Aged Care Analysis

This paper critically analyzes the literature on aged care and explores the effectiveness of creative therapy as an alternative intervention for dementia patients. It discusses the social isolation and grief experienced by older people, the benefits of creative arts therapies, and the gaps in knowledge and skills in healthcare professionals. The paper concludes by highlighting the importance of creative therapy for future nursing practice.

Running head: AGED CARE ANALYSIS
AGED CARE ANALYSIS
Name of Student:
Name of University:
Author’s Note:

1AGED CARE ANALYSIS
Table of Contents
Introduction......................................................................................................................................2
Summary of media item...................................................................................................................2
A review of aged care literature.......................................................................................................2
Knowledge gaps identified..............................................................................................................4
The implication for older person.....................................................................................................4
Importance to new graduate nurse...................................................................................................5
Conclusion.......................................................................................................................................6
Literature table.................................................................................................................................7
Reference.......................................................................................................................................12

2AGED CARE ANALYSIS
Introduction
The main aim of the paper is to analyse the literature based on age care critically. The
paper has reflected the information related to age care which has been published online in
Australian news website which has talked about creative therapy as the mean of care given to
dementia patient to make them socialise and express their grief. The paper has further reflected
the information gained and its use for future nursing practice.
Summary of media item
Old age people are generally socially isolated and suffer immense grief. They have many
health issues, the most common is dementia. In the news article of Australia, Joanna Jaaniste has
talked about the creative arts therapies as alternative age care intervention for dementia patients
through which they can express their grief and can socialise themselves. It was stated that more
than 50 million people have dementia, and art therapy helps to bring self-awareness in people.
Elderly people enjoy with paints, colours and clay. The dance therapy and drama therapy help to
recreate memories, improve quality of life and cope with grief. These therapy has been an
alternative to medical intervention and proves to be an effective aged care method (Jaaniste
2019)
A review of aged care literature
From the critical analysis of review of literature based on the type of intervention given
for the care of aged people, it was noted that most of the intervention are designed that target the
caregivers. The main argument of the author is that creative therapy is alternative to the medical
intervention given to treat dementia peoples. It is seen from the literature review most of the
caregiver are excluded from providing age care who are not able to speak English (Xiao et al.

3AGED CARE ANALYSIS
2016).The study has provided a great insight on the intervention groups, which has shown a
sense of mental competence; however, no disparity is seen in the physical health of the caregiver.
From the study of Brooks (2016), it was noted older people who met psychosocial interventions
help them to become emotionally stable but socially isolated. Jaaniste (2019) has said that there
is a lack of proper knowledge and skills in the health care professional, which has led to such
situation. Thus, the argument put forward by the author of news article mentioning that creative
therapies are the alternative to the medicinal intervention is being strongly claimed. Through
intervention, there would be less reliance on hospitals and medication.
Further, from the study of Brett et al. (2017) physical therapist-led physical exercise
intervention help to lessen the agitation and improvise the physical performance. However, no
indication is given in reduction of the grief. They remain socially isolated. Thus, Jaaniste (2019)
argument holds to be valid and practical. Clemson et al. (2018) have researched evidence-based
care intervention, which has proved to improve the wellbeing of people who have dementia.
However, lack of confidence is noted in the clinician to give such care. Ayton et al. (2017)
research on the prevention of falls for patients with dementia in an acute hospital setting where
the author concluded that for the safety of patients one on one supervision is needed by the nurse
which is not cost effective in Australia. Siegel et al. (2017) have worked on oral health
intervention in Australia, which lacks a shred of clear and supportive evidence. Oral health issue
is common in the older people who are suffering from dementia and cognitive impairment, but
there is lack of support literature in favour of the statement set by author. The claim set by
Joanna Jaaniste author of creative therapies is strongly supported by reviewing the literature on
age care. Many loopholes has been identified in the process of giving consideration to the
dementia old age people like lack of adequate intervention, poor nurse skills and lack of

4AGED CARE ANALYSIS
evidence. Thus, it can be said that the strength of creative therapy will help to manage the
psychology of dementia people, improve their health status and make them socially included.
The claim is in alignment with the literature proving that it can be one of the most effective
interventions for age care.
Knowledge gaps identified
It is noted that people who are suffering from dementia, are socially isolated and need
some care from the side of the nurse or personal caregiver that can help them to deal with such
issues (Zhou, Wang and Fang 2018).From the critical analysis of literature, it can be said that
there is lack of research which is focusing on the grievances of dementia people. Research gap
has been noted in Australia to find the way by which dementia people can be socially active
(Moyle et al. 2018). Research has been limited in area of improving health of people, and less
light has been focused on their mental health and social activity. There is the need for the age
care nursing to pay heed on the psychological need of dementia people.
The implication for older person
The knowledge gained from the literature search of age care reflects the need for
consideration of dementia old age people focusing on their social behaviour and mental status.
Experience on the present scenario of the care of dementia in Australia tells that, there is lack of
practical nursing skills that can deal with dementia people (Smythe et al. 2017). It was also noted
that hospitalization of dementia old patients worsens their health. Continuity of such prevalence
will have adverse impact on the health and psychology of older adults. The present type of care
given is not active, and lack of confidence in nurses is noted. Such loophole in the system will

