Management of Aged Care Services

This document provides a comprehensive proposal for the establishment of an aged care home, discusses the aged care situation in Sri Lanka, and explores various approaches to managing ageing with terminal illnesses. It also covers recruitment criteria, accommodation, services, regulatory issues, and financial aspects of aged care services.

MANAGEMENT OF AGED
CARE SERVICES

Contents
INTRODUCTION...........................................................................................................................1
QUESTION 1..................................................................................................................................1
comprehensive proposal for the establishment of aged care home.............................................1
QUESTION 2..................................................................................................................................5
Aged care situation in Sri Lanka with Prevailing legislation and government services.............5
QUESTION 3..................................................................................................................................8
Ageing with terminal illnesses and the various approaches available to manage it....................8
CONCLUSION..............................................................................................................................10
REFERENCES..............................................................................................................................12

INTRODUCTION
Aged care service can be defined as the taking care or providing support to older people in
their own home or even in an aged care (nursing) home. In this assistance is been given to
elderly aged people for doing their daily activities, providing them with accommodation and
equipment’s like for example walking frames. In aged care the needs and demands of elderly
aged people are been fulfilled. Aged care provides reliable and confidential services which can
assist in improving health and well-being aspects of the elderly aged people. Present report will
lay emphasis on comprehensive proposal for the establishment of such a business with all aspects
of management, recruitment criteria. It will provide essay that focuses on aged care situation that
is being prevailing in Australia. Study emphasises on ageing with terminal illnesses and the
various approaches available to manage it with emphasis on cultural aspects and the use of
modern technology.
QUESTION 1
comprehensive proposal for the establishment of aged care home
Executive summary: The present proposal has been made for providing aged care home
service to elderly people who are 65 and above that age suffering from non-communicable
disease. In order make care home profitable a minimum of 50 residents will be included to whom
service will be provided. It has been analysed that there have been 8 care providers which are
been included in providing services to about 3 members each. The care home is being started to
enhance health and well-being aspects of old people. The main purpose of aged care home is to
enhance their living conditions and also to improve their quality of life. It has also been analysed
that various rules and legislations has been followed. The care home is being engaged in making
sure that health and safety aspects of every elderly aged people is been taken care of.
Care home overview: The care category which will be included in the new aged care
home is residential. There will be various care specialism that will be given. It includes cancer
care, stroke and cerebral palsy and other type of non-communicable disease. The new care home
will provide services to about 50 elderly aged residents (Jokanovic et.al., (2017). In this the
professional staff team members will closely work with residents in order to make sure that their
well-being is enhanced and also they will be engaged in closely monitoring the day to day
activities at home. There will be a dedicated activities coordinator who will be engaged in
ensuring that there is wider scope for events related to residents so that they can participate in
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activities better. The aged care home will be engaged in offering full range of residential care
services inclusive of trial stays, respite breaks and convalescent care. It is also being analysed
that aged care home will also be involved in providing extra facilities like meditation centres, spa
and other related services. This is being given to enhance well-being of the aged people. They
will feel relaxed when been admitted to new aged care home.
Scope of work: Scope of the new aged care home is really high. This is because the care
home is being engaged in providing high quality of services to elderly aged people so that their
wellbeing can be enhanced. Various modern technologies will be used by aged care home to
enhance their quality of life.
Aims and objectives: The aim of new elderly aged care home is to enhance well-being
and quality of life of old people. There main purpose is to provide them with adequate housing
facilities and to analyse their treatment needs. Objective of new aged care home is to also
enhance their profitability and to become best aged care home service in their area. All these are
the aim and objectives of new aged care home. The purpose is to also provide safe
accommodation facilities to aged care people in order to maintain their well-being.
recruitment criteria (client and labour): In this aged care professional care team will
be appointed so that high quality of residential care is being given to 50 residents. In this care
home there will be 16 care takers apart from home manager, housekeeper, Home administrator,
Head chef and support manager (Sluggett et.al., (2017). These staff members will be engaged in
making sure that there is a positive impact on residents as well as their family members. They
will be supporting them to lead a good quality of life. It has also been analysed that the
recruitment criteria which has been set up by the new aged care home is that they will be
allowing the acceptance from referrals and also team members who wants to work in the aged
care home can apply directly.
