Welcome

This blog is intended as a resource for aged care students, aged care providers, aged care workers and older people themselves to gain understanding and experience different points of view on the topic of aged care. I hope to stimulate your thinking and have you questioning the way we deliver aged care services in Australia. Enjoy!

About Me

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I have been working in the aged care industry for thirty years and have gathered a lot of information on the topic in that time. Some things I have learned through formal training by underatking accredited courses, some has been learned through experience and other things I have simply questioned whilst observing clients. Many questions remain unanswered. I have had the privledge of training others in aged care courses and have gathered immense knowledge from this process too. Over the years I have seen many changes in the aged care industry including care standards, government funding models and ultimately schools of thought on the right and wrong way to do things. I have been left with no choice but to grow and change with the industry.

Tuesday, August 23, 2011

Book Week 2011

We are smack in the middle of book week, so I thought I would write about that. Some people may think that book week is only for children but I think books and the celebration and acknowledgementof literature and writers is an enjoyable activity for all.
 My six year old son has gone to school dressed as a cowboy and he has a lasso instead of a gun! We wondered if the lasso might be a problem too and issued firm instructions that he is not to lasso people! I guess the teacher will confiscate the said item if it all gets too much. I remember that teachers were master confiscators when I went to school. Do they still do that?
Now, you may not want to go as far as dressing up (but it would be fun if you did) What about reading a book to the young person or people in your life? Perhaps you could get out and visit the library, borrow a book. Your local library has large print books, talking books and even DVD's to borrow. If you are an aged care worker, you could take the time to read to someone, just a short paragraph because I know you are busy! Does the facility where you work or live have a library?
I thought you may be interested to see which writers won awards this year so here is a link to the book week page: http://cbca.org.au/winners2011.htm
Have a look and make an effort to feature books in your life this week... Happy reading or listening!

Monday, May 16, 2011

International Day Against Homophobia

Logo - International Day Against Homophobia - May 17For those of you who work in the aged care industry, let me ask a question. Do you presume that all your clients are heterosexual? Have you ever considered that they may not be? What if you had a client who identified as being gay, lesbian or transgender? Do you think they would share that information with you? Would they feel safe to do so in your organisation? How would you act/react if they did?   Did you ever have this discussion in your aged care course?

I hope I have chellenged  you and  given you some food for thought on this very important day. Inetrnational Day Against Homophobia. What can you do to mark this occaision? May I make some suggestions?

  • Educate Yourself. If you are unaware of the issues facing GLBTI people in aged care do some research.
  • Educate Others: Talk about International Day Against Homophobia with your work colleages. Spread the word and share what you have learned.
  • Have a chat with your residents about how they would feel if you had a GLBTI resident.
Here is a link to the Ageing Gay and Lesbian Victoria which addresses issues such as dementia, aged care services and health issues. Check it out!

http://www.glhv.org.au/?q=taxonomy/term/40

Here is another link to International Day Against Homophobia website. See what you can discover about this annual event.

http://www.homophobiaday.org/default.aspx?scheme=1204

Note: GLBTI = Gay Lesbian Bisexual Transgender Intersex

Sunday, May 8, 2011

National Volunteer's Week 2011

This week it is National Volunteers Week in Australia. Volunteers play an important part in our work force and no industry is need of voluteers more than the Aged Care Industry, so for this reason I would like to say a huge thanks and offer gratitude the the people out there who get out of bed in the morning and head to work to offer a service free of charge.
What can I do in aged care as a volunteer I hear you ask? A simple conversation with an older person can be of great value. You could learn something too. Our older folk are human history books and are able to share with you their experiences of how it was in days gone by. So sign up to be a volunteer, grab a cuppa and start chatting! As you uncover the stories you may wish to create story books for the residents in a facility which contain photos and stories that map out a person's life and perhaps act as a reminder to those with memory loss.
if you are a little crafty you may want to create a story board to hang in your new friends room. You can do this by using photos and the block mounted canvas art boards you can find in most "cheap" shops.
If you work in a facility that has volunteers please take this opportunity to thank them personally for their contribution. you could also download a certificate of appreciation to present to them: Below is a link to the volunteering Australia website where you will find the free downloads and other information and ideas. Have fun!

