There are several psychological, mental and physiological health concerns all around the world which make the existence of residential care, establishing a domain from nursing homes to the retirement life. There are some serious mental health concerns found ranging especially the psychosocial care to the residents. There are approximately 7000 Australian youngsters facing disabilities who are enforced to move to spend their lives in the nursing homes due to no suitable accommodation is found for them to live in which is fit to their needs and requirements (Borowski & Hugo, 1997).
According to Harrison, et. al., (2020), the Royal Commission on Aged Care has issued a report which was including a law comprising with the statement “By 2022 no younger people should be entering residential aged care, and by 2025 no younger people should be living in residential aged care, except for those who choose to be there.”
The report highlights the serious concern about to control and rejuvenate the incumbents especially young people into these nursing homes due to several serious issues attached with the youngsters who move from hospitals to nursing homes. Due to these issues, it becomes almost impossible for these young people to get out of these nursing homes. Very important factor of these issues is the damage of their skills and social connections resulting in feeling the social exclusion. These social exclusions are due to the activities performed in the nursing homes which keep them more under the level of confidence and their skills.
Several individuals find themselves illegible or unsuited to the rehabilitation services provided to them in Australia who are at the bottleneck of being a part of residential aged care centers due to the facilities provided there. Their rehabilitation stream becomes very slow which needs extended time for their rehabilitation time frame required for an ordinary individual. This results in very small but significant gains in their rehabilitation progress (Trankle, et. al., 2020).
The report is a strong and clear information to the National Disability Insurance Scheme (NDIS) as well as to the government to do something better in order to support the people when they are in the need of support to be able for living in a society. It is a serious concern of the commissioners for some serious and immediate response from both government and NDIS regarding the stoppage of this continuous flow of youngsters moving into the aged care centers. Moreover, a serious and immediate action is required about the mental and social connectivity of those youngsters who have to exit and join the society (Milligan, 2012).
Instead of social exclusion, there are some other very significant issues which make it worsen for the young people to join the aged care centers like:
These centers are very expensive and it becomes very critical for the poor family to look after its loved one. It becomes more expensive in the case of own funded and if funded by some local authority, a proper assessment is must of family member who needs a home care which is another very tough process to be done.
Another very important factor which makes it worse, is the choice of homes which is very limited as there are many homes which are in full capacity and have no vacancy for the member to take in.
There occurs a sign of guilt in the minds of other family members that they, by themselves, are not looking after of their loved ones which makes the situation more complex and tighter. It may create a sense of rejection in the mind of the disabled young individual which may be reduced by discussing and talking to them in advance and making a sense that the other members unable to provide such cautious help which they need (Milligan, 2012).
The patient may find himself in a state of independence loss although a proper care has been given by all the staff members of the care centers but as they will be giving more care, the sense of independence loss will be increased.
It becomes very much unpleasant and unsettling for the patient to move into completely new and unfamiliar surroundings which may worsen the situation.
The patient may go into the state of loneliness and may loose the contacts of relatives, friends and neighbors and the state of that mental and psychological health concern may become very much serious.
Every patient who is living in a care center must be provided with a small living space which also becomes another sign of assistance on others with the conditions of not using the furniture and other accessories in the care center with full independence (Milligan, 2012).
Although, to be registered as a care center, there is a set of standards which every center has to follow but in real, the quality of the care provided to the patients varies from center to center. This may worsen the situation for the family members to conduct a research or survey to find out a home where quality of care is provided and then, to take the place for loved one is another complex situation as it depends upon the vacancy availability in that home (Rainsford, et. al., 2018).
The report has alleged NDIS with findings that the process of providing funding and support to the people, is very slow and it should be focused with more pace so as to prevent the young people move to the care homes (Quinn, Zeeman, & Kendall, 2016).
Contrary to this, nursing homes are quick and available. Consequently, the pressure of being a choice is a natural phenomenon which increases the pressure of young people to be admitted in the nursing homes which may worsen the situation in nursing homes.
Moreover, biasness has been witnessed in the decisions made by the aged care assessment teams which has been seriously viewed by the authorities and it is focused that a strict scrutiny should be made while deciding to admit any youngster in the nursing home (Quinn, Zeeman, & Kendall, 2016).
The role of government is not found proper as has been witnessed in the report as it is found unsuccessful in gathering the necessary information regarding the young people who are living in these aged care homes. This also reduces the role of NDIS members for doing nothing in this aspect.
According to Foreman, et. al., (2006), it has been found that community considers the nursing homes as waiting room which must be stopped in order to increase the efficiency of these nursing homes. This is due to this wrong concept of considering the waiting room for residence and moral support to the young people of the community which is worsening the situation. It is true while admitting to a nursing homes, the individual loses the social networks, relatives, and friends, independence, and the sense of assistance is emerged into the individual’s psychology. It also affects the physical health of the patient as being a member of new place and a sense of insecurity and with no privacy (Milte, et. al., 2017). This problem may be solved with only preventing the admissions of young people into these aged care homes.
It requires a huge transformational change in NDIS, housing, health and other governmental departments to have a joint operation in order to achieve this benchmark. This requires an alternative of this system is Palliative care system which is a new, unique and support providing system for young people to be the part of this system and to provide them a proper care (Nagaratnam & Nagaratnam, 2019). The aged care homes are filled with those disable people who are sick and they had to remain there forever. But in this palliative care system provides them more alternatives which make it a better choice to prevent them from aged care centers just for simple sickness. The youngsters may not be admitted into the aged care homes just for their simple sickness due to these alternative care systems provided by palliative care system (O'Reilly, & Pryor, 2002).
