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A community-of-care
 — the integration of a palliative approach within residential aged care facilities in Australia
Author(s)Peta McVey, Heather McKenzie, Kate White
Journal titleHealth and Social Care in the Community, vol 22, no 2, March 2014
PublisherWiley Blackwell, March 2014
Pagespp 197-209
Sourcewileyonlinelibrary.com/journal/hsc
KeywordsChronic illness ; Terminal care ; Care homes ; Qualitative Studies ; Australia.
AnnotationThis study explores the extent to which a palliative approach was being used in the organisation and provision of care for older people with complex needs living in mixed-level (a combination of low- and high-level care) residential aged care facilities (RACFs) in Australia. It also explores whether evidence-based guidelines developed in 2004 were used. This paper primarily reports on the qualitative findings. Two residential aged care organisations, one in rural New South Wales and the other in Sydney, Australia, participated. Data were collected over a 9-month period from May until December 2008. Residents, family members and aged care staff were interviewed. Thematic analysis of participant interviews shows that while the various elements of a palliative approach are incorporated into the care of high-level care residents, the discourse itself is not used. The authors argue for a new conceptualisation of care for people in mixed-level care facilities: a community-of-care, in which a palliative approach is one of several components of the care provided. The findings illuminate aged care staff experiences of providing care to high-level care residents. They also provide valuable insights into high-level care residents' perceptions of their health, care provided and the way in which they foresee their care being provided in future. These findings will be important for informing clinical practice, research and policy in these settings. (RH).
Accession NumberCPA-150522241 A
ClassmarkCI: LV: KW: 3DP: 7YA

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