Home' Australian Ageing Agenda : AAA Jul-Aug 2013 Contents Anecdotally at least, there
are plenty of aged services
providers feeling 'spooked'
by the impending arrival of
consumer directed care or
'CDC'. Putting aside delivery logistics, a
good way to think about CDC is to make it
personal. Imagine it is you -- in your 70s,
80s or 90s --living your life and optimising
any supports you might need. Where will
you want to live? What will you expect in
terms of options and access? How will you
want services delivered? How much will
you expect to pay? How will you expect
to be spoken to? What will be acceptable
to you? And not...
LORRAINE POULOS --
AGED CARE CONSULTANT,
TRAINER AND FORMER CEO
"Well, I am quite excited as I think there
will be so many of us and the market
forces will dictate that services will be
geared to us. I do not want to feel 'grateful'
nor do I expect that the government of
the day should be responsible for my
services. If I can afford to pay, I want to
and I want those who are marginalised and
who cannot manage, to have the help they
need, when they need it.
"I would want staff to understand what
self-determination and autonomy meant in
practice. Professionals need to be aware
of the rights and abilities of those they
interact with. I want anyone who interacts
with me to treat me with respect and not
unknowingly 'use' their power over me. I
hate feeling vulnerable and so would look
for people or services that I feel I can be in
"...unless we pay staff
working in aged services
more, we cannot expect
a higher standard. I
would HATE to go into
a nursing home and will
fight that every step of
the way. If I did have
to, then I would want
privacy and to be able to do as much as
I could for myself and to be able to do
things like make my own food or have a
wine or play music when I wanted."
IAN YATES -- CEO, COTA
"In the case of full dependency, I
would expect the medical and helping
professions to be a 'partner' with me,
including in the palliative and dying
process; the same as the rest of my life.
They would facilitate what I would want
to happen, within their ethics.
"I will have an advance care directive.
In the end stage of life, I don't want to
be repeatedly resuscitated. I don't mean
that I want to die quickly if I discover
that I am terminally ill. Death is a part of
life and there are always things to learn,
so I would not want to terminate my life
just because I became terminally ill. But I
would want treatment withdrawn.
"I hope to continue to be an advocate
for the rights and new roles of older
people and in an active, role modeling way.
I will take objection to images of older
people focusing on dependency and frailty
and so on, if that demeans older people.
"If you go back 10 or 20 years, you can
see there is already a lot of change. We
are on the cusp of very significant change
now and it concerns me that the majority
of aged care providers are not yet in the
CYNTHIA PAYNE -- CEO,
"As a gen-x-er and in my forties, I have
already pondered the ageing process
and am well aware already that my
experiences and expectations will affect
the type of future consumer I will be.
"I live an active life, taking active steps
now to look after my health and wellbeing.
I expect to continue to do this well into
my old age. Considering my next housing
requirement, it is already on my mind to
find a well-located residence that ideally is
within walking distance to many amenities.
"With the baby boomers ahead of us
[gen-x-ers], I expect that aged services will
be fully adjusted to a new demographic by
the time I come through. This is probably
the only advantage of living in the shadow
of baby boomers. They will carve the
societal changes ahead of our generation.
The big question is whether they will
ensure sustainable systems that will
continue to be viable as we come through
the system. I am a pragmatist and expect
to pay for my own way." n
Well-located housing and plenty of transport,
respect and true partnership in decision-
making, and never, ever
having to feel 'grateful'.
The messages were clear
when Keryn Curtis asked
a few people who know
something about ageing and
aged services to put themselves
in the future picture.
Are you ready for this?
28 | JULY -- AUGUST 2013 | AAA
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