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In the aged care sector, allied healthcare professionals play a crucial role in helping facilities and providers meet their 11 quality indicator goals. Among these experts are Dietitians, whose specialised knowledge in food and nutrition can have a positive impact to the health and well-being of care recipients. At Vivir Healthcare, we recognise the importance of nutritional care where our Dietitians are dedicated to supporting aged care facilities and providers around Australia in delivering exceptional care to older adults, helping to improve health outcomes and overall quality of life. In this blog, we will explore the 11 aged care quality indicators and discuss how our Vivir Healthcare Dietitians can support all care recipients while enhancing your facility’s and service's overall performance. Aged care Quality Indicator 1: Pressure Injuries Dietitians are well placed in the prevention and nutritional management of pressure injuries by supporting and maintaining skin integrity. Pressure injuries are common in residential aged care, particularly for residents who are bed or chair bound and non-ambulant. Entirely preventable and combined with regular repositioning, pressure injuries can be prevented with optimum nutrition. Dietitians will focus on ensuring residents receive adequate protein, energy, micro nutrients such as vitamin C, E and minerals zinc and iron. These nutrients are equally important in the management of established pressure injuries. Dietitians can assist residents to increase their protein and energy intake through small dietary changes to support wound healing. Dietitians are also well placed to prescribe wound-specific supplementation. Some residents are more susceptible to pressure injuries and impaired wound healing if they have co-morbidities such as diabetes and/or chronic kidney disease. It’s important that a Dietitian is involved especially when co-morbidities are present as impaired renal function can worsen with high protein intake. A comprehensive nutrition assessment will ensure that appropriate recommendations are made for the individuals unique situation. Aged care Quality Indicator 2: Physical Restraint For residents that live with dementia and experience behavioural challenges because of the disease, at times physical restraint is used to protect themselves and others from potential harm. Residents who have poor nutrition and poor oral intake, may experience an increased rate of progression of cognitive impairment. Dietitians can assist staff and family to ensure residents nutrition requirements are met and work around challenging behaviours with food and mealtimes. Having a Dietitian involved in the care of residents with dementia may help to slow the progression of the illness and may reduce the likelihood of the need for physical restraint. Aged care Quality Indicator 3: Unplanned Weight Loss The main referral received in aged care for dietitians is for unintentional weight loss and malnutrition. Dietitians are at the forefront in prevention and management of weight loss. It is estimated that approximately 60% of residents in residential aged care are either at risk of malnutrition or are malnourished. Unplanned weight loss is a key indicator and risk factor for malnutrition. Unplanned weight loss can occur for multiple reasons in people residing in aged care homes and in the community including; complex medical conditions, hospitalisations and poor appetite to name a few. Dietitians assist to prevent and manage unplanned weight loss and malnutrition by prescribing high energy high protein diets, food-first approaches e.g. food fortification and if necessary, oral nutrition supplements. Dietitians also assist to educate and support care and kitchen staff to optimise residents' diets in the kitchen and/or at the table. Aged care Quality Indicator 4: Falls and Major Injury Most falls and major injuries, while common, are entirely preventable in aged care and in the community. Working alongside allied health professional, for example Physiotherapists , Osteopaths and Occupational Therapists , Dietitians make nutritional recommendations to compliment physical activity to promote optimal muscle mass to support strength and conditioning of skeletal muscle. Adequate nutrition, focusing on adequate protein and energy intake, through dietetic intervention combined with physical exercise can reduce the likelihood of falls and therefore subsequent major injuries such as fractures Aged care Quality Indicator 5: Medication Management Many residents in residential aged care often require nutritional supplementation as the ageing process requires increased nutrition requirements for particular nutrients. Dietitians can support and optimise nutrition intake through food first approaches which may help to reduce the reliance of expensive supplements or medications, decreasing the risk of polypharmacy. Aged care Quality Indicator 6: Activities of Daily Living  Dietitians are well placed to support residents and clients with their day-to-day activities. Supporting optimal health to maintain independence for as long as possible. With respect to food and eating, Dietitians can make personalised recommendations to clients and residents around nutritious choices when food shopping, cooking methods and mealtime support. Aged care Quality Indicator 7: Incontinence care A common issue in residential aged care and in home care clients, incontinence can be debilitating and socially isolating. In some cases, Dietitians may be able to relieve the symptoms of incontinence especially if there are dietary triggers, lack of fibre or intolerances. For those that experience incontinence, there are increased fluid losses that require replacement. Dietitians can provide guidance on appropriate fluid intake to ensure adequate hydration. Aged care Quality Indicator 8: Hospitalisation As outlined above with respect to falls and major injury prevention and therefore subsequent hospitalisation, Dietitians also play an integral role in supporting residents and clients upon return home from hospital. In most cases, weight loss is an undesirable consequence of a hospital admission. Residents and/or clients that are hospitalised and are undernourished are at an increased risk of infection, wounds, increased length of stay and increased risk of death. Dietitians can help to correct and stabilise unplanned weight loss and hospital acquired malnutrition and wounds with targeted nutrition support through individualised nutrition assessments. Discharge plans often recommend dietetic input upon return home for those residents and/or clients identified with weight loss and or malnutrition during their hospitalisation. Aged care Quality Indicator 9: Workforce Dietitians make up the important network of allied health professionals that are underutilised in aged care. As outlined above, Dietitians can provide support and value addressing each quality indicator to support positive health outcomes for residents and clients. Dietitians support multiple staff across the aged care setting to enable them to build the capacity of their clients and residents. Vivir Healthcare boasts an experienced, passionate team of Dietitians across Australia, ready and eager to play a role in the care of elderly Australians. Aged care Quality Indicator 10: Consumer Experience Food is an important source of enjoyment for residents and consumers in their day to day lives. Dietitians are uniquely placed to bridge communication between staff, residents and clients to improve the overall dining and mealtime experience. Vivir Healthcare Dietitians regularly complete mealtime assessments and menu reviews in aged care to ensure compliance, enjoyment and nutritional adequacy. Food and eating is an integral part of life and it is up to everyone to enable the consumer experience and choice to be at the centre of their care. Aged care Quality Indicator 11: Quality of Life. As above, it has been addressed how Dietitians can enhance the consumer experience, particularly when it comes to food and mealtimes. Inevitably, there are times when nutrition focuses shift away from corrective and intensive interventions as illustrated under the above quality indicators to individualised, scalable recommendations to preserve and optimise quality of life. Dietitians are often called upon for weight loss the context of progression toward end-of-life care. Some residents and clients may require a palliative approach if they are living with a life limiting illness. Dietitians can ensure that foods and fluids provided align with the residents or client preferences going through this life stage. As with wound care and wound prevention, adequate nutrition is integral to supporting skin integrity to prevent the development of new pressure injuries or sores. Dietitians will make recommendations accordingly and apply dietary strategies to prevent further skin deterioration and improve overall quality of life.