Tuesday, April 19, 2011

New Dementia Report

This is an article written about in Astralian Ageing Agenda Magazine about the importnace of making decisions early when people are affected by memory loss. Who will provide care? Are the finances in order, who will make the decisions about health, care and lifestyle when the person with memory loss cannot. Follow the link below to the full story.


A new a new report written for Alzheimer’s Australia highlights the importance of planning for the end as soon as a diagnosis of dementia is made, and it's author is on tour explaining its contents in seminars around Australia.

Check out this link
http://www.australianageingagenda.com.au/2011/04/19/article/Be-prepared/MRVCWEFHSZ.html

Who would you put in charge of making decisions for you?

Sunday, April 10, 2011

Working in Aged Care

Are you reaching your aged care career goals?
At the top of your game?

I thought I would share some inofrmation with you about how you can access funded training if you are working in aged care. The program is outlined in the excerpt below taken from the Dept Health and Ageing website. It is well worth a look.

Aged Care Education and Training Incentive Program

The Aged Care Education and Training Incentive (ACETI) program will provide incentive payments to eligible aged care workers who undertake specified education and training programs.


Overview:

In the 2010-11 Budget the Australian Government provided $59.9 million over four years for a national incentive program that will provide payments to eligible aged care workers who undertake further studies to enhance their career as a personal care worker, an enrolled nurse or a registered nurse.

The Aged Care Education and Training Incentive (ACETI) Program will provide incentive payments to eligible aged care workers who undertake specified education and training programs.

This program builds on current workplace training programs that support people working in the aged care sector by providing financial incentives to existing aged care workers who undertake further studies to upgrade qualifications and build their career in aged care.

Who is eligible?

In order to be eligible to receive an incentive payment, aged care workers must meet all the following criteria:
    • Be an Australian citizen or permanent resident; and
    • Be employed on a full time, part time or casual basis providing direct care in and by an eligible aged care service*:
        • at the commencement of their training (in order to receive the commencement payment);
        • at the successful completion of their training and during your training (in order to receive the completion payment).
    • Have a commitment to working in the aged care sector; and
  • Commence an eligible training course between 1 July 2010 and 30 June 2014. Commence means the official start date of the eligible training course, not the date of enrolment.
*An eligible aged care service is a Commonwealth funded residential aged care service, a service providing Commonwealth funded community care or flexible care service including CACP, EACH or EACH-D, or Aboriginal and Torres Strait Islander flexible care services.
Here is a link for more inofrmation on what courses are eligible:
http://www.health.gov.au/internet/main/publishing.nsf/Content/ageing-rescare-aceti.htm


Please contact ACE North Coast via this link if you are interested in taking up this offer.
http://www.acenorthcoast.com.au/

What is it that you want to achieve in aged care?

Thursday, March 31, 2011

Pet Assisted Therapy - Dogs Helping our senior citizens

 


Dogs NSW supports the expansion of programs for dogs in aged care facilities. Companion
canines can contribute constructively to aged care communities. Research over more than
twenty years has shown that pet assisted therapy has beneficial effects on the physical and
psychological well-being of aged care residents.


Lower blood pressure and relaxed respiratory patterns are just some of the quantifiable
improvements reported in residents of aged care facilities when they come into contact with a
trained therapy dog. Recovery from illness is improved for many institutionalised people when
pets are used in therapy. Interaction with trained and certified therapy animals has been shown
to reduce the need for pain medication, and promotes postoperative activity. The unconditional
companionship of a dog promotes speech and social activity in otherwise withdrawn people.


The “Pets as Therapy” program introduced by the Guide Dog Association, and the Outreach
Program coordinated by Australian Veterinary Association and the Animal Welfare League are
both examples of programs for pet assisted therapy. Veterinary Adviser and Dogs NSW
Spokesperson, Dr Peter Higgins, was involved with the introduction of these two programs in
1989. “I am pleased to see that our political leaders are recognising the therapeutic and
soothing benefits of pets. Scientific research has shown conclusively that people benefit both
physically and emotionally with dog therapy,” says Dr Higgins.


