Demantia Healthcare Issue Assignment 2022

Running Head: DEMANTIA HEALTH ISSUE 1
Dementia health issue
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DEMANTIA HEALTH ISSUE 2
Introduction
According to statistics carried out in Australia, dementia is the second leading health
issue in mortality. The individuals affected by the health issue are the aged people above 65
years old. According to the studies, most women are affected than males. Statistics depict that in
Australia, 6.0% of men are affected while 12% of females are affected and contribute to the
death of dementia every year (Australian Institute of Health, 2016). In Australia, most of the
individuals affected are the aboriginals who live in rural areas. These people lack the education
to know if they are sick or not. Moreover, another social determinant issue is poverty
experienced by these people of the social class. Many of them lack funds to support them in
health care. When researched, these people are non-Australians, and these mean the gap between
the Australian and the non-Australian still exists. Dementia issue is more prevalent in the rural
areas than the urban areas (Laver, Cumming and Dietz, 2016). This is because the people who
live in rural areas lack education and also most of them can access to the health care for the
required treatment. Moreover, those living in urban areas are less affected because they can
access to health care and also can afford funds to support themselves in health care.
Due to the impact of the health issue, the Australian government is forced to spend many
funds regarding the issue. According to the statistics, the government spends more than 20
billion to support and also provide services for the individuals affected with the health issue
(Brown, Hansnata and La, 2017). On the residential care of the aged people, 55% of the
individuals are supported in those institutions. This means that the issue has become more
prevalent in the country, and the federal government must find interventions on controlling the
issue in the region. On the essay the health care delivery of the issue will be focused upon, the

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social determinants and the code of ethics concerning cultural competency will be discussed on
the broader sense (Ashby-Mitchell, Burns & Anstey, 2017).
2.1: Types of Health Care Delivery
One of the health care delivery utilized in Australia is primary care and community
services. Primary care focuses on diagnosing dementia health issue. The aim of primary care is
to maintain quality care for individuals with a health issue. Most of the individuals with dementia
have mental and psychological disabilities, and the nurses make sure that they have applied
primary care intervention to help the individuals. In the primary care management concept is
considered in that they apply the therapeutic strategies to deal with an issue (Diaz, Kumar and
Engedal, 2015). For the aged people who are diagnosed with the disease, immediate treatment is
offered to them so that to prevent the health issue from becoming a chronic one. When the
disease is chronic, the medical practitioners combine the primary care and the secondary care so
that to help the individuals. This also involves community services where the nurses move to the
rural areas screening old people who cannot access health care. In this for the individuals
diagnosed with the disease immediate primary care is taken to them and for the individuals who
are having chronic dementia, they are transferred to the residential aged care where attention care
will be offered to them. The purpose of the primary care is to provide early intervention to the
patients diagnosed with the health issue (Clague, Mercer and Guthrie,2016).
2.2: Types of Health Care Delivery in Dementia and The Underpinning Values
The Australian HCS applies palliative care and end of life care and the second one is
institutional care to individuals with dementia. In this in Australia, the aged care services apply
palliative care to help people who are not equipped with the medications of the health issue, and

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they help them through support and care (Burn, Fleming & Bunn, 2018). This care encourages
the families for the people with dementia to be available in their community so that the palliative
care services can be offered to individuals with the health issue. Moreover, the health care
services provide the nurses who provide advances care planning to the individuals (Bentur,
Sternberg and Shuldiner, 2015). The care is based on supporting the individuals and also the
families with the health issue. On the other hand, this care has some barriers in that there are
some issues in decision –making, difficulties in communication with some of the individuals in
the community settings and the community not understanding the existence of the health issue.
This means for the individuals living in the diverse areas of Australia experience difficult to
access the care for their wellness. This means in this care, the person-centred codes, and cultural
competency is not considered (Macdonald and Mears, 2018).
The other health care delivery applied in Australian HCS is institutional care. this care
has recorded to be the best even in times of treating chronic dementia. The care is usually carried
on in the hospital setting (Rosenwax, Spilsbury and Semmens, 2015). This care offers to support
individuals with dementia by offering the correct medication and all the support. It also allows to
build relationship with medical staff who will be only taking care of the issue related to dementia
in the health care. In this they make sure that every individual in the hospital is getting better
care and support. This care also has some barriers in that not everyone in Australia gets
appropriate services and care. The number estimated not be getting services is higher than those
who are receiving the care. This means in the Australian health sector health equality gap is
experienced (Crisp, Douglas, Rebeiro and Waters, 2016).