Nurses play important role in promoting older individuals' functional, physical and social engagement. Nurses should be educated enough to handle the different challenges and to enhance ageist attitudes. They should also be responsible for reporting elder abuse. Australia's population has an ageing population and it has been observed that around 3.8 million individuals have age more than 65 (Horta & Whitsed, 2021). It is expected that it will enhance up to 8.8 million older people by 2057 in Australia (Pond & Regan, 2019). From Aboriginal and Torres Strait Islander communities, there are around one lakh older individuals that require good health care and assistance. As per a report by National Health Survey (NHS), around seventy-three per cent of Australian citizens, more than 65 ages have good health, however, many older citizens of Australia have been found to have chronic disorders (Brijnath et al., 2021). The chronic disorders can be neurological, diabetes and cardiovascular. According to the National consultation Lesbian Gay Bi Trans Intersexual and Queer (LGBTIQ), older people have received proper care (Ecker et al., 2019). This essay will aim at aged care programs. The policy for National Aboriginal and Torres Strait Islander Health Plan 2021–2031 has been set to gain good health results. The policy aims in preventing health issues such as making healthy decisions. The inclusive policy aims at promoting the health of LGBTIQ people. Legislation and Policies for LGBTQ people are on topmost priority concerning well-being strategies. LGBTIQ along with Health Australia has worked together in recommending Priority Policies (Bretherton et al., 2021). The essay will highlight the following issues current legislation, policies, and resources that have been developed to promote well-being, and strategies that a registered nurse can implement to deliver ethical, legal, and evidence-based person-centred care including for individuals suffering from dementia.
Significance of the policies and documentation, the new National Agreement on Closing Gap refers to the national health document that supports addressing priority reforms and shared decisions that help in making policies for closing gaps in health outcomes for Aboriginals (Tun et al., 2020). The policy of the national health document is to gain a remarkable reduction in the suicide rate of Aboriginals (Bretherton et al., 2021). It also aims at enhancing the ratio of Aboriginal and Torres Strait Islander children to have healthy birth weight and close the gap in life expectancy in a generation. Ten years of plans have been made in order to boost Aboriginal and Torres Strait Islander health policy, it includes a ten-year Primary Health Care Plan, a ten-year Preventive Health Strategy and ten Year National Aboriginal and Torres Strait Islander Health Workforce Strategic Framework and Implementation Plan. The plan and policy have great significance as it identifies the efforts of Aboriginals through Community-controlled Health Services (ACCHSs), it is aimed at providing good quality, and is culturally safe (Drovandi et al., 2022). The policy and plan will support the health sectors for procuring culturally safe and responsive care; it covers various responses to racism and working in collaboration with Aboriginal and Torres Strait Islander Organizations to have cultural safety. Working in collaboration along with Aboriginals will be helpful in creating person-centred care. Indigenous Australians’ Health Programme has provided opportunities in investment plans such as 781 million dollars for individuals for aged care and mental health, and Forty-five million dollars for enhancing healthy birth weight that comes under National Agreement (Drovandi et al., 2022). These documents have been developed and implemented to improve the health and well-being of Aboriginals as they have been discriminated from a very long time.
The strategies that registered nurses can implement in delivering ethical, and legal for people suffering from dementia is communication and providing them care. Cultural beliefs and values of people depend on thinking, behaviour and making interaction with people. Aboriginals do not communicate in the English Language, they have different dialects. Nurses can implement a few strategies to overcome the barrier of language; this can be carried out by keeping away from complex words and jargon (Kerrigan et al., 2021). Nurses can use various diagrams and concepts, they should be aware of using traditional languages. Nonverbal communication can be helpful to these people in order to feel comfortable. Touch, silence and eye contact make such people respectful. Strategies and philosophies related to person-centred care of aboriginal’s people suffering from dementia should be provided with VIPS (Valued, Individuals, Perspective of individuals suffering from dementia, Social environment) (Sun et al., 2022). Person-centred care is brought through a philosophy of personhood and it is basically dependent on the psychological and spiritual model (Drovandi et al., 2022). It provides rights and perspectives of people suffering from dementia. Palliative care is provided to older people and relevant care is provided. Care provided to older people must be holistic which includes the involvement of family and friends. Psychological needs such as attachment, comfort, identity, occupation and inclusion (Tun et al., 2020). Different aspects of the palliative care approach for dementia are the importance of sensitive communication, quality of life, and respect for autonomy. The philosophy of supportive care in dementia enhances and improves the quality of life (Weisbrod 2022). DSA refers to Dementia Support Australia assist in care providers.