Dogs have a non-judgemental relationship and are associated with unconditional love and
affection. Life in an institution can often be lonely and isolated, and these problems can
disappear in the presence of a canine companion. The long term therapy of regular interaction
with pets has been shown to improve confidence and social activity. The presence of a dog
can spark memories of a previous time, and rekindle a positive aspect about life.


"No-one is saying that money should be diverted away from nursing and other forms of care but
pet assisted therapy is complementary. It has many positive outcomes and is fully justifiable.
Therapy dogs are not a new idea; they are mainstream," states Dr Higgins.


Humans have had a relationship with companion animals for 130,000 years. Australians, in
particular, have embraced the concept of pets as more than 12 million Australians have a pet.
Residents of nursing homes should benefit from this lifestyle advantage, too.


“It is more than just feel good. The human animal bond should never be underestimated: it
goes back to the beginning of our species. Studies have shown that surgery patients and
stroke victims in hospitals recover better as a result of having therapy dogs,” explains Dr Higgins.
  Taken from:  http://www.dogsnsw.org.au/resources/media/251-pet-assisted-therapy-dogs-helping-our-senior-citizens.html

Monday, March 28, 2011

Help Staying at Home

Here are some tips for HELPING OLDER PEOPLE  to access help if they need it......

How to access help

This part of the website helps you, your carer, your family and friends understand the various types of home help available – why you might want or need them, and how you can arrange them. Home help is often described as 'community care' (more information).

Aged Care Assessment Teams

To work out if you're eligible for certain subsidised aged care services you'll need to contact your local Aged Care Assessment Team (ACAT or ACAS in Victoria) (more information). These are teams of health professionals who help decide on the types of care that will best meet your needs, such as home help or the support provided by an aged care home.

Referrals to an ACAT can be made by anyone – either you, your carer or a health professional such as your doctor.

Once you've made an appointment, a member of your local ACAT will visit you in your home, hospital or elsewhere, ask you a series of questions and discuss the assessment with you. You're welcome to have your usual carer involved in this discussion. The ACAT member visiting you may be a doctor, nurse, social worker, physiotherapist, occupational therapist, psychologist or other appropriate health care professional. Their job is to discuss your situation, give you all the information you require, and help you make the best choices based on your individual needs and the services available. There are no fees charged for this assessment.

Read more:
About being assessed by an ACAT

The Aged Care Assessment Team (ACAT) finder can help you find Aged Care Assessment Teams. Because of the way community care works, the ACAT you find may be based somewhere else but service your community.

Next step:
Aged Care Assessment Team finder

Here are some of the programs and services you may be able to access.

Home & Community Care program (HACC)

If you require some basic help with everyday tasks, the Home and Community Care (HACC) program can assist by supporting your independence at home and in the community. This is an ideal solution if long-term care in an aged care home is inappropriate and you only need low-level care. An assessment by an ACAT is not necessary to access these services.

Read more:
About the Home and Community Care program

Extended Aged Care at Home packages (EACH)

The Extended Aged Care at Home(EACH) program provides services to meet your high care needs, through an individually tailored package to assist you to remain living in your own home for as long as possible if this is your preference. To receive this service, an ACAT assessment and approval is required (more information).

Read more:
About Extended Aged Care at Home packages

Extended Aged Care at Home Dementia packages (EACHD)

If you or someone you care for needs assistance because of behavioural problems associated with dementia, including periods of changes in behaviour such as agitation, shadowing (more information), 'sundowning (more information)' or other disturbances, the Extended Aged Care at Home – Dementia (EACHD) program can provide high-level care through an individually tailored package. To receive this service an ACAT assessment and approval is required.

Community Aged Care Packages (CACP)

The Community Aged Care Package (CACP) Program provides a planned and managed package of community care services for you if you have complex care needs and would like to remain living in your own home. To be eligible to receive a care package, you must be assessed by an Aged Care Assessment Team (ACAT or ACAS in Victoria) as requiring the level of assistance this package delivers.

