It’s what we would call, “Getting you back on your feet again; able to live your own life the way You want to.”
The Commonwealth Home Support Programme (CHSP) makes it easier to access and receive aged care services and support in your own home. For the over 65's (or 50 years and over for Aboriginal and Torres Strait Islander people). Carers of these clients will also benefit from services provided through the CHSP eg. such as planned respite, delivered meals and domestic assistance. Less work for YOU, allowing more enjoyment with your loved one. To laugh together, to share the intimacy , to be again the couple you once were. For those caring for their parents or a family member, it will help give them get back/retrain their independence to take care of themselves again, without having to rely ever more frequently on your help.
When you have spent a lifetime looking after yourself and those of your immediate family, it can come as quite a shock that You are the dependent one. This is especially true for the male, whose role in the family is slowly being reversed to one of having to rely on others for even the simplest of tasks. This loss is often one of the main causes of their depression and lessening interest and withdrawal from Life.
Reablement 'Actually' means:
Wellness or ‘a wellness approach’ is used to describe an overarching way of thinking about and providing support to frail older people, that can be applied across all service outcomes with the aim of promoting greater independence and autonomy. It is based on the premise that even with frailty, chronic illness or disability most people have the desire and capacity to make gains in their physical, social and emotional wellbeing and to live autonomously and as independently as possible. In the context of the CHSP, implementing a wellness approach is about building on an individual’s strengths, capacity and goals to help them remain independent and to live safely at home. It is meant to be embedded at all levels of the program including assessment, support planning and service delivery and should be applied even when the need for assistance is episodic, fluctuates in intensity or type over time, or is of an ongoing nature.
"This study's results indicated that stronger purpose in life was associated with decreased mortality. Purposeful living may have health benefits. Future research should focus on evaluating the association of life purpose interventions with health outcomes, including mortality. In addition, understanding potential biological mechanisms through which life purpose may influence health outcomes would be valuable."
The lost of function does not necessarily mean the permanent loss of function. Reablement includes strategies to help your loved one regain physical and cognitive functions. Do be aware of your loved ones emotional journey of loss while ageing.
Now, as a Carer, it is YOUR right to get all the assistance you need to carry out your most difficult role. It can sometimes seem like it is all left up to YOU, but there is help out there. All you have to do is Ask - nicely of course :-) YOU are valued... This new CHSP will make your role easier by 'retraining' the person you care for to do for themselves as much as they are able, rather than the present 'do for them' mindset. Yes, it will involve some learning new skills, different and more simplified ways to do things, but overall, the burden for you - the Carer, will hopefully diminish and you will be able to get some of Your own life back too :-)
Most of all, people want to 'do for' themselves, and feel devalued when they cannot do it themselves, as someone else takes over 'their life'.
The Current Situation (Dependency)
Does for & does to a person Ø
Takes over/removes roles Ø
Supports declining capacity of person Ø
Takes control Ø
Focuses on physical and mental decline Ø
Can isolate from the community Ø
Reduces self-confidence Ø
Results in Illness/Dependency cycles Ø
The Wellness Approach Ø
Wellness is a philosophy that ‘is based on the premise that even with frailty, chronic illness or disability, people generally have the desire and capacity to make gains in their physical, social and emotional wellbeing and to live autonomously and independently.’
A wellness approach means listening to what the client wants to do, looking at what they can do (their abilities) and focuses on regaining or retaining their level of function and minimising the impact of any functional loss so that they can continue to manage their day to day life. It supports clients to be independent in their homes and to continue to actively participate in their communities for as long as they wish to do so.
Gets the balance right between “doing with” versus “doing for” Ø
Identifies what a client can and wants to do, rather than only what they have difficulty with. Ø
Gradually encourages clients who are having difficulty with activities of daily living to increase their ability Ø
Supports roles [that is, values individuals’ roles] Ø
Builds capacity, self-management and compensates for decline Ø
Increases self-confidence Ø
Retains and respects autonomy Ø
Focuses on re-enabling and maintaining function , minimising the impact of functional loss Ø
Looks at ongoing appropriateness of service Ø
Supports connections with the community Ø
NOTE: Places under the government’s new Restorative Care Program, which aims to help older people regain their independence after a setback, will be allocated by a competitive process in early 2016.
Reablement involves time-limited interventions that are targeted towards a person’s specific goal or desired outcome to adapt to some functional loss, or regain confidence and capacity to resume activities.
