Care by Name, Not by Nature: Experiences of Older Adults Accessing a Home Care Package Including Food and Nutrition Services—An Exploratory Qualitative Study

Abstract

Objectives

To (1) explore the experiences and perceptions of older adults accessing an Australian Government Home Care Package (HCP), (2) understand how recipients prioritise their package expenditure, (3) understand the value that recipients place on food and nutrition services, and (4) understand the barriers and facilitators to spending on these services.

Methods

Semi-structured interviews were conducted with 15 HCP recipients aged 65 years or older located across Australia. Transcripts were analysed using Braun and Clarke's six-phase reflexive thematic analysis.

Results

Four themes were developed from 15 interviews: (1) Care, By Name or By Nature; (2) We Know What We Need, Just Listen; (3) The Struggles of Prioritising and Spending; and (4) Nutritional (Im)Balance. Participants experienced a lack of person-centred care in the HCP program, making it difficult to obtain services that met their care needs and preferences. For many, their package budget was insufficient, causing recipients to compromise on services required for safe, independent living. Nutrition was important to HCP recipients but was often not their main priority when prioritising their limited package funding. Nutrition was valued by HCP recipients but often deprioritised for more immediate care needs.

Conclusion

It is apparent that changes to home care programs are required so recipients are at the centre of their care and have access to resources to help maintain their nutritional health and remain living independently at home. These insights can inform program and policy changes to better support older adults to age-in-place.