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Essay on social isolation in the elderly
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How is Australia’s aging population supported by the Australian Health Care System?
PREAMBLE
Since 1901 Australia’s elderly population has had a dramatic rise with it estimated that 65-year olds make up just under 15% of Australia’s population (Northern Health Research). The median age of the country has risen from 22 to 35 years and people age 0-14 has decreased from 35.1% in 1901 to 20.7% in 2001 (Mayne Health Research). As this “greying of the nation” continues mirroring global trends, there has been an influx of residents admitted into aged care facilities around the country. The aim of this report is to perform a case study on an elderly member of the community cared for at the St. Paul’s Aged Care Centre in Caboolture, after visiting the facility every Friday for a period of five weeks. Not only will the residents health be investigated but also the effectiveness of the aged care centre to cater for the rights and needs of the residents in relation to the Ottawa Charter. Suggestions will be made on how the centre could be improved in the future culminating in a detailed summary of the report’s findings.
INTRODUCTION
Upon commencing weekly visits, each group of students was assigned a particular resident and advised to monitor their health, behaviour and needs. After being assigned an elderly gentleman by the name of Ken, it quickly became evident the reasoning behind his care. Ken was suffering the early stages of dementia often forgetting names and having short-term memory loss. According to the Alzheimer’s Association in Queensland, early stages of dementia involves the destruction of brain cells in isolated areas often with first signs being short-term memory loss. He was also suffering severe arthritis of the left knee that seemed to be afflicting each of his elbows as well. Arthritis is a term loosely applied to inflammatory, metabolic, or degenerative diseases involving one or more of the joints (Collier’s Encyclopedia). It is a prevalent, crippling disease affecting tens of millions worldwide (www.arthritis.org/). The final health concern noticed was Ken’s social unacceptance. Often reluctant to join in with conversations and games, Ken seemed very isolated and lonely, probably further reinforcing the signs of dementia setting in.
EXECUTIVE SUMMARY
On completion of the weekly visits and looking back on the time spent with the residents, ...
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... the facility encouraging a more sociable and homelike setting. This would further enhance resident’s social wellbeing allowing a friendlier environment to be created and according to Dr. Luke Ryse,
“A person who is living a life in a favoured setting is less likely to suffer stress, depression and anxiety often associated with aged care facilities.” (www.agecare.com/oz/st/)
Another improvement would be to give greater freedom to the residents. Maybe have meals at different times in the evenings giving them a sense of control and also allow residents accompanied visits outside the facility on a weekly basis. Both would lift spirits in centre and are improvements that are easily attainable. They allow residents greater independence and as mentioned earlier, this fosters better health. However apart from those two areas, the St. Paul’s Aged Care Facility in Caboolture is effectively caring and adhering to the needs of the elderly in conjunction with promoting health through the implementation of the principles of the Ottawa Charter.
According to Statistics Canada Report 2013, “life expectancy in Canada is one of the highest in the world” and it is expected to grow, making the aging population a key driver to our health-systems reform. By 2036, seniors in Canada will comprise of twenty five per cent of the population (CIHI, 2011). Seniors, those aged 65 years and older are the fastest growing population in Canada. Currently there are approximately 4.8 million Canadians aged 65 or greater. It is projected that this number will increase to 9 to 10 million by 2036 (Priest, 2011). As the population get aged the demand for health care and related services are expected to increase. Currently, the hospitals in Ontario are frequent faced with overcrowding emergency departments, full of admitted patients and beds for those patients to be transferred to. It has been reported that 20% of the acute care beds in the hospital setting are occupied by patients that do not require acute hospital care. These patients are termed Alternate Level of Care (ALC). ALC is “When a patient is occupying a bed in a hospital and does not require the intensity of resources/services provided in this care setting (Acute, Complex, Continuing Care, Mental Health or Rehabilitation), the patient must be designated Alternate level of Care at that time by the physician or her/his delegate.” (Ontario Home Care Association, 2009, p.1).
The aim of the agency is to develop knowledge and skills to cater the residents and ensure they enjoy their life at the aged care. Furthermore, the agency aims to enhance local expertise in mental and physical health care, improve care through training and foster a collaboration with academics, researchers, institutions, volunteers, therapists, doctors and other health care professionals.