• Home care reablement has been shown in both the UK and in Australia to improve clients' functioning and quality of life and reduce the need for ongoing home care services. Its effectiveness in terms of reducing service use and hence the cost of care has been found to last for up to five years so far.
9.7. Delivering Reablement (RAS)
page 35.
Like wellness, reablement aims to assist people to reach their goals and maximise their independence and autonomy.
A key distinction is that reablement involves timelimited interventions that are more targeted towards a person's specific goal or desired outcome to adapt to some functional loss, or regain confidence and capacity to resume activities.
Supports could include
• Homecare reablement can generally be said to be appropriate for older people such as those:
Often older adults have physical health conditions which prevent them doing things they had previously enjoyed. The case managers were able to encourage participants to think about alternative ways of doing things which would provide similar satisfaction. “It is not what we do that is the most important thing, it is what we get out of doing it or what function it has for us.”
Case managers worked with people to identify what they got out of an activity they could no longer do, to look at other activities which could replace those functions and provide similar positive rewards to help them stay well.
Some of the key aspects of the intervention were:
12.1. Carers
Assessors are to recognise the valuable contribution and informal support that carers provide in the care of older people. Where possible, with the clients consent, the Assessor should involve the client’s carer, family or other nominated representative in the assessment and support planning process.
In assessing the client’s care needs where family and carers are involved, assessors may find there is a need to balance the client’s concerns and preferences with those of their family and/or carers. Assessors should (with the clients consent) gain an understanding of the carer’s support preferences for the client and their capacity to continue in the caring role.
Assessors need to consider the carer’s circumstances and assess if there are any factors that may affect the sustainability of the caring role. Assessors should provide information to carers regarding specific support services that are available – for carers to access and how to link with these support services (see 19.3 Carer Programs). Assessors are required to complete Self-Paced Learning Experiences for Working with Carers and the Care Relationship (see 26 Training).
On the other hand it may not be appropriate for older people who:
‒ are terminally ill (unless they have asked for assistance to remain as independent as possible when aids and equipment and exercise can be appropriate)
‒ have an advanced neurodegenerative disorder.
Supports could include:
· training in a new skill or relearning a lost skill,
· modification to a person’s home environment or
· having access to equipment or assistive technology.
· Reablement is a very personalised approach – the kinds of supports given are tailored to the individual user’s specific goals and needs.
· Reablement often involves providing intensive support to people.
The National meals Guidelines:
http://mealsonwheels.org.au/wp-content/uploads/2016/10/NationalMealsGuidelines2016.pdf
DO think also about having the services of Meals on Wheels.
The focus of the CHSP is on people to continue to live in their Own Home, rather than people just being moved into residential care.
· An objective of the CHSP is to support clients to delay, or avoid altogether, the need to move into more expensive forms of aged care.
· For example, it might mean a service works with a client to:
· Practise daily activities like cooking and bathing to help the person regain skills and get their confidence back;
· Find new ways to do some things so that they feel safer and more confident;
· Look at what else might help (for example, support to go out, personal alarms, home adaptations or other equipment, such as bath rails); and
· Involve their relatives and/or carers in helping the person to live more independently – and discuss any support they might need.
· The kind of supports reablement might draw on are many and varied but could include the following:
· Equipment and technology to help a person live more independently at home;
· Skills for independent living provided through intensive, short-term support; and
· Outreach - help with transport and getting out and about.
Request a copy of “What works to promote emotional wellbeing in older people”
You can download a copy of the booklet.
https://www.beyondblue.org.au/surveys-and-forms/request-a-copy-of-what-works-to-promote-emotional-wellbeing-in-older-people
Keep scrolling down to discover a full range of supports from Beyond Blue.
Publications to download or order
beyondblue provides information on anxiety, depression, suicide, wellbeing and perinatal mental health free of charge to the Australian community – whatever your age and wherever you live.
The National Aged Care Alliance paper Commonwealth Home Support Program (CHSP) Design defines wellness as “a philosophy that focuses on whole of system support to maximise clients' independence and autonomy”. Furthermore, it is said to be “based on the premise that even with frailty, chronic illness or disability, people generally have the desire and capacity to make gains in their physical, social and emotional wellbeing and to live autonomously and independently”.
While the paper refers to independence and autonomy it also goes on to talk about achieving gains in capacity in physical, social and emotional wellbeing. It states that wellness “focuses on finding the service solutions to best support each individual’s aspirations to maintain and strengthen their capacity to continue with their activities of daily living, social and community connections”. It also states that reablement services are part of the wellness philosophy. Reablement is said to be “the use of timely assessment and targeted interventions to assist people maximise their independence, choice and quality of life”.