Read more:
About Community Aged Care Packages

National Respite for Carers Program (NRCP)

Caring for a frail or older person can be physically and emotionally demanding. To make sure your carer gets a break, the National Respite for Carers Program (NRCP) provides day care centres, in-home and activity respite programs. You do not need an ACAT assessment for community based respite services – only if you're receiving respite in an aged care home.

Read more:
About the National Respite for Carers Program

Commonwealth Carelink Program

The Commonwealth Carelink Program supports a national network of Commonwealth Respite and Carelink Centres that provide up-to-date information on local community, aged care and disability services in your area that will help you continue living at home.

Read more:
About Commonwealth Respite and Carelink Centres

Transition Care Program

The Transition Care Program is aimed at helping you improve your independence and confidence after a hospital stay, giving you and your family more time to determine whether you can return home with additional support from community care services, or need to consider the level of care provided by an aged care home. An ACAT assessment and approval is required to access this service.
This has been taken from the Department of Health and Ageing Website follow the link below for more information.
http://www.agedcareaustralia.gov.au/

Sunday, March 20, 2011

Crosswords

No I don't mean the angry kind...lol. I mean the kind that you find in magazines and newspapers.  If you find those magazines in public places, such as the doctor's surgery, someone else has usually beaten you to it. There is nothing quite like the pleasure of happening upon a completely blank untouched crossword. A clean slate that is all yours. I have recently discovered that you can access crossword puzzles online and there are even free ones.

Here's the link http://www.crosswordsforfun.com.au/wordpress/  

You might wonder what this has to do with aged care but believe me a lot of older people like to keep their minds active with crosswords. The medical esablishment reccomend keeping your brain active as you get older to keep memory problems at bay.  For some people there is no better way to do that than a good crossword. If you are an aged care worker you may wish to direct your crossword fanatic clients to the site above for some problem solving fun to pass the time.
Are you a crossword enthusiast? or Do you prefer Sudoku?

If your brain likes number puzzles  more than word puzzles I have a link for you too.

Ceck out this site: http://www.websudoku.com/

Let me know how you go and if these sites are useful... what do you think? How do your clients like the idea of puzzles online instead of in a book?

Wednesday, March 16, 2011

Aged Care Wages

Have you ever considered undertaking a course in aged care to start a new career in the aged care industry? If so you at some point you will be wondering about pay rates. Let me begin by explaining that the pay in aged care is not high and before you all stampede out of this blog in droves please let me explain. After a career in aged care spanning 30 years have some ideas. So the pay rate is not high but one thing is for sure, you will always find a job with a Certificate III in aged care or above. You will be engaged in THE growth industry of the future( even if it feels like you have entered the past somedays). The rewards in aged care are many, not just monetary, you get a real sense of satisfaction when you make a difference in another persons life every day. You may tnink that people go to work for the pay and I agree most would not do tneir job for nothing but if there is no satisfaction in your job you won't want to keep turning up just for the pay. Eventually you will move on!
There are also other factors that influence pay rates in aged care. Penalty rates apply in the evenings at night and on the weekend so perhaps you would like to earn your weeks pay over a weekend and have the whole week off instead! I have done it and it works! Particularly good for working around the care of children. You may wish to get a higjer qualification and move into a team leader role or beyond. Some people study along the way an achieve nursing qualifications. Where do you see yourself in an aged care role and what are your study and career goal?
Here is a link that may help you decifer what you should be paid in aged care.check it out

