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Policy Development on Ageing in Malaysia
Published in Goh Cheng Soon, Gerard Bodeker, Kishan Kariippanon, Healthy Ageing in Asia, 2022
Tengku Aizan Hamid, Wan Alia Wan Sulaiman, Mohamad Fazdillah Bagat, Sen Tyng Chai
The challenges facing the long-term care industry in Malaysia can be summarized into three, a. funding issues affecting the sustainability and services of aged care operators, especially the ability of NGOs and civil society groups to contain the cost of care and also the unregulated pricing of aged care services by private businesses. We do not have a national long-term care insurance, and out-of-pocket payments are coming out from adult children instead of the elderly clients themselves. Secondly, b. issues related to human resources and the career pathways of care workers. Remuneration is low, and the limited opportunities for advancement have resulted in high staff turnover. Without a national, regional or internationally recognized training and certification programme, care work is a dead-end job with little prospect for career development. Lack of proper training may well contribute to elder abuse in institutions. Finally, c. the regulatory oversight of older persons cut across different government ministries, departments and agencies, as well as different levels of government. The lack of an industry watchdog or independent ombudsman means that consumers and clients are left with little recourse when dispute arises and there is a genuine need for an oversight entity or tribunal to promote the proper growth of the aged care industry. The interests of all stakeholders are better served if there is a platform where grievances could be heard and addressed quickly, transparently and fairly.
Aging in Ghana
Published in Karin Volkwein-Caplan, Jasmin Tahmaseb McConatha, Ageing, Physical Activity and Health, 2018
Delali Margaret Badasu, Richmond Aryeetey, Bella Bello Bitugu, Reginald Ocansey
In addition to traditional home care, non-family-based informal as well as formal commercial care options for the aged are emerging. Private commercial or non-family care options are expected to complement the dwindling traditional family-based care norms. The aged in Ghana, therefore, have unmet need for care, and particularly in urban settings. Although a National Aging Policy exists, it is yet to translate into easily accessible funded programs that deliver support services for the aged in Ghana. This chapter discusses not only the current situation of the aged but also projects scenarios and options for aged care in the future that is based upon available evidence and best practices that are suited to the local norms and culture.
The foundation for caring is respect and dignity
Published in Sally S. Goold, Kerrynne Liddle, In Our Own Right, 2015
My special interest has always been in aged care. Our old people are our living history and have taught us our beliefs, customs, culture, survival skills, rituals and sense of being. I am still actively working in the aged care industry and time has only strengthened my desire and resolve to provide and to ensure older Australians, and in particular, my old people, are valued and enjoy a strong sense of community, sharing, caring and belonging.
‘You’ve Got No Support’: The Experiences of Older Male Caregivers When Their Partner Enters Residential Care
Published in Journal of Gerontological Social Work, 2022
Jamie Fowler, Barbara Blundell, Claire Morrisby, Antonia Hendrick
Garity (2006) also explored the benefits of carer support groups run by the residents’ aged-care facility, finding that they provided an ongoing platform for caregivers to share post-placement experiences with others in similar situations. This was echoed in this study, as the participants reported a desire to speak with people they could relate to who understood their experiences; however, participants’ ability to access to support groups was limited by funding and eligibility requirements. Aged care facilities could explore hosting their own support groups, bringing caregivers together within their community, as an important support for caregivers during this transition. Additionally, support groups should clearly outline their role and purpose for attendees and offer a range of interventions, rather than simply focusing on grief and loss. Caregivers could also be supported to learn to restructure their lives now that their partner is in care. This research also highlights that carers often want to ‘give back’ by supporting others and strengthen systems by providing feedback about their experiences.
Positive Aspects of Dementia Caregiving During the COVID-19 Pandemic
Published in Clinical Gerontologist, 2022
Kristen Tulloch, Trudy McCaul, Theresa L. Scott
Despite these positive aspects to caregiving, the unique circumstances of COVID-19 restrictions mean many caregivers experienced considerable upheaval to their usual caregiving arrangements (Aledeh & Adam, 2020), including sudden unavailability of paid caregivers (PCs) (Savla et al., 2020), almost immediate inaccessibility of residential aged care facilities (RACFs; Dementia Australia, 2020), and restriction of typical supports and methods of maintaining well-being (Canevelli et al., 2020). In this manuscript, RACF refers to any paid residential setting, including high- and low-care facilities and independent living units, that involves paid staff members whose role includes monitoring the safety and welfare of residents. We did not distinguish between different types of residential care as our interviewees used diverse terminology. ICs have reported increased stress (Cohen et al., 2020), insufficient family support and “role overload” (Savla et al., 2020). Indeed, even in the general population, COVID-19 quarantine has had negative psychological effects such as boredom, frustration, anger, anxiety, stress and stigma (Hagger, Keech, & Hamilton, 2020). Considering these findings, further information is needed about how caregivers adapted to and coped with the pandemic. There is plentiful research examining what has not worked; by analyzing positive experiences, opportunities for growth and outcomes of providing care during the COVID-19 crisis, we can consider which aspects have worked well and could be applied moving forward from the pandemic.
Cultural safety for First Nations people in aged care
Published in Contemporary Nurse, 2021
Linda Michelle Deravin, Judith Anderson, Nicole Mahara
Some within our communities might argue that there is no need for First Nations people to be mentioned specifically in the standards, however, the authors would argue that the ageing needs of First Nations people in relation to cultural safety (Best & Fredericks, 2017; Ramsden, 2002) are different to non-Indigenous Australians. First Nation’s people experience medical and social needs differently. Specific medical and social needs differ, and that generational trauma is a compounding factor for those who suffered as part of the stolen generation. Past institutionalisation may contribute to current emotional needs that need to be addressed sensitively. As First Nations people’s health and longevity are improving and increasing, the demand for culturally safe care within aged care services will increase over time (Deravin-Malone, 2017). With this, Aged Care services need to ensure the outcomes of care and services are being addressed to meet their specific needs.