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Clients, their families, ageing and aged care: a cross-cultural perspective

Clients, their families, ageing and aged care: a cross-cultural perspective. Klaudia Vainshtein Senior Project Officer, Education and Training Centre for Cultural Diversity in Ageing Centre for Cultural Diversity in Ageing receives funding from the

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Clients, their families, ageing and aged care: a cross-cultural perspective

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  1. Clients, their families, ageing and aged care: a cross-cultural perspective • Klaudia Vainshtein • Senior Project Officer, Education and Training • Centre for Cultural Diversity in Ageing • Centre for Cultural Diversity in Ageing receives funding from the • Commonwealth Department of Health and Ageing and is auspeced by Benetas

  2. Cultural Diversity in Ageing in Australia • The number of older migrants form non-English speaking backgrounds has been growing at five times the rate of Australian-born • Between 1996-2026 migrant older population of 80+ will increase by 321%, the Australian-born by 90% • “Future Demand for Aged Care Services” Productivity Commission Report 2008 2

  3. Understanding individual cultural identity • A dynamic concept that reflects what is most important for this person • How a person identifies him/herself • The person’s sense of belonging • The importance to know to which community this person belongs in Australia

  4. Understanding individual cultural identity - cont. • People may have multiple cultural identities • Migration experiences, past life events affect people’s perceptions • Sharing life stories assist in building trust

  5. Understanding CALD Clients • Limited or no knowledge • English comprehension • Incidental learning • Use of ethnic media • Fears of community perceptions • Service confusion • Access to language services

  6. Understanding CALD Clients – Regional Victoria • Greater reliance on medical professionals • Lack of family networks • Information from trusted sources • Reliance on neighbours more than family

  7. Where would seek information about aged care or who would be the first point of enquiry? • Families - 23% • Centrelink -18% • Health Services -18% • Migrant Resource Centres -11% • Councils -11% • Don’t know -15% • Other - 4%

  8. Families • “Caregivers are confronted with new roles and responsibilities that provide both challenges and opportunities. Family issues that require expert … attention include role reversal, unresolved conflicts, caregiver immersion, elder mistreatment, and caregiving from a distance. Comprehensive … assessment provides a foundation for intervening with families. “ • Holistic Nursing PracticesJuly 2000 - Volume 14 - Issue 4 - p 51-59Aging: Challenges And OpportunitiesWholism for Aging Families: Meeting Needs of CaregiversPlowfield, Lisa Ann PhD, RN; Raymond, Jean E. MSN, RN; Blevins, Cynthia MEd, BSN, RN

  9. Families Have differing views and attitudes Not always available and/or willing to help Approach care differently to how services approach care Vary greatly in terms of capacity to make informed decisions May find change of family roles challenging 10

  10. CALD Families “CALD families place more weight on all forms or responsibility and obligation to those from Anglo backgrounds (90% / 72%)” “Services rely more on CALD families than English-speaking” (Research “Children’s responsibilities to elderly parents”by David de Vaus Australian Institute of Family Studies, 1996) 11

  11. CALD Families – our study • Residential care is a last resort – usually at crisis stage • Myth all CALD elderly expect their adult children would to look after them -12% expect their adult children to look after them • More than ¾ see their adult children at least once a week • Not always comfortable to use family members as interpreters but have no choice • No discussions about future aged care arrangements

  12. What CALD elderly people say they want • Independence and ability to manage own life • Focus on what they can do instead what they can’t do • An opportunity to ask questions • Have things explained to them and their families • An opportunity to share their past life stories • Trusting relationships • Information, Information, Information!

  13. CALD elderly people would like to learn about aged care

  14. CALD elderly people would like to receive information

  15. www.culturaldiversity.com.au

  16. National Online Resources • Multilingual Options in Aged Care– 38 languages • Multilingual Resident Handbook– 21 languages • Glossary of Multilingual Aged Care Terminology–1000 terms in 38 languages • Multilingual Aged Care & Health Publications 17

  17. “We need today to make sure we maintain the quality of our aged care, for today’s elderly, and for the rest of us when we get old” Greg Mundy CEO Aged and Community Care Australia 18

  18. Thank you! 19

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