Home' Australian Ageing Agenda : AAA Nov-Dec 2016 Contents SPONSORED FEATURE
One of Goodwin's unique points of difference is its Health and
Wellness Centre, a hub of different health professionals with
expertise in ageing.
The team -- a geriatrician, nurse practitioner, general
practitioner, podiatrist and a physiotherapist -- work in
collaboration. They meet regularly to discuss client cases and
conduct handovers, so that a client never has to retell their story.
The centre is located at Goodwin Monash, but has recently
expanded its services over to the north side of Canberra at
The centre's approach provides for genuine person-centred
care and allows clients to build a relationship with the whole team,
says nurse practitioner Tamra Macleod.
"The Health and Wellness Centre offers a whole range of
medical services but it also tries to coordinate people's journey
through aged care," she says.
The centre's care approach is one of reablement and
rehabilitation, with the aim to allow its visitors -- predominantly
Goodwin's independent living and community services clients -- to
continue to age in place.
"It's about being proactive," says Macleod. "We want to help
people develop goals and see progress."
The centre also employs a health coach, who runs activity classes
five days a week. These include tai chi, yoga and meditation, weights
and resistance, and walking. These services are offered with support
from the ACT Government's Health Promotions Grants program.
Exercise physiology students from the University of Canberra
assist in pre and post assessments, and work with clients to help
achieve their goals.
Goodwin wants to
challenge the notion
that aged care is a
limiting career option
by providing job
Further Levy says that if a personal care worker wants to
advance their clinical career, Goodwin will also support them
through their diploma or degree to become an enrolled or
Strong clinical care recruitment is a large focus for Goodwin.
The organisation sees it as a key facet in delivering a high
standard of care to its residents, and has recently begun a number
of initiatives to empower and further educate its clinicians.
Aged care nurse practitioner Tamra Macleod acts as a mentor to
all of Goodwin's clinical staff, offering support and career advice.
She played a key role in the establishment of registered nurse
clinics in each of Goodwin's residential facilities. At the clinics,
residents receive one-on-one assessment and the RNs have
an opportunity to utilise their clinical skills at a higher level.
Sessions are by appointment and residents are able to invite
their families along to attend.
Macleod says the idea of a designated clinic was also the
result of feedback from residents that they would prefer to have
consultations in a space that was not their bedroom.
"I thought that was quite true; a doctor would very rarely go
into someone's bedroom. So why should we be doing all of our
assessments in residents' bedrooms?" says Macleod.
The RN clinics are also often run in tandem with consultations
from other external health professionals -- such as the Dementia
Behaviour Management Advisory Service (DBMAS), palliative
care consultants, GPs and allied health -- in order to ensure
that residents avoid the need for multiple appointments, and to
provide seamless integrated care from a multidisciplinary team.
"Sometimes we also invite care staff to be part of some of
our clinics if there are issues around personal care or anything
related to that," says Macleod. "Care staff know residents very
well and can provide the clinicians with insights into areas such
as personal care and sleep patterns."
"A lot of residents value the experience because it's nice to
have an hour with someone one-on-one looking at you and your
needs, as well as what you want and what is important to you."
The clinics also tie in neatly with
Goodwin's ongoing investment into clinical
education, says Macleod.
Each month, Macleod coordinates a
workshop for the RNs on a common theme
that has been picked up through clinic
assessments -- focusing on things like
palliative care or delirium. Occasionally
Goodwin's geriatrician will also lead some
Goodwin pays for each of its nurses'
Ausmed training membership, and
modules are completed at the workshops.
This also provides the RNs with a
professional portfolio that tracks all
education they participate in.
To build upon these sessions, Goodwin
is also encouraging RNs to identify a
clinical area of interest to specialise in,
such as continence.
So far, Levy says the response to the
RN clinics has been "phenomenal."
"Number one, our residents have had
the advantage of one-on-one clinical care
outside their own doctor," says Levy.
"But it's also motivated our registered
nurses to be proud of what they do."
"Registered nurses have a wealth of
knowledge and a wealth of experience,
and we need to provide them with an
opportunity to use it."
GROWTH IN ACUITY
As of this year 24/7 onsite nursing care
has been introduced by Goodwin, across
its residential care facilities. This is not a
mandated requirement in the ACT.
is Goodwin's greatest
asset as far as
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