Contributed
In the last
week of September, aged care sector nurses resolved to cease work at a
Warnambool aged care facility due to the crisis state of the sector,
particularly in relation to the suitability of care of residents whose mental
condition caused them to act violently towards staff. The nurses had made
about 200 formal complaints about violence towards staff by one particular
resident but the management of the private for-profit aged care did not resolve
the problem. Nurses demanded removal of the resident from the facility or face
a cessation of work by nurses on health and safety grounds.
For any staff
in the aged care sector to collectively resolve to stop work is extremely rare
and indicative of the crisis in the aged care sector faced by both residents
and staff.
The aged care
system is funded in such a way that owners of a facility may be reluctant to
move a violent resident because that resident has paid a substantial amount of
money (up to $550,000)on entry to the facility and the owner profits from the
interest on this resident bond money. Or the owner knows that there is nowhere
else for the resident to go because staffing levels and special needs trained
staff are so inadequate in the aged care sector, due to inadequate
government funding and the profit motive being the driving force in a growing
privately owned proportion of the sector
Government Funding Cuts
The level of
care for residents with special needs received a recent setback when the Abbott
Government cut the ‘Dementia Supplement’ payment of about $18 per resident per
day. The implications of this seemingly small budget cut by the government were
brought home to me the other day when I visited an aged care place to meet some
staff. They were not nurses but Carers, the people who do most of the ‘hands
on’ care duties such as toileting, showering, making beds, feeding of
residents. One of them said she was on light duties. A resident with dementia
had grabbed her by the hand and when she tried to withdraw from his grasp, he
twisted her arm causing severe ligament and shoulder damage. She was working by
herself in a single resident room and by the time other staff heard her calls
for help the damage had been done. The resident had no idea that he was
inflicting pain and no idea of his own personal strength. As with most dementia
residents, their behaviour becomes more unpredictable as their condition
advances. Yet staffing levels determined by the owners do not increase to
take account of residents’ changing needs and the health and safety needs of
the staff.
Solidarity of Aged Care Staff
What
heartened me about this situation was the high level of support from other
staff for their injured co-Carer. They asked what else they could do to
accommodate her light duties and they discussed what they could do as a group
to ensure adequate staffing levels of care for residents with deteriorating
mental conditions. They discussed how each other was coping with the demands of
the job generally. They made suggestions as to what to do to overcome specific
problems caused by short staffing and high workloads. Their conversation was
one of caring for each other and residents in a very difficult and financially
unrewarding occupation.
As they moved
away to resume the last part of their shifts or in some cases clock off after
a ‘short shift’, I wondered how long it would be before they too took the
‘road less travelled by’ and like the Warnambool nurses, took action – in their
case for more staffing.