We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you!
Presentation is loading. Please wait.
Published byYuliana Hoar
Modified about 1 year ago
PAGE 1 | © ARCARE | © Simavita Limited Walking the Tightrope to Ensure Smart Technologies are in Place Today to Deliver Quality Care in the Future
PAGE 2 | © ARCARE | TECHNOLOGY WILL BE KEY TO THE AGED CARE INDUSTRY OF THE FUTURE Productivity Commission’s Caring for Older Australians report highlighted the need "to harness new cost effective assistive and information technologies that offer opportunities for productivity gains and higher quality care“ Due to expected labour shortages in the sector it is expected that productivity gains would need to be in the order of % per annum Key areas identified by the government include tele-health, remote monitoring and sensor networks The inference of the report is clear, government funding will be directly linked to efficiency gains
PAGE 3 | © ARCARE | WHY THE NEED FOR SMART TECHNOLOGIES? In 2010, 13% of the population was over the age of 65 years and by 2050 this is predicted to rise to around 20% Currently 1 to 5 people working will fall to 1 to 2.7 in 2050 Older people with urinary incontinence are more likely to be living in Residential Aged Care than in the community Estimated that $1.54 billion aged care funding could be attributed to bladder and bowel management – this equated to 32% of the total basic subsidy The rising rates of age-related and other chronic illnesses equal more complex care services OLDER AUSTRALIANS WANT TO STAY IN THEIR OWN HOMES
PAGE 4 | © ARCARE | CURRENT CONTINENCE MANAGEMENT PRACTICE? Expected Outcome 2.12 Continence is managed effectively Primary goal is to identify, treat and manage incontinence Establish an individual Care Plan ACCREDITATION STANDARD 2: HEALTH AND PERSONAL CARE Continence Assessment 1-2 hourly checks Visual identification Manual recording Staff motivation effects the outcome of the assessment CONTINENCE D claim in toileting and continence equates to $13,000 / resident / annum which must cover linen, staffing and continence products
PAGE 5 | © ARCARE | WHY THE NEED FOR THIS TYPE OF RESEARCH? Management of incontinence is a challenge for the individual as well as the family Family members are looking towards us for a solution in providing a standard of continence care they can no longer provide at home Continence will be a focus point in Consumer Directive Care and the transition to a consumer empowered environment will be challenging Managing consumers’ expectations on how the aged care industry will deliver continence care services, will further challenge current practice and will require more evidence based practice The residents’ rights to optimum continence FAMILY MEMBERS ARE LOOKING FOR A SOLUTION
PAGE 6 | © ARCARE | UNIVERSITY OF WOLLONGONG RESEARCH STUDY Research Study: An exploration of the effects of introducing a telemonitoring system for continence assessment in a nursing home (Yu et al., 2014) Published in the Journal of Clinical Care Nursing
PAGE 7 | © ARCARE | RESEARCH TEAM Assoc. Prof. Ping Yu Director Health Information Technology Research Centre School of Information Systems and Technology Faculty of Engineering and Information Sciences Dr David Hailey, School of Informatics Associate Professor Victoria Traynor, School of Nursing, Midwifery and Indigenous Health Professor Richard Fleming, Faculty of Science; NSW/ACT Dementia Training Study Centre