5AGED CARE ANALYSIS
give ineffective care to older adults (Burnsand McIlfatrick 2015). It will lower the quality of life
by showing negative changes in their behaviour.
For future care of older patients with dementia, a proper intervention should be made that
address their social behaviour and deal with their blue days and negative thoughts. A plan should
be made by the health care professionals that involve there interaction with other peoples
(Naslund et al. 2016). Creative therapy should be adopted in every hospital and training should
be given to the nurses regarding this to develop skill for the meeting their grievances and making
them happy (Cheong et al. 2016).
Importance to new graduate nurse
The information stated above is of prime importance as it has shown the current scenario
of age care in Australia. The current practice of the nurse has given new insight into the type of
care given to the dementia peoples. This will help the health professional to validate the
interventions and give best effective care to the old age people. The information is of prime
importance because it has shown both negative and positive side of age care, which help to
improvise the caring intervention accordingly. It will help to develop a cost-effective
intervention for dementia people and focused will be paid on their oral health (Robinson, Tang
and Taylor 2015).
As for future nursing practice, the information gained will help the nurse to improvise
themselves and develop skills that are need for the care of old dementia people. It will influence
the nursing practice by giving insight to the new intervention of creative, drama, dance therapy
to help the dementia people to make them happy and become social active (Deshmukh, Holmes

6AGED CARE ANALYSIS
and Cardno 2018). It will teach the future nurse about necessary training they need to undergo
and ways by which they will skilled nurse.
Conclusion
Lastly, from the above discussion, it can be concluded that nurse is the main interacting
link between patient and their outcome. They should give such an intervention that is known to
promote the liberty of old age dementia people and promote their wellbeing. The therapy stated
by Joanna Jaaniste like creative therapy will prove to be useful for dementia people by lowering
their dependence on drug intervention. However, more research is needed for its practical
implication.

7AGED CARE ANALYSIS
Literature table
Authors Study design Sample Intervention Findings Implications
(Xiao et al.
2016)
Randomised
controlled trial
Sample – 61
family
caregiver from
10 minority
group.
The study has
tested the
hypothesis that
there is
exclusion of
caregiver who
cannot speak
English and
give
ineffective
caring
intervention
for dementia.
Linear mixed
effect model is
used to
validate the
effectiveness
of
personalized
intervention to
get valid
The group of
intervention
has found that
there has been
increased in
caregiver skill
and improved
mental
components of
quality of life
in managing
dementia.
The study has
provided idea
of tailored
coaching for
the nurse to
give adequate
care to
dementia
patient. This
has shown its
need for nurse
student to
apply in their
nursing
practice.

8AGED CARE ANALYSIS
result.
(Brooks et al.
2016).
Systematic
review
Included
family and
professional
caregiver and
dementia old
age patients
and excluded
Psychosocial
intervention to
improve the
emotional
wellbeing of
the old age
people.
The study
found that
psychosocial
intervention is
effective in
some people
while it
remains
ineffective in
some.
The study has
given
importance of
such
intervention
and developed
an insight by
which nurse
can make
amendment in
the therapy
and apply it in
nursing
practice.
(Brett et al.
2017)
Randomized
control trial
Used
qualitative
component
and included
old individual
with dementia,
family
caregiver and
nursing staffs
The study has
evaluated the
physical
therapist-led-
physical
exercise
intervention to
know its
effectiveness
in making
The study
found that
exercise
intervention
could be given
to dementia
patients for
their care in
nursing home.
The study has
given
importance to
physical
exercise, and it
is required to
be given
dementia old
age people.
Such evidence

9AGED CARE ANALYSIS
them
physically
healthy. For
this author has
compared the
two group
people with
different
duration of
exercise.
will support
the care
planning for
the older
people by the
nurse and
provide them
with the
knowledge to
include such
intervention in
their practice
(Clemson et
al. 2018)
Mixed method
approach
10-
Occupational
therapist
2- Nurse
5 – client
following
training
Care of People
with dementia
in their
Environments
(COPE)
intervention
has been
critically
studied
The study
found that
such
intervention
will promote
the
independence
and wellbeing
of old
dementia
peoples.
The study
focus to
inform the
limitation of
clinician and
nurse in giving
effective care.
For future
nurse, the
finding is
beneficial as
they will
address their
weakness and

