Rethinking Admissions in Aged Care

Nicole Brooke - Sunday, May 08, 2016

I want you to take a moment to think about two broad approaches to how residents may enter residential aged care!  I realise it may seem a bit crass and simplistic but in essence there is generally a crisis event leading to a general urgent admission or a planned slow deterioration and exhaustion of community and family based resources.  This picture simply highlights themes an a possible journey.

The problem is that these two journeys create different pathways for admission, conversion of bonds (RADs - refundable accommodation deposits) or staying paying daily amounts (DAPs- daily accommodation payments).  If you are going to market these successfully then I would like to suggest to you that these are further dependent on Kubler-Ross Stages of Grieving.  But further than this, residents experience, approved providers experience in supporting residents and their families, is more critical to understand their needs from point of contact so that they can adequately and more successfully more the stages of grief and loss. If we don't support them through some of the most terrible and destructive, grief stricken times then we have all experiences the challenge that they get stuck in blaming Approved Providers for their grief as well as it being significantly restrictive on their ability to support their loved one and enable them to settle into a new environment. Approved Providers know that know one ever chooses to move into residential aged care, rather it is a decision that often has to be made and the outcome is often advantageous to the resident and their families if we are honest. 

The following a series of images that overlay Kubler Ross Stages of Grief with:

  • What is happening for the family and resident during admission;
  • What are we doing to the family and resident during admission; then
  • What we should be doing to support family and resident.
There is a summary table at the end if you're interested - but in effect the summary is: we push when when shouldnt be, we leave them in isolation when they need us most, and we force residents to engage in group and normal routines when they are just not ready for it. We should be rethinking the way we support residents and families to better support the 'person centred care' philosophy that we say we do.  Id suggest that we should be more mindful in our awareness of the needs of people and then we would have:
  • Happier and more engaged residents and family;
  • Less conflict and complaints;
  • More mindful and person centred care approaches in our facilities; and
  • More time with residents rather than dealing with issues.
Anyway, its just a few thoughts based on experiences.  Ill add to this blog with some more practical ideas on how to support the admission shortly.



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