PAGE 8 | © ARCARE | WHY THE NEED FOR THIS TYPE OF RESEARCH? A review of client records from aged care assessment teams found that 87% of registered nurses recorded urinary incontinence as a ‘very significant’ or ‘significant’ reason for relocating into residential aged care Incontinence has both physical and psychological consequences, including damage to skin, urinary tract infections, depression, anxiety, increased risk of falls, dehydration, and adverse or aggressive behaviours The quality of life of older people living in residential aged care deteriorated when incontinence was experienced 71% of residents are incontinent which is set to climb with an accelerating ageing population 25% of care staff time is managing incontinence
PAGE 9 | © ARCARE | CURRENT PRACTICE NOTED Lack of person centred approach Poor compliance with care plans among staff – only 43.9% of continence care plans were implemented Staff feel powerless as they believe that they have no more to offer than routine toileting and incontinence pads Current manual continence assessments are intrusive, unreliable, labour intensive and generally unpleasant for the person and care staff Shortages of staff and high turnover also impact practice BASELINE PRACTICE NOTED DURING THE STUDY
PAGE 10 | © ARCARE | MEASURING OUTCOMES OF TELEMONITORING SYSTEM? Melbourne aged care residence 120 x high care places, 78% women, 22% men Older people (n = 31*) years (mean 81 years) & kg (mean 65 kg) All participants were living with dementia Method Assessment using a telemonitoring system (72 hours), followed by implementing recommendations (new continence care plan) Two weeks later a second SIM® assessment completed
PAGE 11 | © ARCARE | SIM® A 21 ST CENTURY TOOL CONNECTING RESIDENTS TO QUALITY CARE SIM® 72 HOUR ASSESSMENT
PAGE 12 | © ARCARE | QUANTITATIVE DATA - URINARY INCONTINENCE (1) Weight of urine voided into the continence pad (2) Number of prescribed toileting events in the care plans (3) Number of actual toileting events (4) Number of successful toileting events, that is the number of voiding events into the toilet (5) % of successful toilet visits (6) Adherence to care plans by staff MEASUREMENT INDICATORS:
PAGE 13 | © ARCARE | QUANTITATIVE DATA - INCONTINENCE PATTERNS SIM® ASSESSMENT (T1) SIM® ASSESSMENT (T2)
PAGE 14 | © ARCARE | SIGNIFICANT FINDINGS PUBLISHED IN THE JOURNAL OF CLINICAL NURSING Positive continence management leads to individuals regaining independence, improving socialisation and overcoming depression associated with incontinence. Effective continence assessment becomes a detective for other clinical problems Using SIM® during this research, caregivers were able to greatly improve continence management within 2 weeks: reduced volume of urine voided into continence pads reduced number of prescribed toileting visits increased number of actual toilet visits increased number of successful toileting events increased adherence to urinary continence care plans by staff
PAGE 15 | © ARCARE | WHAT WERE THE STAFF VIEWS? Before the intervention, staff tended to treat a request by an older person for toileting assistance as merely an attempt to seek social interaction The telemonitoring system raised awareness about the urinary care needs of older people Care staff became more relationship centred and responsive to toileting requests
PAGE 16 | © ARCARE | WHAT WERE THE VIEWS OF THE RESIDENTS AND THEIR FAMILIES? Naomi said: “Jeremy and Isaac did not have one episode of incontinence for a whole 8 hour period. That’s never happened before.” Douglas family stated: “We’re happier because Dad doesn’t feel like he needs to come so early each morning to make sure Mum is helped to go to the toilet. He trusts the electronic system and knows Mum doesn’t need help to go to the toilet so many times in the day.”
