Medication management

Medication management

Medication management is an important aspect of care in Home Care. Ensuring you receive precise medications and dosages at the right time is crucial for your health and well-being. It can also be a complex and time-consuming task as different medications can create a repetitive schedule. Below, we will dive further into the best practices for managing medications at home.

Proper Documentation:

It is important to have a complete and accurate record of all medications, including the name, dosage, frequency, and any step-by-step instructions. This information should be kept in a Medication Administration Record (MAR), which should be updated whenever there are changes your medication regimen.

Medication Administration:

As a consumer you can self-administer medications. If you are paying someone to administer medication, it should be a nurse, and prompting can be done with someone with a medication competency.  It is best practice to have nurses who are familiar with your regimens and any potential interactions or side effects.

Medications should be administered at the correct time with the right dosage and monitor your wellbeing post consumption. If someone is administering your medication you will require a medication chart to be signed at each administration. For this reason, unless you have a coordinator that can provide a medication chart, Trilogy Care does not engage in medication administration.

Communication:

Effective communication is essential for safe medication management. It is best to communicate your needs and any issues or changes about your medication regime, with your home care provider, GP and authorised representatives.

Medication Storage:

Medications should be stored in a secure location, away from light and moisture, at the correct temperature. Regularly check the expiration dates of all medications and dispose of any that have expired. For example, return to your local pharmacy, who provide a free and convenient way to dispose of your unwanted medicines responsibly.

Medication Errors:

Medication errors can occur when the wrong medication has been consumed, the wrong dosage, taken at the wrong time. To prevent errors, double-check the MAR and the medication before administering, and report any errors to your home care provider.

Safety Measures:

To ensure the safe handling and administration of medications, it is best to follow instructions from your GP. This may include the use of medication carts, barcode scanning systems, and other technology to help prevent errors.

By following these best practices, your provider can help ensure that you receive the correct medications at the right time and in the right dosage, which can improve your health and well-being.

If you have any further questions, contact Trilogy Care today on 1300 459 190.

Home modifications

Home modifications

When home modifications are required to improve your safety, accessibility, and independence within the home, they may be able to be funded from your Home Care Package.  Home modifications can also assist in creating a home environment that supports reablement and restorative practices.

It is important that modifications are only completed at your primary residence.  If your primary residence is rented or on a strata title you will also need to obtain consent from the property owner or operator, and a copy of this consent must be provided to us when requesting the modifications.

There are two types of Home Modifications:

Simple Home Modifications are primarily non-structural modifications and may include:

Complex Home Modifications are only able to be funded in some clinically justified circumstances and may include:

  • Lowering or removing shower hobs.
  • Changes to layouts or doorways for wheelchair accessibility.
  • Lowering kitchen benchtops.
  • Hand-held showers or sliding shower rails.
  • Replacing shower doors with weighted curtains.
  • Installation of threshold ramps or doorway wedges.

Requesting Home Modifications

There are four steps to follow when requesting home modifications.

Step One - Request an in-home functional assessment:

To request home modifications for funding from your Home Care Package you must first engage an Occupational Therapist (or other allied health professional acting within their scope) to complete an in-home functional assessment and write a comprehensive report containing their observations and recommendations.

Step Two - Source Quotes:

You must obtain a minimum of two formal quotes prior to entering into any agreement or contract relating to the proposed modification. The quotes must directly correspond with the recommendations and specifications provided in the report from your in-home functional assessment.

Both simple and complex home modifications must be completed in line with the 'Building Code of Australia' and the relevant State or Territory building regulations. Builders must be licensed to complete the proposed works and must hold the appropriate level of insurance.

Step Three - Obtain Funding Approval:

Once you have the professional recommendations and corresponding quotes, please contact your Care Partner to initiate the funding assessment. We will send you an online form to complete which will enable us to review your request in line with the intention and scope of the Home Care Package and your individual care plan and goals. We will let you know if there is anything further we need to allow us to consider the funding request.

As soon as we have finalised our assessment, we will communicate the outcome to you in writing.

Step Four - Enter Into A Contract

If the cost of the proposed modifications exceed $3,000 and you have received funding approval from Trilogy Care, the homeowner and the builder must enter an appropriate contract prior to any works commencing. The contract must set out all details of the works (specifications, fittings, fixtures, etc.), price, timings, materials, variations, and dispute mechanisms. We strongly encourage you to obtain professional advice before entering any build contract.

