Sex in aged-care facilities made headlines in the West Australian Newspaper this week. Well, not exactly, but the headline grabbed my attention.Continue reading
Relationships Australia WA offers a new workshop which I think may have particular interest for older men and women. The facilitator is my friend, Elizabeth Brennan, a remarkable older woman with many years experience as a relationships educator and facilitator of groups of many different types. Details of the workshop are as follows:
CHANGE AND LOSS
Healing and Learning to Live Again
Change and the accompanying experience of loss, is part of everyday life. Life itself begins with loss – the separation from the womb. We are continuously faced with separation, endings and major changes. In order to move on, let go and embrace what is new, we need to grieve the loss. How we mange loss and grief greatly effects our relationships and our well-being.
This workshop will discuss how to:
- Gain a deeper understanding of the grief process
- Identify personal core issues of grief
- Identify place in the grief process
- Learn skills to assist the process
- Develop strategies that will enable moving on
|At 22 Southport Street, corner of Cambridge Street WEST LEEDERVILLE on Tuesday 29 April 2014 from 9/30 am to 12.30 pm
For further information and to enrol please phone 9489 6322
THIRD NATIONAL CONFERENCE ON ELDER ABUSE
Advocare is proud to be at the forefront of combating elder abuse in Australia and will host the 3rd National Elder Abuse Conference. Entitled ‘Unlocking Solutions’, our organising committee will embrace a program that looks into all aspects of elder abuse.
Already regarded by industry leaders as a must attend event, this conference will bring together dynamic global experts to share information on topics that will assist in elder abuse research, intervention and policy. There will also be plenty of opportunities for networking, reacquainting with old colleagues and meeting new ones.
The two day conference will be followed by a unique one day workshop which will look at the practical and theoretical applications that arise from the conference.
I encourage delegates from different professions to attend, as unlocking solutions to elder abuse requires a collaborative effort from all counterparts.
Register your interest for the conference and workshop and help change the outcome for thousands of elder abuse victims in Australia.
See you in Perth.
Chief Executive Officer, Australian Representative for the International Network for the Prevention of Elder Abuse; Chairperson of the Alliance for the Prevention of Elder Abuse
Invitation to Submit an Abstract
We invite you to submit an abstract for a contribution to the 2014 Conference Program. The deadline for abstract proposals is Friday 2 May 2014.
Abstracts should generally be limited to the suggested themes and underlying topics. Thought provoking, creative abstracts are highly encouraged to stimulate the interest and participation of delegates throughout the Conference.
Research and Innovation
Areas such as research projects, technological advancements and innovative new practices, and new ways that organisations are doing ‘old business’.
Projects that have helped your organisation to recognise, respond or record elder abuse, including but not limited to help lines, databases, identification tools and marketing strategies.
Collaboration, Information Sharing and Engagement
Different ways in which your organisation works with others to spread messages, promote ideas and events, fund projects and activities and share valuable information and statistics. We are also looking at ways in which you think we can better record Elder Abuse ie managing statistic, National Linkages.
Education, Training and Workforce Development
Including, but not limited to new and existing training programs, tertiary courses and other workforce development methods.
Learning from Other Disciplines
We are looking for ways in which elder abuse agencies can learn from other disciplines that excel in areas such as information sharing, reporting and recording, victim protection, relationship building and fundraising.
We are looking to find out new ways to further advance the prevention of elder abuse eg changing perceptions, changing laws, changing the way we look at or think about things.
For guidelines, click to contact Advocare Inc., or call Advocare on 9479 7566 and speak to Greg Mahney.
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Twice during the last week I’ve been reminded sharply about the importance of advocacy in the lives of older people.Advocacy is a simple concept: it means standing by another person who needs support to confront a more powerful person or institution. The more vulnerable a person, the more he or she may need an advocate to address neglect, bullying or abuse, whether intentional or not. Even the strongest among us may need the support of other people when we are ill and in hospital.
Anyone can advocate for another person, regardless of the relationship between them. At one level, a lawyer who represents a client in court is the client’s advocate; parents regularly advocate on behalf of their children to a variety of people; and a student who stands up to a bully on behalf of a weaker child is also an advocate.
A few months ago I posted about a friend of mine who was a patient in a private hospital. As a retired registered nurse with considerable experience in aged care, I could see clearly that my friend was not receiving the care she required and to which she was entitled. In addition, as a patient in the hospital, she suffered several serious mishaps . These could have been prevented with better assessment and attention. They have impacted severely on her recovery and her on-going quality of life.
Several issues relating to the care and treatment of my friend were apparent, and I believed they should be addressed by nurses, doctors and other staff who were responsible for her care. One that worried her most was that she was moved from ward to ward several times without explanation. On one occasion, she was left sitting in a chair following a general anaesthetic because the bed to which she was being moved in another ward was still occupied.
I began to think it was highly probable that poor care of older patients might be endemic in that hospital. One of the additional positive outcomes of advocacy is that hospitals and other institutions often amend their practice as a result of well-measured complaints. This leads to better care for everyone who is or will become a client or patient.
Because my friend is not only an older person, but was also very unwell at the time, I discussed her position with her, and then wrote on her behalf to the chief executive officer of the hospital.
