RACFs) at 12 month follow up. In total, 242 residents taking ≥1 medication regularly were included. Opportunities for simplification among participants at 4 RACFs were identified using the validated Medication Regimen Simplification Guide for Residential Aged CarE (MRS GRACE). Simplification was possible for 62 of 99 residents in the intervention arm. Significant reductions in the mean number of daily medication administration times were observed at 8 months (−0.38, 95% confidence intervals (CI) −0.69 to −0.07) and 12 months (−0.47, 95%CI −0.84 to −0.09) in the intervention compared to the comparison arm. A higher incidence of falls was observed in the intervention arm (incidence rate ratio (IRR) 2.20, 95%CI 1.33 to 3.63) over 12-months, which was primarily driven by a high falls rate in one intervention RACF and a simultaneous decrease in comparison RACFs. No significant differences in hospitalizations (IRR 1.78, 95%CI 0.57–5.53) or mortality (relative risk 0.81, 95%CI 0.48–1.38) over 12 months were observed. Medication simplification achieves sustained reductions in medication administration times and should be implemented using a structured resident-centered approach that incorporates clinical judgement.


2021 ◽  
pp. 1-13
Author(s):  
Aida Brydon ◽  
Sunil Bhar ◽  
Colleen Doyle ◽  
Frances Batchelor ◽  
Harry Lovelock ◽  
...  

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