If the amount in the contract differs from the amount quoted to you, a funding re-assessment is required.

Step  Five - Commence Works:

Once Trilogy Care has confirmed that the contract between the homeowner and the builder is an acceptable form, we will confirm that works can commence. Invoices issued under the contract terms, which may include a deposit and progress payments, will be paid as received provided they are in accordance with the signed contract for the works.

In the event of any dispute relating to the delivery of the works the package recipient must contact Trilogy Care as soon as possible.

For more information navigating the Home Care Package program, contact Trilogy Care on 1300 459 190 or email info@trilogycare.com.au.

The difference between a geriatrician and a GP

Who is a geriatrician

As Australian's age, their care needs may become more complex and require specialist treatment. It is important for older Australian's to recognise what the best treatment is for them, so they can continue to live healthily and independently. A question we often receive is "what do Geriatricians do?" This article will break down the differences between Geriatricians and General Practitioners (GPs).

What does a GP do?

GPs treat a wide range of mild, chronic, and acute medical conditions. They will carry out comprehensive medical assessments, contribute to care plans and collaborate with pharmacists on medication management, and provide recommendations on whether extra is required.

What is a Geriatrician?

So what do Geriatricians do exactly? A Geriatrician is a doctor who provides care for older people. Geriatricians are experts at treating multiple conditions and have had specialist training in geriatric medicine. They can assist with integrating older Australians care if dealing with multiple complex health issues.

What do Geriatricians treat?

Some older adults have complex health needs. They might have many medical problems and use different types of medicine. They are also more likely to be frail, to have falls and to have conditions like dementia or heart disease.

In many cases, they act as the primary care for an elderly individual and the primary doctor who knows the overall medical history, current conditions, treatments, and medication list for a patient.

Most Geriatricians have expertise in dealing with people who have multiple conditions. However some of them specialise in particular areas and treating certain conditions, including dementia.

Geriatricians help manage (but not limited to):

  • Dementia and other cognitive problems
  • Problems with mobility and frailty
  • Incontinence
  • Nutrition
  • Medicines, as well as other medical issues

A Geriatrician will normally conduct a comprehensive assessment to assess your physical, mental, and social situation so they can provide the best type of care.

Benefits of Home Visiting Geriatricians

Geriatricians work in hospitals, clinics, residential aged care facilities, as well as home visits for clients depending on the type of care required.

There are many benefits of home visits for seniors:

  • Comfort: The primary benefit of home care is that loved ones can stay at home for longer, ultimately the place that is the most comfortable and familiar. This allows seniors to use their own amenities, sleep in their own bed, and continue their daily routines. Residing in a supportive, familiar care environment can be beneficial for clients receiving care especially for those suffering from progressive conditions like dementia.
  • Personalised care: Rather than having to adjust and abide to scheduling along with routines in a care facility. A home care visit allows a geriatrician to provide a flexible home care plan to fully suite a senior Australian's needs.
  • Independence: Staying at home for longer while receiving care can maintain a sense of independence for seniors. Depending on the type and duration of care required on a day-to-day basis, allowing clients to feel independent from their carer and family members is important to seniors.

Availability between Geriatricians and GPs

GPs are more accessible across Australia through telehealth, websites, emails, and even online platforms if preferred.

As Geriatricians are a specialist doctor, they are less available and frequent, even more so in rural and remote areas. They can be accessed similarly to GPs, who can also refer Geriatricians if specialist treatment is required to take care of a loved one's complex health issue. We hope this article has helped you answer the question, "what do Geriatricians do?"

For more information regarding Home Care, go to our resources page.

For more information on the Home Care Package program, go to our FAQs.

What is the Seniors Connected Program?

seniors connected program

The Seniors Connected Program brings attention to the loneliness and social isolation experienced by older Australians aged over 55 living in the community (or Indigenous Australians aged over 50).

Of all senior Australians, one-third (1/3) live alone. This has revealed an urgent problem, where older Australians experience loneliness and social isolation, where there is potential for serious deterioration in both mental and physical health. There is a real need for assistance to reduce these issues. As older Australians face challenges related to retirement and ageing.

The program consists of two activities, which aims to increase social interaction with senior Australians.

FriendLine

FriendLine, is a call service where callers can have a free, anonymous, friendly chat with a volunteer over the phone.

This service is national and is open from 10am to 8pm seven days a week. The number for FriendLine is 1800 424 287.

