Characteristics of older Australian community aged care clients who fall: Incidents reported by care staff

2020 ◽  
Author(s):  
Lindsey Brett ◽  
Mikaela Jorgensen ◽  
Rimma Myton ◽  
Andrew Georgiou ◽  
Johanna I. Westbrook
Keyword(s):  
Aged Care ◽  
Care Staff ◽  
Australian Community ◽  
Community Aged Care

scholarly journals The Work of Front Line Community Aged Care Staff and the Impact of a Changing Policy Landscape and Consumer-Directed Care

2016 ◽  
pp. bcw112 ◽  
Author(s):  
Mirela Prgomet ◽  
Heather E. Douglas ◽  
Amina Tariq ◽  
Andrew Georgiou ◽  
Pauline Armour ◽  
...  
Keyword(s):  
Aged Care ◽  
Care Staff ◽  
Front Line ◽  
The Impact ◽  
Community Aged Care

scholarly journals Prospective comparative effectiveness cohort study comparing two models of advance care planning provision for Australian community aged care clients

2017 ◽  
Vol 7 (4) ◽  
pp. 486-494 ◽  
Author(s):  
Karen Margaret Detering ◽  
Rachel Zoe Carter ◽  
Marcus William Sellars ◽  
Virginia Lewis ◽  
Elizabeth Anne Sutton
Keyword(s):  
Cohort Study ◽  
Advance Care Planning ◽  
Comparative Effectiveness ◽  
Aged Care ◽  
Care Planning ◽  
Australian Community ◽  
Advance Care ◽  
Community Aged Care

scholarly journals Interdisciplinary Perspectives on Restraint Use in Aged Care

2021 ◽  
Author(s):  
Juanita Louise Breen ◽  
Barbara C Wimmer ◽  
Chloe Smit ◽  
Helen Courtney-Pratt ◽  
Katherine Lawler ◽  
...  
Keyword(s):  
Strong Support ◽  
Aged Care ◽  
Care Staff ◽  
Residential Aged Care ◽  
Royal Commission ◽  
Structured Interviews ◽  
Low Level ◽  
Chemical Restraint ◽  
Restraint Use ◽  
Community Aged Care

Restraint use in Australian residential aged care has been highlighted by the media, and investigated by researchers, government and advocacy bodies. In 2018, the Royal Commission into Aged Care selected ‘Restraint’ as a key focus of inquiry. Subsequently, Federal legislation was passed to ensure restraint is only used in residential aged care services as the ‘last resort’. To inform and develop Government educational resources, we conducted qualitative research to gain greater understanding of the experiences and attitudes of aged care stakeholders around restraint practice. Semi-structured interviews were held with 28 participants, comprising nurses, care staff, doctors, physiotherapists, pharmacists and relatives. Two focus groups were also conducted to ascertain the views of residential and community aged care senior management staff. Data were thematically analyzed using a pragmatic approach of inductive and deductive coding and theme development. Five themes were identified during the study: 1. Understanding of restraint; 2. Support for Legislation; 3. Restraint-free environments are not possible; 4. Low-level restraint, and 5. Restraint in the community is uncharted. Although most staff, health practitioners and relatives have a basic understanding of restraint, more education is needed at a conceptual level to enable them to identify and avoid restraint practice, particularly ‘low-level’ forms and chemical restraint. There was strong support for the new restraint regulations, but most interviewees admitted they were unsure what the legislation entailed. With regards to resources, stakeholders wanted recognition that there were times when restraint was necessary and advice on what to do in these situations, as opposed to unrealistic aspirations for restraint-free care. Stakeholders reported greater oversight of restraint in residential aged care but stated that community restraint use was largely unknown. Research is needed to investigate the extent and types of restraint practice in community aged care.

