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Meeting The Needs Of The Elderly: Implementing The Palliatve Approach For People With Declining Health In Homeandhostel
Funder
National Health and Medical Research Council
Funding Amount
$83,456.00
Summary
This study aims to understand the extent to which a palliative approach is being used in the organisation and provision of care to elderly people with complex needs in home and hostel settings. It will identify current practices of aged care staff in the management of elderly people whose care needs are becoming increasingly more complex and not amendable to cure. In addition this study will explore the experiences of elderly people receiving this care. A model of the provision of a palliative a ....This study aims to understand the extent to which a palliative approach is being used in the organisation and provision of care to elderly people with complex needs in home and hostel settings. It will identify current practices of aged care staff in the management of elderly people whose care needs are becoming increasingly more complex and not amendable to cure. In addition this study will explore the experiences of elderly people receiving this care. A model of the provision of a palliative approach in this group of elderly Australians will be developed.Read moreRead less
A compartive study of an education intervention to promote family involvement in residential dementia care. This study aims to test a collaborative model of care for nursing home residents with irreversible dementias. The Family involvement in care (FIC) model aims for family caregiver(s) and nurses to participate in ongoing negotiation and establishment of a partnership of cooperative role relationships. The intervention aims to reduce stressors for family and staff caregivers along the course ....A compartive study of an education intervention to promote family involvement in residential dementia care. This study aims to test a collaborative model of care for nursing home residents with irreversible dementias. The Family involvement in care (FIC) model aims for family caregiver(s) and nurses to participate in ongoing negotiation and establishment of a partnership of cooperative role relationships. The intervention aims to reduce stressors for family and staff caregivers along the course of the deteriorating dementing illness, and to illuminate nursing interventions that relieve stress and increase positive attitudes. The research has the potential to inform evidence-based dementia care and to improve staff retention.Read moreRead less
IMPART - IMproving PAlliative Care In Residential Aged Care Using Telehealth
Funder
National Health and Medical Research Council
Funding Amount
$1,047,058.00
Summary
Sixty-thousand Australians die every year in residential aged care facilities but the quality of their end-of-life care varies. The IMPART program aims to improve palliative care in residential aged care using telehealth. We provide training and palliative-geriatric support to aged care staff and general practitioners to enable timely end-of-life discussions, improve documentation of care preferences, reduce avoidable hospitalisation and improve residents' quality of care at the end of life.
Enhancing moral care and quality of life in people with dementia. This research explores largely unknown quality of life experiences of persons living with dementia in residential aged care, and therefore factors that may promote well being, longevity, meaning, family and social coherence. The research will result in new knowledge for a model of care that is truly person-centred and will inform health, ageing and education policy, as well as an enlarged and clearer role function for caregivers. ....Enhancing moral care and quality of life in people with dementia. This research explores largely unknown quality of life experiences of persons living with dementia in residential aged care, and therefore factors that may promote well being, longevity, meaning, family and social coherence. The research will result in new knowledge for a model of care that is truly person-centred and will inform health, ageing and education policy, as well as an enlarged and clearer role function for caregivers. The solution focused model of dementia care is likely to also have positive effects on staff satisfaction and result in improved recruitment and retention. Read moreRead less
Developing nurses' work as a learning practice. Innovative models of clinical experience are required to enhance the professional learning, ongoing development and retention of nursing students and experienced nurses who support their development. This project directly addresses this need through developing and appraising a model of practice-based learning and participation that reciprocally develops both novice and experienced nurses' capacities and identities. The project can potentially infor ....Developing nurses' work as a learning practice. Innovative models of clinical experience are required to enhance the professional learning, ongoing development and retention of nursing students and experienced nurses who support their development. This project directly addresses this need through developing and appraising a model of practice-based learning and participation that reciprocally develops both novice and experienced nurses' capacities and identities. The project can potentially inform the practices within both tertiary and healthcare organizations about an innovative approach to address issues impacting on the national workforce of nursing and provide a significant contribution to enhancing the knowledge and understanding of the nursing practices within healthcare. Read moreRead less
Finding meaning in the experience of dementia: The place of spiritual reminiscence work. This project will use spiritual reminiscence work to study the experience of dementia and the spiritual dimension focussing on how people with dementia find meaning and develop coping strategies. Dementia is a significant issue for an ageing society where estimates of prevalence indicate a rise of 254% from 1995-2041. The greatest challenge to people diagnosed with dementia is their search for meaning lead ....Finding meaning in the experience of dementia: The place of spiritual reminiscence work. This project will use spiritual reminiscence work to study the experience of dementia and the spiritual dimension focussing on how people with dementia find meaning and develop coping strategies. Dementia is a significant issue for an ageing society where estimates of prevalence indicate a rise of 254% from 1995-2041. The greatest challenge to people diagnosed with dementia is their search for meaning leading to the development of effective coping strategies as their memory loss and confusion progresses. Outcomes will impact on persons with dementia, staff and carers, with improved quality of life for allRead moreRead less
Assessing risk in aged mental health care. This study will explore practices and developments in relation to the assessment of risk in aged persons mental health from the perspective of multiple stakeholders. The aims are to gain a thorough understanding of existing practices with a view to developing and evaluating a comprehensive risk assessment model. The outcomes will enhance the provision of mental health services within aged mental health services.
