Healthcare Development for Old Aged People under SWS LHD

The study has unfolded the importance of the healthcare development of the old aged people under the Western Sydney Local Health Service District (SWS LHD). The care services are needed to be provided as per the age group. The care services of SWS LHD would be provided on the maintaining the cultural and demographical respect of the old aged people. Effective recommendations will be provided for the development of existing aged care model in Sydney.

CARE PLAN

Executive Summary
The study has unfolded the importance of the healthcare development of the old aged people
under the Western Sydney Local Health Service District (SWS LHD). This plan is executed
by the authorities of SWS LHD and the health department of New South Wales. There is a
rising trend of the old aged people around the South Sydney. The old aged people are
segregated into 65 years old, 75 years old and 85 years old aged people. The care services are
needed to be provided as per the age group. The care services of SWS LHD would be
provided on the maintaining the cultural and demographical respect of the old aged people.
Both physical and mental health treatment has been provided for the best outcome.
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Table of Contents
Executive Summary...................................................................................................................1
Introduction................................................................................................................................3
Analysis......................................................................................................................................3
Demographic analysis............................................................................................................3
Determinants of health...........................................................................................................4
Relevant morbidity and mortality data...................................................................................5
Need assessment.....................................................................................................................5
The principles guiding service plan.......................................................................................5
Framework for integrated management of aged care persons...............................................6
Service delivery model...........................................................................................................7
Core services in the plan........................................................................................................8
Conclusion..................................................................................................................................9
Reference List..........................................................................................................................10
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Introduction
The population health service plan is an effective strategic planning that is set up to
determine the healthcare needs of the target population. The information on the population
health service plan can be used to determine the requirements of the level of care. The South
Western Sydney Local Health Service District (SWS LHD) was developed to determine
clinical service development. The ultimate requirement for the development of the healthcare
setting was to determine the clinical process of developing a healthcare strategic plan. The
healthcare strategic plan was developed to rehabilitate the aged people. Thus, the healthcare
setting can be considered as an aged care rehabilitation. A wide range of healthcare services
including hospitals, community health centres and residential aged care were set for the aged
people. The SWS LHD services ensure the aged people to provide quality care with equal
importance for all the patients irrespective of their class, society and financial background.
Moreover, the psychological assistance, functional development and evidence-based
healthcare practices were proposed to be provided to the aged people. This study will unfold
the importance of demography of the healthcare setting along with the healthcare
determinants. The healthcare determinants are helpful in developing an effective healthcare
facility for the aged people. A special mental health service will be provided to the aged
patients underlining the healthcare assessments. The relationship between effective health
care plans and morbidity and mortality rate will be analysed in this study. The principles of
health care service plans will be analysed on the context of the integrated healthcare
management framework. The healthcare services delivery model and the effectiveness of the
core service plans for aged care will be discussed in this study. Effective recommendations
will be provided for the development of existing aged care model in Sydney. The concluding
part of the study will summarise the whole study and will outline an overall recommendation
for clinical schemes and service network for aged care.
Analysis
Demographic analysis
There is a rising trend in the population of South Sydney. It is expected that the population of
South Sydney will increase to 1.52 million in the coming years. Out of this population, only
11% are aged people of over 65. It is expected that the aged population would increase to
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13% of the overall population. On the contrary, 15% of the overall population are off from
the age group of over 85. There is also a rising trend in the growth of 85+ populations which
would be 25 of the overall at the end of the upcoming year. 70% of the overall aged
population use to suffer from gait disorder, 10% suffers from Parkinson’s disease, 70% suffer
from cognitive impairment and 30% suffer from an acute mental dilemma. This report suffers
the necessity of developing effective aged care plans in Sydney that can be helpful to provide
an ethical healthcare facility to these aged people (Akdemir & Özkan, 2018). The SWS LHD
has planned to provide effective aged care facility to each of these aged group with the ethical
maintenance of the quality care and nursing ethics (Watling, 2015). The SWS LHD along
with the health department of New South Wales has decided to that the quality care would be
provided identifying the characteristics of people over 75 years. Additional beds, medicines
and medical tests would be arranged for the target population.
Determinants of health
The healthcare determinants depict the clinical factors on which SWS LHD would develop
the effective health care plans. The factors can be categorised into three parts; physical
disability, mental disability and care accommodation (Vecchiarini & Mussolino, 2013).
The physical disability factors include
 Physical health general complications
 Immobility
 Lack of continence
 Chronic disease
 Chronic pain
 improper nutrition
 inability to physical activities
The mental disabilities include
 The behavioural problems
 Cognitive impairment
 Psychiatric illness
 Mental disability due to old age
The care accommodation would be provided for
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 Bereavement loss
 Collapse of carer
 Drug addiction
 Social isolation
 Guardianship at the old age
 Elder abuse
Relevant morbidity and mortality data
The morbidity and mortality rate is high among the old aged people. It is notable that the
mortality rate of old aged people suffering from dementia is four times lesser than the people
who are not suffering. Cognitive impairment is considered to be a key reason for the low
mortality rate of old aged people (Regal, 2013). Old aged people who sue to suffer from,
moderate cognitive impairment t lasts 10% lesser than the old aged who are not suffering. It
is notable that long stay depends on the effective healthcare treatments for the old aged
people (Nakaya, 2016). Hence, there are required supportive healthcare environments for the
old aged people. Additionally, the caregivers must focus on developing both physical and
mental health of the old aged.