FriendLine is an exciting opportunity for those who are required to remain home due to their own health, or because of external factors such as COVID-19.

seniors connected program
Village Hub ( seniors connected program )

Village Hubs

Village Hubs, helps combat loneliness among older Australians through an informal peer support network. Helping them age well and connected in their community for as long as possible.

Village Hubs are located in both regional and metro areas, and this program is growing into more communities.

The Village Hub program is community-led. Alleviating older people of their stress and loneliness while benefiting their mental and physical health. Through increased community activities.

Each hub provides a variety of activities for seniors, although these activities vary from location to location, some of the opportunities includes:

  • Practical health & wellbeing sessions.
  • Intergenerational relationships & activities.
  • Advocacy on important issues.
  • Advisory Groups for LGBTQI elders.
  • Healthy ageing pop-up events.
  • Using apps to connect community members across rural areas.

How Do I Get Started with seniors connected program?

To get your community involved in this program you can contact the Seniors Connected Team via seniorsconnected@dds.gov.au. If you are interested in joining a Village Hub, you can visit this link HERE. for more information and contact details. There are currently 12 hubs spread out across Australia.

Trilogy Care's Community Managed Program, is a community-led program focuses on providing accessible and affordable support services out to rural Australia. Where locals work for locals and the community comes together to support the elderly. Interested in starting Community Managed Care? Contact Trilogy Care on 1300 459 190 or email info@trilogycare.com.au.

What is the Transition Care Program?

Transition Care Program

About the program

The Transition Care Program (TCP) is designed to help older people recuperate after a hospital stay to help you regain functional independence confidence. You can access TCP even if you have a Home Care Package (HCP) or Commonwealth Home Support Program (CHSP) services in place.

Orthopedic Doctor and Senior Patient with Walker at Nursing Home

Lasting up to 12 weeks, the program is funded to provide a range of tailored supports and can include:

  • Personal care.
  • Nursing support.
  • Allied health care: occupational therapy, physiotherapy, dietetics, podiatry, social activities and social work.
  • Case management.

These services can take place in your home, or a residential respite facility whilst any aids and equipment are being arranged for you to safely return home. A transition care coordinator will be appointed to help you set goals to get the best possible outcome.

What happens to my HCP during the program?

Although your Home Care Package will be 'on hold', you will keep accumulating your full subsidy (including any supplements) for the first 28 days.

Is there a cost for TCP?

Yes, there are some costs to receive TCP which will be discussed with you at the time of your assessment in hospital.

During a hospital stay, if you've been assessed as eligible for the Transition Care Program, it's important to inform your case manager so they can continue to support you while you receive the necessary care. They will also ensure you continue to accumulate your HCP funding so it is available to you when the program ends.

home visit care nurse

Why TCP is important?

This Transition Care Program assists people stay in their homes for longer. Avoiding the need for longer-term care, and delays seniors Australians moving into an Aged Care Home for as long as possible. The TCP helps senior Australians get back on their feet after a hospital stay.

Am I eligible for TCP?

To be eligible for the Transition Care Program, a person must undergo an ACAT assessment. Home Care Package recipients have already undergone this assessment. They may be eligible if it is an older person and:

  • Have been told they are ready to leave the hospital.
  • a patient in a hospital (public or private) including people receiving hospital services in-home.
  • the person would benefit from receiving TCP services for a short period of time.

A person may also be eligible if the person is to receive care or support services in their own home, they will have 48 hours from their date of discharge from hospital, to enter care.

© Home Care HQ 2022

Contact Trilogy Care today on 1300 459 190 or info@trilogycare.com.au for information on alternative care solutions while receiving Home Care Package funding.

Keeping an active lifestyle

Maintaining physical health and flexibility is important as we age. Consistent exercise brings a wealth of benefits to your body, as well as your cognitive health. This guide will assist you and your carers find exercises that maintain your wellbeing and independence, while also having fun.

Why is it important to keep an active lifestyle?

By keeping active, you are able to improve your health significantly. Exercising reduces the risk of developing various heart diseases, as well as preventing your current care needs from increasing. Some of the benefits of exercising regularly are:

  • Reducing risk of heart attacks & diseases.
  • Managing your weight better.
  • Lowering blood pressure & cholesterol level.
  • Increasing bone density, which can prevent osteoporosis.
  • Lower the risk of falls, and;
  • Recover better from accidents, or hospitalisation.

Exercising improves cognitive health, and mental health. Blocking out negative thoughts, increasing social interactions, and improve the length and quality of sleep.

