1. Supporting staff who care for elderly relatives
Ngaire Kerse, School of Population Health

2. NZ population projection
Statistics New Zealand

3. Māori and Non-Māori
Statistics New Zealand

4. Caring Older, young disabled, mental health Common Women
Impact on health
Reciprocal benefit
Some data-LiLACS NZ
Transitions
Some simple recommendations
Questions

5. Te Puāwaitanga o Ngā Tapuwae Kia Ora Tonu - LiLACS NZ
Ngaire Kerse, FRNZCGP, PhD, MBChB
School of Population Health

8. Te Puāwaitanga o Ngā Tapuwae Kia Ora Tonu-LiLACS NZ
Longitudinal cohort
Bay of Plenty and Lakes DHBs
Recruited 421 out 766 Māori years (56%)
Non Māori 516 out of aged 85 yrs (59%)
Visit every year until death
Measures – Core and Full
Functional transitions, care
Falls, fractures
Cognition – 3MS, MMSE
Contributions, caring
Health
Multimorbidity
Medications – STOPP, START
Quality of life – SF-12
NHI match
Hospitalisation,
mortality
Wave 3 – carer engagement
and interviews
Kerse, cohort profile Int J Epi, 2015, 1–10

12. Health conditions CVD 66-68%
Māori have more heart failure (30 vs 20%) and Atrial Fibrillation (30 vs 20%), diabetes (30 vs 16%), lung disease (35 vs 25%)
Less arthritis (35 vs 44%), eye disease (49 vs 66%).
Men have more Coronary disease (40%) and peripheral vascular disease (20%)
52% Māori bilingual
Teh RO, NZMJ 2014, Vol 127 No 1397;

13. Informal care Closely associated with level of function
More women, more Māori received informal care

14. Informal care and HRQOL
Women
Men

15. Receiving support services

16. Services by level of function
Māori
Non- Māori

17. Change in HRQOL over time

18. Formal and informal care and HRQOL

20. Stayed the same or improved
Women did better than men, Māori did better than non-Māori
No impact on HRQOL

21. Function changes in both directions, not associated with HRQOL (at this age)
More women received support services
Maori receipt of services – lower function
Services maintained HRQOL
Informal care increased over time
Those receiving support services and informal care maintained physical HRQOL, suggesting that the combination of care types is important.

22. Carers
Wave 4, 438 remained
162 Māori (62% women), 276 non-Māori (54% women).
74% (319) consented to carer, 286 Kaiāwhina interviews were completed.
261 informal carers (91% of the interviewees) and 25 formal carers (9%) were interviewed.

23. Where carers live
Māori
Non- Māori

24. Hours of care/ week given to:

25. Type of care

26. HRQOL of carers

27. Positive > negative

28. Average yearly cost

29. Carers knowledge of services (unprompted)
Relatively low knowledge of service availability amongst carers when asked
without prompting

30. Where got info about services (unprompted)

31. Contributions of older people to family and whanau, communities and society

32. Volunteering -
Māori
Non-Māori

33. Mokopuna grandchildren
Māori – 16 moko, 13 mokopuna,
Non-Māori – 7 children, 3 grdchdn

34. Giving Care and assistance regularly
Māori
Non-Māori

35. Type of care or assistance

36. Older people are part of the social workforce
Contribute to whanau and family
Wider society
Giving care or assistance was associated with higher physical but not mental HRQOL

37. Conclusions Large amount of care Impact on health of carer
Caring has perceived positive impact
Costly

38. Funders

39. Transitions Able to disable to enable Loss Denial
Maintenance of productive engagement
Independent
To care
Level of care
Residential care
Palliative care

40. For the older person - simple things
Senses
Hearing deficit – 60% of 75+
Visual deficit – 30% causes impairment
Teeth – 60% dentures – this will change
Dentist infrequent
GP relationship
Medications
Access all supports possible
Positive productive activities
Participation and engagement

41. For the carer
Exercise
Health
Information
Moral support
Family
Work

42. Questions… ?

43. n.kerse@auckland.ac.nz make a donation at
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