Need assessment
Healthcare assessment is required to understand the exact mental and physical health of the
old aged people from South Sydney. The healthcare assessment department of SWS LHD has
noted the rise of the old aged patients which has increased around 27,000 in the last five years
(Lloyd et al., 2017). Moreover, adequate treatment with extra care is provided to the old aged
people suffering from cognitive impairment. Effective rehabilitation and care plans are
developed for quality healthcare outcome.
The principles guiding service plan
The aged care and rehabilitation service plan should maintain certain principles for proper
development. The main principles that should be included in the service plan are as below:
 It is seen that the majority of the aged care patients can live within the community.
Health and rehabilitation support may be provided at home through nursing care
setting (Van Harten, Paradiso & Le Beau, 2013).
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 The patient’s needs should be given the highest priority during delivery of the care in
the health action plan.
 The health service plan must include a holistic approach to provide aged care. The
culture, religion and other beliefs of the patient should be respected during giving
service.
 The physical, psychological and mental health should be dealt with properly by the
service provider in the aged care and rehabilitation service.
 The service plan should be done in a way that the service gives reliable support to the
aged patients. The consistency of service is one of the most essential parameters that
should be followed while developing the health care service plan for aged care
patients (Dwyer, Craswell, Rossi & Holzberger, 2017). Most of the aged care patients
have complex physical and mental problems those can be dealt with properly through
consistency in giving proper care to the patients.
 The aged care service is mainly focused on evidence-based nursing. Every minute
detail of the patients has to be observed properly by the service provider during
delivery of the service (Jae-eun Seok, 2014).
 Aged care is the most effective in a homely atmosphere. If an emergency situation
arises when the patient has to avail the inpatient service that is necessary for specialist
care in the hospital setting (Torres Cruz, 2017).
Framework for integrated management of aged care persons
An integrated framework must be present in the health service plan for the aged care person.
A holistic approach is necessary to integrate the different components of the health service to
aged care persons (Nicholson, Shrapnel & Dent, 2018). The framework mainly identifies five
points those are required to manage the health service in a proper way. The five components
of the health service plan are as below:
 The health service plan should deal with the management strategies of the aged care
person in the emergency settings of the hospital. Since the majority of the aged care
person has a complex health problem it is very much important to deal with the
problem in a proper nursing care setting (Kelemen, 2017).
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 After the emergency service, the post-acute cure management is another essential
parameter that should be given stress in the healthcare action plan. In this part, the
patient is vulnerable to the relapse of the disease (Gibney, Wright, Sharma &
Naganathan, 2015). So proper action plan for this post-acute stage is important.
 Cognitive impairment leading to dementia is one of the most essential parameters of
aged care. The proper action plan should be developed to mitigate the cognitive
impairment of the aged care and rehabilitation care patient (Pepping, Brunings &
Goldberg, 2013).
 The coordinated care is important for providing efficient and holistic care for the aged
care patient and rehabilitation patient. Proper coordination is one of the most
important points that should be considered in the health service plan for delivering
proper service to aged care (Vrijhoef, 2016).
Service delivery model
The service delivery model is one of the essential models that can be followed for the
preparation of a health service plan for the aged care personals. The health service plan
should include the core services supra-regional services, associated service, community and
non-patient service and inpatient service (Miguel & Miguel, 2018). These are the main
essential components of the health service plan. The plan should be done for the different
components of the service. The core service in the aged care and rehabilitation care requires
consistency. The plan should be to deliver service in a consistent way. The Health service
plan will include different strategies for providing supra-regional services to aged care and
rehabilitation care (Vrijhoef, 2016). This is a specialised service and action plan should be
made properly for this services. These services include specialist and expertise equipment to
treat the aged care patients having complex emergency problems.
Another important component of the health service plan is the associated service plan. It
includes the partnership of the government and the non-government bodies in delivering
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proper care to the aged care and the rehabilitation care person (Miguel & Miguel, 2018).
Residential aged care is one major component that should be followed in the health care plan.
Figure: Service model
Source: https://www.slhd.nsw.gov.au/planning/pdf/ACRS2007.pdf
Core services in the plan
The core services are the most important component that should be included in the plan. The
core service plan is essential and it should be focused on evidence-based nursing. The core
service plan includes the proper infrastructure development for giving efficient service to the
aged care patients having complex problems (Kelemen, 2017). The core service plan should
include the centralised intake. Aged care assessment is one of the most important components
that should be included in the health service plan. For the proper assessment, proper
coordination and infrastructure are necessary. The plan should include the development of the
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infrastructure for providing service to the aged care patients in emergency settings
(Nicholson, Shrapnel & Dent, 2018). The plan should also include preparation of an
emergency team who will deal with aged care patient having complex problems.
The outpatient should be considered in the health service plan. Besides that geriatric and
rehabilitation clinic installation should be considered within the health action plan. Another
important component is the home-based therapy. The health service plan should include
home-based therapies (Nakaya, 2016). The service plan should include inpatient service care.
The proper evidence-based focus should be given to the aged care patient. The plan should
include proper strategies of dementia care for the aged care patient. The transitional aged care
program may be included in the health service plan for the patient. The health service plan
may include community dementia teams that may help in giving proper care to the aged care
and rehabilitated care persons (Watling, 2015). The respite and support services are very
important for the aged care personals and should be included in the health service plan.
Conclusion
There are complex clinical problems that arise in aged care patients in the country. A
significant amount of morbidity and mortality rate are seen due to this complex problem. It is
essential to develop the health service plan for the aged care and residential care persons. The
health plan should include proper needs and priorities of the patient. It is essential to give full
priority to the patient needs. The health service plan should include the service delivery
model that includes the core components of service for which the plan is designed. The core
components will help to deliver integrated care to the aged care patient. These wills help in
the holistic development of the care provided to the aged and residential care patients.
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