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   Older People

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Aged Care
Nurses working in Aged Care speak of issues they face.
In June 2006 there were 2,931 residential aged care services providing 164,008 places for people requiring care. There has been a consistent trend of rising dependency levels among residents. In 2005/6 for 87% of resident separation reason from the Residential Aged Care Facilities (RACF) was due to death with 17% of those who died having stayed less than 3 months, 19% between 3 months and a year, 45% for 1 to 5 years and 20% for more than 5 years. [1]

Issues in Aged Care Facilities

Residential Aged Care Facilities (RACFs) in Australia must meet Accreditation Standards to qualify for government funding. In 2008 a new funding instrument is being introduced – the Aged Care Funding Instrument (ACFI). It has provision for claiming for support for residents who require pain management or palliative care.

Key issues in providing palliative care in RACFs include:

  1. When a palliative approach should be implemented
  2. The interface between RACFs and specialist palliative care services
  3. General practitioners' knowledge of palliative care
  4. Skill mix of staff working in RACFs
  5. Education in a palliative approach for staff working in RACFs
  6. Access to adequate resources.

What does the literature say?

Oliver DP, Porock D, Zweig S. End-of-life care in US nursing homes: a review of the evidence. J Am Med Dir Assoc. 2004 May-Jun;5(3):147-55.

Key Documents

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Education and training

References

  1. Australian Institute of Health and Welfare 2007 Older Australia at a glance 4th Edition, Canberra Australia.

This page was created on 19 May 2008
Last updated 20 December 2011*

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