Likelihood of residential aged care use in later life: a simple approach to estimation with international comparison

2015 ◽  
Vol 39 (4) ◽  
pp. 374-379 ◽  
Author(s):  
Joanna B. Broad ◽  
Toni Ashton ◽  
Merryn Gott ◽  
Heather McLeod ◽  
Peter B. Davis ◽  
...  
Keyword(s):  
International Comparison ◽  
Later Life ◽  
Aged Care ◽  
Simple Approach ◽  
Residential Aged Care

scholarly journals Housing and Care for Older Women in Australia

2021 ◽  
Vol 9 ◽  
Author(s):  
Julie E. Byles ◽  
Emily M. Princehorn ◽  
Peta M. Forder ◽  
Md Mijanur Rahman
Keyword(s):  
Service Use ◽  
Care Service ◽  
Later Life ◽  
Aged Care ◽  
Community Services ◽  
Residential Aged Care ◽  
Institutional Setting ◽  
Care Needs ◽  
Housing Type ◽  
Care Assessment

Background: Housing is essential for healthy ageing, being a source of shelter, purpose, and identity. As people age, and with diminishing physical and mental capacity, they become increasingly dependent on external supports from others and from their environment. In this paper we look at changes in housing across later life, with a focus on the relationship between housing and women's care needs.Methods: Data from 12,432 women in the 1921–26 cohort of the Australian Longitudinal Study on Women's Health were used to examine the interaction between housing and aged care service use across later life.Results: We found that there were no differences in access to home and community care according to housing type, but women living in an apartment and those in a retirement village/hostel were more likely to have an aged care assessment and had a faster rate of admission to institutional residential aged care than women living in a house. The odds of having an aged care assessment were also higher if women were older at baseline, required help with daily activities, reported a fall, were admitted to hospital in the last 12 months, had been diagnosed or treated for a stroke in the last 3 years, or had multiple comorbidities. On average, women received few services in the 24 months prior to admission to institutional residential aged care, indicating a potential need to improve the reach of these services.Discussion: We find that coincident with changes in functional capacities and abilities, women make changes to their housing, sometimes moving from a house to an apartment, or to a village. For some, increasing needs in later life are associated with the need to move from the community into institutional residential aged care. However, before moving into care, many women will use community services and these may in turn delay the need to leave their homes and move to an institutional setting. We identify a need to increase the use of community services to delay the admission to institutional residential aged care.

Spiritual Factors in the Experience of Alzheimer's Disease and Other Dementias

2015 ◽  
pp. 230-253
Author(s):  
Elizabeth MacKinlay ◽  
Corinne Trevitt
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Mixed Methods ◽  
Cognitive Decline ◽  
Later Life ◽  
Aged Care ◽  
Residential Aged Care ◽  
Meaningful Life ◽  
Diagnosis Of Dementia ◽  
The Face

Alzheimer's disease and other dementias raise important questions of personhood and connection for those affected. Finding meaning in the face of dementia is one of the most challenging aspects of dementia; spiritual reminiscence is a way of connecting with those with dementia when their cognitive decline seems to preclude them from participating in a meaningful life. In this chapter a context for spirituality in later life is given through description of the spiritual tasks and process of ageing. This leads to presentation of work based on a mixed methods study of 113 people in residential aged care with a diagnosis of dementia who participated in either six or 24 weeks of weekly sessions of guided spiritual reminiscence (MacKinlay & Trevitt, 2012). Relationship was found to be almost synonymous with meaning for these people. Other important themes identified were vulnerability and transcendence, wisdom, hope, despair, and response to meaning.

Spiritual Factors in the Experience of Alzheimer's Disease and Other Dementias

2020 ◽  
pp. 334-357
Author(s):  
Elizabeth MacKinlay ◽  
Corinne Trevitt
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Mixed Methods ◽  
Cognitive Decline ◽  
Later Life ◽  
Aged Care ◽  
Residential Aged Care ◽  
Meaningful Life ◽  
Diagnosis Of Dementia ◽  
The Face

Alzheimer's disease and other dementias raise important questions of personhood and connection for those affected. Finding meaning in the face of dementia is one of the most challenging aspects of dementia; spiritual reminiscence is a way of connecting with those with dementia when their cognitive decline seems to preclude them from participating in a meaningful life. In this chapter a context for spirituality in later life is given through description of the spiritual tasks and process of ageing. This leads to presentation of work based on a mixed methods study of 113 people in residential aged care with a diagnosis of dementia who participated in either six or 24 weeks of weekly sessions of guided spiritual reminiscence (MacKinlay & Trevitt, 2012). Relationship was found to be almost synonymous with meaning for these people. Other important themes identified were vulnerability and transcendence, wisdom, hope, despair, and response to meaning.