scholarly journals Interdisciplinary Perspectives on Restraint Use in Aged Care

2021 ◽  
Vol 18 (21) ◽  
pp. 11022
Author(s):  
Juanita Breen ◽  
Barbara C. Wimmer ◽  
Chloé C.H. Smit ◽  
Helen Courtney-Pratt ◽  
Katherine Lawler ◽  
...  
Keyword(s):  
Strong Support ◽  
Aged Care ◽  
Care Staff ◽  
Residential Aged Care ◽  
Royal Commission ◽  
Structured Interviews ◽  
Low Level ◽  
Chemical Restraint ◽  
Restraint Use ◽  
Community Aged Care

Restraint use in Australian residential aged care has been highlighted by the media, and investigated by researchers, government and advocacy bodies. In 2018, the Royal Commission into Aged Care selected ‘Restraint’ as a key focus of inquiry. Subsequently, Federal legislation was passed to ensure restraint is only used in residential aged care services as the ‘last resort’. To inform and develop Government educational resources, we conducted qualitative research to gain greater understanding of the experiences and attitudes of aged care stakeholders around restraint practice. Semi-structured interviews were held with 28 participants, comprising nurses, care staff, physicians, physiotherapists, pharmacists and relatives. Two focus groups were also conducted to ascertain the views of residential and community aged care senior management staff. Data were thematically analyzed using a pragmatic approach of inductive and deductive coding and theme development. Five themes were identified during the study: 1. Understanding of restraint; 2. Support for legislation; 3. Restraint-free environments are not possible; 4. Low-level restraint; 5. Restraint in the community is uncharted. Although most staff, health practitioners and relatives have a basic understanding of restraint, more education is needed at a conceptual level to enable them to identify and avoid restraint practice, particularly ‘low-level’ forms and chemical restraint. There was strong support for the new restraint regulations, but most interviewees admitted they were unsure what the legislation entailed. With regards to resources, stakeholders wanted recognition that there were times when restraint was necessary and advice on what to do in these situations, as opposed to unrealistic aspirations for restraint-free care. Stakeholders reported greater oversight of restraint in residential aged care but specified that community restraint use was largely unknown. Research is needed to investigate the extent and types of restraint practice in community aged care.

scholarly journals Integrating social engagement instruments into Australian community aged care assessments to enhance service provision

2018 ◽  
Vol 26 (6) ◽  
pp. 810-818 ◽  
Author(s):  
Joyce Siette ◽  
Andrew Georgiou ◽  
Mikaela Jorgensen ◽  
Catherine O'Donnell ◽  
Johanna Westbrook
Keyword(s):  
Service Provision ◽  
Social Engagement ◽  
Aged Care ◽  
Australian Community ◽  
Community Aged Care

Holocaust survivors’ perspectives on using community aged care and support services

2019 ◽  
pp. 1-16
Author(s):  
Karen Teshuva ◽  
Allan Borowski ◽  
Yvonne Wells
Keyword(s):  
Lived Experience ◽  
Holocaust Survivors ◽  
Well Being ◽  
Phenomenological Approach ◽  
Aged Care ◽  
Care Staff ◽  
Traumatic Experiences ◽  
Care Services ◽  
Methodological Triangulation ◽  
Community Aged Care

AbstractThe extant literature on Jewish Holocaust survivors’ experiences of receiving aged care services typically focuses on the risk that formal care settings may reactivate traumatic memories. Absent from previous research have been the viewpoints of older survivors themselves regarding their aged care experiences. An interpretive phenomenological approach was used to investigate Jewish Holocaust survivors’ lived experience of using community aged care services. Thirteen in-depth interviews were conducted and analysed using thematic analysis. The credibility of the findings was ensured by methodological triangulation and peer debriefing. Four major themes emerged from the analysis: wanting carers to do their job well; being supported to maintain autonomy; having a good relationship with the carer; and being understood as an individual. Although Holocaust survivors described the lived experience of using community aged care services in terms of universal themes similar to those identified with other groups of care recipients, the data revealed that this experience is intertwined with individual earlier-life traumatic experiences. This study has implications for training age care staff who work with Holocaust survivors and older trauma survivors from other refugee backgrounds.

