A New Aged Care Facilities: The Cultural Diversity

Australia has 46% of people who were born overseas and has an emigrant parent. Because of social influence, Australian aging and emigrants from the diverse culture have special health needs. Factors such as detachment from other community or culture, social-control, unobtainable health facilities or information, limited financial support, and the physical background can create the negative effect on enhancement of health. Because of these factors, it can increase the chances of having dementia, chronic diseases like heart disease or diabetes and depression. The older generation of Vietnamese, who preferred to communicate in their first language because of incompetence in English. Communication is important to provide assistance and effective care in aged care for migrants from the different cultural background. Communication provides the facility to share knowledge, experience, daily needs, routine lifestyle, individual role in the family, carers, and job.

According to Hutchinson et al. (2011) point, moving in the aged care home is not easy, but it is a challenging experience. In the aged care home, the resident has to accept and adjust with the staff and other members in the aged care home. Culture diversity does not only affect the care adjustment but several other issues for migrants like language preferences and food choice in the aged care home that prevents an older person from the different cultural background.

According to Walsh & Shute et al. (2013), an improper conversation with the staff and other members in the aged care home disrupt the nature of migrants to develop the mutual relationships and a sensibility of acceptance. Studies show that the local community or from the same culture is more acceptable to have their food and care management than the culturally diverse people and it is associated to defect in improving the relationship with residents, incompetent effect, and lack of education and training to staff members.

According to Small et al. (2015) and Kim et al. (2014), ethnic-specific aged care home with staff who have skills in the bilingual and bicultural show positive outcome from the patient and patient satisfaction with care facilities. According to Polit and Beck et al. (2012) survey, 16% residents out of 381 residents were from CALD background and 50% staff out of 481were from CALD background. Their aim to study was how the language is a barrier to understand each other and its effect on the outcome of the patient during care in an aged care home. The method used to study was face to face audiotaped interview using semi-structured questions to the staff member, patients, and family member in the survey. The result from the survey stated that food preferences and individualized psychological care associated with the culture. (Xiao et al.,2016 ).

According to Cluster et al. (2012) point, the residents' independence to accommodate in aged care homes depends on how their needs are met. Abbey et al. (2015) stated that it is very difficult to meet the individual needs for food choices because of the budget, staffing, and source of income in a residential aged care home.Apart from these issues, trust is another issue arises from the language barrier in an aged care home between the nursing staff and residents from CALD backgrounds. Trust is a very challenging concept as it has varying definitions, theory, and analysis. Trust may decrease when others behave differently, creating ambiguity and scepticism begin. Care relies on trust. Megan-jane Johnstone and his colleague conducted the survey using a qualitative exploratory descriptive approached to acknowledge the importance of trust in providing quality care to the older non-English speaking background. The demographic and narrative data used in the survey. The demographic data collected from the datasheet and other data from the semi-structured questions to 22 Victorian registered nurses. The result shows the nurses whose culture and language background was the same as the patient were compatible to talk with the patients and their family and also provides a basic psychological trust.

Through the studies, the question arises like, if there is a lack of correspondence between the health care providers and the patient, what basic things use to develop the trust?Education is important to provide better care, funding knowledge, accessibility, and behaviour management in CALD people. According to Jennifer R. Redman et al. (2005), 86% people from all aged care home preferred to speak in own language. Language related facilities may principle key to control the chances of dementia or psychological disorders from language discrimination.