Better housing options must be provided to the community by the government so as they could be living in the better conditions and they could be availing all the facilities at home. Moreover, some temporary housing alternatives must be provided which may work in the case of emergency as well as it will help out during waiting time for a house to live in (Winkler, Farnworth, & Sloan, 2006).
There must be provided more options for the disables which they may choose for their living with all the rehabilitation requirements available in those homes with such a place with maximum availability of vacancy for the people that they should not be in the waiting line (Quinn, Zeeman, & Kendall, 2016).
The efficiency of NDIS may also be increased as it should be come up with a reasonable solution for the individuals who are near to exit the aged care homes in order to support and grow such individuals so as they may become an independent, sociable, and confident person of a community.
There is a huge need of housing options in Australia requiring high access and affordability. Most of the people living in these aged care homes live in partner relations and a small portion of this amount are the parents of children with age 7-8. This implies that the people need the housing choices with their children and/or with their partners. The youngsters must be given an option in order to rehabilitation whether they need just the support or facilitation or they want to live in an aged care home. This would enhance more vacancies available in the existing aged care houses as well as the rush of the patients may be decreased (Gilmore, 2002).
There are several options available in an attempt to fix this issue and to prevent the younger people move into the nursing homes like:
There should be more simplifications be provided in the documentations and file work in order to take a reduced time which may help them in selecting the right option according to their desire. Moreover, it would help in preventing the new admissions of younger people in nursing homes (O'Reilly, & Pryor, 2002).
There must be such programs offered by the government in order to provide more facilities and support to the disabled people in an attempt to remain them in their own homes with their family members which may increase the flexibility in the system or any other options provided to them in an attempt to reduce their admissions in the nursing homes (Tunåker, 2015).
Moreover, the government must build such purpose-built houses for these people which may be provided to the families containing these disabled people in which they may live according to their needs and desires.
This is evident with this discussion that there is no need for younger people living in the nursing homes and the people must be avoiding to admit in these nursing homes to be more sociable, flexible, and confident. The government and NDIS must take some important precautionary measures like building purpose-built homes, providing more funding and facilities, increased flexibility in the system, serving the more digitalized equipments, and reduced cost in such elements that may support the disabled in which they remain in their homes. This will also helpful in curtailing and preventing the younger people to adopt the nursing homes (O'Reilly, & Pryor, 2002). Furthermore, there should be more apprehension with the families to keep their loved ones with them as they could be more reliable source to up bring and rehabilitate them properly as compare to these nursing homes.
These nursing homes are trying to provide them proper care and look after them with proper help but unfortunately, it is not up to the mark that would yield the proper rehabilitation program to their loved ones. There is a need of such palliative care system that may provide a support and proper care to these disabled people as well as their will be some kind of relief for other family members as well. The families must be provided with proper support and a choice option in order to understand the situation about whether they have to go for the support only or to join some nursing home. This may reduce the number of admissions of those people who join nursing homes for just simple sickness and then become a permanent part of such homes. This will also helpful to bring flexibility in the houses’ systems as well.
Borowski, A., & Hugo, G. (1997). Demographic trends and policy implications. Ageing and social policy in Australia, 37.
Foreman, L. M., Hunt, R. W., Luke, C. G., & Roder, D. M. (2006). Factors predictive of preferred place of death in the general population of South Australia. Palliative medicine, 20(4), 447-453.
Gilmore, V. (2002). Aged care is not the right place for younger people. Australian Nursing and Midwifery Journal, 10(1), 15.
Harrison, S. L., Lang, C., Whitehead, C., Crotty, M., Ratcliffe, J., Wesselingh, S., & Inacio, M. C. (2020). Trends in prevalence of dementia for people accessing aged care services in Australia. The Journals of Gerontology: Series A, 75(2), 318-325.
Milligan, C. (2012). There's no place like home: Place and care in an ageing society. Ashgate Publishing, Ltd..
Milte, R., Shulver, W., Killington, M., Bradley, C., Miller, M., & Crotty, M. (2017). Struggling to maintain individuality–describing the experience of food in nursing homes for people with dementia. Archives of Gerontology and Geriatrics, 72, 52-58.
Nagaratnam, K., & Nagaratnam, N. (2019). Long-term care, nursing homes and support services. In Advanced Age Geriatric Care (pp. 39-43). Springer, Cham.
O'Reilly, K., & Pryor, J. (2002). Young people with brain injury in nursing homes: not the best option!. Australian Health Review, 25(3), 46-51.
Quinn, H. D., Zeeman, H., & Kendall, E. (2016). A place to call my own: Young people with complex disabilities living in long-term care. Journal of prevention & intervention in the community, 44(4), 258-271.
Trankle, S. A., Shanmugam, S., Lewis, E., Nicholson, M., Hillman, K., & Cardona, M. (2020). Are we making progress on communication with people who are near the end of life in the Australian Health System? A thematic analysis. Health communication, 35(2), 158-167.
Tunåker, C. (2015). “No Place Like Home?” Locating homeless LGBT youth. Home Cultures, 12(2), 241-259.
Winkler, D., Farnworth, L., & Sloan, S. (2006). People under 60 living in aged care facilities in Victoria. Australian Health Review, 30(1), 100-108.
Rainsford, S., Phillips, C. B., Glasgow, N. J., MacLeod, R. D., & Wiles, R. B. (2018). Dying at home in rural residential aged care: A mixed‐methods study in the Snowy Monaro region, Australia. Health & social care in the community, 26(5), 705-713.
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