PAGE 17 | © ARCARE | CONCLUSION New evidence suggests SIM® could provide more effective urinary continence care Residents experienced fewer episodes of incontinence and associated health problems Family members less distressed and more confident in the care provided Staff motivated about improving continence care through the excitement generated by using a telemonitoring system Shift in focus towards Consumer Directive Care Family members are wanting us to provide a higher standard of continence care CURRENT ASSESSMENT AND MANAGEMENT PRACTICES NEED TO BE IMPROVED
PAGE 18 | © ARCARE | ARCARE’S COMMITMENT TO HIGH QUALITY CONTINENCE CARE One of the biggest providers in Australia of residential care Our brand dictates that we provide high quality services with the relationship in mind We pride ourselves on innovation and promoting positive resident lifestyles Products selected must be financially Rolling out to all Arcare sites Reviewing in light of community care opportunities Integrating the technology with our care planning system Considering other technology to assist in care delivery
PAGE 19 | © ARCARE | REFERENCES Ostaszkiewicz J, Chestney T, Roe B (2010) Habit retraining for the management of urinary incontinence in adults (Review) Oxford: Cochrane Collaboration O'Connell, B.; Ostaszkiewicz, J. & Hawkins, M. (2011) A suite of evidence-based continence assessment tools for residential aged care Australasian Journal on Ageing 30(1); 27–32 Yu, P; Zhang, Z; Hailey, D.; Fleming, R. & Traynor, V. (2011) Urinary continence (UC) assessment and management practices: Mapping improvements for older people living Residential Aged Care Services in Australia Unpublished report; Wollongong: University of Wollongong and Under review for the Journal of Clinical Nursing Yu, P; Zhang, Z; Hailey, D.; Fleming, R. & Traynor, V. (2012) Comparison of continence (UC) assessment and management practices for older people living Residential Aged Care Facilities in Australia : A new telemonitoring system and standard manual techniques Unpublished report; Wollongong: University of Wollongong Pearson et al 2003, Coll-Planas et al. 2008, Dubeau, et al, Australian Institute of Health and Welfare, 2006
The Impact of an Ageing Population on Aged Care Services in Tasmania Presented by - Lee Veitch July 2014.
Norfolks Working Well Justine Hottinger Health Improvement Specialist – Workplace May 2010.
FACTORING Think unfoil Work down, Show all steps ax 2 + bx + c.
Opportunities for Prevention & Intervention in Child Maltreatment Investigations Involving Infants in Ontario Barbara Fallon, PhD Assistant Professor Jennifer.
Coordinated Veterans Care (CVC) Program Social Assistance and its delivery through the Veterans Home Care Program 1.
WORKFORCE PLANNING June 2011 Amr Fouad Training & Research Sector Ministry of Health & Population.
2008 Johns Hopkins Bloomberg School of Public Health Setting Up a Smoking Cessation Clinic Sophia Chan PhD, MPH, RN, RSCN Department of Nursing Studies.
Unpaid care activities among the Indigenous population: Analysis of the 2011 Census Mandy Yap and Dr. Nicholas Biddle This work is funded by the Commonwealth.
1 21 st century work & workplace health Neil Quarmby General Manager Work Health and Safety Group, Comcare.
Management of Behavioral and Psychological Symptoms in People with Dementia Living in Care Homes: A UK Perspective Clive Ballard Professor of Age Related.
Policy modelling for small areas Presentation to Department of Planning and Community Development, Victoria Presenter: Robert Tanton Position: Research.
Greenspace and Wellbeing event 13 February 2008 Dr William Bird Strategic Health Advisor Natural England.
An integrated approach to injury prevention in Hertfordshire Raymond Jankowski Deputy Director of Public Health Hertfordshire County Council.
Transforming Community Services Commissioning Information for Community Services Stakeholder Workshop 14 October 2009 Coleen Milligan – Project Manager.
Customer Service. Customer Service-Module Learning Objectives At the end of this module, participants will be able to: Recognize the variety of.
Promoting Regulatory Excellence Self Assessment & Physiotherapy: the Ontario Model Jan Robinson, Registrar & CEO, College of Physiotherapists of Ontario.
DOC on Campus: A General Practice Initiative for Early Detection and Intervention of Mental Health Problems in a Rural Australian Secondary School Presented.
2 Urinary Incontinence in Community- Dwelling Populations: Issues & Challenges for Continence Care Assoc Prof Winsome St John RN, PhD School of Nursing.
WEEK 1 You have 10 seconds to name…
© VLGA GamblinginVictoria. 2 Gambling in Australia $19 billion lost on gambling in 2008/2009 $12 billion on the pokies.
1 Vision for better co-ordinated care: how could mental health payment systems serve as a key enabler for integration and personalised care? Mental Health.
Copyright © 2008 Pearson Addison-Wesley. All rights reserved. Chapter 16 Unemployment: Search and Efficiency Wages.