The employees in care home will be recruited by analysing their qualification. They need
to have experience in this field and must be cooperative with clients. The recruitment criteria in
the aged care service is also been set, in this only those people will be recruited who are 65 or
above this age. In this only those residents will be recruited who do not have home and also to
those who are not been provided with adequate services at home. Elderly aged patients suffering
from non-communicable diseases will be included in this type of services. In registered care
category elderly age people with dementia, physical disability, sensory impairment will be
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recruited. In specialist care category Alzheimer’s, stroke, visual impairment, cancer will be
included.
Accommodation: well furnished rooms are being included in it and also the furnishings and
beddings will be included in it. Better facilities will be provided to every elderly people. This
will assist in improvising their well-being and also it will assist in enhancing their health as well
as well-being. There are single rooms available which is 58 and also 37 rooms are there which
have unsuited WC.
Services: Hotel style services will be provided to aged care residents. It has been analysed
that their day to day activities and needs such as meals facilities, laundry and other social
activities will be included in the newly aged care. The services provided will be of high quality.
In this if any unannounced requirement is being made up by residents, then also the new aged
care home will be made available. For unannounced treatment there are also various resources
which has been added on so that adequate care can be provided to elderly people. A GP has been
kept so that they can check upon requirements of elderly people. Machines for measuring up
their blood pressure, diabetes is also being kept. Better food and accommodation services are
being given to residents. The video app services during the time of novel corona virus period is
also been provided so that residents can easily be able to get in touch with their family, friends
and relatives. The aged care home will also be engaged in providing equal access to service.
Maintenance: Well-maintained facilities will be provided to elderly people. In this aged
care home emphasis will be laid upon the quality and standard of food. Proper hygiene will be
maintained and also focus will be laid on cleanliness. It is also being stated that aged care home
will be engaged in maintaining dignity and transparency. They will also involve in making sure
that ethical code of conduct is been followed. This will assist the aged care home in building
better relationship with residents. It has also been analysed that staff members of the aged care
home will make sure that ethical code of conduct is been followed by them. This will assist aged
care home in maintain their brand value and more residents will be admission in their care home.
Management team will be engaged in keeping relatives informed about the current situation of
their elders during these critical times.
quality control: For maintaining the quality of services, quality assurance audit will be
done in aged care home (Hullick et.al., (2021). This will assist in knowing about the gaps and
loopholes. It has also been analysed that this has assisted in enhancing quality of care and also
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the aged care home will be able to improvise well-being of their residents. It has also been
analysed that aged care home will also be engaged in evaluating needs and demands of residents
so that high quality of care is being provided to them.
labour well-being: The staff members who will be working in aged care home will be given
full protection. Their safety arrangements and measures will be first priority of aged care home.
Specialised training related to maintenance of safety of elderly people and also staff members is
being provided. This has assisted in enhancing labour retention rate. It has also been analysed
that proper hygiene is been maintained for well-being of elderly people and even of their staff
members is been done. This will assist the aged care home in enhancing their value as well as
reputation.
regulatory (legal) issues: The health and safety act 1974 will be followed adequately. In
this better safety conditions will be provided to elderly people as well as employees. Data
protection act 2010, will also be followed. The information of residents will be kept confidential
and also integrity and honesty will be maintained. The other act which is equality act 2010, will
also be followed. In this equal access to services will be given to men and women.
Targeting: The aged care home will be involved in targeting people above age of 65. In this
they will be involved in analysing the elderly adults who are in need and also high quality of
services are been provided to them. It is also being evaluated that the elderly people of United
Kingdom are been targeted. Those elderly people suffering from non-communicable disease such
as cancer. It is being evaluated that elderly people with other type of disease such as dementia,
anxiety, stress are also being targeted. The care home will also make sure that high quality
services is been provided.
