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WELLNESS, REABLEMENT AND PURPOSEFUL AGEING
WHAT DOES THIS REALLY MEAN FOR AGED CARE?PURPOSEFUL AGEING APPROACHES THAT FACILITATE WELLBEING
Lidia Conci
Managing Director
8th March 2018
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WHAT IS WELLNESS?
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7 DIMENSIONS OF WELLNESS
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WHAT IS REABLEMENT
?
Services that support individuals to help them accommodate their illness by learning or re-learning the skills necessary for daily living
Commonly referred to RESTORATIVE CARE
Focus on restoring independent functioning rather than resolving health care issues
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WELLNESS AND
REABLEMENT IN AGED CARE
National review of wellness and reablement approaches within the aged home care sector.
A focus on wellness and reablement approaches has been shown to improve function, independence and quality of life for older people.
Embedding wellness and reablement within this sector remains a key goal
Numerous providers in residential and community have already implemented Wellness and Reablement approaches
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WELLNESS AND REABLEMENT APPROACHES
• Exercise programs
• Exercise Physiologists
• Onsite gymnasiums
• Music & Art Therapies
• Gardening and cooking programs
• Pet therapies
Residential
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WELLNESS AND REABLEMENT APPROACHES
• working together to design recreational goals
• Assessments focus on function. Not illness/dysfunction
• Person-centred, client –driven goals
Community
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AVANTICARE COMMUNITY HUB MODEL
Core Residential
Services
Community Clinics
Home care
Gym
Training
Wellbeing
Services
Transitional
Rehabilitation
Unit
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BENEFITS
Facilitate integration between RACF and the local community
Provide services that are accessible for residents, their families, staff , local independent living units and the greater community as a whole
Creation of business and marketing opportunities for RACF to define point difference and develop additional revenue streams
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ADDED BONUS
Benefits not only for Clients, community & collaborative organisations
Recruit & retaining quality AH staff with an ability to work across a variety of settings
Embraces a positive enriching professional environment for Allied Health Workers who previously have had very little autonomy in the aged care sector.
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PURPOSEFUL AGEINGHAVING A REASON TO GET UP IN
THE MORNING
Purpose
• engagement and working toward
goals as we age
• important for longevity, vitality and
productivity
• shown to lower rates of cognitive
decline, stroke, and heart attack
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PURPOSEFUL AGEING
The Milken Institute Center for the Future
of Ageing
Physical and cognitive benefits
from providing service to others
broad social and economic
opportunities
Flourish psychologically,
physically, spiritually, and intellectually.
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PURPOSEFUL AGEING
“An important key to ageing successfully is
feeling that our lives are meaningful, that we
have created something that will endure
beyond us. At every age we need some
structure in our lives and a reason to get up
in the morning. Without it, sickness and
earlier death are more likely.”
Linda Fried, dean and DeLamar professor of public health at the Mailman
School of Public Health at Columbia University
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VOLUNTEERING
Studies have found volunteering activities can
have significant positive effects on ageing
• Including improved physical, mental, and
emotional well-being
• reduced risk of hypertension
• increased strength and energy
• delayed physical disability
• enhanced cognition
• lower mortality
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PURPOSE AND ALZHEIMER’S
delay the onset of Alzheimer’s and buffer its effects on the brain.
reduced harmful cognitive effects
slowed the rate of decline by about 30
percent
even when the brain already exhibited the disease’s damaging plaques and tangles
Longitudinal study
2.4 times more likely to remain free of
Alzheimer’s when people had greater
purpose
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PURPOSEFUL ACTIVITY
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PURPOSEFUL AGEING
APPROACHES
Back to basicsASK – client-
centred approaches
Daily meaningful activities
MontessoriIntergenerational
ModelsPets / animal care
Music & Art activities
Cooking Gardening
Innovation and technology – can
facilitate
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MONTESSORI
• To enable persons to be as independent as possible, to have a meaningful place in their community, to have high self-esteem, and to have the chance to make choices and meaningful contributions to their community.
Philosophy
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MONTESSORI
Actual disability is the disability associated with the disease
Excess disability is not a result of the disease. It arises from the disuse of remaining abilities (Dawson, Wells & Kline, 1993)
The more we do for people, the more we steal from people (Anne Kelly, Managing Director, Montessori Ageing Support Services)
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INTERGENERATIONAL MODELS
Benefits for Children
• Provide and opportunity to learn from and
connect with the older generation
• Helps improve the behaviour that children
show towards older people in general
• Improvements in children’s pro-social
behaviours of sharing, helping and
cooperating
• Decrease likelihood of juvenile
delinquency in later life
Benefits for older people
• Provide older adults with a sense of
purpose
• Enhance the dignity experienced by
older people
• Alter communities’ perceptions of older
adults and the ageing process from
negative to positive
• Improve the social outcomes of older
people
• Encourage older people to remain living
in their home longer
• Encourages older persons to reminisce
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FOCUS FOR THE FUTURE
Ageing is not a disease
• Move away from clinical model
• Contradicts wellness and reablement principles
Focus on what older people “can do”, not what they “can’t do”
Listen to the consumer
• They will tell you what is meaningful to them
Focus on activities with meaning and purpose
Everybody at every level must embrace this view
• Training
• Policies
Palliative Care
• Life to the last breath
• Purpose and meaning to the end
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QUESTIONS