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ADVISORY: SchemeWise community nursing service is available for brokering or direct support service
AVAILABLE IN CANBERRA & QUEANBEYAN ONLY
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SchemeWise nursing service is your trusted provider for nursing support,
provider training, daily health management and assessment needs...
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How can the SchemeWise Community Nursing Service help you?
Our nurses can help with health delivery and supports for a range of matters, including:
- ⇒ maintaining a health condition (e.g. wound care or monitoring general vital signs),
- ⇒ medication support, monitoring and administering,
- ⇒ development of health management and care plans for workers,
- ⇒ management of specific conditions like cardiovacular, COPD, diabetes, epilepsy, stroke, dementia,
- ⇒ assessments across health, activities of daily living and cognition (e.g. MoCA),
- ⇒ supporting people with cognitive, occupational and mental health problems,
- ⇒ continence + catheter management services,
- ⇒ risk management or planning to support home safety,
- ⇒ daily needs assessment (services, supports, etc.),
- ⇒ nutrition advice and weight management support,
- ⇒ health, emergency and other preparedness activities and planning (e.g. where a person may need to have arrangements in place due to the unstable nature of a health condition, or environmental hazards like bushfire or floods, or COVID-19),
- ⇒ nurse-based physical/cognitive assessment,
- ⇒ chronic pain management (e.g. arthritis and other conditions),
- ⇒ mobility issues - planning for safety at home and in the community, and/or
- ⇒ service coordination (across health, allied-health and support services)
SchemeWise registered nurses are highly qualified health professionals offering you person-centred and quality-assured services.
They will work with you to develop a nursing care plan (based on your goals) and track progress, set up a person-controlled records, and provide services in-home to promote safety. They can also work with your GP, pharmacist or medical teams and liaise with and refer to other community therapy services too.
SchemeWise communtiy nursing focus is with people living with neurological problems (stable or degenerative), like stroke, Parkinson's, arthritis with pain, spinal problems, and dementia. They work with other chronic hgealth problems too.
SchemeWise community nurses can also help train support personnel
so they know how to provide the best possible care... at home.
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SCHEMEWISE NURSES also provide a wide range of clinical support services such as:
- ⇒ Development of health routines and clarify your needs with support teams
- ⇒ Care plans - from medication management to most things in between (chronic condition management)
- ⇒ Psychosocial planning - safety plans, cognitive support needs, etc
- ⇒ Support worker training - including medication, pressure, continence management to specialised equipment use.
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What is the cost?
SchemeWise aged care community nursing supports are undertaken at the applicable MyAgedCare rate - however you may have to provde a co-payment based on an assessment of your ability to pay by MyAgedCare.
Private customers are also charged at the MyAgedCare rate (supporting that they may enter this scheme also).
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BROKERING SERVICE
Brokering is the default engagement option under the MyAgedCare Home Care Program (must have an ACAT assessment rating Levels 1-4 and have nursing identified as a funded option). Please discuss this need with your package manager who can organise the brokering arrangement, with SchemeWise.
Brokering requires your package manager to enter into a contract for service with SchemeWise, on your behalf.
Direct service can be provided to MyAgedCare Support Program recipents who have health supports available under their package (please discuss your service needs directly with SchemeWise by reaching out through our contact form - see below).
In all cases, service charges include direct time, indirect activities (email, phone, clinical notes, liaising with medical team, etc), and associated travel costs. If your circumstances are changing, SchemeWise can provide a nursing quote for your support needs to assist planning reviews like ACAT re-assessments.
NOTE: Due to the ongoing community COVID-19 situation, you must provide all service PPE for our nurses use. This can be purchased under your Package (or privately) and we can provide advisory on PPE needs too. This is a necessary requirement as SchemeWise can no longer seperately claim this cost to your MyAgedCare package.
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What does a community nurse-based assessment offer you?
Registered nurses are trained to undertake a wide range of assessments which fall into four broad categories:
Initial - a short assessment type to inform care planning and an initial actions for health and safety;
Focused - an assessment focused on a particular body system or region and detailing all aspects of functioning;
Managed - an assessment which is done at a number of time points - can be weekly, fortnightly, monthly, biannually, (i.e. over shorter to increasing duration); or
Comprehensive - a detailed type of assessment which takes in all aspects of the person from their lived circumstances to their health and other needs. Comprehensive assessments may also look at a number of issues and how they co-exist within a person enabling supports and services planning, risk mitigation and referral (as necessary).
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SchemeWise Nursing Assessments
SchemeWise nursing assessments are a community nursing initiative which can augment information you may need to provide either a service or MyAgedCare about how your daily capacity and health issues co-exist. Nursing assessments can enable MyAgedCare to gain a better understanding of you, where you live, how you interact in your community, and how your circumstance affect the services and supports you need to reach your goals and stay in your home.