Finance: The funds for raising this type of care home is £20, 000. In this the cost of
building of infrastructure, salary of workers, food etc which can be needed is included. The aged
care home will be funded privately and also there are government funds which are been
available, so better and adequate services will be provided to elderly aged patients. The funds
must not be less as this will lower down quality and type of services which is been provided. It is
also being analysed that this aged care home will also be developed better as the self sufficient
funds are also being added in to this. The average weekly cost of living in a residential care
home is £704 (Thiruchelvam et.al., (2017).
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Monitoring and evaluation: There are various toolkits which is been used for evaluating
the performance level of aged care home. In this main tools that can be used is KPI,
benchmarking. These will assist in analysing and evaluating the performance level. This will
assist them in analysing gaps in services which has been provided to them. By making use of
these tools, if any change is being required it can be done easily by managers who are working in
aged care home.
QUESTION 2
Aged care situation in Sri Lanka with Prevailing legislation and government services
Sri Lanka can be considered as one of the fastest ageing country in the world. Evidence
provides detail that a quarter of the population will be elderly by upcoming year 2041. 9.2% of
the Sri Lanka’s population is of older age (Morawska et.al., (2017). Culture of Sri-Lanka has
increased burden related to long term care which must be provided to every family and also
people who are living in village. The situation of Sri Lanka was worsening for the elderly aged
people. This was because there were lack of initiatives by government. But when government
identified situation there were many initiatives are being implemented by Sri Lanka government
for protecting elderly aged people and for giving them acute care so that their health and well-
being can be improvised. Efforts are being made for improvising the health related infrastructure
in country. Initiatives are being taken on state, territory and national level so that better health
related services are been given to elderly aged patients. The awareness is being given of signs
and symptoms of disease. This is because adequate care can be taken by elderly aged patient in
advance. This will assist them in preventing from situation of being terminally ill
According to the information many strategies are been adopted by government to improvise
situation of elderly in Sri Lanka. The aged population can be considered as vulnerable group.
Little progress has been made for addressing issues of elder citizen in country. The major issues
which are been faced by elderly aged people in Sri Lanka includes poverty, immobilisation,
loneliness, dependency etc. It was analysed that in country traditional family support for elderly
was decreasing and more people were taking admissions in institutions (Swan, Watchorn &
Grant, (2020). Ministry of Social Welfare introduced a social security scheme for providing
better security and adequate health related facilities to them.
The government has also taken initiative for providing the pension scheme to those poor
elderly aged people who have contributed towards development of nation. It has also been
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analysed that Sri Lanka has various policies and programs build on for the promotion and
protection of rights of elderly aged people. In this the government has taken initiative for
providing better assistance to aged people at home. The home care services are being provided to
those who are been going through issues like dementia or may be terminally ill.
These programs have helped government of Sri Lanka in enhancing well-being of elderly
aged people. Sri Lanka has identified several key cost drivers of its national budget over the
2005‐ 2050 period in the context of addressing the needs of its ageing population. For protecting
the rights of elderly Act No. 9 of 2000 was been designed and implemented in year 2000. The
national plan related to ageing has laid emphasis on needs and demands of elderly aged people.
The aged care situation in country has been improvising day by day. In this it has been analysed
that various strategies are going to be taken by government for enhancing the condition. They are
being involved in analysing needs and demands of elderly aged patients so that their well-being
can be improvised. Evidence has provided details that awareness raising program has been
implemented by government of Sri Lanka.
In this it has been evaluated that aged people education and awareness is been increased in
this program. The awareness is being given of signs and symptoms of disease. This is because
adequate care can be taken by elderly aged patient in advance. This will assist them in preventing
from situation of being terminally ill. The Secretariat initiated home care services for the elderly
people. This is to enhance their wellbeing. There has also been an implementation of act 2011
where the government is being engaged in protecting the rights of elder adults. This is being
developed and designed to enhance the conditions of elderly aged people living in Sri Lanka
(Venturato, Horner & Etherton‐Beer, (2020).
Council for elders: It consists of the 15 members which are been engaged in Ministries of
social service health and finance. They are being engaged in providing services to elders and
professionals so that their well-being can be enhanced. In these elders are been assisted by
maintaining their dignity and also the members of councils have made sure that ethical code of
conduct is been followed by them.