scholarly journals “A good death but there was all this tension around”- perspectives of residential managers on the experience of delivering end of life care for people living with dementia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jessica A. L. Borbasi ◽  
Allison Tong ◽  
Alison Ritchie ◽  
Christopher J. Poulos ◽  
Josephine M. Clayton
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Aged Care ◽  
Care Staff ◽  
Care Homes ◽  
Residential Aged Care ◽  
Life Care ◽  
Advanced Dementia ◽  
Front Line ◽  
Care Managers

Abstract Background End of life care for residents with advanced dementia in the aged care setting is complex. There is prolonged and progressive cognitive decline, uncertain disease trajectory, significant symptom burden and infrequent access to specialist palliative care. Residential aged care managers offer a unique perspective in understanding the experience of providing end of life care for residents with advanced dementia. They bring insight from the coalface to the broader policy context. The aim of this study was to describe the experience and perspectives of residential aged care managers on providing end of life care for residents living with dementia. Methods Focus groups and semi-structured interviews were conducted with residential or care managers from various care homes from one dementia specific aged care organisation in Australia. A comprehensive sampling strategy was used in participating care homes. Transcripts were analysed using thematic analysis. Results 20 residential or care managers from 11 aged care homes in two states of Australia participated in two focus groups (total 16 participants) or individual interviews (4 participants). Six themes were identified: laying the ground work to establish what families understand about dementia, playing the peacemaker in the face of unrealistic family demands and expectations, chipping away at denial and cultivating a path towards acceptance of death, recruiting general practitioners as allies, supporting and strengthening the front line, and dedication to optimal care is relentless but rewarding. Conclusion Aged care manager participants described provision of end of life dementia care as a rewarding but sometimes fraught experience requiring persistent personalisation of care and communication to enable family acceptance of the resident’s terminal condition. The findings suggest that continuous front line aged care staff skill development, iterative family discussions, and partnership building between aged care staff and general practitioners, are all required to promote optimal end of life dementia care in residential aged care settings.

scholarly journals ‘Traversing difficult terrain’. Advance care planning in residential aged care through multidisciplinary case conferences: A qualitative interview study exploring the experiences of families, staff and health professionals

2021 ◽  
pp. 026921632110132
Author(s):  
Suzanne Rainsford ◽  
Sally Hall Dykgraaf ◽  
Rosny Kasim ◽  
Christine Phillips ◽  
Nicholas Glasgow
Keyword(s):  
Advance Care Planning ◽  
Health Professionals ◽  
Aged Care ◽  
Shared Responsibility ◽  
Care Staff ◽  
Residential Aged Care ◽  
Care Planning ◽  
Qualitative Interview Study ◽  
Case Conferences ◽  
Advance Care

Background: Advance care planning improves the quality of end-of-life care for older persons in residential aged care; however, its uptake is low. Case conferencing facilitates advance care planning. Aim: To explore the experience of participating in advance care planning discussions facilitated through multidisciplinary case conferences from the perspectives of families, staff and health professionals. Design: A qualitative study (February–July 2019) using semi-structured interviews. Setting: Two residential aged care facilities in one Australian rural town. Participants: Fifteen informants [family ( n = 4), staff ( n = 5), health professionals ( n = 6)] who had participated in advance care planning discussions facilitated through multidisciplinary case conferences. Results: Advance care planning was like navigating an emotional landscape while facing the looming loss of a loved one. This emotional burden was exacerbated for substitute decision-makers, but made easier if the resident had capacity to be involved or had previously made their wishes clearly known. The ‘conversation’ was not a simple task, and required preparation time. Multidisciplinary case conferences facilitated informed decision-making and shared responsibility. Opportunity to consider all care options provided families with clarity, control and a sense of comfort. This enabled multiple stakeholders to bond and connect around the resident. Conclusion: While advance care planning is an important element of high quality care it involves significant emotional labour and burden for families, care staff and health professionals. It is not a simple administrative task to be completed, but a process that requires time and space for reflection and consensus-building to support well-considered decisions. Multidisciplinary case conferences support this process.

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