Pre-Exercise Screening

Exercising does not have to be a difficult or rigorous activity. Any form of physical activity is beneficial and being active where possible improves mobility.

Before starting any exercise/program it is important to follow these steps to ensure you are safe while exercising:

  • Assess your current health and care needs - What medical conditions do you have, that can prevent you from exercising.
  • See your doctor to dictate what you can currently do.
  • Set out goals you want to achieve from exercising.
  • Determine what activities you can currently perform.
  • Identify what exercises you can do with a physiotherapist.
  • Review your diet and recognise if you need to make changes to it.

Pre-exercise screening is used to assess the potential dangers of exercising, and how to exercise with your current care needs.

Get Up Guide

Where do I start?

Guide Healthcare specialises in physiotherapy and has created video exercises for older people living with chronic health conditions and reduced mobility and designed for low impact, low intensity exercises.

Whilst these exercises are designed for older people, it is recommended to have someone (such as a family member or support worker) to guide and assist you.

The 'Get Up Guide' is a training program crafted for carers to assist them as they support their residents. Through daily exercise routines, the negative physical, social and psychological effects of isolation and inactivity can be prevented. Keeping older Australians, healthy, safe, and connected to the community.

Home Care Package recipients can focus on improving walking, managing falls risk, reducing pain, and rebuilding confidence.

© Get Smart Aged Care Consultancy 2022. All Rights Reserved

As a Home Care Package recipient, your Home Care Package funds can be used to keep you healthy, independent and help maintain your movement and mobility. Trilogy Care are partnered with Plena Healthcare, to assist our clients with improving their mobility through allied health and therapy services such as physiotherapy and podiatry.

Find out what services your Home Care Package can fund or contact us on 1300 459 190

How to recognise deterioration?

Deterioration

As an aged care worker or client, it is important to understand and recognise the signs of deterioration in physical and mental health. This ensures that better care can be provided. This article will provide an overview on how to recognise the signs, and how to manage deterioration in health.

What is Deterioration?

When a decline in someone's physical or mental health occurs, it is called deterioration. There are specific signs that someone may display which can help you identify if a person's condition is worsening.

They can be:

  • Loss of appetite.
  • Reduced intake of food and drink.
  • Pass in and out of consciousness.
  • Experience increased periods of sleep and require rests more often.
  • Decreased movement.
  • Become bed bound.
  • Experience difficulty swallowing or breathing.
  • Become increasingly disorientated.

What do I Need to Do?

As a carer, friend, or family member to a client of Trilogy Care it is important and necessary to report to us if you notice any of the following:

  • Decrease in activity levels.
  • The client has higher care needs than normal, and their health deteriorates quickly.
  • Weight loss/The client is not putting on weight.
  • An emergency transfer to hospital occurs.
  • The client's family or partner require increased support and assistance in caring for them.
  • The client's experience's a decline in their health and there is no improvement, or it worsens.
  • You are unable to wake them.
  • The client is disorientated in a manner that is unusual to them.

Care workers are often the first to recognise changes in their clients because of their exposure to them. There are many chronic conditions that people live with every day, however, are not necessarily life threatening (Like Dementia and Diabetes). For clients with these conditions, the end-of-life phase can last months or even years. It is especially important to escalate any concerns to your senior staff and Trilogy Care.

How do I Report to Trilogy Care?

Reporting a change in condition, an incident or accident is critical in ensuring Trilogy Care can continue to safely support a client's care needs and manage their home care package effectively. An incident or accident may relate to an event that has occurred whilst receiving services or not.

Visit our website and press on the 'Incidents' tab at the top of the page. This will take you to our incident reporting form. From here fill out the form, and the Care Management Team will contact the client and their representative (if applicable) to discuss the matter and determine the most appropriate course of action.

What do we do with this information?

With this information, here is what can be done to assist your client or family member:

  • Discuss the situation with the client (where possible) and their family.
  • Perform a Care Review to determine any changed or new care needs.
  • Manage their symptoms and create or amend their Pain Management Plan.
  • Provide advice and support to the client and their family.
  • Refer the client and their family to the appropriate support services.
  • Discuss the clients wishes regarding their care and treatment to ensure their wishes are met.

Stay up-to-date on all news regarding Home Care Packages with Trilogy Care's Facebook. Trilogy Care provide a variety of resources to assist you with your Home Care Package needs, and continue living healthy, supported, and independent lives. To find out more visit our website or email: info@trilogycare.com.au.