Nursing assessments are a GREAT alternative to an OT assessment and you can often access this assessment service much quicker than accessing an OT also.
Nursing assessments can help in different ways:
§ PROVIDE PRE-PLANNING INFORMATION - if you need more information to help decide they type of supprots you need, than obtaining an assessment before you seek to use your funding can help wokr out the best options. A nursing assessment can provide additional functional and capacity-based information for ensur ethe right services and supports are activiated. This service can also help with any review of your MyAgedCare Support or Home Package you require.
§ PROVIDE RE-ASSESSMENT - this kind of assessment can occur if you, your family or your care coordinator feel that additional information is required due to your condition changing in some way. This assessment can help you to decide if or which other supports and services you may need (and how much of them).
A SchemeWise nursing assessment can consider psychosocial (mental health), health and degenerative issues (like arthritis or dementia) and provide holistic advice in the form of a focused or comprehensive report. A nursing re-assessment considers the information you have at hand already; like from doctors, carers, family, psychologists, therapy providers, etc, and seeks to distill this into how your circumstances impact you on a day-to-day basis. Especially when other providers are unable to give you additional information, a nursing re-assessment may be a way of helping MyAgedCare understand your needs better too!
For example, if you are in receipt of the Home Support Package, but require further consideration for a Home Care Package instead, then a nursing re-assessment may help you. NOTE: This is not the ACAT assessment (which needs to be completed by a government approved agent) rather it documents and provisions evidence that an ACAT assessment may utilise.
§ PROVIDE INFORMATION FOR PACKAGE REPLANNING (level changes) - a SchemeWise nursing assessment can also be used to provide additional or new information when a planned MyAgedCare Support or Home Package review is required (it can also help people in residential dwellings too as independent assessment is a preferred option and ensures there are no conlfict sof interest from a provider). When a review occurs a nursing assessment can add new information by assessing health, disablement, functional and capacity issues across various body systems. MOre improtantly, it also indetifies options for reablment and maintenance of indepednence (e.g. with the right supports or services in place). It can also draw linkages into how a health issue may impact the services and supports you use or allow MyAgedCare or a serivce provider to gain a better understanding of why you need certain support to achieve your goals, remain safe, or to stay in your home.
§ PROVIDE CONTINUITY OF SUPPORT - this kind of assessment can occur if you, your family or your care coordinator feel that additional information is required due to your condition changing in some way and the need for more planning when you transition from places like hospital or move into a new home. This assessment can help you to plan your supports and services needs (and how much of them) to ensure immediate or changed needs are met.
§ A further type of assessment is known as a CO-MORBIDITY ASSESSMENT. These are a comprehensive assessment type which looks at a number of problems together to draw evidence about impacts on you overall. These assessments are particularly helpful when a new issue occurs (e.g. an injury from a fall which also requires management or support service changes). These assessments are less commonly required, but can be very useful, to ensure your other services and supports know how to help you as best as possible.
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How is a nurse assessment conducted?
When nurses engage with a person they consider all aspects about them in designing care.
A MyAgedCare community nursing assessment can consider all the range of information you have, daily impacts on you, and other issues which need to be included around daily functioning because of any condition, so you can remain connected in your community, with family, and safe at home.
A SchemeWise nurse will come to your home and talk with you about what your supports, needs and services are.
They will spend time with you understanding what your personal goals are, what problems you experience in your home or the community, the social and family connections important you, what types of assistance you feel you require, and any health matters or related concerns you have.
They may, look at physical, psychological, cultural, cognitive, lived environment and circumstances to help understand you (and they may require you to advise of any health reports to understnad how a condition affects you too). They may also ask about family, personal history or other issues you think are important (like pets).
After the nurse leaves they will prepare a report outlining your assessment, what actions or needs they have identified in context with relevant history about you. From this they will make a set of recommendations for care, support and services to assist you to meet your goals and stay in your home. The report can take from 5-14 days to complete after SchemeWise nurse visits you. You will receive the report in electronic (PDF - via email) and/or hardcopy (via post) form once it is completed.
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Assessment cost
SchemeWise registered nurse assessments are undertaken at the applicable nursing rates - whether you are already using MyAgedCare or seeking further information to support pre-planning ahead of entry.
If you are already with MyAgedCare, your Package may be able to cover the cost of a nursing assessment report. Some poeple may have to furnish a co-payment as assessed by MyAgedCare. When you talk to SchemeWise we can advise you further on this.