My written complaints were not addressed with me by hospital management, but several staff members entered into discussions with my friend (although she was very ill) and one ward nurse had a brief conversation with me.
As she was still ill and a patient in the hospital, likely to remain so for some time and perhaps even to be readmitted in the future, she was not prepared to discuss the issues with staff on the floor, even she was unhappy with the care she was receiving. She was afraid that there would be repercussions if she complained.
‘Patients can be punished if they say anything the staff doesn’t like,’ she told me. ‘As old nurses, we both know that.’
As my formal complaints to the hospital had not been addressed to my satisfaction (or that of my friend) when she left the hospital, I took the matter further. A third party told me in a telephone conversation that ‘the hospital thought’ that all the complaints had been resolved. And in spite of my first letter clearly stating I was acting as my friend’s advocate, they thought I was ‘just a friend!’
Some of the important lessons that I learned in ten years as a professional advocate were that anyone act as an advocate on behalf of another person; advocacy goes into the fray as hard as it needs to; and does not give up until the end of the matter. Obviously that hospital has not learned the same lesson. The story continues…
Another old woman who is much loved by a number of people lives in residential aged care facility. Last week, following a visit by one of her friends, there was a discussion about apparently poor care the old woman had received recently. I suggested the friends could address the matter with the director of nursing, or they could contact an advocacy agency for support. The friends thought that the woman’s family should be told of their concerns and the decision to deal (or not) with the concerns should be left to them.
In my experience, staff members in most aged care facilities and hospitals recognise their duty of care; they want to provide the best attention and treatment for their residents and patients. Often, a timely word to a senior staff member from whoever witnesses problem behaviour results in prompt resolution of the issue. There is often a written complaints procedure that will help if the complain is not resolved immediately.
Bystanders who do nothing to assist a vulnerable victim of neglect or abuse become part of the problem.
In Western Australia, for more information about the rights of residents and assistance with making a complaint about a residential aged care facility or a Home and Community Care Service, contact Advocare Incorporated.
For assistance with a complaint about a hospital, contact the Health Consumers Council
There are similar organisations in other Australian states.
My sister-in-law, Lois Hunt, is planning a trip from Perth to Launceston to spend Christmas with one of her sons, her daughter-in-law and three grandsons. She’s just come back from a week’s holiday at the beach in Busselton.
‘I’m ready to go,’ she says. ‘My plane fare is booked. I’ve bought and wrapped Christmas presents for my four sons and their wives, twelve grandchildren and nine great-grandchildren.’
Nothing remarkable about that, you may ask?
Nothing, except that Lois is eighty-four and has impaired vision. As well as that, a cerebro-vascular accident (stroke) seven years ago left her almost completely paralysed on her left side. Oh, and she lives in an aged care facility – in a place we used to call a nursing home.
In all my years as an aged-care nurse and later as an advocate for residents in aged care facilities, I never encountered anyone like this woman. She is a model of ageing gracefully, and sometimes not so gracefully, in extremely adverse circumstances.
Enjoying her retirement and holidaying in Sydney, Lois was unconscious when she was found, slumped across the bed in her hotel room. Had her plight been discovered earlier so that she could have received more urgent treatment, she may have made a better recovery. (See below for signs of a stroke.)
Although initially devastated,, when she was sufficiently recovered, she decided not to let a stroke beat her. Always a determined, woman, she made up her mind to live fully, in spite of her disability. Fortunately, she has retained her mental acumen and her speech is unaffected.
A large circle of friends and family (including her grandchildren who adore her) take her to dinner in restaurants and their homes; to the theatre; on shopping excursions and to football games. She organises holidays at the beach and has become an inveterate phone shopper.
Every week Lois attends a church service in the chapel of the facility; another day she has her hair done by a visiting hairdresser. When she’s home, she joins the other residents in the dining room for meals and the activities room for whatever is planned by the occupational therapist for the day.
Our visits to the facility are interrupted. Women in wheelchairs stop by Lois’s room to exchange local neighbourly gossip. Other people, visiting relatives, come to say hello and greet Lois and her visitors like friends. Staff members on errands stop to chat.
Seated in a wheelchair, this remarkable woman presides over a pleasant, homely room full of family photos, mementos and flowers. Residents of aged care facilities have tenure over their room for life. In practice there are restraints relating to housekeeping and safety which dictate what furnishings and belongings are acceptable. But Lois cheerfully ignores requests to tidy her room.
‘This is my home,’ she says. ‘This is where I live.’
SIGNS OF A STROKE REQURE URGENT ACTION
|Face Drooping – Does one side of the face droop or is it numb? Ask the person to smile. Is their smile uneven?|
|Arm Weakness – Is one arm weak or numb? Ask the person to raise both arms. Does one arm drift downward?|
|Speech Difficulty – Is speech slurred? Is the person unable to speak or hard to understand? Ask them to repeat a simple sentence, like “The sky is blue.” Is the sentence repeated correctly?|
|Time to call 000 – If someone shows any of these signs, even if the symptoms go away, call 000 and get the person to the hospital immediately. Check the time so you’ll know when the first symptoms appeared.|