The “goal of the active service model is for people in the CHSP target group to live in the community independently, actively and autonomously for as long as possible. In this context, independence refers to the people’s capacity to manage activities of their daily living.
Autonomy refers to making decisions about one’s own life”.
It is said to be based on the assertion that “people who are frail or have a disability have the capacity to make gains in their physical, social and emotional wellbeing and can continue to live independently in the community, if positively supported to do so”.
The approach is said to have the potential to “optimise a person’s outcomes with regard to their independence, wellbeing* and quality of life”.
* A related concept which assesses the positive aspects of a person’s life, such as positive emotions and life satisfaction. Well-being is a relative state where one maximizes his or her physical, mental, and social functioning in the context of supportive environments to live a full, satisfying, and productive life.
“Reablement typically refers to intensive and time limited multidisciplinary home care service interventions that have been developed for people with poor physical and/or mental health. Reablement aims to help them accommodate their illness by learning or relearning the skills necessary to manage their illness and to maximise participation in everyday activities”.
Health-related quality of life is a multi-dimensional concept that includes domains related to physical, mental, emotional, and social functioning. It goes beyond direct measures of population health, life expectancy, and causes of death, and focuses on the impact health status has on quality of life.
To support those who work with older people to assist them to live full and valued lives. In other words, YOU the Carer!
Medicate funded Allied Health:
Private Health Insurance Allied Home Health:
DVA funded Allied Health:
Do be aware that this is an enablement approach ie. it is Not designed to be for the long term. It's main purpose is to bring independence once again into the person's life, so They are making the decisions, rather than the present approach where that decision making is being made For them.
--------------
Note: If your loved one progresses past the point of being able to 'do for themselves', then it is time to approach the MyAgedCare Gateway again on MyAgedCare.gov.au or ring the Aged Care Gateway on 1800 200 422 and ask for a re-assessment, as you may be looking at a Level 3 or 4 package.
The Commonwealth Home Support Programme (CHSP) makes it easier to access and receive aged care services and support in your own home. For the over 65's (or 50 years and over for Aboriginal and Torres Strait Islander people). Carers of these clients will also benefit from services provided through the CHSP eg. such as planned respite, delivered meals and domestic assistance. Less work for YOU, allowing more enjoyment with your loved one. To laugh together, to share the intimacy , to be again the couple you once were. For those caring for their parents or a family member, it will help give them get back/retrain their independence to take care of themselves again, without having to rely ever more frequently on your help.
When you have spent a lifetime looking after yourself and those of your immediate family, it can come as quite a shock that You are the dependent one. This is especially true for the male, whose role in the family is slowly being reversed to one of having to rely on others for even the simplest of tasks. This loss is often one of the main causes of their depression and lessening interest and withdrawal from Life.
Reablement 'Actually' means:
Wellness or ‘a wellness approach’ is used to describe an overarching way of thinking about and providing support to frail older people, that can be applied across all service outcomes with the aim of promoting greater independence and autonomy. It is based on the premise that even with frailty, chronic illness or disability most people have the desire and capacity to make gains in their physical, social and emotional wellbeing and to live autonomously and as independently as possible. In the context of the CHSP, implementing a wellness approach is about building on an individual’s strengths, capacity and goals to help them remain independent and to live safely at home. It is meant to be embedded at all levels of the program including assessment, support planning and service delivery and should be applied even when the need for assistance is episodic, fluctuates in intensity or type over time, or is of an ongoing nature.
"This study's results indicated that stronger purpose in life was associated with decreased mortality. Purposeful living may have health benefits. Future research should focus on evaluating the association of life purpose interventions with health outcomes, including mortality. In addition, understanding potential biological mechanisms through which life purpose may influence health outcomes would be valuable."
The lost of function does not necessarily mean the permanent loss of function. Reablement includes strategies to help your loved one regain physical and cognitive functions. Do be aware of your loved ones emotional journey of loss while ageing.
- As we age, we lose functions, whether it is physical or cognitive; there is a sliding scale of a loss of functionality further resulting in a loss of independence.
- Frustration becomes evident when you are unable to choose where you go or
- When you go because you lose your drivers’ license; or
- have the inability to choose what you want to eat because your digestion or teeth can longer accommodate your favourite foods.
