Ageing

• The HACC program• www.health.gov.au/internet/main/publishing.

nsf/content/hacc-index.htm

• • What is the HACC program?• The Home and Community Care (HACC)

Program is a joint Australian, State and Territory Government Initiative.

• What services does the HACC program offer?• The HACC Program provides services such as

domestic assistance, personal care as well as professional allied health care and nursing services.

• Who is the HACC program for?• Older Australians, younger people with a

disability and their carers

• What are the services funded through the HACC program?– nursing care; – allied health care; – meals and other food services; – domestic assistance; – personal care; – home modification and maintenance; – transport; – respite care; – counselling, support, information and advocacy; – assessment.

• What is the aim of the HACC program? • To older Australians, younger people with a

disability and their carers to be more independent at home and in the community, and reduce the potential or inappropriate need for admission to a residential care facility.

Veteran’s Home Care Services

• http://www.dva.gov.au/service_providers/veterans_homecare/Pages/forms_facts.aspx

• Under Factsheets and forms for VHC, click on Eligibility for assessment for Veterans' Home Care services - Information for providers (HIP120) this will open a PDF

• In your books summarise who is eligible to receive Veteran’s home Care Services?

• To be assessed for VHC services a person must be:– an Australian veteran or mariner; or– a war widow/widower of an Australian veteran or

mariner; and have– a Repatriation Health Card — For All Conditions

(Gold Card) or– a Repatriation Health Card — For Specific

Conditions (White Card).

• What are the services offered?– domestic assistance;– personal care;– safety-related home and garden maintenance;

and– respite care.

• Return to the website and then list three facts you have learnt.

Community Care Packages• http://www.agedcareaustralia.gov.au/internet/agedcare/publ

ishing.nsf/content/CACP-1

• List the ways that Community Aged Care Package (CACP) can help an older person– meal preparation – laundry – assistance with continence management – transport – personal care – social support – home help – gardening, and – temporary in-home respite care

What rights and responsibilities are set out under the Aged Care Act 1997?

• The Charter outlines a care recipients rights including the right to: • be treated with respect • be involved in identifying the type of community care they will receive

to meet their needs • choose the care and services that best meet their assessed needs,

from the community care available and within the limits of the resources available

• be given a copy of the Charter of Rights and Responsibilities for Community Care

• be offered a written agreement covering everything they and the service provider have agreed to

• be given information on how to make comments and/or complaints about the care and services they are receiving.

• The Charter also outlines care recipients responsibilities. Service providers expect care recipients to meet these responsibilities, including the need to:

• respect the rights of care workers • provide enough information to help the service

provider develop, deliver and review their care plan • follow the terms and conditions of their written

agreement • pay the fees outlined in their written agreement.

• http://www.agedcareaustralia.gov.au/internet/agedcare/publishing.nsf/content/EACH

• How is help offered through EACH different to the services offered through CACPs?

• 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 what you prefer.

• List the ways the extended aged care at home dementia (EACHD) packages can help an older person?

• An EACH D package is highly flexible and includes qualified nursing input. The services that may be provided as part of an EACH D package include:

• linkages to government funded Dementia Behaviour Management Centres

• care by an allied health professional such as a physiotherapist or podiatrist

• personal care • home help, and • assistance with continence management

• Who is eligible for EACHD?• To receive an EACH D package, you must first be assessed and

approved by an Aged Care Assessment Team (ACAT or ACAS in Victoria) as a person who:

• is experiencing behaviours of concern and psychological symptoms associated with dementia that significantly impact upon your ability to live independently in the community, and may impact on functional capacity

• needs high level care in an aged care home• prefers to receive EACH D, and• is able to live at home with the support of an EACH D package.

• How much does it cost?• ACAT assessments are free of charge, but you may be asked

to pay a fee towards the cost of an EACH D package of care (GST free). You should agree on the fee to be charged for care services with your service provider. If you are on the basic pension, you cannot be asked to pay more than 17.5% of that pension. If you have higher income, you may be asked to pay more than that (but no more than 50% of that higher income). If you cannot pay the fee, you will not be denied a service you need. The amount charged forms part of an agreement between you and the service provider.

• Explain the behaviours: shadowing and sun-downing

• Shadowing is a common anxious behaviour– where people with dementia follow the carer closely around the house like a shadow

• Sundowning is when people with dementia become more confused, restless or insecure late in the afternoon or early evening. It can be worse after a move or a change in their routine. They may become more demanding, restless, upset, suspicious, disoriented and even see, hear or believe things that aren’t real, especially at night. Attention span and concentration can become even more limited. Some people may become more impulsive, responding to their own ideas of reality that may place them at risk.