National policies and programmes for elders
National Plan of Action on Ageing 2012‐2021: In Sri-Lanka, this policy has been
implemented so that better services can be given to elderly people. This act has defined needs
and demands of an elderly aged people (Harrison et.al., (2018).. This has assisted in improvising
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the conditions of elderly aged. The action plan has been made so that conditions of elderly aged
people can be improvised.
The National Fund for Elders: The government of Sri Lanka is also being engaged in
creating funds for their elderly aged people which can be used by them in time of need. It has
also been analysed that the funds are been collected for people who are elder in age. These funds
are being collected for improvising their conditions.
Home‐Care Service: It was being analysed that in Sri Lanka no home care services were
been provided for elderly aged people. But, now government is being working towards for better
implementation of home care services, so that the conditions of people can be improved. This
has assisted them in making sure that elderly aged people live more and also it has assisted in
enhancing their well-being.
Social Security for Elders: It has been analysed that government of Sri Lanka has also
taken initiative for social security for elders. In this they have made plans related to providing
better and adequate protection to elderly aged people. It has also been analysed that in this better
protection to disable elders are being given (Hewitt et.al., (2018). Better mobility services are
also given to them. These initiatives have been improvising conditions of elderly people. It has
also been analysed that government are being engaged in providing services to elders and
professionals so that their well-being can be enhanced.
Training of Medical Personnel in Geriatric Medicine/Care: In order to make sure that
better and high quality of services is been provided to patients so that the health outcome of
elderly aged patients can be enhanced. In this the training is been given to medical professionals.
The training related to identifying needs and demands of elder aged patients is being given. It has
also been analysed that training related to how to make patients aware about medical signs and
symptoms is been given.
Identity Cards for Elders: Details has been provided that special identity cards for old
people has been made, so that treatment can be provided to the elderly aged people and also this
initiative was being taken for improvising their health aspects and conditions. It has also been
analysed that by showing this identity card seniors people are also allowed to get about 5% of
discount of medicines.
Social security for aged care: Better and adequate security is being provided to elderly
aged people so that adequate support is been given to them at an old age. In this assistance such
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as self-employed pensions and other type of schemes are been given to elderly aged people.
These initiatives have highly benefited the old people and it has enriched their quality of life. It
has assisted in enhancing conditions of elder people in Sri-Lanka.
QUESTION 3
Ageing with terminal illnesses and the various approaches available to manage it
Terminal illnesses affect well-being and health aspects of an elderly aged patients severely.
These are the disease which are not been able to cured adequately and also there are chances that
patient may die because of terminal illness. It has also been analysed that people above the age of
65 are been suffering from diseases such as cancer, or acquired immunodeficiency syndrome are
fatigue. There are various approaches available for treating this type of disease and improvising
health aspects and quality of life of elderly aged patients. Terminally ill patients can be found
sad, irritated and helpless. They can feel low at some point of time. They want adequate support
and assistance so that their quality of life can be enriched. Terminally ill patients want that their
physician or health care professional build up their trust and also be transparent so that service
users also know about their exact situation which is really necessary. Dying patients needs to be
engaged in acknowledging treatment that has been given to them. There are various strategies
that can be used by the health care professionals to improvise and enhance health outcome of
terminally ill patients. It has been analysed that most of the physicians make use of
psychotherapy to treat the dying patients. Main feature of this type of therapy is that they are
been used for all the patients which are persevered in treatment of dying.
The psychodynamic approaches are related to emotional conflict and the defence part
which can arise in terminally ill patient. The fear of death can be related to increase in feeling of
despair and disgust. This is because in some of the people death generates defensive reactions
and patients can be emotionally distress. Major objective of this therapy is to assist patient and to
make them recognise, confront and eliminate defensive behaviour which has been faced by them.
The goals set is to change personality of an ill patient. The other type of approach which has
been used for managing behaviour of terminally ill service user is the humanistic approach
(Thiruchelvam et.al., (2017).
