on 09-05-2017 10:26 AM
Who out there is watching the horror stories comming out of the aged care sector and thinking, its not long and i'm going to be in one of these places?
Call for more scrutiny in aged care, after maggots found on woman in nursing home north of Newcastle
kinda scary isnt it?
on 10-05-2017 03:31 PM
Personally I think the ideal situation would be if children
could add a granny flat to their home for their elderly
parents - that would be a win win for both - care
and monetary wise. The parent selling their home to
pay for the extension.
on 11-05-2017 08:53 AM
Australia is heading into an ageing population, with the baby boomers reaching their later ages now.
HOWEVER:
The govt has thrown huge amounts of money at RTO's to provide courses in Aged Care, Disibility Care, Home Care, to coincide with this and hopefully, allow the majority of them to be cared for at home through home care packages.
Many folk dont realise that Public hospitals have Social Workers who can *pull strings* to find an elderly client needing aged care placement, a respite bed. Keep that in mind for future reference please.
ALL AGED CARE RESIDENTIAL FACILITIES HAVE RESPITE BEDS. INCLUDES BEDS IN LOW CARE, HIGH CARE AND DEMENTIA CARE. It annoys me when I hear stories about folk not being able to access a bed, they should have been offered a respite bed for the short term (up to 30days) , with turn over being every 1-2 weeks usually. (meaning most folk are in respite for 7-14 days) and emergency care takes precedence over other respite bookings. (if accessed via a social worker or doctor)
On the other side of the fence:
While there are plenty of folk complaining about the standards at Aged Care Residential Facilities, I would like to complain about the families who *DUMP* their parents into aged care facilities, visiting often in the first few weeks, then dwindles down to once a month, then often, not visiting at all.
These facilities are grossly understaffed, under funded, and are expected to perfom bloody miracles!
I've been in this industry for 32yrs now! Worked at the bottom, worked at the top, now I'm a Trainer and Assessor.
Some facilities are trying to house up to 300 clients. 300 CLIENTS!!!!!!! Those huge facilities (mostly found in your major cities) would be funded to cater for approx 120 staff per day shift, and a third of that for evening shift, followed by a skeleton staff for night shift. Usually a cert IV certificate holder, although now, NSW will have a RN on each shift. Out of that 120 staff on day shift, approx 80 of those are care workers/nurses.... the rest are management, admin, kitchen, cleaning, maintenance, laundry staff.
80 care staff to care for 300 clients. Earning $27 per hour, 8 hours a day, cleaning faeces, drool, blood, sputum, wiping bums, showering, feeding, dressing and undressing and redressing, toileting, making beds, medications, COMPLETING DOCUMENTATION (so time consuming), being spat on, wee'd on, hit, punched, bit, yelled at, dealing with all sorts of behaviours.... oh the list goes on. Old folk, fall over, lose balance, injure themselves, all time consuming medical events. Pallitative Care is time consuming. Wound care is time consuming. Feeding is time consuming. We only have 8 hrs to get all this done.
8 hrs on their feet to care for the people whose family could no longer cope with at home, for what ever reason.
While these nurses are at work, their own family is at home. While you are celebrating christmas lunch with your children, Nurses are feeding christmas lunch to your parents, while their own children eat Christmas lunch without us!
While you are enjoying a P/H day off, nurses are working it as just another normal day at work.
Conditions are hard....bloody hard! Yes, the facilities smell like old people, old people have a smell! Get used to it, it will be you one day!
Yes there are folk working in the industry who shouldnt be, but that can be said for ANY industry. I have reported many nurses in my time. I have seen bad nurses, but I have also seen and worked with some excellent and inspiring nurses too. I have seen great improvements in the AGED CARE INDUSTRY over the last 20yrs. You have it so much better now than you did 20yrs ago, trust me!
BUT having said there are bad nurses, there are ALSO some very obnoxious, hateful, ungratful clients too. And their families aren't much better, let me tell you!