10AGED CARE ANALYSIS
improvise it to
provide quality
care to patients
(Ayton et al.
2017)
Correlational
design
Total sample
size- 96
The study has
done a
secondary
analysis of the
focus group
data to
observe the
behaviour and
view of nurse
regarding
dementia
The study
found that
one-on-one
supervision is
needed to keep
the patients
safe
Has given
evidence of
one-on-one
guidance
which will
help the future
nurse to
evaluate the
issue related to
physical
environment
critically.
(Siegel et al.
2017)
Systematic
review
Used Medline,
Embase etc.
database and
included
dementia old
age people
who used 18
studies.
The study has
examined the
paper focusing
on people with
dementia.
Study found
that there is
lack of
relevant
evidence to
support the
oral health
intervention
for older
people with
This will
create an
opportunity for
future nurse to
work on oral
health
interventions.

11AGED CARE ANALYSIS
dementia

12AGED CARE ANALYSIS
Reference
Ayton, D., O'brien, P., Treml, J., Soh, S. E., Morello, R., and Barker, A. 2017. Nurses’
perceptions of preventing falls for patients with dementia in the acute hospital
setting. Australasian journal on ageing, 36(4), E70-E72.
Brett, L., Traynor, V., Stapley, P., and Meedya, S. 2017. Effects and feasibility of an exercise
intervention for individuals living with dementia in nursing homes: study
protocol. International psychogeriatrics, 29(9), 1565-1577.
Brooks, D., Fielding, E., Beattie, E., Edwards, H. and Hines, S., 2017. Effectiveness of
psychosocial interventions on the psychological health and wellbeing of family carers of
people with dementia following residential care placement: a systematic review
protocol. JBI database of systematic reviews and implementation reports, 15(5), pp.1228-
1235.
Burns, M. and McIlfatrick, S., 2015. Palliative care in dementia: literature review of nurses'
knowledge and attitudes towards pain assessment. International journal of palliative
nursing, 21(8), pp.400-407.
Cheong, C.Y., Tan, J.A.Q., Foong, Y.L., Koh, H.M., Chen, D.Z.Y., Tan, J.J.C., Ng, C.J. and
Yap, P., 2016. Creative music therapy in an acute care setting for older patients with
delirium and dementia. Dementia and geriatric cognitive disorders extra, 6(2), pp.268-
275.
Clemson, L., Laver, K., Jeon, Y. H., Comans, T. A., Scanlan, J., Rahja, M., ... and Crotty, M.
2018. Implementation of an evidence-based intervention to improve the wellbeing of

13AGED CARE ANALYSIS
people with dementia and their carers: study protocol for ‘Care of People with dementia
in their Environments (COPE)’in the Australian context. BMC geriatrics, 18(1), 108.
Deshmukh, S.R., Holmes, J. and Cardno, A., 2018. Art therapy for people with
dementia. Cochrane Database of Systematic Reviews, (9).
Jaaniste, J. 2019. Creative arts therapies can help people with dementia socialise and express
their grief. Retrieved from https://theconversation.com/creative-arts-therapies-can-help-
people-with-dementia-socialise-and-express-their-grief-114623
Moyle, W., Jones, C., Dwan, T., Ownsworth, T. and Sung, B., 2018. Using telepresence for
social connection: views of older people with dementia, families, and health professionals
from a mixed methods pilot study. Aging & mental health, pp.1-8.
Naslund, J.A., Aschbrenner, K.A., Marsch, L.A. and Bartels, S.J., 2016. The future of mental
health care: peer-to-peer support and social media. Epidemiology and psychiatric
sciences, 25(2), pp.113-122.
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intervention. Bmj, 350, p.h3029.
Siegel, E., Cations, M., Wright, C., Naganathan, V., Deutsch, A., Aerts, L., and Brodaty, H.
2017. Interventions to improve the oral health of people with dementia or cognitive
impairment: a review of the literature. The journal of nutrition, health & aging, 21(8),
874-886.

14AGED CARE ANALYSIS
Smythe, A., Jenkins, C., Galant-Miecznikowska, M., Bentham, P. and Oyebode, J., 2017. A
qualitative study investigating training requirements of nurses working with people with
dementia in nursing homes. Nurse education today, 50, pp.119-123.
Xiao, L. D., De Bellis, A., Kyriazopoulos, H., Draper, B., andUllah, S. 2016. The effect of a
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