In this strategy the therapist is been engaged in supporting the dying patient to live their
life to fullest. This therapy lays emphasis on enhancing a string supportive and empathetic
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relationship with the patient. It assists the clients in participating to the process of dying actively
and positively. The other type of approach that is been used is behavioural approach. In this the
patients who are terminally ill are been educated so that they can get more coping skills so that
they can be able to deal better with the crisis of death. In this the training for managing stress is
also being given to patients in order to enrich their well-being and to lower down their emotional
aspects of pain. By making use of these approaches special emphasis is also being laid on
cultural aspects of patient. Health care professional makes sure that ethical code of conduct is
been followed by them. It has also been analysed that culture belief, values and thoughts of
patients are being taken in consideration.
This is necessary because terminally ill patients are in dying bed and they must be treated
adequately. By following ethical code of conduct wellbeing of service users can be enriching and
this can also assist in lowering down stress of terminally ill patients. The other approach which
can be used is family approach. In this family therapy can be given to patients on their death
bed. Research suggests that a patient in his death bed wants proper supports from their family
members. In this type of therapy, family members are being motivated to analyse needs of their
ill members and also they should be engaged in understanding feelings of patients. Research says
that the dying patients required families support when they are facing death crisis. In this more
open and productive communication can be used by family members so that they can be able to
express their feelings openly to patient who is going to die soon (Keeping-Burke et.al., (2020).
End of life care is also one approach which is been used for managing patients who are
terminally ill. When providing this type of care, health care professionals ensures that they are
been engaged in maintaining the dignity. Physicians are also provided with responsibility to
prepare patients and their family members while end of life care begins. A foundation of trust
must be laid by care provider when they are starting to give the end of life care. In this they
should also be engaged in explaining about goals of palliative care. Health care professionals
should also prepare themselves as they have to give their whole and soul to patients. They must
prepare themselves for giving information several times to patients and their families. As
terminally ill elderly aged patients are in intense pain, so for managing them one of the
appropriate strategy is to provide them with analgesic medication. This is also known as non-
invasive approach to manage terminally ill patient. These medications can assist elderly aged
patients in getting relief from pain and also this will help in improvising the conditions of
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terminally ill patients. It is also being evaluated that while providing the end of life care nurses is
required to be engaged in preparing proper documents for admission of patient and also they
must try to make sure that every aspect is been done by them ethically. It has also been analysed
that this will assist them in improvising well-being and enhancing the way patient is being
treated by.
High technology interventions can also be used by health care professionals for patients
who are in their death bed or terminally ill. Breath-taking advances in cardiology has supported
in enhancing lives of many. Cardiopulmonary resuscitation is being used for patients who has
gone through recent heart stroke in order to save their lives. These medical technologies have
proved that nothing is impossible and a patient who is terminally ill can even be saved on their
death bed. End of life treatment and a better palliative care must be given to patient by following
ethical code of conduct. It has also been analysed that when patients are on their dying bed they
have unrealistic expectations, so proper focus must be laid on those expectations. Terminally ill
patients can feel irritated and depressed when their concerns are not being listened, so emphasis
must be laid on their needs and demands (Westbury et.al., (2018). Care giver who makes use of
IT is feasible and can assist in enhancing the hospice care. Web based worksheet also must be
maintained so that the information related to elderly aged patient with terminal illness can be put
in it. This will assist nurses in improvising the type of services which is been given by them to
patients. Improvised home care support with better access to services must also be provided to
terminally ill service user. This will assist in making sure that better services are given to patients
who are at their end of life.
CONCLUSION
From the above study it has been summarised that better plans and policies are being made
for elderly aged patients. It has also been evaluated that in this home care services and other
initiatives are been taken. This has assisted in improvising the conditions of elderly people in Sri
Lanka. It is being analysed that to provide adequate support to elderly aged people, there
personal identity card has been made. In this a better discount is also been given to elderly
people, so that their well-being can be enhanced. Aged care services at home is been provided in
order to enhance well-being and quality of life of elderly aged adults. Various technologies are
being used for treatment of terminally ill patients. End of life care is being provided so that their
wellbeing can be enhanced and improved. By making use of these approaches special emphasis
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is also being laid on cultural aspects of patient. In this it has been evaluated that aged people
education and awareness is been increased in this program. The awareness is being given of
signs and symptoms of disease.
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Thiruchelvam, K., Hasan, S. S., Wong, P. S., & Kairuz, T. (2017). Residential aged care
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