Making Healthy Normal

Transcription

1 Making Healthy Normal

2 Learning from Australia s Aged Care system Still gaps in embedded - focus and access to health promoting activities - early intervention programs - critical thinking/case management - focus on health literacy / intrinsic values to assist with recovery Setting may unintentionally create ill-being instead of wellbeing

3 Australia s Aged Care System has made decline. normal Our elderly remain at risk of: not moving much poor or inadequate nutrition / weight loss increased social isolation receiving traditional comfort care services may not be offered opportunity for improved health outcomes regardless of age/conditions

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6 Global move towards (WHO, 2015) better understanding of the implications of an ageing population and meeting older peoples needs focus on healthy ageing across the life course empowering all people in the improvement of their healthrelated physical, mental, social well-being focus on developing intrinsic capabilities embracing health education, disease prevention and rehabilitation services

7 Moving from old mindset..to new mindset Customers are passive Customers are active Inactivity reduces risk Inactivity increases risk Here to help Here to enable Making Healthy Normal Decline is inevitable Weakness is the focus Care promoting Medical model Decline is preventable Maintaining strength is the focus Health promoting Quality of life model Dependency model Aspirational model Managing ill being Promoting well being

8 Making healthy normal in aged care A comprehensive, theoretical, health promoting approach to help make healthy normal for our customers. Our services are being designed to create every day opportunities for Activity / exercise Healthy eating Positive thinking Social connections

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11 Quality of Life domains (WHOQoL BREF)

12 WHO definitions underpin our vision: Health Is a state of complete physical, mental and social well-being and not merely the absence of health Active Ageing Is the process of optimizing opportunities for health, participation and security in order to enhance quality of life as people age WHO 2002 Healthy Ageing Healthy Ageing as the process of developing and maintaining the functional ability that enables well-being in older age WHO 2015

13 1. Reduce the fitness gap, 2. Help individuals reach potential 3. Prevent disability The recent World Report on Ageing and Health is asking health care providers to adopt 3 key strategies for creating Healthy Ageing (WHO 2015, p28)

14 Steep decline in health, due to factors such as inactivity, can be reversed at any age. Our aim is to address the fitness gap of older people (see below) by encouraging and supporting them to participate in exercise based activity. Plus focus on supplements + good nutrition Treat frailty exercise Healthy ageing an easy 14 Exercise based activity can assist older people to remain above the disability threshold (see ).

15 Fries. J. theory on how we function and die 7% 47% Compress morbidity

16 Often frailty will service need this is where we can make a difference treat & reverse symptoms 2 symptoms pre frail 3 symptoms frail 4 5 symptoms advanced frailty Treatment.Fried. L Improve physical function Improve nutrition

17 Recovery Pathways are put in place for any customers that are identified as being at risk of decline either physically, emotionally, psychologically or socially. Multidisciplinary, EIP meetings are held fortnightly, to identify enablers and barriers to individuals recovery.

18 CREATING THE NEW NORMAL New mindset = New results

19 Access to fitness - gyms, exercise classes, walking trails Health literacy Recovery pathways Meaningful goal setting Customer directed approach Progress of our work Customer Workforce & systems Education & Training for Healthy ageing / case management Early Intervention program Appreciative Inquiry Techniques Environment

20 Healthy ageing into practice at Southern Cross Care Our plan is to build the structures and workforce skills & knowledge to embed every day opportunities for Activity / exercise Healthy eating Positive thinking Social connections Recovery as needed

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22 Retirement Living survey (2015) n=431 What worries you the most about your senior years? Not being able to take care of myself Losing my memory Being a burden Losing the people I care most about Suffering with serious illness Not having Losing enough contact money to with my meet my friends and needs family Moving into a nursing home Not having Not having the the support I support I need to need to stay get around healthy Feeling lonely Other None of the above

23 % Retirement Living survey (2015) n= How confident are you that you are prepared for changes in your health as you age Very confident Somewhat confident Not very confident Not at all confident

24 Health Literacy High health literacy The key to wellbeing; Being informed helps prevent future health conditions Health literacy empowers consumers - capacity to process & understand information to make decisions and take action to manage their health and health care

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26 Appreciative Inquiry David Cooperrider A positive revolution in change

27 What s important to you

28 Helen Sanderson UK What s important for you

29 Southern Cross Care story. Now 11 Health and Wellness Centres commenced

30 Summary of falls resulting in fractures Southern Cross Care (1280 residents) Comparison Variance % Number of elderly person who had fallen resulting in a # % reduction Number of elderly person who suffered Fractured Hip % reduction Number elderly person who died post fall Number of elderly person successfully rehabilitated 11 (27%) 12 (36%) 2 died in surgery 9% increase 11 (37%) 15 (71%) 34% Improvement in success rate Number of elderly person who were not successfully rehabilitated 19 (63%) 6 (28%) 35% reduction in failure to rehabilitate.

31 Case Study first home..now running for 1 year A satisfaction survey was conducted with residents in January 2016 about the Health and Wellness service. 44/147 residents responded and results included: 63% feel more energetic and fitter 82% of residents feel stronger 93% of residents believe their quality of life has improved

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33 Residents want and can participate in exercise 90 residents access the Health and Wellness service, over 60% of residents. 120 exercise sessions a week are provided for 66 individuals.

34 Number..Some further impact Number of residents at risk of social isolation Oct Feb Behaviour incidents since opening of the Wellness Centre Jul-15 Oct-15 Jan-16 Apr-16

35 ..Some further impact Falls incidents since opening of the Wellness Centre 25,000 In June 15-April Decrease in all call bells since introduction of Health and Wellness service 35 20, , , , Jun-15 Sep-15 Dec-15 Mar-16 0 June April

36 Take home messages Making healthy normal in aged care is now a priority for our nation. Your positive action will prevent or delay avoidable decline, regardless of age or illness give access to interventions that promote health and wellbeing, with every interaction identify frailty early and reverse it through a dedicated recovery plan support people to walk until they die enable people to do the things they love most A healthy life brings with it opportunities, not only for older people and their families, but also for society as a whole (World Health Organisation, 2015)