Use Of Emergency Departments By Vulnerable Groups During Their Last Year Of Life
Funder
National Health and Medical Research Council
Summary
Vulnerable people in their last year of life who attend Emergency Departments (EDs) could often be better cared for elsewhere. Our severely overcrowded EDs, and the staff who work in them, are poorly equipped to provide appropriate end-of-life care. This research describes how these groups use the ED, the impact of this use upon ED services and how the provision of adequate community care may be a more appropriate and economically viable option for people at the end-of-life.
Discovery Early Career Researcher Award - Grant ID: DE150101262
Funder
Australian Research Council
Funding Amount
$359,753.00
Summary
Decision making in older people approaching the end of life. End of life care provides an ideal framework in which to explore the principle of individual autonomy and consumer decision making. Older people at a high risk of dying in 6 months will be recruited from acute care wards, and asked about preferences for involvement in end of life decision making in a standardised interview survey. Surrogate decision makers and physicians will be asked to answer the same questions from the patient's per ....Decision making in older people approaching the end of life. End of life care provides an ideal framework in which to explore the principle of individual autonomy and consumer decision making. Older people at a high risk of dying in 6 months will be recruited from acute care wards, and asked about preferences for involvement in end of life decision making in a standardised interview survey. Surrogate decision makers and physicians will be asked to answer the same questions from the patient's perspective (namely what they think the patient wants). Findings will suggest ways end of life care can be better tailored so that patients can participate in decisions and receive care that is consistent with their wishes.Read moreRead less
Discovery Early Career Researcher Award - Grant ID: DE200100343
Funder
Australian Research Council
Funding Amount
$427,115.00
Summary
Dying well: Designing rural end-of-life services for chronic disease. This project aims to understand how existing rural service structures impact access to end-of-life support in chronic conditions. Chronic diseases account for 90% of deaths in Australia, yet access to end-of-life support is limited and little is known about services in rural areas. Information gathered through patient and stakeholder interviews, national survey and service mapping will be used to generate a new evidence-based ....Dying well: Designing rural end-of-life services for chronic disease. This project aims to understand how existing rural service structures impact access to end-of-life support in chronic conditions. Chronic diseases account for 90% of deaths in Australia, yet access to end-of-life support is limited and little is known about services in rural areas. Information gathered through patient and stakeholder interviews, national survey and service mapping will be used to generate a new evidence-based framework and guideline. These outputs will support early engagement with end-of-life planning, known to improve quality of life and reduce health system costs, and to inform development of equitable future end-of-life services for people and their families living with chronic conditions across rural Australia. Read moreRead less
Improving Outcomes For Community Dwelling People With Dementia And Their Support Persons
Funder
National Health and Medical Research Council
Funding Amount
$719,340.00
Summary
This program of work, consisting of two themes, will build evidence for improving outcomes for people living with dementia (PLWD) and their support persons. Theme 1 studies will gather descriptive data on the experience of person-centred care among PLWD and their support persons. Theme two will evaluate the impact of interventions in the primary care and community setting in improving quality of care and quality of life outcomes for PLWD and their support persons.
Optimising Functional Independence Of Older Persons With Dementia: Implementation And Evaluation Of The Interdisciplinary Home-bAsed Reablement Program (I-HARP)
Funder
National Health and Medical Research Council
Funding Amount
$1,864,345.00
Summary
We propose to trial a practical, evidence based model, called the Interdisciplinary Home-bAsed Reablement Program, I-HARP, designed to improve functional independence of community dwelling older people with dementia. I-HARP will be implemented and evaluated, for its effectiveness and implementation outcomes in two different settings of hospital and community aged care. Ultimately, the program will help them live well and stay at home, while delaying entry into higher home or residential care.
Wellbeing in the elderly: the role of respect. Due to advances in health care, many more Australians are living to old age. It is important to ensure that older people, who comprise a significant proportion of the population, maintain high levels of quality of life (QOL). One of the factors that impact on QOL of older people is the respect afforded to them. This project will determine the issues related to respect for older people in Australia, and produce an evidence-based strategy for encoura ....Wellbeing in the elderly: the role of respect. Due to advances in health care, many more Australians are living to old age. It is important to ensure that older people, who comprise a significant proportion of the population, maintain high levels of quality of life (QOL). One of the factors that impact on QOL of older people is the respect afforded to them. This project will determine the issues related to respect for older people in Australia, and produce an evidence-based strategy for encouraging Australians to adopt more positive attitudes and behaviours related to increasing levels of respect for older people. It is expected that the project will reduce the level of ageism and enhance the status of older people in Australia.Read moreRead less
Transforming the experiences of ageing: The ABC of building socially inclusive communities. This project addresses the national goal: ageing well, ageing productively. Serious problems with community and residential care services for older Australians are well documented. This project will determine the best way to find out what older people want now and for the future, in terms of housing, supports and services.
Strengthening leadership capacity in Australia's rapidly changing aged and community care sector. The project supports the priorities of: ageing well and promoting an innovative culture and economy and links to the goal of social inclusion. It will contribute significantly towards improved performance and efficiency in an increasingly important sector which contributes to the national economy and provides both care and employment to many Australians. Rapidly increasing demands and challenges r ....Strengthening leadership capacity in Australia's rapidly changing aged and community care sector. The project supports the priorities of: ageing well and promoting an innovative culture and economy and links to the goal of social inclusion. It will contribute significantly towards improved performance and efficiency in an increasingly important sector which contributes to the national economy and provides both care and employment to many Australians. Rapidly increasing demands and challenges require effective, competent leadership to deal with competing tensions, in turn resulting in a more resilient and sustainable industry. This will contribute to more stability, reduced staff turnover and improved outcomes for residents/clients, including through new and innovative workplace culture and practices.Read moreRead less
My place for life: comparison of models of care and housing for older people. This project addresses the national goal: ageing well, ageing productively. Existing Australian housing and community services will be inadequate for the future, but the evidence base for policy development is absent. This project will conduct the first comparative Australian study on outcomes for older people over time in a range of existing housing models.