Week 1 Flashcards
?/ 17 were aged over 65 in 2017
1
stay active, healthy diet, build relationships.
WHO, Dr John Beard
Create an environment that supports older people
WHO, Dr John Beard
social - very important in many ways. channel to turn to someone. direct support. more relationships better for health.
WHO, Dr John Beard
Report on healthy ageing. not absence of disease but functioning.
WHO, Dr John Beard
initiatives - age friendly cities. committed to make those places a better place for people to grow old in
WHO, Dr John Beard
old age is linked to
retirement systems which were intorduced in first half of twentieth century
lemmone et al.
young-old equals
65 - 74
lemmone et al.
middle-old equals
75- 84
lemmone et al.
old-old equals
85 and older
Aging is a what experience
indivdual
changing characteristics of the aging process
important for nursing
physical changes attributed to aging now more likely to be due to
lifestyle variables
aches and pains = sedentary lifestyle or disuse of abilities
Factors can be modifed by lifestyle choices
smking, nutrition, alcohol, physical activity, stress mangement
aging process depends on
lifestyle therefore can increase probability of healthy, positive aging
older indigenous australians age =
50
2017 how many people aged over 65 years
3.8 million
Growth in australia’s older population is partially attributed to
increasing life expenctancy
What percentage of australias population is indigenous or TSI
3% (650,000)
Indigenous australians over 50 years
17%
Indigenous australians over 65 years
5%
Indigenous australians over 85 years
1%
What is the life expectancy gap between indigenous and non indigenous Australians?
What are the main contributors to the mortality gap between Indigenous and non-Indigenous Australians?
What are some of the clinical practices that need to exist for older people in residential aged care and in acute care, for them to feel culturally safe?
Review questions
in 2016 what percentage of people aged over 65 years were born over seas
37% (20% from non-english speaking country)
How many people reported speaking a language as good as english
12%
Aged used to discribe olderr homeless people
55
Reflection
Considering the following information reflect on some of the barriers diverse groups of older Australians may face when trying to access healthcare and what can we do as health professionals to improve access.
?
Reflection questions
How do you feel personally feel about aging?
What do you look forward to the most?
What concerns you the most?
To be recognised as ABSTI
- ABSTI decent
- Identifies as ABSTI
- Is accepted as an ABSTI person by the community in which they live or have lived
(Australian Human Right Commission)
Concept of ethinicity is
based on shared social and cultural practises
Year gao between non-indigeous and indigeous peoples life expectancy
8 to 10 years
Indigenous men are often not living past
70 years
Top 5 causes of death for ABSTI people
78.7% were accounted for by the following 5 causes
diseases of the circulatory system (25%), neoplasms (21.2%), external causes (15.4%), endocrine, nutritional and metabolic (9.1%) and respiratory (7.9%)
Austrlian bureau of Statistics 2014
WHO says the causes of death for non-indigenous people are
IHD, stroke, lower resp infections and COPD (2014_
AIHW reported in 2012 that what percentage of ABSTI people experienced high or very high levels of psycological stress
30%
2012-2013
Causes of distress for ABSTI people
- death of family member or close friends
- serious illness
- inability to get a job
- mental illnedd
- alcohol or drug relation problems
AIHW 2015
How many more times likely is a ABSTI person likely to experience high or very high levels of psychological stress than non-ABSTI
2..7x more likely
What comes before physical health for a ABSTI person
- connection to land, spirituality, culture and ancestry
- kinship
- self determination, leasing and guiding community and the preservation of their culture.
Kinship is realted to
connectedness with other members of the community.
Older indigenous people play a significant role within community they are
elders, tellers of stories, keepers of tradition and history and advocates of their community.
(Warburton and Chambers, 2007)
ABSTI dont feel like they own the country they feel like they
belong to it
What is highly linked to wllbeing for ABSTI people
connection to Land
The Australian Government Dep of Healthy realsed what in relation to ABSTI healthy
National ABSTI Health Plan (2013 - 2023) which highlighted the centrality of culture which is underpinned by connection to culture through country.
The Australian Government Dep of Healthy realsed what in relation to ABSTI healthy
National ABSTI Health Plan (2013 - 2023) which highlighted the centrality of culture which is underpinned by connection to culture through country.
Cultural safety requires
- shared meaning
- shared respect
- shared knowledge
- the experience of learning together with dignit
- authentic listening
williams 1999
The key point to facilitating engagement with older, indigenous people is to
listen with respect
Tool for successful diagnosis of dementis for ABSTI people
Kimberley Indigenous Cognitive Assessment Tool
Active aging is
process of optimizing opportunities for health, participation and security in order to enhance quality of life as people age
Brasilia Declaration on Aging
- aging is a developmental issue
- aging is a universal affecting every individual, family, community and society
- aging is a normal dynamic process, not a disease.
Healthy aging
The ability to continue to function mentally, physically, socially and economically as the body slows down its processes( Hansen-Kyle 2005 p 46)
Productive aging
Any activity by an older individual that produces goods or services, or develops the capacity to produce them, whether they are to be paid for or not (Bass, caro and chen 1993 pg 6
Successful aging
Low probility of disease and disease-related disabiluty: high cognitive and physical functioning and active engagement with life (Minkler & Fadem, 2002, p 229)
Three pillars for WHO’s vision of Active Aging
Participation, health and security
Different ways older people can actively engage in physical activity
incidental activity, leisure pursuits, structured activities, supervised physical activity
ACAT is
Aged Care Assessment Team. funds residential care services and a range of support packages to assist older residents in their own home
Services availble from ACAT include
personal care, support services (home modifications, transport, social activities) and clinical care.
ACAT Level 1
Supports basic needs.
Personal care, household or domestic assistance, social support, meals, shopping and rehabilitation
ACAT Level 2
Supports people with low-leve; care needs.
In addition to level 1. These people may also recieve equipment to loan.
Eligible to enter a hostel.
ACAT Level 3
Supports people with intermediate care needs.
Personal, household, meals, medications, nursing or allied input, support memory or behavioural changes, aids, appliances.
Eligible to enter a nursing home or dementia care unit but the person prefers to stay home.
ACAT Level 4
Supports people with high-level care needs.
Equivalent to high-level residential care to support people with complex healthh care needs and nursing care.
Eligible to enter a nursing home but the person prefers to remain at home.
Transitional care
Help older people at the conclusion of a hospital stay. Aim is to help older people return to home after leaving hospital. Independence and confidence. 7 - 12 weeks (can be extended by a further 6 weeks).
Centre-based support
Develops and maintains the capacity for people to live independently. Includes group activities, social interaction and respite for carers.