http://www.payscale.com/research/AU/Job=Aged_Care_Worker/Hourly_Rate

Sunday, March 13, 2011

Skin care and Integrity

As we age, our skin loses its elasticity and may be prone to thinning and dryness. This results in lot of older people suffering skin tears and pressure areas. It may also cause discomfort and itchyness.
Traditionally it is socially acceptable to shower or bath every twenty four hours, however this may be to much washing for older skin. To keep odours to a minimum it is now reccomended that older people needing care who may be bed bound are wiped clean with special disposable wipes at the time of  changing continence aids, which is generally three times a day. This keeps the perianal area fresh and the application of some barrier cream such as calmoseptine will ensure the area is protected from skin rashes and excoriation due to wetness.
Rather than a daily shower, older people can benefit from using a bag bath. which is a specific number of durable skin wipes that can be used to wipe over the skin from head to toe without causing dryness. This method is also kind to carers as there is no need for soap, bowls of water or excessive manual handling. To add to the "day spa" experience the bag bath may be warmed in the microwave for a short time to produce a warm and comfortable daily cleanse.
Bag baths can be a little on the expensive side so a lot of aged care providers cannot afford these luxuries but if the older persons budget or that of their family can stretch to provide this it is well worthwhile. Bag Baths are also a good idea for carers in the home envirionment who may be aging themselves and unable to assist with daily shower routines.
Here is a link to a surgical supplier who provides one bag bath product :  There are several brands available.               http://www.tss-nt.com/bag_bath.htm
Do you think this a good idea? Would this solve some personal care issues for your clients or loved one?

Wednesday, March 9, 2011

Community Care Packages

Older people are choosing to remain at home rather than move into retirement living arrangements or residential care facilities. This trend is supported by the federal government who provides funding for community care packages to help with older peoples care needs in their own home.As Australia's population ages it is necessary for the government to find new and creative ways to provide for our older citizens.
So what is it that older people need to remain in their own homes and not make the move to residential care settings? Often mobility is an issue and the person may no longer be able to perform the tasks they once did due to poor balance, general frailty, lack of strength or due to chronic conditions such as arthritis. Other older people may struggle at home due to problems with memory due to Alzheimers disease or some other form of dementia. The ageing process may present people with challenges in maintaining their independence. They may need help with the following tasks.
  • Domestic Duites: such as vacuuming and mopping floors
  • Garden Maintainence: such as lawn mowing, pruning and weeding
  • Personal Care: help with bathing grooming and dressing
  • Meal Preparation: cooking and serving meals
  • Medication: Assistance with medication reminders or physical assistance to access medications
  • Respite: Provides respite to the carer of an older person to give them a break from caring
  • Nursing Services: Wound care, dressings, blood pressure monitoring, prevention of pressure areas.
Some of these tasks can be provided to people through the state funded HACC ( Home and Community Care) Program which provides basic and temporary assistance whilst people recover from illness or injury or on returning home after a hospital stay.
If a person requires help on a more regular or permanent basis they may be able to access funding for CACP ( Community Aged Care Packages) EACH (Extended Aged care at Home) or EACHD (Extended Aged Care at Home Dementia) Packages from the federal government.
So how are these programs accessed ? They can be accessed in the following ways:

  • HACC can be self referred or referral from GP or hospital discharge planner
  • CACP must have referral and assessment from ACAT ( Aged Care Assessment Team)
  • EACH: must have referral and assessment from ACAT ( Aged Care Assessment Team) 
  • EACHD must have referral and assessment from ACAT ( Aged Care Assessment Team)
Aged Care Assessment Team
The aged care assessment team is a team of  registered nurses and social workers who visit the older person in their home to assess their suitability and eligibility to access government funded care packages such as those listed above. They also assess eligibility for placement in residential care and respite care in the home or in a residential facility.
As you can see from this article, the aged care system can be complex and challenging for older people to negotiate. It is therefore important for Aged care workers to have an understanding of the system and it's processes to help the older person and their loved ones and carers negotiate care.
Ther are also some very good private care agencies in most areas who can provide private services that are paid for by the older person, who may not be eligible for funded care or is already accessing funded care but it is not enough to meet the care needs.The services provided by these agencies is similar to those listed above.
Is your undersatnding of the community aged care system adequate to assist an older person?