There aren't to many careers where you are expected to work on your feet for 8 hrs strainght, heavy heavy work, finish work at 11pm, then be expected back at work by 7am start the next day!! (6am in some facilities)
Ageing in Place means folk can stay at home longer, with a Care Package. Wonderful stuff.
Since these packages have exploded into the community in bulk over the last 10-12 yrs, there has been a huge drop in Facility admissions in folk under 80yrs of age. Clients are entering facilities at ages 80 and above now, and often stay for a very short term. (less than 10 yrs) because they are entering the facility with complex health conditions, or later stages of dementia. This is heavy work for carers and nurses.
You cant do it but you expect someone else to do it.
The standard for any facility being built now, is single ensuite rooms. This has been in place for the past 10yrs, maybe longer.
Its the older facilities (and I do mean OLDER) facilities that still have 2, 3, 4 bed wards with no ensuite.
so with this in mind, by the time *some* of us enter a facility, you will have a single ensuited room.
Anyway, thats my 5 bucks worth!
(Still no excuse for magots in a client's mouth though..... that care was sadly, very lacking. Very lacking in deed)
on 11-05-2017 09:14 AM
I worry about this for my parents. Both in their early to mid eighties my fahter relies on my mother for his daily care. He is pretty much housebound due to failing body but his mind is pretty good, hence "don't put me in a nursing home". Yet my mother is starting to resent being his carer although we all help out with docs appts, shopping etc. My mother wants to be able to go out enjoy her life (every day if she could) yet he can't be left for too long and doesn't want anyone coming to the house for respite. He gets help with showers from carers but other than that its left to my mother. It would kill him to go into a nursing home and if he doesn't Im not sure how long she will last. (mentally & phsically she's drained). Its very difficult at their age, even with children who help as much as they can we also have our own lives with grandchildren, jobs etc. Retirement village not an option as Dad would be passed that stage needing high care I would think.
Im not sure what the answer is but worry about them every day.
on 11-05-2017 11:36 AM
@givemeaspell wrote:I worry about this for my parents. Both in their early to mid eighties my fahter relies on my mother for his daily care. He is pretty much housebound due to failing body but his mind is pretty good, hence "don't put me in a nursing home". Yet my mother is starting to resent being his carer although we all help out with docs appts, shopping etc. My mother wants to be able to go out enjoy her life (every day if she could) yet he can't be left for too long and doesn't want anyone coming to the house for respite. He gets help with showers from carers but other than that its left to my mother. It would kill him to go into a nursing home and if he doesn't Im not sure how long she will last. (mentally & phsically she's drained). Its very difficult at their age, even with children who help as much as they can we also have our own lives with grandchildren, jobs etc. Retirement village not an option as Dad would be passed that stage needing high care I would think.
Im not sure what the answer is but worry about them every day.
What a desperate place for your poor Mum to be in - in a situation such as this you really need
to get their GP on board to talk to your Dad and maybe organise for respite in a Nursing Home to begin
with - sadly at times such as this you need to be a bit sneaky - perhaps using the excuse that your Mum
isn't coping starting out with a couple of weeks care then progressing from there to permanent care. Also
keep in mind most Nursing Homes can accomodate couples.
on 11-05-2017 01:19 PM
janeababe - I can vouch for your comments with respect to
aged folk being dumped in Nursing Homes and the lack of
family visits. I spent 6years visiting with my Mother who was
in low care I could count on 1 hand the residents who had regular
visits from family - such a sad situation and I know
the good staff always spent extra time with those residents. I will
also add I noticed over those 6 years the care given deteriorated
as did the staff numbers and morale among the staff. It's all about
the almighty dollar now because most of these Nursing homes are
run by religious organisations.
on 11-05-2017 01:37 PM
@janeababe wrote:Australia is heading into an ageing population, with the baby boomers reaching their later ages now.