Copyright © 2002 by The McGraw-Hill Companies, Inc. All rights reserved Chapter The Future of Training and Development.
Neami Limited The Role of NGOs in the Provision of Community Mental Health Services.
Partnership for Quality Education (PQE) Partnership for Quality Education (PQE) Collaborative Interprofessional Team Education Initiative (CITE) Carol.
Lean Kaizen Empowering the Team in Interesting Times 14 September 2010 Robin Armstrong Viner Cataloguing Manager Library & Historic.
Aged Care GP Panels Initiative Nutrition Quality Assurance Project 25 RACFs offered project Take-up to date is 9 facilities, 3 of which have more than.
1 Everybodys Business Integrated mental health services for older adults A service development guide.
Faculty of Health & Social Care Improving Safeguarding Practice: Study of Serious Case Reviews Wendy Rose and Julie Barnes.
© 2012 National Heart Foundation of Australia. Slide 2.
Ten years of the CHD NSF Professor Roger Boyle CBE National Director for Heart Disease and Stroke Department of Health.
Barry Sandison Deputy Secretary, Health and Information Department of Human Services Data: creating value for service delivery.
A New Approach To Nursing Home Liaison: Lochaber Telemedicine Clinic NHS Highland Dr Fiona McGibbon Consultant Old Age Psychiatry.
1 I am a Community Health Nurse A package for Community Health Nurse practitioners in Western Australia The Community Health Nurse Western Australia Inc.
The Enhanced Continence Project – In Practice Tina Bryant – Operations Manager Sarah Thompson – Community Nurse Specialist.
Sustainable Solutions in Water and Sanitation. WORLD CRISIS 2 At any given moment half of the developing world’s poor are sick from the same cause – WATER.
1 MEASURING LABOUR FORCE PARTICIPATION OF WOMEN (UGANDAS EXPERIENCE) BEN PAUL MUNGYEREZA (NSO) AND RICHARD NDIKURYAYO (GENDER MINISTRY) Global Forum On.
PRACTICAL ADVICE FOR IMPROVING RESIDENT OUTCOMES Tristan White Aged Care Physiotherapist APA National Gerontology Group PHYSIOTHERAPY IN AGED CARE.
Employment Ontario Program Updates EO Leadership Summit – May 13, 2013 Barb Simmons, MTCU.
©Ian Sommerville 2000Software Engineering, 6th edition. Chapter 4 Slide 1 Chapter 4 Project Management.
Paying for Prevention – Why, How, and When The Case of Preventing Diabetes Ronald T. Ackermann, MD, MPH Indiana University School of Medicine Regenstrief.
THE COMMONWEALTH FUND Figure 1. Nine of 10 Health Care Opinion Leaders Think Fundamental Change Is Required to Achieve Gains in Quality and Efficiency.
Change management. Housekeeping › mobile phones › break times › toilets › emergencies © smallprint 2.
25 seconds left….. 24 seconds left….. 23 seconds left…..
©Ian Sommerville 2000Software Engineering, 6th edition. Chapter 4 Slide 1 Objectives l To introduce software project management and to describe its distinctive.
THE ROLE OF INTERMEDIATE CARE IN DELIVERING IMPROVED OUTCOMES FOR OLDER PEOPLE Seminar Presentation November 2015 By Professor John Bolton (Institute of.
2011 FRANKLIN COMMUNITY SURVEY YOUTH RISK BEHAVIOR GRADES 9-12 STUDENTS=332.
1 Highlights of a Systematic Review of Research on Peer-Delivered Services Boston University Center for Psychiatric Rehabilitation March 2010.
New Patterns of Youth Transition in Education Johanna Wyn Australian Youth Research Centre The University of Melbourne International Youth Researcher meeting.
Dorset Healthcare Continence Advisory Service Stephen Miles Clinical Nurse Specialist / Team lead.
© 2017 SlidePlayer.com Inc. All rights reserved.