Week 2: Community Aged Care Flashcards
Eligibility for Commonwealth Home Support Programme
CHSP is for frail older Australians who need support to live independently at home and are either;
- aged 65+ (50+ for ASTI) and have functional limitations and need assistance
- prematurely aged 50+, 45+ ATSI AND are on low income homeless or at risk of becoming homeless as result of housing stress or insecure accomodation.
Eligibility for Home Care Packages
Be registered with My Aged Care and complete an assessment to find out eligibility.
Commonwealth Home Support Programme
The CSHP is an entry level home support program that helps older people to live independently in their homes. It also provides respite services to give carers a break. Aims for highest independence possible, working with rather than doing for and gives small amount of help to large amount of people. Is person-centred. Regional assessment services (RAS) work out what support each person needs.
Home Care Packages Programme
Helps individuals with more complex care needs to live independently. In between CHSP and RAC. Subsidise in-home aged-care services. Assigned a level of package 1-4. Priority based system.
CSHP Services
Help around the house, transport, meals personal care, home mods, social supports, allied health and planning respite care.
HCPP Services
Services include; help with household tasks, equipment (walking frame), minor home mods, personal care, clinical care such as nursing and allied health. Four levels from 1 (basic needs) - 4 (high care needs)
More assistive technology than CSHP. Care coordination.
Aged care home cost assessment, what assets are included?
- income support payments from the Australian Government such as the age pension, a service pension, or an income support supplement
- deemed (not actual) income from financial investments
- net income from rental property
- war widow or widower pensions and some disability pensions
- net income from businesses, including farms
- superannuation and overseas pensions, and income from income stream products such as annuities and allocated pensions
- family trust distributions or dividends from private company shares
- deemed income from excess gifting.
Policy to practice
United nations: Universal declaration of human rights, UN Convention on the rights of persons with disabilities
Government responsibilities: Aged care (living longer living better) act. age discrimination act
Funding schemes: Commonwealth home support programme, home care packages
Service context: Department of Health, RAC services
Organisational context: Blue care, Ozcare
Service delivery: Occupational therapy, allied health ACAT
Aged Care Assessment Team (ACAT) Assessment
The assessor will ask you to complete an Application for Care Form. The assessor will have a copy of the information you gave to the My Aged Care contact centre. They’ll also ask about: what support you already have, how you’re going with completing daily tasks and activities around the home, any issues relating to home and personal safety, speaking to your GP or other health professionals. Your assessor may give you information about service providers. They may also talk to you about the possible costs of your services and where you can find more information. The support plan records what you discussed and agreed during your assessment such as: your strengths your difficulties your goals what you would like to achieve what preferences you have for your services Your support plan sets out the care and services that will best help you.
Dementia Behaviour Management Advisory Services
The role of the DBMAS program is to improve the quality of life of people with dementia, their carers and families. This is achieved through the provision of education, assessment and short-term case management, clinical supervision and monitoring, and modelling of behavioural management techniques. The DBMAS provides: assessment of the person with dementia clinical support, information and advice (either face to face, telephone/tele-health or email) care planning, case conferences and short term case management mentoring for care providers and clinical supervision education and training for care providers.
Enduring power attorney Queensland
Allows you (the principal) to appoint someone you trust (i.e. an attorney or attorneys) to make decisions for you during your lifetime. A person can make decisions about health matters and financial matters. When a person is no longer about to (lost capacity) make decisions for you until the point that you can again (if it is regained).
Power of Attorney
Can make decision about financial and legal matters only when you have mental capacity to make own decisions. Can be revoked at any point.
When is a guardian or administrator assigned to someone?
If an adult has impaired capacity for making a particular decision, then someone else might be needed to make the decision for them. Under Queensland’s guardianship system someone else can be given the legal authority to make decisions for an adult who doesn’t have the capacity to make such decisions.
Consumer directed care
It means that an individual holds more power in the design and delivery of their services, and allows them to exercise a greater degree of choice in what services are delivered, when and where.
Aged Care Reformation: why?
To ensure
It is sustainable and affordable
Offers choice and flexibility for consumers
Provides economic opportunities
Helps people remain at home safely for longer
Aged care reformation: how?
New home care packages My aged care Aged care pricing commission Quality indicators for aged care National fee framework for CHSP Reviews
Residential Aged Care
24/7 accommodation and personal care to maintain the health and well-being of people who can no longer live in their home. ACAT approval. Means dependent cost as well as government subsidies.
Transition Care
For recovery after a hospital stay. Short-term and specialised. Up to 12 weeks can can be extended and can be re-admitted. Assessor determines eligibility. Care can be provided: at home, in community or short stay in aged care. May be eligible if you are older and admitted to hospital, ready to leave but would benefit from services for a short period of time. Can receive if you are apart of other aged care services.
Short-term restorative care
To slow or reverse difficulties you are having with day-to-day tasks. Get back to expected functional levels and meant to delay the need for long-term care options. Only up to 8 weeks twice in 12 months. Doctors assessment determines services. Provided at home or at an aged care facility. Who: older people who want to stay independent and out of long-term care. Cannot receive if you are already receiving aged-care services.