Tuesday, March 8, 2011

Health Care Courses

Yesterda,y I had the pleasure of spending some time with students at ACE Tweed College. The students are undertaking a training course in Aged Care at the college. They are studying topics such as dementia care, personal care, cultural issues as well as assistance with medication. Two of the students I spoke with were very excited about being involved in work placement where they are completeing the voluntary experience hours required to complete their Certificate III Aged Care Qualification.
One student, Teena has in fact been offered and has commenced paid employment at a local aged care facility despite the fact that she still has some of her course left to complete. Teena was very  generous and passionate enough to allow me to record her enthusiasm on my phon,e so I took the opportunity to create an Aged Care Channel on youtube to upload her footage to. Teena is so excited not just to be working but also to be feeling like she is making a difference in the lives of others. She is getting positive feedback about her performance both from her supervisor and from her clients. She is on top of the world and I am sure it is helping her  to have a regular reliable income too. This is what an aged care job can offer. Teena says that participating in a Certificate III in Aged care has changed her life. You can see Teena on  video on the left of this blog in our Video Link.
Have you ever considered doing an aged care course?  If so, what would you like to get out of it? What area of Aged care would you like to work in?

Wednesday, March 2, 2011

The Story of Rose

I recieved this story via email from a former colleage. I am sure you have recieved these inspirational emails yourself from time to time. I feel motivated to include this one in this blog because it is a story of positive ageing. I have no idea who wrote it originally but here it is.

The first day of school our professor introduced himself and challenged us to get to know someone we didn't already know. I stood up to look around when a gentle hand touched my shoulder.
I turned around to find a wrinkled, little old lady beaming up at me with a smile that lit up her entire being..
She said, 'Hi handsome. My name is Rose. I'm eighty-seven years old. Can I give you a hug?'
I laughed and enthusiastically responded, 'Of course you may!' and she gave me a giant squeeze..
'Why are you in college at such a young, innocent age?' I asked.
She jokingly replied, 'I'm here to meet a rich husband, get married, and have a couple of kids...'
'No seriously,' I asked. I was curious what may have motivated her to be taking on this challenge at her age.
'I always dreamed of having a college education and now I'm getting one!' she told me.
After class we walked to the student union building and shared a chocolate milkshake.
We became instant friends. Every day for the next three months we would leave class together and talk nonstop. I was always mesmerized listening to this 'time machine' as she shared her wisdom and experience with me..

Over the course of the year, Rose became a campus icon and she easily made friends wherever she went. She loved to dress up and she reveled in the attention bestowed upon her from the other students. She was living it up.

At the end of the semester we invited Rose to speak at our football banquet. I'll never forget what she taught us. She was introduced and stepped up to the podium. As she began to deliver her prepared speech, she dropped her three by five cards on the floor.


 Frustrated and a little embarrassed she leaned into the microphone and simply said, 'I'm sorry I'm so jittery. I gave up beer for Lent and this whiskey is killing me! I'll never get my speech back in order so let me just tell you what I know.'

As we laughed she cleared her throat and began, ' We do not stop playing because we are old; we grow old because we stop playing.

There are only four secrets to staying young, being happy, and achieving success. You have to laugh and find humor every day. You've got to have a dream. When you lose your dreams, you die.

We have so many people walking around who are dead and don't even know it!

There is a huge difference between growing older and growing up.

If you are nineteen years old and lie in bed for one full year and don't do one productive thing, you will turn twenty years old. If I am eighty-seven years old and stay in bed for a year and never do anything I will turn eighty-eight.

Anybody! Can grow older. That doesn't take any talent or ability. The idea is to grow up by always finding opportunity in change. Have no regrets.


The elderly usually don't have regrets for what we did, but rather for things we did not do. The only people who fear death are those with regrets..'

She concluded her speech by courageously singing 'The Rose.'

She challenged each of us to study the lyrics and live them out in our daily lives. At the year's end Rose finished the college degree she had begun all those months ago.

One week after graduation Rose died peacefully in her sleep.


Over two thousand college students attended her funeral in tribute to the wonderful woman who taught by example that it's never too late to be all you can possibly be.

When you finish reading this, please send this peaceful word of advice to your friends and family, they'll really enjoy it!

These words have been passed along in loving memory of ROSE.

REMEMBER, GROWING OLDER IS MANDATORY. GROWING UP IS OPTIONAL. We make a Living by what we get. We make a Life by what we give.

God promises a safe landing, not a calm passage. If God brings you to it, He will bring you through it.

