| Traversing the residential aged care path |
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| Friday, 01 September 2006 11:08 | |||
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The last thing many working carers want to do is to have to arrange residential aged care for their frail aged parent, relative or friend. However, for a lot of elderly people, there will come a time when they may no longer be able to live at home. This could be for various reasons including illness, disability, bereavement or an emergency. It could also be because, as a working carer, you are unable to continue providing care and the care receiver can no longer manage on their own even if some respite is available.
Residential aged care is available for frail older people who cannot live at home. If they are resident in an Australian Government funded aged care home, the Government assists with the cost of care and accommodation services. This is provided as either low-level care in hostels or high-level care in nursing homes. Low-level care generally provides accommodation and personal care such as help with dressing and showering together with occasional nursing care whereas high-level care homes look after people with a greater degree of frailty and who often need constant nursing. Some aged care facilities also provide hostel services which provide significantly higher standards of accommodation and services but which will cost more. Before applying for residency in a home, the care receiver will need to be assessed and approved for care by an Aged Care Assessment Team (ACAT). These teams are usually staffed by local doctors, nurses and social workers. You should be aware that, even though you think your care receiver should go into a hostel or nursing home, it could be that ACAT will not agree and will recommend that they receive a Community Aged Care Package which is individually planned and co-ordinated to help older people remain living in their own homes. For more details of this Package, see www.health.gov.au/internet/wcms/Publishing.nsf/Content/ageing-publicat-qcoa-03info.htm . For more information about ACAT and contact details, see www.health.gov.au/internet/wcms/publishing.nsf/Content/Aged+Care+Assessment+Teams-1 All aged care homes must provide a range of services to residents which vary according to the person’s needs. However, for all residents, services should include staff to provide help at all times, assistance with daily living activities and medications, meals and refreshments, basic furnishings including bed linen, towels, soap and toilet paper, a laundry service, and social activities. If people have high level care needs, services will also include continence aids, medical and pharmaceutical supplies, nursing and therapy services. If the person requires specialised care for dementia or has specific language, cultural or religious needs, you would need to enquire about this when visiting prospective homes. Depending on the hostel or nursing home and your care receiver’s personal and financial circumstances, they may be asked to pay a basic daily fee, an additional daily fee, an accommodation bond and an extra service fee. If an accommodation bond is required, you should seek independent legal advice prior to completing the resident’s agreement. For an excellent overview of payments and charges, see the “It’s your Life” website at www.seniorscare.com.au/aged_care.htm . If your care receiver is a member of the veteran community, particular payments and conditions apply. For example, if the person is an ex prisoner of war, the Government will pay their daily care fee. Veterans also have access to the Veterans’ Assistance Network which can provide many kinds of help – telephone toll free 1800 555 254 for more information. For detailed information covering aged care for veterans, war widows and widowers, see the Department of Veterans’ Affairs fact sheet at www.dva.gov.au/factsheets/documents/HSV05%20Care%20in%20Nursing%20Homes%20&%20Hostels%20-%20An%20Overview.pdf?ID=1154931971091 Working Carers Support Gateway: online news, information and support for working carers www.workingcarers.org.au
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