Understanding Settings in Health Promotion: Algester Lodge Nursing Home

USC Public Health Programs. This template is a summary of the ‘Understanding Settings’ component of the health promotion setting analysis framework outlined by Poland et al. It is vital that you read the article in full for a detailed description (including examples) of each element.
1. Understanding Settings
Area of the Poland et al Framework Evidence from research process
Diversity
- How is it different and similar to settings in other categories?
- What diversity can be expected within this setting category?
The type of diversity expected within Algester Lodge Nursing Home
Research studies indicate that Australia is a country with the greatest levels of healthcare and well-
being globally with a life expectancy for men being 80 years and their women counterparts 84
years3. A bigger portion of Australians is contented with this excellence of life. However, there are
subcategories within this residents who lead considerably inferior health and welfare unlike the rest
of the Australians. For instance, the life expectancy of Torres Strait Islanders and Aboriginal
individuals is approximately 15 years lower than other Australians. Individuals that are
socioeconomically underprivileged are more likely like those who are least fortunate to stay along
health condition period. Also, low levels of literacy influence how successfully an individual can
relate to the health care system to manage their health. Studies show that more than 50% of
Australians have below the minimum health literacy expected standards3. As a result, Algester
Lodge Nursing Home should work to ensure that there is diversity in its service delivery to old
people in Australian regardless of their socioeconomic status. The facility should ensure that
equality is always upheld both all people including the gays, lesbians, bisexual, transgender and
intersex (LGBTI) 15.
In the recent past, the National Health and Hospitals Reform Commission has initiated reforms in

USC Public Health Programs. This template is a summary of the ‘Understanding Settings’ component of the health promotion setting analysis framework outlined by Poland et al. It is vital that you read the article in full for a detailed description (including examples) of each element.
the aged care system with the target to achieve the challenge associated with the rapidly
skyrocketing diverse population of Australia.
Knowledge
- What assumptions are made about setting?
- How has role of setting changed over time?
Localised determinants
- How does the setting interact with external environments?
- How does the setting interact with other settings?
- What are the physical and built environmental determinants of health in
this setting?
- What are the psychosocial environmental determinants of health in this
setting?
Physical and built environmental determinants of health
The built environment is linked to health outcomes. Environmental health is concerned with the
influence of biological, physical, social and chemical aspects to individuals within their settings4.
Consequently, the relationships between the built environment and health are different based on
age groups particularly between children and adults, and between the mid-age and older adults. For
example, the health of Aboriginal and Torres Strait Islander people has been influenced by
environmental factors8. Health environments have to be established and maintained by individuals,
government, communities and non-governmental organisations6. Therefore, the Australian
government should ensure that it provides enough infrastructure such as sewage systems, water
supply, and housing as well as minimising environmental health risk factors.
Psychological factors for influencing healthy aging among adults in Australia
Every individual marks every human development stage with specific accomplishments, and each