Home' Community Care Review : CCR MAY 2016 Contents SPONSORED FEATURE
The framework includes six key domains - Being Active, Healthy
Eating & Drinking, Staying Connected, Lifestyle, Clinical Care and
Healthy Mind. It also acknowledges that the development and
implementation of services and programs within each of the six
domains, will occur using a range of technology and communication
channels, recognising that staff and the culture of the organisation
are key enablers of the success of the implementation, says Redford.
"As a result of this work, in 2015 we established the Health
and Wellness Unit, employing a Health and Wellness Manager.
Having a dedicated resource to implement the Health and Wellness
Framework was essential for ensuring sustainability and maintaining
the focus. We are in the process of expanding the unit to recruit
more expertise and increase the development of programs."
Following this, the organisation trained its community workers
and co-ordinators to adopt reablement approaches. This skill
set was evident in the 2015/2016 restorative pilot program where
community workers were confident in stepping up to assist health
coaches to guide health and wellness outcomes.
"Supporting our frontline workforce to become more diverse
and adaptable has meant that they can assist greatly in improving
health outcomes. Given the struggle with sourcing staff within the
aged care sector we have focused on building skills internally and
supported a group of staff to undertake further formal education.
There are so many programs and services where they will be making
a difference as the swing from traditional services occurs. Senior
citizens want more things that are meaningful to them. It is exciting
to see people's health and wellness flourish," says Redford.
According to Dr Cathie Buckley, lead of the organisation's Short-
Term Restorative Care (STRC) pilot, Catholic Healthcare's community
services has been increasingly focused on promoting client health
and wellness since 2010, informed by its overarching Health and
Wellness Framework, which underpins its programs and approach.
This organisational approach is aligned with the broader
changes underway in the aged care sector, where the move towards
consumer directed care and client empowerment has coincided with
a mindset shift away from the management of illness towards the
promotion of health and wellness, says Buckley.
"We've not only embraced that change, we wanted to provide
thought leadership to the sector in relation to that emerging
philosophy of care, such as wellness and restorative care," says Buckley.
Daniel Davies, Health and Wellness Manager and clinical lead on
the STRC pilot, says the organisation has adopted the World Health
Organisation's definition of wellness, which outlines it as an "active
process of becoming aware of and making choices towards a healthy
and fulfilling life, a state of complete physical, mental, and social
wellbeing, and not merely the absence of disease or infirmity."
"We've had decades of the illness model,
and the aged care reforms have turned that
on its head, hence we saw the opportunity
to run a restorative pilot to enhance
people's function, independence and quality
of life," says Davies. The health coaching
model cemented that senior citizens are
central to the "active process of becoming
aware of and making choices towards a
healthy and fulfilling life."
A NEW TARGET
Catholic Healthcare's community services
undertook significant research to look for
a suitable tool or model it could use for
its restorative care pilot. While there has
been much research conducted in the
rehabilitation setting, less has been carried
out focusing on community aged care.
The studies it found kept leading it back
to a group of researchers at the University
of Auckland's Faculty of Medical and Health
Sciences, who had developed and tested
a unique tool for use in a restorative care
program, the TARGET (Towards Achieving
Realistic Goals in Elders Tool).
The TARGET tool stood out to Catholic
Healthcare's community services for a few
reasons. First, it put the client at the centre
of the goal setting process. This meant
goals were chosen because they were
personally significant, not simply prescribed
by a health professional. Utilising a health
coach to guide a restorative process further
Mary was a participant
in Catholic Healthcare's
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