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A Model of Integrated Care for Dependant Older People Living in the Community. This research offers significant economic, health and social benefits. Promoting and maintaining good health and ageing well, ageing productively are national priority areas. Case management and telemedicine are both recognised strategies to support chronic disease self-management. Early intervention can offer significant benefits in morbidity and mortality. Enhanced service delivery using an integrated model encompas ....A Model of Integrated Care for Dependant Older People Living in the Community. This research offers significant economic, health and social benefits. Promoting and maintaining good health and ageing well, ageing productively are national priority areas. Case management and telemedicine are both recognised strategies to support chronic disease self-management. Early intervention can offer significant benefits in morbidity and mortality. Enhanced service delivery using an integrated model encompassing general practitioners, practice nurses and community carers, could improve chronic and complex disease management and reduce health costs.Read moreRead less
The feasibility, acceptability and cost-effectiveness of nurse-led models of chronic disease management in general practice. This study directly relates to the National Research Priority of 'promoting and maintaining good health' through our approach to trial a new and innovative model of chronic disease management specifically for CVD and Type II diabetes in general practice. This project aims to test a new model of health service delivery - that is, the use of a practice nurse to provide chro ....The feasibility, acceptability and cost-effectiveness of nurse-led models of chronic disease management in general practice. This study directly relates to the National Research Priority of 'promoting and maintaining good health' through our approach to trial a new and innovative model of chronic disease management specifically for CVD and Type II diabetes in general practice. This project aims to test a new model of health service delivery - that is, the use of a practice nurse to provide chronic disease care rather than a general practitioner. Our strategy involves collaboration with health providers, stakeholders and consumers to help achieve this by providing patient education and disease management through a registered nurse in general practice.Read moreRead less
Preventing Suicide: A psychological autopsy study of the last contact with a health professional before suicide. In Australia, 48% of all suicides in 2000 were by 35-64 year olds; an additional 13% were by 65 years and over. This study will examine the last clinical contact older suicide victims had with health professionals in order to determine whether this contact offers an opportunity for intervention. For the first time in Australia, GP's, health professionals, and the deceased's next-of-ki ....Preventing Suicide: A psychological autopsy study of the last contact with a health professional before suicide. In Australia, 48% of all suicides in 2000 were by 35-64 year olds; an additional 13% were by 65 years and over. This study will examine the last clinical contact older suicide victims had with health professionals in order to determine whether this contact offers an opportunity for intervention. For the first time in Australia, GP's, health professionals, and the deceased's next-of-kin will be interviewed to determine the context surrounding the deceased's death, and the abilities of health professionals to identify warning signs and to intervene prior to suicide. Given our ageing population, the outcomes will be significant in educating all health professionals to identify suicidal signs, and to prevent premature death in the elderly.Read moreRead less
Pathways to healing: determining effective care pathways for chronic wounds for timely healing, prevention and cost effectiveness. Care for chronic leg ulcers is reported to cost 1-2.5% of total health budgets (>3 billion $US/year, $500 million AUD/year). Efficient use of health resources and improved health as a result of effective chronic wound management (early healing and prevention) are the most significant potential outcomes from this study. In addition to direct health care costs, chronic ....Pathways to healing: determining effective care pathways for chronic wounds for timely healing, prevention and cost effectiveness. Care for chronic leg ulcers is reported to cost 1-2.5% of total health budgets (>3 billion $US/year, $500 million AUD/year). Efficient use of health resources and improved health as a result of effective chronic wound management (early healing and prevention) are the most significant potential outcomes from this study. In addition to direct health care costs, chronic wounds are associated with significant hidden burdens on the community resulting from loss of mobility, decreased functional ability, social isolation and loss of participation in the workforce/society. This study will provide much needed information on management of this chronic disease to promote improved quality of life, health and independence in this population.Read moreRead less
Increasing and Sustaining Physical Activity Levels of Sedentary Older Adults by Improving Social Support and Links with Local Community Resources. This project will promote the health of older people by linking them with local physical activity resources and social support to encourage them to increase and sustain their levels of physical activity. This project uses an innovative approach to tackle one of the key behavioural risk factors for older people, namely physical inactivity, identified b ....Increasing and Sustaining Physical Activity Levels of Sedentary Older Adults by Improving Social Support and Links with Local Community Resources. This project will promote the health of older people by linking them with local physical activity resources and social support to encourage them to increase and sustain their levels of physical activity. This project uses an innovative approach to tackle one of the key behavioural risk factors for older people, namely physical inactivity, identified by the national ageing strategy. The intervention model will provide, for the first time, a sustainable local community vehicle for engaging and sustaining sedentary older people in physical activity. It is anticipated that the community will adopt the model once its efficacy is demonstrated.Read moreRead less