Monday, February 28, 2011

Infection Control

Infection Control is a very important part of working in the health care industry. It is important for two reasons, the health and safety of the client and the health and safety of the aged care worker. It applies to registered nurses, care workers and domestic/kitchen staff. Even administrative staff need to be aware of basic infection control.
So, what causes infection? We must understand what causes infection so that we may participate in infection control effectively. Infection is caused by pathogens which may otherwise be known simply as bugs! Pathogens include:
  •  bacteria
  •  viruses
  •  protozoa
  •  fungi
which may cause probelms if they get into out bodies. Infection control refers to preventing these pathogens from entering our bodies. This may involve staff training and providing adequate equipment to minimize risk.



Transmission of disease occurs when pathogens are spread so we need to develop an understanding of how they can enter our bodies and be spread from one person to another. There are several ways this can happen.
  • Airborne transmission occurs when we cough or sneeze.
  • Contamination: the pathogens in human faeces may be spread via food or objects.
  • Touch: pathogens my be spread by skin to skin contact such as shaking hands  or  kissing.
  • Body Fluids: Saliva, urine faeces and blood all carry pathogens that may be transmitted through cuts or mucous membranes fom one person to another.

Sunday, February 20, 2011

Ride of his Life

Continuing on with the theme of positive ageing, I would like to tell you about a person who I believe to be a classic example of this. His name is Doug Sunderland and he is a truly inspirational older person, down to earth Ausiie and no fuss crusader of life! Doug suffered the loss of his wife and was also diagnosed with prostate cancer. These events had him feeling pretty down and his doctor suggested that he "get on his bike" as there was no guarantee that he would be around too long. Having been a motor cycle enthusiast all his life,  Doug decided to hit the road. He travelled to numerous countries and rode his bike in many locations. Doug was recently featured on ABC Television's Australian Story program, which manily focused on his most recent ride. What Doug refers to as chucking another lap of Australia. At age 85 he took off on his bike, solo around Australia, sleeping rough on the side of the road and eating canned food.
Before he left on this incredible journey, he befriended a young man named Kristopher Growcott. Kris was concerned about Doug going off on this long journey that covered many isolated places. He also knew that Doug was prone to not eating and Kris would rather that he slept comfortably and safely along the way, particularly at his age. Kris created a facebook page called Cavalry of One and it soon had many fans, many of them motorcycling enthusiasts.Todat the page has 4578 "likes".  The word soon spread about Doug and his adventure and many people in numerous locations around Australia offered Doug a room for the night and a nourishing meal.
Doug, being a man of simple needs could not understand what all the fuss was about and failed to see why people would put up a total stranger in their homes. He didn't really care for all the fuss and bother to begin with but he phoned his friend Kris daily to update him on his whereabouts and adventures and Kris in turn updated the facebook page. On the last leg of the journey Kris rode to meet Doug and accompany him home to the end of his trip.
I invite you to check out the Australian Story program to view the whole story and I am sure you will agree that Doug Sunderland is a special older person with a very positive attitude to his life and is getting on with his life despite his loss and health problems. I must also mention that his friend Kris is also an inspirational young man. Check out these links.
http://www.facebook.com/#!/CavalryofOne
www.abc.net.au/austory/

Wednesday, February 16, 2011

Positive Ageing

Positive Ageing is a concept or an idea that it is possible to age in a positive way. Our society embraces and worships youth and beauty and as we age these things often do not come with us into our latter years. Society's general view is that people are not as attractive as they age. Beauty contests are for young people in their prime or perhaps for babies.  As the furrows of time bestow themselves on our faces and our bodies succumb to the ravages of gravity we can find other ways to remain positive.
When you are employed in the aged care industry it is easy to percieve older people as slow, immobile, demented and generally needing care. We don't see the older people in our society that are still fit active and mentally alert in their nineties unless they are on the television. The people that make it to the TV news usually sit proudly behind a cake that requires a fire brigade escort due to the 100 plus candles burning upon it. They often have a 'secret' to their longevity, which may be some rebellious statement that flies in the face of the sterotype of older people. " I smoked a pack a day and drank a bottle of whisky every week! then there is the octogenerian who has just tandem jumped out of an  aeroplane, grinning like an adolescent saying ' I can't wait to do it again'.
These are the older people that we love. So what is it that we love about them? We love their zest for life and that they are still fully engaged in their lives and in society despite their ailments.
I am sure the Dept Health and Ageing website would list some suggestions for positive ageing such as:
  • Following a healthy diet
  • Getting regular excercise
  • Visiting the doctor regularly
  • Staying engaged in the community
Of course all these things contribute to positive ageing but it is ultimately our attitude and willingness to stay connected that helps us to age gracefully or as many a baby boomer would cite, age disgracefully.....
  • What are your attitudes to older people?
  • What do your friends and family think?
  • How do you see older people portrayed in our society?
Do you uphold and support the sterotypes or do you believe in and support older people to rebel and live their lives to the full right to the end?

