Research published by The University of Otago recently shows that many elderly New Zealanders are being moved into care at the direction of their GP or family members without any meaningful discussion beforehand.
This is partly because it’s a tough discussion to have with a loved one. Moving from an independent living environment into a care situation requires a massive adjustment by an elderly person. Both mentally and physically. People feel keenly a loss of power and control over their lives during this process.
It’s important that these conversations start while people are still well, mobile and in their own homes. The focus should be on their wellbeing and quality of life. Be prepared to listen to their thoughts, fears and preferences regarding their future living arrangements.
Together, discuss the benefits of moving into a care facility. These include round-the-clock support, company and social activities.
As a family, be aware that sometimes people don’t need to move into care permanently. Sometimes respite or transition care can be the solution; short-term admission while they recover from an illness or injury, for example. Stay open to this possibility and support your loved one’s right to live independently.
When it comes to choosing an aged care facility, do this in consultation with your loved ones wherever possible. Explore different facilities together, ensuring their input and autonomy throughout the decision-making process.
Create a short-list of options that meet their needs, preferences and budget. Location, and accessibility for visiting, is particularly important. Look for facilities that prioritise creating a warm, welcoming and homely atmosphere. Pay attention to the friendliness of staff, the cleanliness of the environment, and the availability of gardens and communal spaces for socialising and recreational activities.
Together, opt for facilities that encourage and support family involvement in the care process. Regular communication with staff, involvement in care planning meetings, and opportunities to visit and participate in activities can help make the care facility feel more like home.
To ease the transition, have quiet and gentle conversations about the personal belongings that your loved ones would like to take with them. Make them familiar with the facility in advance, introducing them to staff and fellow residents. If possible, interact with the clinical team beforehand so there is some familiarity.
The actual moving-in process can make a huge difference to the way an elderly person accepts this significant life change. Where possible, have several members of the family assist. And, of course, take the opportunity to personalise your loved one’s new space with familiar items to create a sense of home.
Finally, be aware that the transition period is frequently quite tough for new care facility residents while they become used to their new environment; regular visits and extended time with friends and family can help ease this considerably.
