Nursing Assignment: Key-Principle for Healthy Ageing in Australia

Question

Task: Nursing Assignment Task:
The Final Report: Recommendations published by the Royal Commission into Aged Care (2021) contains key principles underscoring a new Aged Care Act due to replace the current 1997 Act in July 2023. One key principle is “older people should be supported to exercise choice about their own lives and make decisions to the fullest extent possible, including being able to take risks and be involved in the planning and delivery of their care” (Aged Care Royal Commission (2021) Final Report: Recommendations, March 1st 2021, p207)
Using the context provided in the statement above, critically analyse your role as a registered nurse in empowering the older adult.

You must include each of the following 3 sections under section headings. -Section 1: Why the key principle noted above is important for healthy ageing.
-Section 2: How the Aged Care Quality Standards, in particular Standards 1 and 2 support the key principle above.
-Section 3: Analysis of your role as nurse- examples of how you will incorporate ACQ Standards 1 and 2 into your care of older people in order to realise the key principles mentioned above. You may consider older people residing in the community or in supported accommodation.

-It is essential you support your discussion with relevant research.

Answer

Introduction
This paper on nursing assignment brings out understanding of one of the provided key principles of final report published through “Royal Commission into Aged Care”. It enhances discussion of the key-principle marking its importance to healthy ageing in Australia. The key-principle enables nurses to engage with ageing adults in a more communicative manner and treat them in a culturally safe as well as respectful manner. It also suggests understanding of different ways in which “Aged Care Quality Standards”, supports the key-principle. Finally, it analyses potential nursing roles of implementing ACQ standards considering older adults residing in potential community.

Discussion
Section 1: Why the key principle noted above is important for healthy ageing
It is important to note that the primary principle, noted above states that older or ageing people needs to be potentially supported for exercising their selection regarding their own lives while helping them to take best decisions and risks while caring for them (Agedcare.royalcommission.gov.au, 2021). This is a part of healthy ageing because as a registered nurse, an individual comprises of a critical role in terms of promoting as well as supporting older patients for critical thinking and assure best possible support to them to assure healthy ageing.

The key principle sets goal for registered nurse to understand the ageing process while assess requirements of older Australians for facilitating a healthy-ageing while respecting the individual’s dignity as well as personhood (Coombeset al. 2018). Firstly, the key-principle assures that nurses promote healthy-ageing of older adults in Australia through enhancing a “Person-Centred Practice”, which assures providing a safe along with evidence-based practice related to health as well as proper wellbeing of individuals. It also helps nurses to enhance shared decision-making aspects with the ageing adult and ensure care delivery between the adult and their family members or friends.

It enables nurses to foster open as well as honest form of professional associations, while adhering to obligations regarding the ageing adults’ privacy along with confidentiality(Coombeset al. 2018). In this context, the adult become eligible to take their own decisions while assuring best possible guidance from the nurses through effective communication. It is noteworthy that the above key-principle assures that nurses to involve the ageing adults to take risks regarding their life decisions while enhancing potential skills towards delivering optimal form of pain-management as well as palliative care. Additionally, nurses need to assure best possible commitment towards enhancing comprehensive assessment of the ageing adult and promote demonstration of an optimal view regarding ageing aspects of the adult while delivering potential empathy of the person. Therefore, the provided key principle assures that nurses need to support the older adults through proper knowledge of “aged care system”, while emphasize more on facilitating potential transitions in care including both acute and “community based long term”, care for ageing older adults in Australian attributes (Davernet al. 2020). Therefore, it will contribute potentially towards healthy ageing of the adults through building as well as maintain optimal relationships along with fulfilling their basic requirements and enhancing their functional ability.

Section 2: Age Care Quality Standards supporting key principle
The “Aged Care Quality Standard 1”, is “Consumer Dignity and Choice”. It implies that the customer’s especially older and ageing adults are treated with potential dignity as well as respect (Agedcarequality.gov.au, 2021). It supports the key principle through maintaining potential identity of the person and allows them to make informed form of choices regarding their care as well as service delivery. It also assures that the ageing adult to be able to; potentially act in an independent manner while making their own choices and exercising them in daily lives. It helps them to take potential part in the community aspects while fostering proper social inclusion and supports them to exercise their choice as well as independence (Seahet al. 2021). Therefore, it supports older people to take their own decisions and get involved in potential delivery as well as planning regarding their care; henceforth, supporting the key principle.

The “Standard 2”, regarding this aspect is “Ongoing Assessment and Planning with Consumers” (Agedcarequality.gov.au, 2021). This particular standard potentially describes proper ways, in which organisations require to plan proper care as well as services with their consumers (Hendersonet al. 2018).It supports the key-principle through assuring that planned form of care as well as services regarding older people needs to fulfil their needs and preferences, optimising their health as well as well-being. It assures that even if the older people comprises of potential challenges regarding their health as well as abilities, they can comprise of goals and targets which they want to attain and want to live to the fullest standards.