Changes in housing among older women: Latent class analysis of housing patterns in older Australian women

Urban Studies ◽  
2016 ◽  
Vol 55 (4) ◽  
pp. 917-934 ◽  
Author(s):  
Julie Byles ◽  
Cassie Curryer ◽  
Kha Vo ◽  
Peta Forder ◽  
Deborah Loxton ◽  
...  
Keyword(s):  
Older Women ◽  
Latent Class ◽  
Later Life ◽  
Aged Care ◽  
Residential Aged Care ◽  
Administrative Records ◽  
Stable Pattern ◽  
Retirement Village ◽  
New Evidence ◽  
Over Time

Scant research exists on the patterns of changes in older women’s housing, and whether and when women transition into residential aged care (RAC). This study aimed to identify groups of women with different housing patterns (latent classes) over time, with a secondary aim to describe socio-demographic and health characteristics of women in each class. We analysed linked data for 9575 women born 1921–1926 from the Australian Longitudinal Study of Women’s Health (ALSWH), Australian National Death Index, and Residential Aged Care (RAC) administrative records for the years 1999 through to 2011. Seven distinct housing patterns (classes) were identified over time. Four classes showed a stable pattern: living in a house for most surveys (47.0%), living in a house but with earlier death (13.7%), living in an apartment (12.8%), living in a retirement village (5.8%). One class showed a pattern of downsizing: moving from a house to retirement village (6.6%). Two patterns showed transition: from an apartment or retirement village, to RAC and death (7.8%), and from house to RAC (6.4%). This study provides new evidence about socio-demographic and health influences on housing patterns and entry into residential care in later life. These findings can inform policy and aged care planning for women in later life, by identifying patterns of transition into residential aged care, or alternatively, remaining in the community.

scholarly journals Transitioning of older Australian women into and through the long-term care system: a cohort study using linked data

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Md. Mijanur Rahman ◽  
Jimmy T. Efird ◽  
Julie E. Byles
Keyword(s):  
Long Term Care ◽  
Community Setting ◽  
Later Life ◽  
Aged Care ◽  
Residential Aged Care ◽  
Related Factors ◽  
Term Care ◽  
Transitional Probabilities ◽  
Different Levels

Abstract Background Over two-thirds of older Australians use different types/levels of aged care at some point in later life. Our aims were to estimate transitional probabilities and to identify risk factors influencing the movement between different levels of long-term care. Methods The sample consisted of 9007 women from the 1921-26 birth cohort of the Australian Longitudinal Study on Women’s Health. Transitional probabilities between different levels of long-term care were estimated using a continuous-time Markov model. Results An 11-fold transition rates ratio was observed for the movement from non-user to home and community care (HACC) versus non-user to residential aged care (RAC). The predicted probabilities of remaining in the non-user state, HACC, and RAC after 10 years from the baseline were .28, .24, and .11, respectively. While the corresponding probabilities of dying from these states were .36, .65, and .90. The risk of transitioning from the non-user state to either HACC or RAC was greater for participants who were older at baseline, widowed, living outside of major cities, having difficulties in managing income, or having chronic condition, poor/fair self-rated health, or lower SF-36 scores (p < .05). Conclusion Women spend a substantial period of their later life using long-term care. Typically, this will be in the community setting with a low level of care. The transition to either HACC or RAC was associated with several demographic and health-related factors. Our findings are important for the planning and improvement of long-term care among future generations of older people. Trial registration Not applicable.

Education of residential aged care staff regarding sexuality and sexual health in later life

2016 ◽  
Vol 25 (5-6) ◽  
pp. 883-885 ◽  
Author(s):  
Linda McAuliffe ◽  
Michael Bauer ◽  
Deirdre Fetherstonhaugh ◽  
Carol Chenco
Keyword(s):  
Sexual Health ◽  
Later Life ◽  
Aged Care ◽  
Care Staff ◽  
Residential Aged Care

The experience of animal therapy in residential aged care in New Zealand: a narrative analysis

2020 ◽  
pp. 1-19
Author(s):  
Gemma Wong ◽  
Mary Breheny
Keyword(s):  
New Zealand ◽  
Older People ◽  
Residential Care ◽  
Narrative Analysis ◽  
Later Life ◽  
Aged Care ◽  
Residential Aged Care ◽  
Psychological Benefits ◽  
Animal Therapy ◽  
Care Facilities

Abstract Animal therapy has been shown to have both physiological and psychological benefits for older people, including improvements in outlook and social interaction. Volunteer-led animal visitation programmes are common within residential aged care facilities in New Zealand. Visits by animals and handlers are intended to improve the quality of life of people in residential care. Very little research has been conducted on the informal animal visitation programmes typical in care facilities in New Zealand. This project examined the experience of animal therapy in two residential aged care homes that receive animal visits from an animal welfare organisation. In-depth interviews were conducted with seven older people about their experiences of the programme and analysed using narrative analysis. Three overarching narratives were identified: animal therapy as a fleeting pleasure, residential care as a sad environment, and identity outside residential care as highly valued. Older people in residential care do value animal therapy, but it is narrated as a fleeting pleasure, rather than having a long-lasting or far-reaching impact on the daily experience of residential care. In some ways, the structure of the animal therapy programme may underscore the challenges to everyday autonomy and identity experienced in residential aged care. These findings can be used to develop animal visiting programmes which recognise the importance of a valued social identity in later life.

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