Antipodean Perspectives—Aged Care Nursing and the Multifaceted Role of the Aged Care Nurse

Healthy ageing refers to the development and maintenance of the functional ability of ageing individuals. Aged care nurses provide nursing care to elderly individuals and usually work in aged care residential facilities, nursing homes, home care services, and/or hospital departments. The registered...

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Main Authors: Rajkumar Cheluvappa, Selwyn Selvendran
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Nursing Reports
Subjects:
Online Access:https://www.mdpi.com/2039-4403/12/3/62
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author Rajkumar Cheluvappa
Selwyn Selvendran
author_facet Rajkumar Cheluvappa
Selwyn Selvendran
author_sort Rajkumar Cheluvappa
collection DOAJ
description Healthy ageing refers to the development and maintenance of the functional ability of ageing individuals. Aged care nurses provide nursing care to elderly individuals and usually work in aged care residential facilities, nursing homes, home care services, and/or hospital departments. The registered nurse working in the aged care sector has several important roles. Key roles cover both therapeutic and preventative paradigms, as discussed in this paper. The aged care nurse is also “tasked with” holistic patient-centred care and the promotion of healthy ageing via advocacy and sociocultural roles. This paper examined, described, and analysed the multifaceted role of an aged care nurse from an Australian perspective. We conducted meticulous searches using PubMed, Google Scholar, government guidelines, authoritative body regulations, quality control guidelines, and government portals pertaining to aged care nursing in Australia. This paper relied upon the information garnered from publications, reports, and guidelines resulting from these searches and analyses. Multiple aspects of healthy ageing and holistic aged care nursing are discussed. The key roles of the aged care nurse are enumerated next, in accordance with the code of conduct from the Nursing and Midwifery Board of Australia (NMBA). The NMBA promotes evidence-based, culturally sensitive, consultative, holistic aged care clinical practice that includes input from care recipients, their decision makers, and/or their health care providers. The difficult issue of loneliness is discussed with strategies to ameliorate aspects of this. Good social networks, community interactions, meaningful friendships, and participation in personalised spiritual/religious practices improve the quality of aged care. The key topic of elder abuse and its forms are discussed apropos of aged care nursing. Healthy ageing is promoted by identifying and reporting elder abuse at the earliest. Current Australian law and recent federal legislation changes pertaining to aged care nursing are discussed next. As a result of these legislation changes, several new quality control imperatives (for aged care organisations/facilities) under the Aged Care Quality and Safety Commission (ACQSC) have been implemented. Residential and flexible aged care providers should now have robust ongoing documentation and a well-developed behaviour support plan (BSP) for each care recipient who currently requires or may require restrictive practices, which must be reported under the new serious incident reporting scheme (SIRS). Various strategies to promote healthy ageing and approaches to communicate effectively with aged care recipients are also discussed. Healthy ageing is promoted when age care recipients are empowered with making their own autonomous choices in “major and minor” aspects of life. Finally, approaches to optimise quality aged care nursing care are discussed. The Roper–Logan–Tierney model is one of the models used to assess and optimise nursing care. This is premised on the capability of an ageing individual to accomplish 12 basic activities of daily living.
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spelling doaj.art-0bf98c6d99e14ab38235f1807970239d2023-11-23T18:09:39ZengMDPI AGNursing Reports2039-439X2039-44032022-08-0112362963610.3390/nursrep12030062Antipodean Perspectives—Aged Care Nursing and the Multifaceted Role of the Aged Care NurseRajkumar Cheluvappa0Selwyn Selvendran1Nursing and Midwifery, Australian Catholic University, Watson, ACT 2602, AustraliaDepartment of Surgery, St George Hospital, Kogarah, NSW 2217, AustraliaHealthy ageing refers to the development and maintenance of the functional ability of ageing individuals. Aged care nurses provide nursing care to elderly individuals and usually work in aged care residential facilities, nursing homes, home care services, and/or hospital departments. The registered nurse working in the aged care sector has several important roles. Key roles cover both therapeutic and preventative paradigms, as discussed in this paper. The aged care nurse is also “tasked with” holistic patient-centred care and the promotion of healthy ageing via advocacy and sociocultural roles. This paper examined, described, and analysed the multifaceted role of an aged care nurse from an Australian perspective. We conducted meticulous searches using PubMed, Google Scholar, government guidelines, authoritative body regulations, quality control guidelines, and government portals pertaining to aged care nursing in Australia. This paper relied upon the information garnered from publications, reports, and guidelines resulting from these searches and analyses. Multiple aspects of healthy ageing and holistic aged care nursing are discussed. The key roles of the aged care nurse are enumerated next, in accordance with the code of conduct from the Nursing and Midwifery Board of Australia (NMBA). The NMBA promotes evidence-based, culturally sensitive, consultative, holistic aged care clinical practice that includes input from care recipients, their decision makers, and/or their health care providers. The difficult issue of loneliness is discussed with strategies to ameliorate aspects of this. Good social networks, community interactions, meaningful friendships, and participation in personalised spiritual/religious practices improve the quality of aged care. The key topic of elder abuse and its forms are discussed apropos of aged care nursing. Healthy ageing is promoted by identifying and reporting elder abuse at the earliest. Current Australian law and recent federal legislation changes pertaining to aged care nursing are discussed next. As a result of these legislation changes, several new quality control imperatives (for aged care organisations/facilities) under the Aged Care Quality and Safety Commission (ACQSC) have been implemented. Residential and flexible aged care providers should now have robust ongoing documentation and a well-developed behaviour support plan (BSP) for each care recipient who currently requires or may require restrictive practices, which must be reported under the new serious incident reporting scheme (SIRS). Various strategies to promote healthy ageing and approaches to communicate effectively with aged care recipients are also discussed. Healthy ageing is promoted when age care recipients are empowered with making their own autonomous choices in “major and minor” aspects of life. Finally, approaches to optimise quality aged care nursing care are discussed. The Roper–Logan–Tierney model is one of the models used to assess and optimise nursing care. This is premised on the capability of an ageing individual to accomplish 12 basic activities of daily living.https://www.mdpi.com/2039-4403/12/3/62actactivities of daily livingaged careaged care assessment teamaged care quality and safety commissionageing
spellingShingle Rajkumar Cheluvappa
Selwyn Selvendran
Antipodean Perspectives—Aged Care Nursing and the Multifaceted Role of the Aged Care Nurse
Nursing Reports
act
activities of daily living
aged care
aged care assessment team
aged care quality and safety commission
ageing
title Antipodean Perspectives—Aged Care Nursing and the Multifaceted Role of the Aged Care Nurse
title_full Antipodean Perspectives—Aged Care Nursing and the Multifaceted Role of the Aged Care Nurse
title_fullStr Antipodean Perspectives—Aged Care Nursing and the Multifaceted Role of the Aged Care Nurse
title_full_unstemmed Antipodean Perspectives—Aged Care Nursing and the Multifaceted Role of the Aged Care Nurse
title_short Antipodean Perspectives—Aged Care Nursing and the Multifaceted Role of the Aged Care Nurse
title_sort antipodean perspectives aged care nursing and the multifaceted role of the aged care nurse
topic act
activities of daily living
aged care
aged care assessment team
aged care quality and safety commission
ageing
url https://www.mdpi.com/2039-4403/12/3/62
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