Auckland DHB Elderly Care Strategies

Auckland DHB is based to part of Auckland City in which they are serving seven wards Avondale/Roskill, Eastern Bays, Eden- Albert (Balmoral), Hobson, Tamaki- Maungakiekie(Penrose), Western Bays and Hauraki Gulf Islands .It has a population of 475,765 people. Eighty seven percent of the Auckland DHB population live within five wards within the Auckland DHB boundary.The other 13% live in either the Manukau ward within the Counties Manukau DHB area, or the Whau ward within Waitemata DHB.Auckland district health board got 10% of the people domiciled in the Auckland DHB district are aged 65 years and over, compared with 12% of NZ population.17% are aged under 15 years, compared with 22% for all of NZOlder People’s Health wards were the first patients moved into the new Auckland City Hospital which is started by Auckland district health board. Auckland district health board has two sites; inpatient services are based at Auckland City Hospital while outpatient and community services are based atGreenlane Clinical Centre. Older People’s Health looks after the over 65-year-old population of Central Auckland and offers assessment, treatment and rehabilitation services. There are four wards at Auckland City Hospital that form part of the A+ Links Home and Older People’s Health Service. The four wards are located in the the Support Building. Awatea Ward and Marino Ward are on level 14. Rangi toto Ward and Remuera Ward are on Level 13.These wards work very closely as a team and a unit. There is a strong Interdisciplinary team (IDT) focus on all four wards. This team is made up of nurses, doctors, physiotherapists, occupational therapists, social workers, dieticians, speech language therapists, pharmacists and others, who all make contributions to the patient’s care.

STRATEGIES

Auckland District Health Boards vision’s is of a healthy population, and quality health service to the community people need it –Healthy Communities, Quality Healthcare ~ Hei Oranga Tika mo te iti me te Rahi.It is strategic priorities of Auckland district health board that all rest homes and aged residential care facilities are certified and audited to ensure they provide safe, appropriate care for their residents. This is measured by seeing how they perform against the standards set out in theHealth and Disability Services (Safety) Act 2001.

HEALTH OF OLDER PEOPLE STRATEGY {2001}

It is cooperated on the national level where Auckland District health board is doing this by putting up policies in Auckland to improve and giving standard of life to old people by giving them appropriate services. Health and support services and programmes specially made to facilitate the wellbeing of the aged people, it also controls over the lives and their capability to participate and capability to social life, family, whanau and community life.

OBJECTIVES

It provides the planning to support the growth of quality health and support services integrated around the needs of older people.

Funding will be managed and services delivered to increase timely access for the quality life integrated health and support services for older people, family, whanau and caregivers.

The Hauora needs of Older Maori and their (whanau) family will be given by different appropriate programmes which are going to support them.

Special requirement of services should be recognise to support unique position of Maori living in Aotera as Maori.

The New Zealand Positive Ageing Strategy

The 1999 International Year of Older Persons prompted the development of a New Zealand strategy promoting the value of older people.In the this strategy they state the aged people live positively and grow properly in there elderly age. Positively strategy is also takes account the health, financial security, independence, self- fulfilment, personal safety and living environment of older Auckland District citizens. The New Zealand Positive Ageing Strategy provides a framework for developing and understanding policy with implications for older people.

POLICIES

Auckland DHB A+ Links Older People’s Health

Older People’s Health (OPH)

Serviceprovides inpatient and outpatient care and is spread over two sites; inpatient services are based at Auckland City Hospital while outpatient and community services are based atGreenlane Clinical center. They also have the interdisciplinary day assessment includes Stroke Clinic, Parkinsons Clinic and Auckland City Memory Service. Also available is the Community Rehabilitation Programme to assist people who need some assistance to get back to how they were functioning prior to illness or who need help with the transition back to their home situation after a period in hospital.

Home Health

Service provides community based healthcare for adults 16 years and over living in Central Auckland. It is based atGreenlane Clinical Centre.