Butler, R. (2008). The Carers of People with Dementia. BMJ: British Medical Journal , 336, 1260-1261.
...tion with the outside world and loss of their life style. Communities need to be educated on dementia so that as to include and create activities they can join in. The residential homes decision makers need to monitor the cares’ behaviour as they and address issues within their working environment to improve and keep everything up to standard. The government need to implement and review their policies to make ensure quality care in residential homes. According to United Kingdom Health and Social Care (UKHCA), (2012) and The National Institute for Health and Care Excellence (NICE), have been working on introducing new guidance which will help dementia patient to get more funding to live in their own homes and avoid living in residential home which is a positive move as people will still enjoy the comfort of their homes and receive excellent care.
care to the residents suffering from dementia. Banner et al (2009 as cited in Lee J.et al.2012)
This paper will review the many aspects of long-term care problems and many challenges there are within Long-Term care. We will look at rising costs within long-Term Care, patient abuse, will look at the quality of life, shortages of nurses and demand that the elderly are putting on the medical field. The type of care that Long-Term Care had been giving to its patients and the changes within Long-Term Care.
It is a well-known fact most Americans seniors would prefer to age in their own homes instead of moving into senior living communities. Meeting seniors where they are is a trend that will most likely affect assisted living facilites in the future. One of the main focuses from providers is being patient centerd. Meaning working with the patient to ensure that the best possible care is given. Providers are working with patients and offereing more services within their homes. Another trend that we will see in assisted living facilites is a competive pressure. According to the National Investment Center for Senior Housing and Care, competition housing is an increasing trend that is affecting living situtions for the elderly
"Skilled Nursing Facilities | Major Housing Options." Navigating the Aging Process. N.p., n.d. Web. 2 May 2011. .
Another focus for change is that over the years the demand for home and community care over hospital care has continued to grow, as stated by the Queens nursing institute “Recent health policy points to the importance of improving and extending services to meet the health and care needs of an increasingly older population and provide services which may have previously been provided in hospital within community settings”.
Upon growing older there are many decisions to be made. Among one of the most difficult and perhaps most important decisions is where the elder person will live and how long-term care needs will be met when he/she is no longer capable of doing so independently due to the incapacity that accompanies many with old age. Nursing homes seem to be the popular choice for people no matter the race, gender, or socioeconomic status with 1.5 million Americans being admitted to them yearly.[3] Because nursing homes are in such a high demand and are not cheap, $77.9 billion was spent for nursing home care in the United States in 2010 alone, they are under criticism of many professions including the legal profession, which is in the process of establishing elder law as a defense to issues with in the elder community. Nursing homes have a duty to provide many things to the elderly including medical, social, pharmaceutical, and dietary services so that the individual may maintain the highest well-being possible.[4] Stated another way 'a nursing facility must care for its residents in such a manner and in such an environment as will promote maintenance or enhancement of the q...
In conclusion there needs to be an increase in government funding for long term care facilities to convey maximum ability to provide quality of care to elders and equal accessibility too homes and care. Ways that can produce this outcome are increases in staff funding for training and recruitment, as well as for equipment to help increase care. Government funding should also help elders decrease the cost of living in nursing homes and allow equal accessibility to homes and care in homes.
Darby, S. Marr, J. Crump, A Scurfield, M (1999) Older People, Nursing & Mental Health. Oxford: Buterworth-Heinemann.
The proponent of the gentle-care model is Moyra Jones (1984). The model is majorly used in the United States, Europe and Canada special care units. For instance, in Canada-Ontario, Mary crest home for the Aged in Peterborou...
Health and Aging Often we take our health, or the absence of illness, disease, or injury for granted until we become sick. It is then that we recognize the worth of being without ailments. It is then that we appreciate feeling strong, robust and healthy. Being healthy and, being physically and mentally sound, is associated with one's satisfaction with life.
Institutions should allow people to control some private space. Some nursing homes do this. They manage to create a homelike atmosphere. Older people in these settings build strong relationships with staff and other residents. They decorate their rooms with reminders. They create a comfortable place for themselves. People with long term illnesses may find more comfort in a good nursing home than in their former homes. Also, good nursing home design can also increase patient independence. Kitchens near living areas help cognitively impaired patients expect mealtime by the smell of cooking food. L-shaped rooms add to feelings of privacy in semiprivate