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
The neglected dimension of community liveability: Impact on social connectedness and active ageing. Quality of life and well being are essential to maintaining a healthy and socially-engaged population. This project takes an innovative trans-disciplinary approach in addressing the national research priority of Promoting and Maintaining Good Health and the associated goal, Ageing well, ageing productively through research that identifies the attributes of communities that foster or inhibit social ....The neglected dimension of community liveability: Impact on social connectedness and active ageing. Quality of life and well being are essential to maintaining a healthy and socially-engaged population. This project takes an innovative trans-disciplinary approach in addressing the national research priority of Promoting and Maintaining Good Health and the associated goal, Ageing well, ageing productively through research that identifies the attributes of communities that foster or inhibit social engagement. The outcomes of the project will inform policy makers, planners and service deliver organisations about ways to identify, improve or maintain safe housing, transport and community environments for the benefit of all Australians.Read moreRead less
Developing a collaborative approach to ageing well in the community. This project is located within an identified national research priority that of Ageing Well, Ageing Productively. It is also consistent with the goals of the ARC NHMRC Research Network in Ageing Well. While much of the Australian policy debate has previously focused on the negative implications associated with population ageing, it is essential to explore how older people and local communities can age well. The benefit of this ....Developing a collaborative approach to ageing well in the community. This project is located within an identified national research priority that of Ageing Well, Ageing Productively. It is also consistent with the goals of the ARC NHMRC Research Network in Ageing Well. While much of the Australian policy debate has previously focused on the negative implications associated with population ageing, it is essential to explore how older people and local communities can age well. The benefit of this project is that it helps translate national policy directives / goals by offering a framework for action at the local level. Further benefit will derive from the project by enhancing options for community engagement of older people.Read moreRead less
Withholding and withdrawing life-sustaining treatment from adults lacking capacity: Enhancing medical decision-making through doctors' compliance with the law. This project will enhance medical decision-making about the provision of life-sustaining treatment to adults without decision-making capacity through improved compliance with the law. This will advance patients' autonomy and dignity, protect vulnerable adults whose lives may be wrongly ended because of inappropriate treatment decisions a ....Withholding and withdrawing life-sustaining treatment from adults lacking capacity: Enhancing medical decision-making through doctors' compliance with the law. This project will enhance medical decision-making about the provision of life-sustaining treatment to adults without decision-making capacity through improved compliance with the law. This will advance patients' autonomy and dignity, protect vulnerable adults whose lives may be wrongly ended because of inappropriate treatment decisions and avoid litigation for doctors and hospitals. The project also aims to improve the quality of the law by resolving legal ambiguity and proposing reforms. This will further enhance the quality of decision-making, and will reduce defensive medicine and the cost of complying with the law, leading to savings in health expenditure.Read moreRead less
Preventing hospital readmissions and loss of functional ability in high risk older adults: A randomised controlled trial. Older people have higher rates of hospital admission and readmission due to complications and falls. During hospitalisation, many older people experience functional decline which impacts on their future independence. Acute hospital services comprise the largest section of health expenditure in Australia, costing $26,413 million/year. Prevention or delay of disease is known to ....Preventing hospital readmissions and loss of functional ability in high risk older adults: A randomised controlled trial. Older people have higher rates of hospital admission and readmission due to complications and falls. During hospitalisation, many older people experience functional decline which impacts on their future independence. Acute hospital services comprise the largest section of health expenditure in Australia, costing $26,413 million/year. Prevention or delay of disease is known to produce more effective use of services. This study will compare the effectiveness of innovative strategies to prevent deconditioning, functional decline and hospital readmissions. Comparative analysis of these strategies will provide information with potential to reduce costs whilst improving functional status, psychosocial well-being and independence in older peopleRead moreRead less