Dementia Pathways

We will increase access to early onset dementia services.We will help to develop a greater range and level of skill within the Aged Residential Care sector.Overall, we want to see safer practice in working with older people across both inpatient and community settings.This will also depend on increasing service accountability and the reporting of clinical issues.

SENIORLINE

Support of carer- In this old person can get a support of carer on full time basis from district health board.

FUNDING

Auckland DHB received $1074.6 million in funding in 2014/15 from Ministry of health

Funding increases as a result of growth over the last 3 years were as follows:

• $21.9 million in 2014/15
• $21.4 million in 2013/14
• $32.2 million in 2012/13.

They also get public funding to serve aged people of Auckland District from NGO’s.

TERMINOLOGY

Terminology is meant to be the word which is used in different settings of science and in forensic science to name some special characters of some incidents and reactions in chemical. The old age person in the old age socially they called geriatric or elderly.

Old age person- As the age recognised socially for the human being which is 65 years and they called retired people.

ATTITUDES

it is define how the people look the old age person, some of them are think they rely on their kids on the governments to live their lives. The elderly people with dementia they are isolated from the community in the mental institutions.

Elderly people are undervalued by the young generation and discriminated against especially with loss of health and income.

STEREOTYPES

People start commenting them by words like useless or the words which hurts their dignity and respect. Person with cognitive impairments are socially isolated from community and from the family sometime.

Most of dementia clients those with serious illness are unable to make decisions for their own lives where some of the families feel burden on them start suggesting them to go live separate or in rest home facilities.

BARRIERS

It is problem where elderly people get abused at home where they have to do home cleanings and home works like lawn moving, vacuuming. They also neglected most of the times due to their unwillingness and the diseases for the social parties in the families. Society starts undervaluing them when they starts going towards their retirement and they hurts their dignity where they feel disrespectful for themselves. They create image of elderly person of negative energy due to their suggestive nature to young people from their experience which always suggest them to do right things or in proper manners, these things also varies from culture or to religion.

2.3 SERVICE PROVISION

All the service provided to aged people through hospitals their primary services and the services which they get from community.

General practitioner- for the routines check up

Hospitals- for the emergencies and accidents

Work and income- for their financial part of their life

Citizen’s bureau- for first time information

NZ Positive Ageing Strategy (2001)

Health Of People Strategy (2002)

Above strategies helps to improve their quality of life improving their policies from their past years data gathering from their regional statics.

ACESS FRAMEWORK

RESTHOME FACILITY- it is started from GP first he assess the elderly person how much care they need for themselves, if it is fell dependence then they ask them to go for NASC assessment to get full service.

Ministry of health – incorporate the strategies

Auckland District Health Boards- Corporate the policies and strategies stated by Ministry of Health for Auckland District.

They can access WINZ for their financials though their website. www.wins.govt.nz

REFERENCES

A Links Needs Assessment and Service Co-ordination (NASC) • Healthpoint. (n.d.). Retrieved February 21, 2015, from http://www.healthpoint.co.nz/public/older-peoples-health/a-links-needs-assessment-and-service-co-ordination/

Seniorline Home. (n.d.). Retrieved February 21, 2015, from http://www.adhb.govt.nz/SeniorLine

Auckland DHB. (n.d.). Retrieved February 21, 2015, from http://www.health.govt.nz/new-zealand-health-system/my-dhb/auckland-dhb

Residential care. (n.d.). Retrieved February 22, 2015, from http://www.health.govt.nz/new-zealand-health-system/publicly-funded-health-and-disability-services/residential-care

HEALTH OF OLDER PEOPLE STRATEGY {2001}. Retrieved February 23, 2015, from http://www.health.govt.nz/system/files/documents/publications/olderplebb.pdf

The positive ageing Startegy Retrieved February 22, 2015, from https://www.msd.govt.nz/what-we-can-do/seniorcitizens/positive-ageing/strategy/