HOWEVER:
The govt has thrown huge amounts of money at RTO's to provide courses in Aged Care, Disibility Care, Home Care, to coincide with this and hopefully, allow the majority of them to be cared for at home through home care packages.
Many folk dont realise that Public hospitals have Social Workers who can *pull strings* to find an elderly client needing aged care placement, a respite bed. Keep that in mind for future reference please.
ALL AGED CARE RESIDENTIAL FACILITIES HAVE RESPITE BEDS. INCLUDES BEDS IN LOW CARE, HIGH CARE AND DEMENTIA CARE. It annoys me when I hear stories about folk not being able to access a bed, they should have been offered a respite bed for the short term (up to 30days) , with turn over being every 1-2 weeks usually. (meaning most folk are in respite for 7-14 days) and emergency care takes precedence over other respite bookings. (if accessed via a social worker or doctor)
On the other side of the fence:
While there are plenty of folk complaining about the standards at Aged Care Residential Facilities, I would like to complain about the families who *DUMP* their parents into aged care facilities, visiting often in the first few weeks, then dwindles down to once a month, then often, not visiting at all.
These facilities are grossly understaffed, under funded, and are expected to perfom bloody miracles!
I've been in this industry for 32yrs now! Worked at the bottom, worked at the top, now I'm a Trainer and Assessor.Some facilities are trying to house up to 300 clients. 300 CLIENTS!!!!!!! Those huge facilities (mostly found in your major cities) would be funded to cater for approx 120 staff per day shift, and a third of that for evening shift, followed by a skeleton staff for night shift. Usually a cert IV certificate holder, although now, NSW will have a RN on each shift. Out of that 120 staff on day shift, approx 80 of those are care workers/nurses.... the rest are management, admin, kitchen, cleaning, maintenance, laundry staff.
80 care staff to care for 300 clients. Earning $27 per hour, 8 hours a day, cleaning faeces, drool, blood, sputum, wiping bums, showering, feeding, dressing and undressing and redressing, toileting, making beds, medications, COMPLETING DOCUMENTATION (so time consuming), being spat on, wee'd on, hit, punched, bit, yelled at, dealing with all sorts of behaviours.... oh the list goes on. Old folk, fall over, lose balance, injure themselves, all time consuming medical events. Pallitative Care is time consuming. Wound care is time consuming. Feeding is time consuming. We only have 8 hrs to get all this done.
8 hrs on their feet to care for the people whose family could no longer cope with at home, for what ever reason.
While these nurses are at work, their own family is at home. While you are celebrating christmas lunch with your children, Nurses are feeding christmas lunch to your parents, while their own children eat Christmas lunch without us!
While you are enjoying a P/H day off, nurses are working it as just another normal day at work.
Conditions are hard....bloody hard! Yes, the facilities smell like old people, old people have a smell! Get used to it, it will be you one day!Yes there are folk working in the industry who shouldnt be, but that can be said for ANY industry. I have reported many nurses in my time. I have seen bad nurses, but I have also seen and worked with some excellent and inspiring nurses too. I have seen great improvements in the AGED CARE INDUSTRY over the last 20yrs. You have it so much better now than you did 20yrs ago, trust me!
BUT having said there are bad nurses, there are ALSO some very obnoxious, hateful, ungratful clients too. And their families aren't much better, let me tell you!
There aren't to many careers where you are expected to work on your feet for 8 hrs strainght, heavy heavy work, finish work at 11pm, then be expected back at work by 7am start the next day!! (6am in some facilities)
Ageing in Place means folk can stay at home longer, with a Care Package. Wonderful stuff.
Since these packages have exploded into the community in bulk over the last 10-12 yrs, there has been a huge drop in Facility admissions in folk under 80yrs of age. Clients are entering facilities at ages 80 and above now, and often stay for a very short term. (less than 10 yrs) because they are entering the facility with complex health conditions, or later stages of dementia. This is heavy work for carers and nurses.You cant do it but you expect someone else to do it.