LGBTIQ people have barriers to accessing health services that include discrimination and negative experiences, limited health literacy and rescue awareness. Australia’s LGBTQ has risks of poor physical health and suicidality with a psychological disorder. Evidence-informed environment concerned with health policy. Policy Document of LGBTIQ people concerned with the Australian Government and strategies are required to reduce the health inequalities that are experienced through these communities (Tun et al., 2020). It also aims to support health care needs for communities that are required to address health inequalities. All the discriminatory references have been excluded such as Marriage Act 1961, which allows people have intersex status (Drovandi et al., 2022). Discrimination in the healthcare sector has been involved in disparities in healthcare settings and it has been observed that people hide their sexuality or gender identity because of discrimination. Australian Medical Students’ Association (AMSA) observes that all communities in Australia receive better health care opportunities (Tun et al., 2020). This has been documented because LGBTIQ people in Australia experience poor health conditions in which people are mainly found to be involved in alcohol and drug use. These communities have faced many barriers such as the hostile environment of hospitals and health care organizations. Nurses can implement a few interventions such as they can initiate anti-bully programmes and family-centred care. Social and economic conditions also affect the lives of people. Nurses should communicate with these people in a calm and composed way so that they cannot feel discriminated against (Butler-Henderson et al., 2018). These people feel uncomfortable because of discriminatory attitudes. The nursing intervention will be helpful in removing the perception of discrimination and satisfaction.
Significance of the policies and documentation for LGBTQ People, the core legal obligations concerned with protecting rights includes obligations, therefore documentation has become important. It involves protect, prevent, repealing, prohibiting, and safeguard (Drovandi et al., 2022). It has also significance towards equality and has strengthened human rights protection for these communities; it includes adopting laws prohibiting discrimination and initiation of anti-bullying initiatives. LGBTIQ inclusive language is vital for building trust and human rights (Butler-Henderson et al., 2018). It is important because respectful language can be used in understanding specific issues.
Strategies and philosophies related to person-centred care for older people (LGBTIQ) in Australia, can include delivering various models such as it includes accessible health services, holistic care and a skilled workforce (Drovandi et al., 2022). Aboriginal Community Controlled Health Service (ACCHS), it has helped in reducing barriers and in unintentional racism. The Australian Government has opened around twenty-five million funding. Nursing professionals that support on working policy raise awareness in policies. LGBT older adults suffering from dementia person-centered care, Labour Dynamics in Australia (HILDA) has surveyed and has documented poorer life satisfaction when compared with general health (Haunch et al., 2021). Nurses help in minimizing health disparities by understanding specific health risks. The person-centered care in healthcare sectors is meant to create the culturally sensitive environment.
It can be concluded from this study, that registered nurses have implemented various intervention that has been helpful in promoting the health and wellness of people. Few interventions such as overcoming the barrier of language. Aboriginals do not share in the English Language, they have diverse dialects. Nurses can execute a few techniques to devastate the barricade of language; this can be brought out by holding away from difficult phrases and jargon. Nurses can use different diagrams and ideas, they should be mindful of using standard languages. Nonverbal communication can be useful to these people in order to feel pleased. Touch, silence and eye communication make such individuals respectful. Techniques and philosophies connected to person-centred care of aboriginal’s people suffering from dementia have been supplied with VIPS (Valued, Individuals, Perspective of individuals suffering from dementia, Social environment). Policy Document of LGBTIQ people's situations with the Australian Government and strategies are needed to relieve the health imbalances that are participated through these communities. It also seeks to sustain health care requirements for communities that are needed to manage health imbalances. All the discriminating concerns have been barred such as Marriage Act 1961, which allows people have intersex status.
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