“Have you been doing your exercises?” I wonder if you’ve been asked that question before. Perhaps it was posed to you by a health professional, it may have been posed to you by an inquisitive family member or it may be a question that you’ve posed to yourself? In my role as a physio , I spend a lot of my week doing exercise with clients. Some sessions are focused on strength, some sessions are more targeted towards aerobic fitness, and other times we work on balance, range of motion or any number of other important metrics of physical health. I have clients whose sessions are completed sitting down in a chair and clients who walk for kilometres. I have clients who do hours of exercise every day, and clients who find it hard to get motivated. But in those wonderfully diverse experiences, one consistent theme is the focus and promotion of resistance training. The role of resistance training in maintaining good physical and psychological health has long been testified to. And so, my goal in this article is not to tread over old ground or to walk a well-worn path - though we all need to walk it from time to time. I want this article to present the same message but from a different angle. I want to get practical. I want to give you three thoughts that I try to prioritise when implementing resistance training with clients: The human body has potential. Focus on strength and power. The positive feedback loop. Let’s dive in! The Human Body Has Potential. The human body has so much potential. Whether you’re 50 or 90. Whether you meet the step goals on your apple watch everyday or have never done a day of exercise in your life. You have potential. Research shows demonstrable improvements in quality of life, depression and muscle strength through the performance of resistance exercises. It shows improvement in functional activities like climbing stairs, getting out of a chair, getting dressed and catching the bus. It shows improvements in physical and psychological well-being. It shows improvements in pain. Loss of muscle mass is a gradual process that, on average, begins after age 30 and accelerates after age 60 (Chang et al., 2019). We call this sarcopenia. This diagram shows the negative pathways that can result from sarcopenia and a loss of muscle mass (Hunter et al., 2004).

