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PFP Page 38

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PFP

Entering an aged care home

Moving into aged care - emotions

The unfortunate reality for many people of moving into an aged care facility is that they have already faced many challenges and upheavals in their life before doing so. Usually, a significant decline has occurred in their physical or cognitive (ability to understand things) health and living independently has become such a struggle. It has come to this point, perhaps their families or partner can no longer adequately support them to continue living independently at their home. They have come directly from hospital to aged care following a bad fall or accident. That has indeed reinforced their inability to remain independent at their home.  

When an older person or friend needs to move to an aged care home there may be considerable emotional upheaval. It is helpful for the carer to be aware of both the positive and negatives aspects of such a move.

Positive issues

There can be many upsides to moving into an aged care home. In a quality home the staff are caring and compassionate to the new faces and their families. They offer words of support and reassurance that their loved ones will indeed be in good hands. They come to the home to rest and relax and put their feet up - no more hard work for them. Their working days are done, they can rest easy in the assurance of 24-hour care. Staff are trained in all areas of personalised care for all residents. There is focus on ways to reduce stress.

Entry to an aged care home can lead to the lifting of a heavy burden because:

Bullet  Difficulty of maintaining a tidy home, having to depend on others to help with shopping and other household chores has now gone;

Bullet  No obligation to feel bad about charity because now he/she pays for services;

Bullet  Lonely hours of boredom have gone because there is now company;

Bullet  Routine of home is now varied;

Bullet  If previously living with a relative, the instructions associated with the relative’s absence (‘use the hot water in the thermos, don’t boil the jug’) are now no longer necessary;

Bullet  They forgot their medicine when living alone and suffered because of it; and,

Bullet  The aged-care home takes care of they don’t need to worry if they die in their sleep because ‘no one would find out’.

Negative issues

The first weeks after moving in, can be quite overwhelming and exhausting. Every element of their life
is discussed and documented so they are well supported. They will have nutrition requirements determined, medication, mobility assessment, life story and emotional well-being discussed, religious practices scrutinised and probed, all in the nicest possible way, of course. And that's just the beginning. Not everything runs smoothly when the resident has a different idea of what they want or don't want compared to their family’s choice and some expectations not quite matching with the realities.

Entry to an aged care home may lead to a loss because:

Bullet  The move means abandoning their home with all its independence and memories, and perhaps, their pet;

Bullet  There may be anger that they are unable to look after themselves as they once did;

Bullet  There may be despondency as they think that the aged-care home is the last place before the grave. They become fearful of the potential for dementia or disability;

Bullet  While the aged-care home may result in social contacts they may not be the same as their family and friends they used to have;

Bullet  Some fears can be justified. Not all aged-care homes have staff who give absolute individual attention, and maybe the staff talk down to them: ‘Have we taken our medicine today?’;

Bullet  Some personal privacy that they had at home may be lacking where some staff or visitors may not knock before entering, or private conversations (medical, family or financial issues) may be overheard by other residents. (Sometimes other residents have nothing else to do but listen to someone else’s conversation because they do not have the frequency of visits that others do.)

Bullet  Maybe the food is not ‘as I used to cook it’.

But, ultimately...

Daily routine can help them feel more in control of everything and help them to make room for things that are important, and routine can aid mental health. It can help them to cope with change and to form healthy habits and to reduce their stress levels.

(Click here to watch Carmel Hayden's video on entering aged care or read the whole transcripts. Some of the above is quoted from the transcript.)

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