the state of ageing - unisa€¦ · baby boomers age 60 65 70 80 85+ years born 1946 2006 2011 2016...
TRANSCRIPT
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The State of Ageing
An Aged Care Service Provider’s Perspective of an Ageing Community
Richard Hearn
Resthaven Inc. 3/12/10
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Outline
Overview of Resthaven
Demographic context
Perceptions of older people
Examples of Service Provider responses
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Resthaven Incorporated
Established in 1935
Agency of Uniting Church, Charity, Public Benevolent Institution
Services include: – Residential (high and low care accommodation)
– Community (in-home care and support)
– Therapy (physiotherapy, speech pathology, occupational therapy, podiatry, continence management, etc)
– Respite for carers (residential, in-home, centre-based and overnight)
– Housing (independent living units)
– Transition care (from hospital to home)
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Locations
Across metropolitan Adelaide
Riverland (Loxton)
Adelaide Hills
Murray Bridge
Strathalbyn
Millicent
Naracoorte
Mt Gambier
Port Elliot
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Resthaven Incorporated
Budget: $85 million
Workforce:– 1600 employees
– 450 volunteers
Average age of service recipients:– Residential Services (1,000+): 88 years
– Community Services (7,000+ living at home): 76 years
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Baby Boomers
Age 60 65 70 80 85+ yearsBorn1946 2006 2011 2016 2026 2031 1965 2025 2030 2035 2045 2050
Baby Boomers expectations!
Median Age admitted to care in 2007-08: 85yrs
(Source: Residential Aged Care in Australia 2007—2008, A statistical overview, June 2009)
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Older Old Age Population
85+ years2010: 1.8% (400,000)
2050: 5.1% (1.8 million) ―Quadruple‖ (IGR3,page10)
100+ years2001: 2,503 people
2055: 78,000 people (DoHA website, For Health Professionals, Aged Care in Australia 2006, part 1)
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Demographics
Dementia
- 2009: 245,000
- 2050: 1.3 million(Access Economics, Keeping dementia front of Mind; incidence and prevalence,
Alzheimer’s Australia)
19% Born Overseas – Mainly Non-English Speaking Countries
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Encourage positive images of older people
Consider the stereotypes – of older people and
– of working with older people
What can service providers do?
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The Advertiser,
January 24, 2006
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Saying Makes It So?
Herald Sun, April 11 ,2006
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A Healthy Ageing Focus
Older people are:
– Active participants
– Valuable contributors, with valuable roles
Increasing numbers represent a
potential resource
Encourage active and healthy lifestyles
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Community Development and Citizenship
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The ‘Glue’ of Families
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Transmitters of Cultural Traditions
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‘Make the Difference’ Commercial
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‘Golden Gurus’
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Key Challenges
Workforce and Service Models
Information, Access and Choice
Sustainability and viability of service system
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Workforce
Competitive wage levels
Shortage of nurses and other workers
Regulation: targeted and limited
Controlled Substances Act
Qualifications, Registration
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Workforce
Models of care
New roles
Nurse Practitioner
Flexibility in roles
Image of work in aged care,
attracting staff eg scholarship program
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Information, Access and Choice
Access and entitlement – Information is key (navigation)
– timely assessment for eligibility
– access when needed, when eligible (supply and entitlement)
– Resthaven ―AgedCare Alternatives Centre‖
Supply and competition—what is the market?
Focus on Community Services and rehabilitation
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Sustainability / Viability
Key elements of a sustainable service system:
– Adequate funding in residential and community within an appropriate regulatory system
– Adequate indexation–residential/community
– User charges will increase – means tested
– Adequate accommodation funding
Resident — flexible lump sum payments
Government – accommodation subsidy aligned
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