In Australia’s ageing population, falls prevention for elderly people cannot be overlooked. According to the most current 2023 Australian Government statistics, falls contribute to 43% of injuries leading to hospitalisation, making falls the top cause of injury related hospitalisations in Australia, with people aged 65 years and over being the most affected. As the impact of a fall can lead to loss of independence, confidence and impact overall well-being, understanding the role that Physiotherapists and Occupational Therapists play in supporting people implement fall prevention strategies to prevent future fall incidents, and engaging in their expertise, can help improve the quality of life for you or your elderly loved one.

With the introduction of the Aged Care Quality Indicators in 2019, our Vivir Healthcare Physiotherapists, Occupational Therapists, Speech Pathologists, and Dietitians are committed to working with our Residential Aged Care Facility Clients based all over Australia, and the older people they care for continuously improve their quality of service.

For many people, maintaining our mobility is not just about getting from point A to point B – it is about the ability to perform daily activities with independence and confidence. However, as we age or face health challenges, maintaining mobility can become challenging. This is where mobility aids come in handy. Among the various types of mobility aids is the rollator – more commonly known among aged care residents and older people as a mobility walker. Used by seniors or those with a disability, the mobility walker / rollator certainly stands out as a useful and effective piece of equipment and are highly recommended by our Vivir Healthcare physiotherapists. How Mobility Walkers/ Rollators Enhance Mobility and Independence One of the primary reasons why physiotherapists recommend the use of a mobility walker to their clients after a mobility aid assessment is to enhance their mobility and independence. Designed to provide greater stability and support, the mobility walker makes it easier for individuals to move around safely within their home and in the community. Not to be mistaken to a walking frame, a mobility walker will include wheels (3, or 4 depending on the design), brakes and a cushioned seat. They are also designed to be pushed and allow the user to still move at their regular pace. In addition, unlike traditional walking sticks, which offer minimal support, the mobility walker provides a broader base of support as well as even weight distribution. Physiotherapists will recommend a mobility walker / rollator when the user is seeking some more stability when walking. They are the best and most practical option over a walking frame when the user’s balance is not so much of an issue, or when they do not have the upper arm strength to lift a walking frame. The inclusion of hand brakes also allows users to control their pace and stop securely, reducing the risk of falls. This added safety feature makes rollators an ideal choice for those who may feel unsteady on their feet. However before recommending, physiotherapists will consider and assess if the user can properly steer the rollator and use the brakes. Why Mobility Walkers / Rollators Encourage Physical Activity By enhancing mobility, the mobility walker encourages more physical activity. Maintaining an active lifestyle is essential for physical and mental health, particularly as we get older. But when mobility becomes a challenge, many seniors are hesitant to engage in physical activity, fearing they may not be able to keep up or may even injure themselves. This can lead to an inactive lifestyle, which in turn can exacerbate other health issues such as obesity, cardiovascular disease, and depression. By making walking easier and more achievable, the mobility walker / rollator allows users to walk longer distances more quickly, participate in social activities, and enjoy outdoor spaces with greater confidence. This not only helps maintain physical health but also improves mood and overall mental well-being . Indeed, the mobility walker / rollator is more than just a piece of equipment for getting around – it is a ticket to freedom that offers independence and extra support when mobility becomes a challenge. If you or someone you know requires assessment for a mobility aid, our Vivir Healthcare Physiotherapists can help. Get in touch by making a referral today .

Have you ever wondered how do Occupational Therapist’s assist the ageing population live at home for longer? Occupational Therapists (OT’s) play a crucial role in helping elderly individuals live safely and comfortably at home for as long as possible by working closely with them to assess their physical, cognitive, and lifestyle needs through various strategies including:

