Aged care in Australia 

Aged care in Australia can include everything from help with basic tasks like personal hygiene and meal preparation, to more complex medical and nursing care. In 2021-2022, over 818,000 Australians used entry-level home support services from the Commonwealth Home Support Program (CHSP), according to Gen Aged Care Data. The aged care system in Australia has faced significant challenges in recent years, including concerns about the quality of care provided in some aged care facilities and the funding and regulation of the sector. The Australian government has undertaken a range of reforms to address these issues, including increasing funding for aged care services, improving regulation, and establishing the Royal Commission in 2018 to oversee the sector.

Aged care in New Zealand

Aged care in New Zealand is similar to that of Australia in many ways, with a focus on providing support and services to older people who require assistance with their daily activities. The New Zealand government is responsible for funding and regulating aged care services, which are provided through a range of options, including home-based care, residential aged care, and respite care. Home-based care services are provided in the older person's own home and can include things like personal care and housekeeping, while residential aged care services are provided in aged care facilities and provide more intensive support and care. In New Zealand, aged care is a popular choice. In fact, around 100 New Zealanders were moving into retirement villages every week (Collyns, 2021) and over 34,000 people are living in residential aged care facilities, with around 45% of them on lower care levels (NZACA, 2020).

Aged care isn’t uncommon in Australia and New Zealand, but that doesn’t make talking about it easy, for either you or your loved one. Common reservations include worries about costs, safety and security, worries that your loved one will be in unfamiliar surroundings or not receive enough personal attention. However, to ensure your family member or friend can continue to live their life to the fullest, it’s necessary to have the hard conversation. We’ve created this guide to help you do so.

How to discuss care options with your elderly loved ones

Knowing how to discuss care options like personal alarms and retirement living with your loved one and providing support in the decision-making process can be both emotionally and practically challenging. With so much on the line, being prepared and confident in conversations about potential options remains essential.  We have some tips on how you can communicate effectively about care choices while honouring the wishes of your loved one from both practical and emotional standpoints.

Before the Talk

Before opening up the conversation of care services, take the time to prepare beforehand. Doing this is important, partly because it gives you a chance to work through how you’re feeling about it all. It’s often frightening to realise that someone in your life is getting older - recognising how you’re feeling is vital to ensuring you don’t let your own emotions overwhelm the conversation. Investing time before the conversation better equips you for having the discussion. Before broaching the subject, consider: 

Having a plan of action

Have an idea of what you would like to discuss before meeting with your loved one - this will help to ensure that the conversation stays on track and neither of you feels overwhelmed.

Discussing it with other family members or relevant individuals

Doing so allows you to get further input and together you can figure out the best way of approaching the conversation, as well as the options involved. 

Doing thorough research

Learn as much as you can about what’s available for different types of aged care, and what might best suit your loved one’s lifestyle. For example, if you are looking into getting them a personal alarm,  research the features and determine if it is the right option. 

Learn the progression of an illness 

If they are living with a chronic condition, like dementia or Parkinson’s, find out what you can about it. Knowledge means you can tailor the care services to their needs. However, it’s important to remember that internet research only allows you to understand so much of what they’re experiencing. Keep an open mind to hear their viewpoint. 

Put yourself in their shoes 

Getting older isn’t something anyone is comfortable facing. Discussions around aged care services force your loved one to confront the topic and can cause them to react in emotional and unpredictable ways. Seeing it through their eyes can help you understand their response. You could also start your own advanced care directive, discussing it with them as a segue to their care plan.

Practice what you’re going to say

Plan out what you want to discuss with your loved one, and practice how you’re going to frame the conversation to show the most support and love that you can. 

Find the positive

You want to focus on how your loved one can retain their independence, not on how they’re losing it. Show them how the right aged care, such as in-home options, helps to empower them as they get older, removing worry on both sides. 

Research trial options or visits

Sometimes you can take the pressure off of a decision by asking your loved one to simply have a try at the options. You can do this by seeing if a visit to a retirement home is possible, or whether someone can demonstrate assistive technology and potential in-home care options to your loved one. Familiarity without commitment can help take the fear of the unknown out of the discussion.

Ease into it

Try and avoid springing the conversation on your loved one out of the blue. Instead, ease into talking about the care options. Where possible, begin discussing it before it’s a necessary conversation so that the topic doesn’t feel so close to home. This removes some of the pressure and allows both sides to discuss care services and the different types available more openly. Dealing with hypothetical scenarios makes working through the different options much easier. The first time you bring up the conversation leave it open-ended. Let them know you understand that it’s a hard discussion to begin, but that you want to have it at some point so you can make sure their wishes are acknowledged and fulfilled. By starting the dialogue but not forcing it that day, you give them space to adjust and prepare just as you’ve had the opportunity to do. An important thing to remember is that it’s rarely just one conversation. Creating an open dialogue is important. Be careful how you do this, however. You don’t want the topic of care services to feel pointed or negative, or to bring it up every time you spend time with them. You want to focus on how your loved one can retain their independence, not on how they’re losing it.

Choose the setting, time, and people

The setting for your conversation is important. You want your loved one to feel like they’re: 

In a safe and familiar place 

For example, having the conversation in someone else’s home can leave them feeling awkward and on the back foot. Instead, consider doing it in a quiet space where they feel supported. 

Comfortable talking at the time

Make sure you think about the timing of the conversation. Where possible, letting it come up naturally is the best option. However, this is not always possible. 

When the discussion does start, make sure you both have time to engage in it fully. Don’t rush it, and choose a moment when you’re both in a safe and comfortable headspace.

Think about who you want to be involved in the discussion

A few options could include:

• Other close family members 

• Your loved one’s doctor or geriatrician 

• An individual from your loved one’s faith community 

• A close friend of your loved one 

• A social worker 

A third party helps to mediate should tension grow during the discussion. It also gives support to your loved one and provides a network that they can lean on. If there is someone in your loved one’s community that is already using care services, ask them if they could provide an extra viewpoint in the discussion. Having someone who is using home care technology or living in a retirement village removes the stigma around the topic, and gives practical insight into the positives and negatives involved.

Having the hard conversation

When the time comes to sit down and have a discussion with your loved one, make sure you’re in an open frame of mind and ready to listen to them. Actively hear their concerns, and repeat them back to your loved one to show them you’ve fully understood their point of view. By doing this and remaining calm but empathetic, you can help prevent the discussion from escalating. Strong emotions often only cloud the conversation.

Remember to approach the conversation in a way that makes it clear to your loved one that you’re not taking charge, but rather that you’re wanting to hear their thoughts and wishes to help them make the best choices moving forward. The discussion will likely become an open and ongoing dialogue. While the conversation isn’t easy, it presents a chance for you to grow your relationship and become closer. For example, you may find out that part of the reason they’d prefer to stay in their own home and use connected health technology is because they’ve never experienced communal living before. 

Seek help from Tunstall Healthcare

Here at Tunstall Healthcare, we know how difficult this time might be for you and your loved one, and are here to support you through it. We offer assistive technology and support services to help create a specialised Connected Care solution that meets your loved one’s needs, all provided with care and understanding. 

Our products range from personal alarms, fall detectors, medical alert pendants, vital sign devices and more. Our aim is to help empower individuals to continue living their life to the fullest in a place of their choice. To learn more about our range of connected healthcare solutions, contact us and we’ll be glad to discuss different options with you.

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