Home' Australian Ageing Agenda : AAA Jan-Feb 2014 Contents restorative programs
such as falls prevention,
exercise, memory loss or
day therapy programs, or
allied health services such
as physiotherapy, podiatry,
and community nursing,
is much better for them
in the long-term than a
staff member doing their
personal care for them."
When looking at things
from the perspective
of a person's strengths,
capabilities, goals and
aspirations, Poulos says a
new approach is needed.
"It requires providers
to stop thinking about
hours and kilometres and start thinking
about how they could link clients
into existing programs like senior
fitness classes. Or asking what the
local neighbourhood centre, library or
community group has to offer them if
they want to be linked back into the
community," she says.
Linking people with assistive
technology to encourage reablement is
another element of the CDC guidlines,
Poulos highlights, adding that it doesn't
necessarily mean IT-related technology.
She says providers are telling her they are
coming up with quite meaningful options
for their clients. For instance, an option
for a client who really enjoys cooking but
doesn't have the energy to cook a meal
every night might be to purchase a slow
cooker and show them how to use it.
Another solution might be to set up Skype
capability so a client could keep in regular
contact with their son or a daughter who
lives away from them, she says.
With increased choice, flexibility and
control on the horizon for clients,
providers offering their own programs
will do well if they put a strong focus
on wellness, preventative health and
reablement, Poulos suggests.
"If you are fortunate enough to have
a centre-based or day program, it would
be a very good model to look at to try
and bring in some sort of restorative
therapeutic type services," she says.
Chesalon Services, which is the
community aged care arm of Anglicare,
considers itself in a good position to
benefit from their existing wellness and
lifestyle programs in the future world of
They have 16 day centres in greater
Sydney offering a suite of lifestyle services
that incorporate a restorative approach,
as well as a therapy day centre in Frenchs
Forest, which additionally provides
rehabilitative allied health services.
"We are well-placed because we can offer
services as clients go on a CDC package,
whatever level they are from 1 to 4, given
that we have centres spread out across
our regions," says Helen
Bartley, assistant director
of Chesalon Services.
The day centres are
funded for home care
programs as centre-based
respite while the therapy
centre is mainly funded
for rehabilitative services.
In addition to providing
services to clients as
part of their funded
package, subsidised and
can access programs on
a fee-for-service basis,
Although it has not had
any CDC packages yet,
the Cheslaon approach
goes well with a CDC model. "We develop
care plans based on people's needs, their
goals and what they would like to strive
for as far as that independence model
goes. We then work towards reaching that
particular goal," says Bartley.
"The day centres work off a wellness
[and] reablement model. We have a
person-centred approach. We also have
out-and-about programs so clients can
connect to the community," says Bartley.
Activities include art therapy, painting,
music therapy, cooking, tai chi, woodwork,
arts and crafts, knitting, crocheting, floral
arrangements and aromatherapy.
"The programs can enhance
independence, which flows through to them
at home to keep them better supported."
In addition to these services, the
therapy centre offers physiotherapy,
podiatry, occupational therapy (OT) and
Bartley says the latter two were
incorporated in a bid to take a more serious
approach to wellness and enablement. They
also aim to better assist people going back
into the community from hospital or others
waiting for an OT to become available.
"We can contribute to their
independence, particularly with an OT
in the client's home, such as handle bars
in the toilet area and shower, or in the
kitchen to be as independent in cooking
their own meals as they can," she says.
Bartley says being able to offer their own
wellness services gives their clients more
options, which she predicts will become
increasingly important as CDC rolls out.
Lorraine Poulous agrees more wellness
options could be attractive to clients. She
says it can be expensive to run restorative
programs using allied health practitioners
but it is not the only option.
"Providers could easily adapt their
centre-based day care and their programs
and care planning so that it is a much
more strength-based approach. Even just
a change of language is really powerful."
Poulos recommends looking at
Victoria health's guide to strengthening
assessment and care planning, which
suggests prompts to identify goals and tips
for using a strengths-based approach. n
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