- or being diagnosed with Dementia, doesn’t mean that person is sick and can’t assist around the home.
- Being physically incapacitated, doesn’t mean that person hasn’t got a point of view or can’t make their own decisions.
Now, as a Carer, it is YOUR right to get all the assistance you need to carry out your most difficult role. It can sometimes seem like it is all left up to YOU, but there is help out there. All you have to do is Ask - nicely of course :-) YOU are valued... This new CHSP will make your role easier by 'retraining' the person you care for to do for themselves as much as they are able, rather than the present 'do for them' mindset. Yes, it will involve some learning new skills, different and more simplified ways to do things, but overall, the burden for you - the Carer, will hopefully diminish and you will be able to get some of Your own life back too :-)
Most of all, people want to 'do for' themselves, and feel devalued when they cannot do it themselves, as someone else takes over 'their life'.
The Current Situation (Dependency)
Does for & does to a person Ø
Takes over/removes roles Ø
Supports declining capacity of person Ø
Takes control Ø
Focuses on physical and mental decline Ø
Can isolate from the community Ø
Reduces self-confidence Ø
Results in Illness/Dependency cycles Ø
The Wellness Approach Ø
Wellness is a philosophy that ‘is based on the premise that even with frailty, chronic illness or disability, people generally have the desire and capacity to make gains in their physical, social and emotional wellbeing and to live autonomously and independently.’
A wellness approach means listening to what the client wants to do, looking at what they can do (their abilities) and focuses on regaining or retaining their level of function and minimising the impact of any functional loss so that they can continue to manage their day to day life. It supports clients to be independent in their homes and to continue to actively participate in their communities for as long as they wish to do so.
Gets the balance right between “doing with” versus “doing for” Ø
Identifies what a client can and wants to do, rather than only what they have difficulty with. Ø
Gradually encourages clients who are having difficulty with activities of daily living to increase their ability Ø
Supports roles [that is, values individuals’ roles] Ø
Builds capacity, self-management and compensates for decline Ø
Increases self-confidence Ø
Retains and respects autonomy Ø
Focuses on re-enabling and maintaining function , minimising the impact of functional loss Ø
Looks at ongoing appropriateness of service Ø
Supports connections with the community Ø
NOTE: Places under the government’s new Restorative Care Program, which aims to help older people regain their independence after a setback, will be allocated by a competitive process in early 2016.
Reablement involves time-limited interventions that are targeted towards a person’s specific goal or desired outcome to adapt to some functional loss, or regain confidence and capacity to resume activities.
• Home care reablement has been shown in both the UK and in Australia to improve clients' functioning and quality of life and reduce the need for ongoing home care services. Its effectiveness in terms of reducing service use and hence the cost of care has been found to last for up to five years so far.
9.7. Delivering Reablement (RAS)
page 35.
Like wellness, reablement aims to assist people to reach their goals and maximise their independence and autonomy.
A key distinction is that reablement involves timelimited interventions that are more targeted towards a person's specific goal or desired outcome to adapt to some functional loss, or regain confidence and capacity to resume activities.
Supports could include
- training in a new skill,
- modification to a person's home environment or
- having access to equipment or assistive technology.
- As part of the assessment process, the assessor will need to work with the client to identify whether they would benefit from a reablement approach to home support services, based on their preferences and needs. It is anticipated that 10% of assessed clients will be referred to short-term reablement support services. If the client agrees that short-term reablement support is appropriate and beneficial to them, the assessor should include service solutions within the support plan which promote their independence.
- The assessor is able to record the reason for reablement period within the support plan such as:
- • rebuild confidence and independence in mobility
- • support the development/relearning of daily activities
- • task simplification and energy conservation for managing housework
- • promote social contact, community access and integration
- • skills development in using public transport
- • to supporting independence through assessment for appropriate aids and equipment
- • training in the use of assistive technology
- • helping people to manage personal finances
- • other
- The support plan must include services which assist the client to maintain and/or strengthen their capacity to continue to undertake daily activities, and maintain social and community connections. Because of the nature of reablement services, it is possible there will be several items in the support plan that need to be delivered in a coordinated way to a number of service types over a limited time period. In these circumstances, the assessor could refer a client to a lead provider, the organisation or individual provider who will deliver the key services in the support plan.
- The assessor might also need to take on a coordination role to ensure that all services in the support plan are linked to a provider and that they will all be delivered in the time frame of the overall reablement service. For clients receiving reablement support, assessors must include review dates on the client’s support plan for the purposes of reviewing the client’s progress towards their goals and desired outcomes, requirement for ongoing services, or whether to adjust the services required.
