Dr Kelly Bower1, A/Prof Sze-Ee Soh1,3, Prof Michele Callisaya2,3, Dr Marlena Klaic1, Mr Victor McConvey4, Prof Adam Vogel1, Dr Digsu Koye1, Prof David Finkelstein1, Dr Yee Foong Mok1, Prof Jennifer McGinley1
1The University of Melbourne, Melbourne, Australia, 2University of Tasmania, Hobart, Australia, 3Monash University, Melbourne, Australia, 4Fight Parkinson's, Melbourne, Australia
Biography:
Dr Kelly Bower is a Senior Lecturer within the Department of Physiotherapy at the University of Melbourne. She has a passion for neurological rehabilitation, falls prevention and exploring the potential of technology to optimise recovery and function. She has over 40 research publications and continues to work as a physiotherapist at the Royal Melbourne Hospital.
Abstract:
Purpose:
To examine the care needs of people with Parkinson’s disease (PD) living in residential aged care facilities (RACF) in Australia.
Background:
PD is the fastest-growing neurodegenerative disorder, and as prevalence rises, more individuals require access to RACF, often with complex and progressive needs. The Australian Royal Commission into Aged Care emphasised the importance of high-quality aged care, supporting dignity and wellbeing. However, recent evidence indicates a significant reduction in allied health services. Understanding the care needs of residents with PD can inform service delivery improvements.
Methods:
Residents with PD living in RACF in 2022 were identified using diagnostic codes in the Australian Institute of Health and Welfare National Aged Care Database. Demographic characteristics and care needs were extracted from the Aged Care Funding Instrument (ACFI), assessing Activities of Daily Living (ADL), Behaviour (BEH), and Complex Health Care (CHC). Comorbid conditions and mental health disorders were also examined.
Results:
In 2022, there were 10,024 RACF residents with PD. Males had a higher prevalence than females (8.4% vs 4.1%). The proportion of residents with PD who required high care were greater than the national cohort for ADL (85% vs 68%) and CHC (68% vs 58%). Most required assistance with personal care (95%) and mobility (85%). Dementia and depression were common comorbidities, and most needed support with medications and health procedures.
Implications:
The unique and complex care needs of RACF residents with PD highlight the need for allied health workforce development and care models that enhance service provision and quality of life.