Sunday, February 13, 2011

What is Dementia?

Dementia is often thought of as a disease. It is in fact a symptom brought about by many different diseases which have associated dementias with different root causes. People affected by dementia experience changes to memory, personality, communication and activities of daily living. The department of health and Ageing in Australia states, It is estimated that around 250,0001 people in Australia have dementia. As Australia's population ages, more people will be affected by dementia.
Alzheimer’s disease: By far the most common dementia causing disease, causes damage to the brain where neurons and transmitters degenerate and form plaques and tangles in the brain. This is a progressive disease meaning that it becomes worse over time.
Vascular Dementia: is the second most common cause of dementia. It affects the brain by causing little bleeds, as the blood vessels in the brain breakdown as a result of general cardio vascular disease.
Parkinson’s disease: is a disease of the central nervous system, which can affect the brain in approximately 20 % of people with Parkinson’s disease
Other diseases which may cause dementia are, dementia with lewy bodies (which causes a buildup of protein in the brain), Huntington’s disease, Cruetzfeld Jacob disease, alcohol related dementia and Pick’s disease. These diseases are less common than Alzheimer’s disease and Vascular dementia.
I will not go into the details of all these diseases in this post however you may wish to research these further yourself. I have included a link to Department of Health and Ageing Website (Australia) below. This site is a wealth of information for aged care students and older people themselves.
http://www.health.gov.au/internet/main/publishing.nsf/content/dementia-1

Wednesday, February 9, 2011

Mind Your Back!

Hello, welcome to my first blog. I am very excited about all this space to write in and look forward to bringing you some relevant and hopefully entertaining information. The topic for todays blog is back care. Of course these days, everyone has their mandatory manual handling training before they are allowed out on the floor or in to the clients' home, right? Whilst this is good practice, I am compelled to ask is it enough? I know it complies with the standards but is it actually working to prevent back injuries? Is it in fact being put into practice by staff or are they doing there own thing once they get out there? Cutting corners? Well, we are all pushed for time in this industry aren't  we? Lots of questions........ and I have a feeling they will lead to more questions rather than answers.
Does your facility have someone available to staff that can mentor and support them to adopt good practice in manual handling? If there is a person assigned this role... the OHS representative or perhaps it's the  physio in your organisation, whoever it is, what is their approach? Is it a big brother, "do as I say" approach? Is there room to soften the approach? Shift the focus from policing to support and dare I say it even 'dare to care' for direct care staff.
I believe that the way treat staff in our organisations ultimately determines how our clients and residents are treated. What I am trying to say is that the workplace culture,starts at the top with upper management and filters down through the ranks to direct care workers who have the most contact with clients.
Are staff pressured and stressed, feeling like they have to cut corners, feeling unsupported? These feelings can create the workplace culture, if we let them. Here are a few examples:
In your organisation, which shift is doing the lion's share of the showers? Are they all still being done in the morning or are some clients happy to have a lie in and have a late morning, early afternoon or evening shower? Cramming all the showers into one shift creates stress, and unhappiness (for staff and clients) This also creates stress on the backs and joints of staff who are repeatedly showering in a short period of time. In any 24 hour period showers and heavy manual handling tasks can be evenly spread out over the shifts to ensure everybody bears some of the load and reduces the strain on the body and stress in the mind.  I challenge you to talk to your clients and see if you can meet their needs and at the same time reduce manual handling strain.