• Homecare reablement can generally be said to be appropriate for older people such as those:
- living in the community who are beginning to find daily tasks more difficult or who experience an increase in the difficulty with which they perform everyday activities;
- who have been in hospital and have been discharged and need to regain confidence and need assistance to regain functional abilities and get back to their usual routines
- have had an injury or illness
- needing support to regain social connections
- needing to learn daily living skills that they have never previously needed (eg. when a man is widowed and does not know how to cook and housekeep)
Often older adults have physical health conditions which prevent them doing things they had previously enjoyed. The case managers were able to encourage participants to think about alternative ways of doing things which would provide similar satisfaction. “It is not what we do that is the most important thing, it is what we get out of doing it or what function it has for us.”
Case managers worked with people to identify what they got out of an activity they could no longer do, to look at other activities which could replace those functions and provide similar positive rewards to help them stay well.
Some of the key aspects of the intervention were:
- Supporting people to re-establish connections with things they value and with the outside world
- Assessing current resources – family, friends, communication methods – telephone, internet
- Harnessing local knowledge – services, transport, groups – directory of services, sharing knowledge
- Respecting and accommodating personal values – previous work or life roles
- Providing Support to make the first step and regain confidence
- Revisiting what they used to like to do
- Helping to find other ways to be active or get what they need out of life
- Setting small targets or breaking jobs down
- Keeping a balance between routine, necessary and pleasurable activities, using a diary.
12.1. Carers
Assessors are to recognise the valuable contribution and informal support that carers provide in the care of older people. Where possible, with the clients consent, the Assessor should involve the client’s carer, family or other nominated representative in the assessment and support planning process.
In assessing the client’s care needs where family and carers are involved, assessors may find there is a need to balance the client’s concerns and preferences with those of their family and/or carers. Assessors should (with the clients consent) gain an understanding of the carer’s support preferences for the client and their capacity to continue in the caring role.
Assessors need to consider the carer’s circumstances and assess if there are any factors that may affect the sustainability of the caring role. Assessors should provide information to carers regarding specific support services that are available – for carers to access and how to link with these support services (see 19.3 Carer Programs). Assessors are required to complete Self-Paced Learning Experiences for Working with Carers and the Care Relationship (see 26 Training).
On the other hand it may not be appropriate for older people who:
‒ are terminally ill (unless they have asked for assistance to remain as independent as possible when aids and equipment and exercise can be appropriate)
‒ have an advanced neurodegenerative disorder.
Supports could include:
· training in a new skill or relearning a lost skill,
· modification to a person’s home environment or
· having access to equipment or assistive technology.
· Reablement is a very personalised approach – the kinds of supports given are tailored to the individual user’s specific goals and needs.
· Reablement often involves providing intensive support to people.
The National meals Guidelines:
http://mealsonwheels.org.au/wp-content/uploads/2016/10/NationalMealsGuidelines2016.pdf
DO think also about having the services of Meals on Wheels.
The focus of the CHSP is on people to continue to live in their Own Home, rather than people just being moved into residential care.
· An objective of the CHSP is to support clients to delay, or avoid altogether, the need to move into more expensive forms of aged care.
· For example, it might mean a service works with a client to:
· Practise daily activities like cooking and bathing to help the person regain skills and get their confidence back;
· Find new ways to do some things so that they feel safer and more confident;
· Look at what else might help (for example, support to go out, personal alarms, home adaptations or other equipment, such as bath rails); and
· Involve their relatives and/or carers in helping the person to live more independently – and discuss any support they might need.
· The kind of supports reablement might draw on are many and varied but could include the following:
· Equipment and technology to help a person live more independently at home;
· Skills for independent living provided through intensive, short-term support; and
· Outreach - help with transport and getting out and about.
Request a copy of “What works to promote emotional wellbeing in older people”
You can download a copy of the booklet.
https://www.beyondblue.org.au/surveys-and-forms/request-a-copy-of-what-works-to-promote-emotional-wellbeing-in-older-people
Keep scrolling down to discover a full range of supports from Beyond Blue.
- Call 1300 22 4636
24 hours / 7 days a week - Chat online
3pm - 12am / 7 days a week
Publications to download or order
beyondblue provides information on anxiety, depression, suicide, wellbeing and perinatal mental health free of charge to the Australian community – whatever your age and wherever you live.
