After completion of the agreed consultation process, HNECCPHN have provided the necessary funding to enable the 24/7 ACE service model in Tamworth. The service will commence on Monday 3rd April 2017. This news was warmly received by all at the Tamworth Interagency meeting.
Interagency Meeting Wrap Up
This round of IAMs was themed: Contemporary pain management in the elderly. There were some wonderful presentations from local experts in the field, Vickie Croker CNC and Ops manager for the Tamworth Integrated Pain Service (TIPS) and Fiona Hodson CNC for Hunter Integrated Pain Service (HIPS).
The presentations covered the definitions of acute and chronic pain as well as the personal cost, impact and prevalence of chronic pain– more than 80% of residential care residents report chronic pain. Clarification and differentiation between the mechanisms of pain, nociceptive pain - visceral and somatic - as well as neuropathic pain were discussed. Numerous tips were passed on regarding effective assessment of pain including questions to ask, using common tools and stressing the role of observation in pain assessment especially for residents with dementia.
Assessment, planning, management and documentation is of critical importance but largely, poorly implemented across the health care spectrum.
Below are four key messages:
Develop & document a plan
Set realistic comfort-function goal
Need positive education
Use a multimodal approach
Reduce “normal” starting dose
Titrate more slowly “start low go slow”
We were introduced to some wonderful initiatives, RACF managers and staff had put in place to engage residents and maintain activity in daily life. The benefits of the programs include:
Reduced pain / pain medication
Decreased respiratory concerns
Improved skin integrity
Improved sleep habits
Improved concentration and memory
Maintaining strength and mobility
Reducing staff for transfers and mobility
Maintain joint range of movement
Improved or maintained flexibility
Improved mood and mental wellbeing
Improved socialisation, self-worth and wellbeing
Giving back independence
Let the games begin
Cathy Kolder at Mercy Aged Care Singleton introduced the Singleton Interagency participants to the activities she had recently put in place. The residents enjoyed various games in the lounge room including a giant connect four game, dominoes and snakes and ladders. A personal favourite was the cornhole game, as you can see in the picture above, Lindsay MacKay, HNECCPHN and Anna Bown NSWA got quite competitive.
For further information on games please contact: Kathy Kolder, Director of Care Services – Mercy Services Singleton firstname.lastname@example.org
Programs available at Redhead
While Lee-Ann Gascoyne (pictured) of the Whiddon Group Redhead took us through the various programs they have in place.
Chair aerobics, Tai Chi, Sit Dancing both in groups and one on one when needed.
Walking trail groups with various trails to suit the capabilities of the group on the day.
Balance and step classes to assist with and maintain coordination and ability to use stairs.
Pelvic floor classes to improve continence and thus improving dignity and skin integrity.
Lee-Ann and team identify frequent fallers and implement one on one programs.
Deep breathing and Bubble blowing – a favourite, aids respiratory fitness, enables opportunities for cough etiquette and hand washing education
Pain clinic- includes foot massage, circulation boosters to name a few techniques – who wouldn’t like that.
Bus outing – Lee-Ann attends and activities include a spot of chair aerobics on the bus.
Outcomes of activity are many. Some include reduced falls and pain, improved sleep, improved mood and mental well-being and maintenance of strength and mobility.
For further information please contact: Kelly Thomson, Deputy Director of Care Services, The Whiddon Group Redhead: email@example.com
Please let us know of any compliments/complaints with the date/time/what/when/who so that we can follow them up with the appropriate organisation/person. firstname.lastname@example.org – 02 4935 3026
Hunter Primary Care and HNELHD have now established local regional interagency meetings at Newcastle, Port Stephens, Manning, Singleton and Maitland.
These meetings are held in conjunction with the Residential Aged Care Facility (RACF) collaborative group and provide an opportunity to learn from each other and showcase how the service is making a difference.
Guest speakers will present their experiences, innovations and strategies for emergency care.
Tomaree ACE Interagency
Date: Thursday 11 May 2017
Time: 9.00am - 12.00pm
Venue: Harbourside Haven, 89 Shoal Bay Road, Shoal Bay
RSVP: 27 April 2017 to email@example.com