Aged Care Insite Issue 110 Dec-Jan 2019 | Page 9

news Deaths linked to missing documents Important health information is being overlooked or lost in the system. I nformation that could affect the quality of care for people with disability living in residential care is being ignored, overlooked or kept from providers – putting people at risk of death. That’s one of the key findings from research, published in the Journal of Patient Safety, by the Australian Institute of Health Innovation, Macquarie University and UTS. The researchers looked at 99 case studies extracted from eight NSW Ombudsmen reports of reviewable deaths. Almost all case studies (91 per cent) contained information relating to documentation. Just under half (47 per cent) linked failures in documentation to risk of death. Lead author Dr Mary Dahm said important health information is being overlooked or lost in a system that does not communicate well across different services. “This gap between what is known to be the best care and what is actually delivered endangers the lives of people with disability,” Dahm said. Older job seekers often overlooked Most bosses don’t want to hire people over 50, survey shows. O ver 50? Just under a third of Australian employers are reluctant to hire you. That’s according to a survey of more than 900 human resource professionals, Important documents, which include medication information and safe mealtime and behavioural plans, are rarely collated or linked in a way that helps the person, their carers, families or providers, the team said. For example, the case studies showed that some people who died of aspiration pneumonia had safe foods recommended for them by a speech pathologist and written into a mealtime plan but this was not adopted by the disability service provider. They also showed a person could have an accident, such as a choking, but no incident report would be made to alert staff. It also revealed that while strategies might be successfully implemented by care workers, when the person with disability enters hospital, staff may not locate, read or follow the recommendation from the home. Jim Simpson, senior advocate with the Council for Intellectual Disability, said it’s “appalling and unacceptable” that the lives of people with disability are being put at risk by inadequate systems to document their healthcare needs. “Health agencies and the NDIS must act now to right this wrong,” Simpson said. Dahm said there was a need for better education of the workforce in residential and long-term care, and health services. She added the review also showed that when there is good communication and information shared between all of the service providers, and includes input from the person with the disability and their family, there will be a much better outcome for patients.  ■ conducted by the Australian HR Institute and supported by the Australian Human Rights Commission. It’s not all bad news for older Australians. Age discrimination commissioner Kay Patterson said while it was deeply concerning that some employers were still reluctant to hire people over 50, the report revealed some improvements in attitudes: more hirers indicated they had “no reluctance to employ older workers”. The jump in attitude was considerable. Only 8 per cent of respondents felt that way in 2014, but in the 2018 report the figure rose to 28 per cent. Patterson said age discrimination in employment is tied to damaging, dated and inaccurate ideas about older workers. “It is heartening to see the age at which people define ‘older’ has shifted upwards to 61 years or more, and that more recruiters don’t see age as a barrier,” Patterson said. COTA Australia chief executive Ian Yates said despite the improvements in hirers’ attitudes, the findings are still an indictment of far too many employers. “Let’s not pussyfoot around – it’s illegal to discriminate against employees on the basis of their age, but the government is letting a third of Australia’s employers do it without sanction – and we suspect some of those employers are government agencies,” Yates said. “The report shows that employers recognise the value of the experience older works bring (76 per cent) and the professional knowledge they possess (68 per cent), and more respondents across all categories said there was no difference between the generations at work, with a 14 per cent increase in people indicating no difference between older and younger workers on technology skills and abilities. “Despite this, tens of thousands of mature, well qualified Australians are still being ruled out on the basis of their age, before they even have the chance to demonstrate they have the skills, experience and ability to do the job – and this is all illegal under the Age Discrimination Act. Who is letting them off the hook?” Yates called on the government to further strengthen the programs it announced in this year’s budget to increase workplace participation for older Australians. “On these figures, Prime Minister Scott Morrison will be struggling to find an employer to take him on if he loses the next federal election – the odds are they won’t want him because he’s over 50,” Yates said.  ■ agedcareinsite.com.au 7