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Private Assessments
This service provides a clinical nursing functional assessment. SchemeWise clinical nurses use tried, trusted and well researched instruments to undertake these assessments, providing a quality and assured outcome when interacting with MyAgedCare or other service providers.
In most cases, SchemeWise nurses can utilise specific assessments MyAgedCare looks for where these may be prescribed for certain conditions too.
People/families wishing to undertake a private nursing assessment, must cover the entire cost of the assessment themselves. we will usually seek an inital meeting to understand the assessmnert need (free-of-charge - max 1 hour), a quote is provided and assessment undertaken after a service agreement is made (which confirms the scope and pricing). Just remember... the cost is generally much less than seeing a specialist and getting a health report. It may also be CONSIDERABLY more useful for MyAgedCare needs as a medical specialist will generally only report that you are being supported for a specific condition. Likewse a GP can onyl report on what they treat and know and may not understsnd your needs in your home.
SchemeWise can provide a guide price when you talk to us about getting a report.
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OTHER REASONS FOR USING AN AGED CARE COMMUNITY NURSE
People can require nursing advice and support for any of the following reasons:
⇒ As a result of a medical condition a second one arises and you need to understand how to management them both.
⇒ Your condition is complex and you, your carers or family require further education/training for you to be safe.
⇒ An acute issue arises and you may have gone to hospital. However, when returning home you need to replan your support environment BUT DON'T have a care coordinator.
⇒ Your have come home from hospital and now need to use hospital-type equipment like pumps, oxygenation devices, etc.
⇒ There has been a critical incident and you and your support staff or carer/family require support, education or training to understand the causes or effects of the incident (e.g. a behavioural problem).
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Why not get in contact or speak with us today...
(24/7 automated - we usually respond within one business day)
Providers can use our Aged Care referral form
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Service Disclaimer:
SchemeWise reserves its right to discuss and discern its capacity for nursing support within each individual's circumstances, becoming knowledgeable of their needs, and the safety in which a service can be delivered. While SchemeWise nurses can assist other providers to understand medication delivery requirements and management needs, our nurses generally deliver medications on a daily or regular basis where injections, variable dosing or complex support is neessary (e.g. Schedule 8 medications in use). For all other matters, poeple are recommended to connect with a primary care nurse at their GP clinic or local hospital, instead.
SchemeWise nursing services cannot provide support and health-management in situations where a health matter is acutely unstable as this would be unsafe and intensive monitoring is not possible. Community nursing services are NOT a critical care, or life emergency, service. Where such issues arise phone 000 and ask for an ambulance - immediately.
Our nurses are mandatory/voluntary reporters under laws and regulations (e.g. Aged Care Code of Conduct) and may be required to make a report if they believe you are unsafe, seriously unwell, being abused, exploited or neglected in any way, concerned your condition is deteriorating, and/or require urgent medical treatment (any reason). Community nurses can only undertake medication administration where safe to do so (e.g. if a medication affects your alertness they cannot give such medicine where there is no one else present to provide support ,or care; as this would be unsafe). Nursing services are NOT intended to replace a support worker or acute care service.
SchemeWise nursing assessment service cannot make recommendations for AT equiment if you are looking for this. AT recommendations require an OT assessment. Nursing assessment can however complete functional and cognitive assessments and other screening tools to help you, MyAgedCare, or other schemes like lifetime care, or veterans sectors, understand what may be required through a planning response to support you.
It is important you also recognise that our nurses must be safe at all times when providing a service to you - particularly at your home which is their workplace when they come to you - please do not smoke, have animals present, display bad behaviour such as swearing or verbal/physical aggression, and ensure your environment is tidy and clean, etc. It is preferrable unless poeple are directly there to support you, that you are able to engage freely and that the nursing service operate, without interuption. Our nurses will not tolerate bad behaviour from you or any person's present in your home, and you should be aware of this too. They have a right to end a service immediately, at cost to you, if any issue arises and in their opinion, are placed at any kind of undue risk (includes non-disclosure of any COVID-19 or other infectious illness on arrival). During heightened community issues (e.g. COVID or flu outbreak) our nurses may call ahead and advise they are OK and check you and others at your home are OK too. Our nurses carry face masks and can wear these anytime - just ask.
Occassionally, if certain risks or impediments exist for you, or your nurse, SchemeWise may need to change a face-to-face service to teleservice/phone instead (if possible) OR may offer a temporary replacement if our service capacity is affected (any reason) OR may seek a permanent replacement if we think this is the best option for you and will advise you accordingly. Of course, you have the right to NOT take up any of these options, where advised, but if you make this choice you, or your family/carer, bear the responsibility to ensure your health needs are met by engaging with a relevant health service (community health centre, your doctor, or a hospital). If you have any questions we are always happy to assist.
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