The National Aged Care Alliance paper Commonwealth Home Support Program (CHSP) Design defines wellness as “a philosophy that focuses on whole of system support to maximise clients' independence and autonomy”. Furthermore, it is said to be “based on the premise that even with frailty, chronic illness or disability, people generally have the desire and capacity to make gains in their physical, social and emotional wellbeing and to live autonomously and independently”.
While the paper refers to independence and autonomy it also goes on to talk about achieving gains in capacity in physical, social and emotional wellbeing. It states that wellness “focuses on finding the service solutions to best support each individual’s aspirations to maintain and strengthen their capacity to continue with their activities of daily living, social and community connections”. It also states that reablement services are part of the wellness philosophy. Reablement is said to be “the use of timely assessment and targeted interventions to assist people maximise their independence, choice and quality of life”.
The “goal of the active service model is for people in the CHSP target group to live in the community independently, actively and autonomously for as long as possible. In this context, independence refers to the people’s capacity to manage activities of their daily living.
Autonomy refers to making decisions about one’s own life”.
It is said to be based on the assertion that “people who are frail or have a disability have the capacity to make gains in their physical, social and emotional wellbeing and can continue to live independently in the community, if positively supported to do so”.
- The wellness approach is described in terms of a number of characteristics including:
- holistic/strengths-based;
- enables consumer self-direction;
- places a person’s needs at the centre of planning and support;
- services to be provided in partnership;
- works to supplement a person’s ability;
- highlights social connections; and
- recognises that people’s needs fluctuate over time.
The approach is said to have the potential to “optimise a person’s outcomes with regard to their independence, wellbeing* and quality of life”.
* A related concept which assesses the positive aspects of a person’s life, such as positive emotions and life satisfaction. Well-being is a relative state where one maximizes his or her physical, mental, and social functioning in the context of supportive environments to live a full, satisfying, and productive life.
“Reablement typically refers to intensive and time limited multidisciplinary home care service interventions that have been developed for people with poor physical and/or mental health. Reablement aims to help them accommodate their illness by learning or relearning the skills necessary to manage their illness and to maximise participation in everyday activities”.
Health-related quality of life is a multi-dimensional concept that includes domains related to physical, mental, emotional, and social functioning. It goes beyond direct measures of population health, life expectancy, and causes of death, and focuses on the impact health status has on quality of life.
To support those who work with older people to assist them to live full and valued lives. In other words, YOU the Carer!
Medicate funded Allied Health:
- Physiotherapy assessment, treatment, mobility training and prescription of mobility aids to reduce falls and promote mobility
- Exercise physiology assessment, treatment and prescription of exercise to enhance function, build strength, improve balance and increase mobility
- Occupational Therapy assessment, treatment programs, home modifications and aids to assist with your daily living tasks, splinting services, all provided with a focus on improved independence, community participation and safety
- Podiatry treatment, footwear prescription and education to reduce falls and improve mobility.
Private Health Insurance Allied Home Health:
- Physiotherapy assessment, treatment, mobility training and prescription of mobility aids to reduce falls and promote mobility
- Exercise physiology assessment, treatment and prescription of exercise to enhance function, build strength, improve balance and increase mobility
- Occupational Therapy assessment, treatment programs, home modifications and aids to assist with your daily living tasks, splinting services, all provided with a focus on improved independence, community participation and safety
- Podiatry treatment, footwear prescription and education to reduce falls and improve mobility.
DVA funded Allied Health:
- Physiotherapy assessment, treatment, mobility training and prescription of mobility aids to reduce falls and promote mobility
- Exercise physiology assessment, treatment and prescription of exercise to enhance function, build strength, improve balance and increase mobility
- Occupational Therapy assessment, treatment programs, home modifications and aids to assist with your daily living tasks, splinting services, all provided with a focus on improved independence, community participation and safety
- Podiatry treatment, footwear prescription and education to reduce falls and improve mobility.
Do be aware that this is an enablement approach ie. it is Not designed to be for the long term. It's main purpose is to bring independence once again into the person's life, so They are making the decisions, rather than the present approach where that decision making is being made For them.
--------------
Note: If your loved one progresses past the point of being able to 'do for themselves', then it is time to approach the MyAgedCare Gateway again on MyAgedCare.gov.au or ring the Aged Care Gateway on 1800 200 422 and ask for a re-assessment, as you may be looking at a Level 3 or 4 package.