Section 3: Analysis of role as a nurse
As a nurse it is important to implement ACQ standards 1 and 2 into potential care for “older people”, for realising primary-principle that is mentioned above. For incorporating ACQ-Standard 1, it is important to implement “Culture Practice and respectful relationships”, through involving with older people living in a community in a culturally safe as well as respectful way (Edvardssonet al. 2017). It will help in adhering to their potential obligations regarding both privacy as well as confidentiality. Effective form of communication between nurse and older people will help in enhancement of verbal as well as documentation skills while assessing different challenges, those older-adults tends to encounter while receiving, illustrating or potentially delivering proper information. The nurse needs to provide a “shared decision-making practice”, which will help to deliver better care to the older adults and communicating effectively regarding care-practices will help in “educating the older people”, regarding their process of care delivery and provided services. Assuring potential “empathy”, and incorporating “emotional intelligence”, will help nurse to enhance a community-based social inclusion between older people staying in the community while developing respectful relationships (Edvardsson et al. 2017). It will also help in fostering an open as well as professional association with the patient while shared decision-making will help older adults to make their own choices, take their own risks and exercise their choices to take part in their community.

For implementation of ACQ Standard-2, nurses need to enhance recognition of complex form of interaction regarding acute as well as “chronic co-morbid physical and mental”, conditions and help in delivering treatments common towards older or ageing adults. Nurses need to help older adults to learn to access to potential technology and implement professional attitude of providing a “person-centred care”, within healthcare standards. Commitment towards comprehensive form of assessment of older people will help in better individualised form of analysis of older individual needs and help them in meeting those requirements while optimising their health and well-being (Karaca&Durna, 2019). For older people that comprises of disabilities, or chronic conditions (dementia) it is important to maximise their health outcomes through proper treatment and assure skills to deliver optimal form of pain-management, that can help them to live life to the best standards.

Conclusion
This paper brings out a clear understanding of the given key-principle that contributes to healthy ageing of older people in Australia. Incorporation of professional attitudes for nurses as well as values and potential expectations regarding physical as well as mental aging aspects in provision of “Person-centred care”, for older adults will help them in enabling them to take adequate risks along with getting involved in potential planning and care delivery for older adults. It also discusses both ACQ standards and its potential support towards the key-principle. Finally, it analyses nursing role and enhances its implementation of ACQ standards through effective communication, person-centred practice, social inclusion, respect and dignity and showing empathy towards delivering best possible care to the older people.

Bibliography
Agedcare.royalcommission.gov.au, 2021, Final Report, Retrieved on 1st October 2021 from https://agedcare.royalcommission.gov.au/publications/final-report

Agedcarequality.gov.au, 2021, Standards, Retrieved on 1st October 2021 from https://www.agedcarequality.gov.au/providers/standards

Coombes, J., Lukaszyk, C., Sherrington, C., Keay, L., Tiedemann, A., Moore, R., &Ivers, R. (2018).First Nation Elders’ perspectives on healthy ageing in NSW, Australia. Australian and New Zealand journal of public health, 42(4), 361-364.https://onlinelibrary.wiley.com/doi/pdf/10.1111/1753-6405.12796

Davern, M., Winterton, R., Brasher, K., &Woolcock, G. (2020). How can the lived environment support healthy ageing? A spatial indicators framework for the assessment of age-friendly communities. International Journal of Environmental Research and Public Health, 17(20), 7685.https://www.mdpi.com/1660-4601/17/20/7685/pdf

Edvardsson, D., Watt, E., & Pearce, F. (2017). Patient experiences of caring and person?centredness are associated with perceived nursing care quality. Nursing assignmentJournal of advanced nursing, 73(1), 217-227.https://www.researchgate.net/profile/David-Edvardsson/publication/313386522_Patient_experiences_of_caring_and_person-centredness_are_associated_with_perceived_nursing_care_quality/links/58d0ad75458515302b856c01/Patient-experiences-of-caring-and-person-centredness-are-associated-with-perceived-nursing-care-quality.pdf

Henderson, J., Blackman, I., Willis, E., Gibson, T., Price, K., Toffoli, L., ...& Currie, T. (2018). The impact of facility ownership on nurses’ and care workers’ perceptions of missed care in Australian residential aged care. Australian Journal of Social Issues, 53(4), 355-371. https://www.researchgate.net/profile/Julie-Henderson-3/publication/327114270_The_impact_of_facility_ownership_on_nurses%27_and_care_workers%27_perceptions_of_missed_care_in_Australian_residential_aged_care/links/5b9f6c6ba6fdccd3cb5e46be/The-impact-of-facility-ownership-on-nurses-and-care-workers-perceptions-of-missed-care-in-Australian-residential-aged-care.pdf

Karaca, A., &Durna, Z. (2019).Patient satisfaction with the quality of nursing care. Nursing open, 6(2), 535-545.https://onlinelibrary.wiley.com/doi/pdf/10.1002/nop2.237 Seah, S. S. L., Chenoweth, L., &Brodaty, H. (2021). Person-centred Australian residential aged care services: how well do actions match the claims?. Ageing & Society, 1-26. https://www.cambridge.org/core/journals/ageing-and-society/article/personcentred-australian-residential-aged-care-services-how-well-do-actions-match-the-claims/12AB2D500B01E4C807AB8DC5EDFBAB37