Residential Aged Care Communiqué
Download PDF: RAC Communique May 2015
In this edition
- Case #1 – A little conversation
- Case #2 – Time for dinner
- Resident-to-resident aggression: A systematic review
- Case #3: Help us
- The experience of witnesses called by the Coroners Court
- Clinical Commentary #1: A holistic approach: safety for all requires training, advocacy and policy
- Clinical Commentary #2: Crossing personal privacy boundaries: the potential for negative outcomes.
Welcome to the second issue of 2015. In this extended issue we focus on resident-on-resident aggression (RRA). We build on some of the themes from the last issue around the management of Behavioural and Psychological Symptoms of Dementia (BPSD).
Three cases presented highlight the challenges faced by the individual, families, staff and the community in these circumstances. The spectre of legal, particularly the potential for criminal charges where an assault has occurred is frightening for all involved. The cases presented are from Ontario, Canada and reflect similar circumstances that occur in Australia. In Ontario, they have a ‘Geriatric and Long Term Care Review Committee’ (GLTCRC) who assist and advise the Coroner investigating deaths of older people in residential aged care.
We have two expert commentaries, one is written by A/Prof Dina LoGiudice who is one of our most experience and skilled geriatricians in Victoria. The other is by Professor Elizabeth Beattie one of our leading researchers in Australia on dementia care. We also include a short summary of a recent systematic review completed by Briony Murphy, a PhD scholar researching the topic, and include a reference to another recently completed PhD by Margaret MacAndrew.
It is reassuring that research is occurring in Australia on this complex issue, as it is important that we continue to expand our efforts to understand the nature and circumstances of RRA.
This is an area where policy, practice and research are closely intertwined and it is vital each informs the other to enable us to prevent harm to residents whilst ensuring a safe working environment for staff.