As we get older, maintaining our physical health and mobility becomes increasingly important for our overall well-being. Physiotherapy plays a crucial role in aged care, where physiotherapists provide tailored treatment and management plans that help seniors maintain their independence, reduce pain, and improve their mobility. In this blog, we will explore the various ways aged care physiotherapy can benefit older adults and why it is an essential component of promoting safety and improving quality of life. Understanding Aged Care Physiotherapy Aged care physiotherapy involves the assessment, diagnosis, and treatment of physical impairments, disabilities, and conditions related with aging. As every individual has unique health needs and goals, aged care physiotherapists conduct thorough assessments to develop personalised treatment plans that address specific challenges and objectives. These plans often include exercises, manual therapy, education, and lifestyle advice to promote physical health and functional independence. This individualised approach ensures that each person receives the most effective care, maximising their potential for improvement and well-being. Key Benefits of Aged Care Physiotherapy Improved Mobility and Flexibility and strength: One of the primary goals of aged care physiotherapy is to enhance mobility and flexibility. As people age, they may experience stiffness, reduced range of motion, and difficulty with movement. Physiotherapists use targeted exercises and techniques to improve joint mobility, muscle strength, and overall flexibility, allowing seniors to move more freely and confidently. Pain Management: Chronic pain is a common issue among older adults , often resulting from conditions such as arthritis, osteoporosis, and musculoskeletal disorders. Physiotherapists employ various pain management strategies, including manual therapy, heat/cold therapy, and specific exercises, to alleviate pain and improve function. By addressing the root causes of pain, physiotherapy helps seniors enjoy a better quality of life. Fall Prevention: Falls are a significant concern for the elderly, leading to serious injuries and a decline in independence. Aged care physiotherapy focuses on fall prevention through balance training, strength exercises, and education on safe movement techniques. By improving strength, coordination, and balance, physiotherapy helps reduce the risk of falls and related injuries. Increased Independence and Confidence: Aged care physiotherapy encourages seniors to maintain their independence and perform daily activities with greater ease. By improving physical function and mobility, physiotherapy helps older adults feel more confident in their ability to carry out tasks such as walking, climbing stairs, and self-care. This increased confidence translates to a better quality of life and a more active, fulfilling lifestyle. Indeed, aged care physiotherapy is a vital component of elderly care, offering numerous benefits that enhance physical health, mobility, and independence. By addressing the unique needs of older adults, physiotherapy helps seniors enjoy a better quality of life and remain active participants in their communities. If you or a loved one could benefit from aged care physiotherapy, consider reaching out to Vivir Healthcare where one of our qualified physiotherapists will work with you or your loved one to help you achieve your healthcare goals.

Have you ever typed in “Occupational Therapist near me” and disappointed with the search results? Maybe it’s time to consider online occupational therapy sessions through telehealth. The Benefits of Telehealth for Occupational Therapy Telehealth has revolutionised the way we access allied healthcare, making it easier to connect with many allied healthcare specialists , including Occupational Therapists , from the comfort of your home. With telehealth, location is no longer an issue, and makes it easier for you to find an Occupational Therapist who perfectly matches your needs, even if they’re not in your local area. One of the biggest advantages of telehealth is its convenience. You can schedule sessions that fit your routine, eliminating the need for travel, which can be especially beneficial if you have mobility challenges or the lack of transportation. Telehealth is also helpful if you are suffering from severe mobility impairments, chronic pain, immunodeficiency, or recovering from major surgery that is limiting your mobility. Also, telehealth can offer a more personalised experience. During online sessions , Occupational Therapists can assess your home environment in real time, giving them insights that they might not gather during in-person clinic visits. This allows them to tailor their recommendations to your specific living situation, enhancing the effectiveness of your therapy. What to Look Out For in an Occupational Therapist Finding the right Occupational Therapist is crucial for successful treatment. Here are some key factors to consider: Experience: Ensure that the Occupational Therapist has experience in treating your specific condition. You can usually request this through making a referral or by going through a national allied healthcare provider, like Vivir Healthcare who has several Occupational Therapists working for them. An Occupational Therapist with a strong background in the area you need support in is more likely to provide effective care. Communication Style: Effective communication is vital in any clinician and client relationship. During an initial consultation, pay attention to how the Occupational Therapist listens to your concerns and explains their approach. You should feel comfortable and confident that they understand your needs and can help you reach your health goals. Availability and Flexibility: It is important to find an Occupational Therapist whose availability matches your schedule. With telehealth, there is often greater flexibility in scheduling sessions, so be sure to provide your preferred availabilities when completing your referral. Knowing Your Health Goals Before starting your search for an Occupational Therapist, it’s important to clearly define your health goals. Are you looking to regain independence after an injury, or seeking support in modifying your home so you can continue to live in it safely as you get older? Do you need support in managing a chronic condition? Knowing your health goals will not only help you find an Occupational Therapist with the right expertise but also ensure that the therapy sessions are focused and effective. Once you’ve identified your goals, communicate them clearly. This will help them tailor their approach to meet your specific needs. A good Occupational Therapist will work collaboratively with you to develop a personalised treatment plan that aligns with your objectives. By engaging in telehealth, you will more likely find an Occupational Therapist near you that will have a positive impact on your health and well-being. By considering telehealth , you expand your care options and gain the flexibility to choose an Occupational Therapist who truly meets your needs. Want to learn more about Vivir Healthcare’s Telehealth services? Click here