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Human Rights and Empowerment in Aged Care: Restraint Consent and Dying with Dignity

机译:人权和赋予老年护理的权力:拘留同意和尊严地死亡

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摘要

The aged care system in Australia is in crisis and people living with dementia are especially vulnerable to breaches of human rights to autonomy, dignity, respect, and equitable access to the highest quality of health care including meeting needs on account of disability. To be powerful advocates for themselves and others, people with dementia and the wider community with vested interests in quality aged care must be informed about their rights and what should be expected from the system. Prior to the Australian Royal Commission into Aged Care Quality and Safety, the Empowered Project was established to empower and raise awareness amongst people with dementia and their families about changed behaviours, chemical restraint, consent, end of life care, and security of tenure. A primary care-embedded health media campaign and national seminar tour were undertaken to meet the project aims of awareness-raising and empowerment, based on 10 Essential Facts about changed behaviours and rights for people with dementia, established as part of the project. Knowledge translation was assessed to examine the need and potential benefit of such seminars. We demonstrated that this brief educational engagement improved community knowledge of these issues and provided attendees with the information and confidence to question the nature and quality of care provision. With the completion of the Royal Commission and corresponding recommendations with government, we believe the community is ready to be an active player in reframing Australia’s aged care system with a human rights approach.
机译:澳大利亚的老年护理制度在危机中,痴呆症患者患有痴呆症的人特别容易受到违反自治权,尊严,尊重和公平获得最高质量的卫生保健的人权,包括满足残疾。为自己和其他人来说是强大的倡导者,必须了解有痴呆症和更广泛的社区,以既享有的既得态度的兴趣,必须了解他们的权利,并从系统中预期的预期。在澳大利亚皇家委员会进行老年护理质量和安全之前,授权项目成立,赋予痴呆症及其家庭在痴呆症及其家庭中提高了意识,化学克制,同意,生命关怀的终结和保守保障。为举办了一项初级护理健康媒体活动和国家研讨会巡回赛,以满足提高认识和赋权的项目,基于10个关于痴呆症人民的人们的必要性和权利,作为项目的一部分。知识翻译被评估,以检查此类研讨会的需求和潜在福利。我们证明,这一简短的教育参与改善了这些问题的社区知识,并为与会者提供了质疑护理的性质和质量的信息和信心。随着皇家委员会的完成和与政府的相应建议,我们认为社区已准备好成为一个积极的参与者,以恢复澳大利亚老年护理系统的人权方法。

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