Is Hip Fracture Rehabilitation Cost Effective In Residential Care? A Randomised Controlled Trial Of Rehabilitation
Funder
National Health and Medical Research Council
Funding Amount
$137,970.00
Summary
Some of the frailest members of our community live in nursing homes and a hip fracture can be devastating to a person with dementia as it can leave them permanently unable to walk. We don't know how best to promote recovery when they break their hips. At present there is an assumption that rehabilitation at this stage of life is not worthwhile but this study will test whether the benefits outweigh the costs. We will test whether an assessment by a geriatrician and rehabilitation improves walking ....Some of the frailest members of our community live in nursing homes and a hip fracture can be devastating to a person with dementia as it can leave them permanently unable to walk. We don't know how best to promote recovery when they break their hips. At present there is an assumption that rehabilitation at this stage of life is not worthwhile but this study will test whether the benefits outweigh the costs. We will test whether an assessment by a geriatrician and rehabilitation improves walking, independence and quality of life.Read moreRead less
Nurses, Older People And Hospitals: Meeting New Challenges.
Funder
National Health and Medical Research Council
Funding Amount
$462,500.00
Summary
This project addresses an area of pressing international concern- how to improve health care provision in acute care hospitals to a growing group of patients, people aged 85 years and over. It is known that people 85 years and over have complex health needs. It is also known that older people typically do not do well in hospital. In fact, there is often a decline in their health following hospitalisation. The need to cope with older and often sicker patients will continue to place, substantial p ....This project addresses an area of pressing international concern- how to improve health care provision in acute care hospitals to a growing group of patients, people aged 85 years and over. It is known that people 85 years and over have complex health needs. It is also known that older people typically do not do well in hospital. In fact, there is often a decline in their health following hospitalisation. The need to cope with older and often sicker patients will continue to place, substantial pressure on the acute hospital system and those who work in it. The Registered Nurse [RN], as a part of the health care team, has a pivotal role in providing and coordinating the care that people 85 and over require while in hospital. Yet, little is known about the problems that RNs face in providing care to people 85 and over in hospital. The aim of this project is to identify the problems that impact upon RNs in the provision of care to people 85 years and over and find innovative solutions to those problems. In so doing, the final project recommendations will address ways to assist RNs to enhance the care of people 85 and over in hospital, and at the same time enhance the professional working life of RNs. These recommendations will feed into health and aged care policy development, and the educational preparation of nurses, and thus will have relevance at an individual, organisational, and policy level.Read moreRead less
Improving the quality of nursing care and health outcomes for elderly patients during acute hospitalisation. This study aims to compare the perceptions of nurses, elderly patients and their carers in terms of the nursing needs of elderly hospitalised patients'. It will also investigate reasons for any differences found between expectations and reality of care provided. The significance is that the elderly are the largest consumers of health care yet this is the first collaborative Australian ....Improving the quality of nursing care and health outcomes for elderly patients during acute hospitalisation. This study aims to compare the perceptions of nurses, elderly patients and their carers in terms of the nursing needs of elderly hospitalised patients'. It will also investigate reasons for any differences found between expectations and reality of care provided. The significance is that the elderly are the largest consumers of health care yet this is the first collaborative Australian study to investigate the needs of elderly patients. Expected outcomes are an education program for nurses and the development of evidence-based models of nursing care for elderly patients, increased patient satisfaction and health outcomes. Hospitals ultimately benefit in cost-effectiveness and efficiency.Read moreRead less