The standard for any facility being built now, is single ensuite rooms. This has been in place for the past 10yrs, maybe longer.
Its the older facilities (and I do mean OLDER) facilities that still have 2, 3, 4 bed wards with no ensuite.so with this in mind, by the time *some* of us enter a facility, you will have a single ensuited room.
Anyway, thats my 5 bucks worth!
(Still no excuse for magots in a client's mouth though..... that care was sadly, very lacking. Very lacking in deed)
exactly why i started this thread.
this is for most of us our final living space before death. it should be funded to the highest degree. so everyone involved, clients, carers, nursing staff, doctors ect ect have the best enviroment to live in or work in during this time.
like we had a system that made sure when we reached a certain age we got a pension we should have a system that gives us a home for that last part of our lives thats not run underfuded by over worked staff.
its not like any of us can avoid old age and death. some of us will be wealthy enough to pay for first class care at the end of our lives but most of us will depend on age care facilities.
its a job i couldnt do, those who do should be paid very well and not over worked. i just dont get the attitude, or lack of it, by the general population to aged care. ok, its not me today....but it will be one day and i want to not be left in a corner because staff are too busy to notice i've wet myself or worse.
i guess the number crunchers will say, wheres the money going to come from? and as i said earlier, there money for submarines and jet fighters isnt there?
on 11-05-2017 02:18 PM
Givemeaspell-
As concerned children, you may need to sit with Dad and have a bit of a *tough-love* chat with him, for the sake of your mum's health and well being.
I see this all to often, one of the married couple becomes a full time carer in their ageing years, and it drains them both physically and mentally, and often, medically!
Dad needs to make a choice... either to allow carer-respite in his own home a few hours a day/week/fortnight/ or as agreed by the family, or he may be looking at full time placement because of mum's declining health! Its one or the other.
I can almost guarentee you, he will choose respite care in his own home. (especially if he has stated *no nursing homes* )
The current care package he is receiving can be reassessed and respite can be added. Maybe your mum might be eligible for her own care package.... worth a look.
Resentment is a natural response, so please reassure your mum, she is not alone here. The spouse of the frailed, often feel resentment. All of a sudden, their future is not a shared one with their partner, but as a full time carer, and it destroys their own independence and health. Often, its the carer who declines rapidily, leaving the frail partner, left with no option, but full time care.
best of luck
xxj
on 11-05-2017 02:32 PM
Freddy,
Nursing morale is very quickly depleted, I can vouch for that!
You visited your family member often, I put you in with the group I call *the exception to the rule*.
I too, can count the regular visitors on one hand. Sad isnt it....
Did you know that the Philipines doesnt have a word for nursing home because they dont have nursing homes.
China, is just starting to build nursing homes. My Employer are contracted to go to China to teach them in *Aged Care Nursing / Disability Nursing* At one point, it looked as though I might be heading to China, but I made it quiet clear I didnt want to go.
Teaching via translators is not my cup-of-tea, although it would be a oncein a life time experience, thats for sure LOL
Anyway, Im hoping that legal euthenasia will be in place by the time it my time to go to God.
I'm an advocate for *Dying with Dignity* campaigne.
on 11-05-2017 02:36 PM
Another thing that shocked the pants off me when Mum
was in the Nursing Home the hassles I endured getting
her Doctor to visit.
I would often get so frustrated I would actually ring the
Doctor's receptionist myself and request he visit. I was
told by the staff most of the Doctor's hated going to the
Nursing Homes. I could never understand why that would
be - especially if they had a few residents to visit at the same
time.
on 11-05-2017 02:46 PM
I used to do the rounds with the Drs... they would regularily visit on a fortnightly basis, and the doctors here were on a rotating roster. It was part of their contract. I cant say what was the case with your Mum's facility though.
Unfortunately, Doctors are in a world of their own... some are great, others are **bleep**, most are mediocre!
(hence my foot-note))