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Nurses’ Role in Aged Care

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Exciting changes are on the horizon for Australia’s aging population, as highlighted in the recently released Intergenerational Report 2023. This report predicts a future where Australians enjoy longer and healthier lives. By 2063, the number of individuals aged 85 and older is expected to triple, while those aged 65 and older are projected to double. While these promising trends indicate improved health and longevity, they also pose significant challenges for aged care services.

The report’s authors emphasize that such demographic shifts will exert substantial pressure on government-funded aged care services. The rising demand for residential aged care will be the primary contributor to increased spending, with a significant rise also foreseen in community care expenditures. To address these challenges and promote self-sufficiency, a coalition representing 400,000 nurses across Australia is calling for innovative care models that facilitate graceful aging within one’s own home and community.

Professor Mary Chiarella, a distinguished nursing expert at Sydney Nursing School, highlights the success of the Buurtzorg care model in the Netherlands. For the past 17 years, this approach has involved small teams of nurses providing comprehensive personal, social, and clinical care to individuals in their homes. This model breaks away from the traditional division of clinical and social care, instead placing them side by side in a harmonious system that encourages patients to voice their needs and actively participate in their care journey.

However, the coalition asserts that nurses in Australia are currently underutilized and underfunded in bridging this care divide. To adopt a similar successful model locally, a restructuring of primary health care funding would be necessary. Professor Chiarella suggests a capitation funding model for nurses, where funding is allocated based on individuals’ needs, allowing teams to care for a group of individuals holistically rather than adhering to a rigid schedule.

In embracing this inclusive and patient-centered approach, Australia could usher in a new era of aged care that empowers individuals to age gracefully within their familiar surroundings, surrounded by loved ones and friends. The path to achieving this vision requires innovative thinking, collaborative efforts, and a willingness to adapt to changing demographics and care needs.

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