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Woman accused of murdering terminally ill partner hours after palliative care meeting

<p>A woman accused of killing her terminally ill partner after he postponed making a decision on assisted dying has been denied bail by the Queensland Supreme Court.</p> <p>Kylie Ellina Truswell-Mobbs, 50, was arrested on April 3, more than a year after the death of her partner, David Ronald Mobbs, 56, who died at their home in Alexandra Hills, southeast Brisbane, in December 2023.</p> <p>During a bail hearing on Tuesday, the court heard that Mr Mobbs, who had been diagnosed with motor neurone disease (MND), had expressed a desire to delay a decision on voluntary assisted dying just hours before his death. </p> <p>Crown prosecutor Sarah Dennis alleged that later that same night, Truswell-Mobbs made three separate attempts to administer a lethal drug cocktail to Mr Mobbs via his feeding tube. “Her conduct was purposeful and determined,” Dennis told the court. “It continued over a number of hours through the night... her intent was protracted.”</p> <p>According to Dennis, Truswell-Mobbs acted after a palliative care meeting on December 5, where Mr Mobbs reportedly told others he wished to delay his decision about assisted dying by at least a week. Despite this, prosecutors allege Truswell-Mobbs acted within hours to end his life.</p> <p>The court also heard that Mr Mobbs, who used a signing board to communicate, had allegedly been given a lethal dose of drugs. Police claim Truswell-Mobbs later confessed her actions to both a close family member and a professional carer. One witness reported she told them she “couldn’t take it anymore”.</p> <p>Truswell-Mobbs’ defence barrister, Ruth O’Gorman, argued for bail, noting that her client had no prior criminal history and had not fled during the 16 months she was under police investigation. O’Gorman also raised the possibility that the charge could be reduced, suggesting that aiding suicide might be more appropriate than murder.</p> <p>“It’s not inevitable that the Crown would proceed with the charge of murder against her, or that the jury would convict,” O’Gorman said.</p> <p>However, Justice Glenn Martin found the prosecution had a strong case, noting the significant body of evidence pointing toward a potential conviction. He said there was a clear distinction between knowing one is under investigation and being formally charged with murder.</p> <p>Bail was denied, and Truswell-Mobbs is expected to appear in Brisbane Magistrates Court for mention of the murder charge.</p> <p><em>Images: Facebook</em></p>

Legal

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Big changes are planned for aged care in 2025

<div class="theconversation-article-body">There has been little new in pre-election promises for Australia’s aged-care workers, providers or the <a href="https://www.gen-agedcaredata.gov.au/topics/people-using-aged-care#agedcareuseinaustralia">1.3 million people</a> who use aged care.</p> <p>In March, Labor announced <a href="https://www.health.gov.au/ministers/the-hon-anika-wells-mp/media/extra-26-billion-to-deliver-another-pay-rise-for-aged-care-nurses">A$2.6 billion</a> for another pay rise for aged-care nurses in addition to previous <a href="https://theconversation.com/aged-care-workers-have-won-a-huge-pay-rise-what-about-the-cleaners-cooks-and-admin-staff-who-support-them-226236">pay increases</a>.</p> <p> </p> <p>There’s been <a href="https://stories.theconversation.com/policy-tracker/">nothing substantial on aged care</a> from Labor or the Opposition since.</p> <p>Major changes are scheduled for the sector later this year, four years after the damning <a href="https://www.royalcommission.gov.au/aged-care/final-report">Royal Commission report into aged care</a>. Yet no additional funding has been announced.</p> <p>Estimates suggest funding is short <a href="https://www.stewartbrown.com.au/images/documents/StewartBrown_-_Taskforce_Funding_Reforms_Analysis_September_2024.pdf">around $5 billion</a> to address losses by residential care providers or the shortfall in <a href="https://www.health.gov.au/our-work/hcp/about">Home Care Packages</a>.</p> <h2>What can we expect this year?</h2> <p>A <a href="https://www.health.gov.au/our-work/aged-care-act">new Aged Care Act</a> will come into force on July 1 with a much greater emphasis on the rights of older people to get the care that suits their needs. This will mean:</p> <ul> <li> <p>a new system to regulate aged care</p> </li> <li> <p>a new independent complaints commissioner</p> </li> <li> <p>a new <a href="https://www.health.gov.au/our-work/support-at-home">Support at Home</a> program for older people who want to live at home, and in the community</p> </li> <li> <p>changes to fees for residential aged care.</p> </li> </ul> <p>But a number of problems remain and it is not clear the reforms being introduced this year will fix them.</p> <h2>Access is still an issue</h2> <p>Access to aged care <a href="https://www.igac.gov.au/sites/default/files/2024-08/2024-progress-report-on-the-implementation-of-the-recommendations-of-the-royal-commission-into-aged-care-quality-and-safety.pdf">continues to be a problem</a>, particularly in rural and remote areas. The system is difficult to navigate for often vulnerable and confused consumers and their families.</p> <p>The government relies heavily on the <a href="https://www.myagedcare.gov.au/">My Aged Care website</a> to inform older people and their families about aged care options. But this provides only basic information and it is difficult to get individualised support.</p> <p>There is also a “digital divide” for a significant group who are unfamiliar with, and lack confidence in, using online services.</p> <p>So we need a much greater emphasis on providing local “one stop shops” for personalised support and advice, particularly when people first enter the aged-care system. These services could be provided through Centrelink or new regional aged-care offices.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/660643/original/file-20250409-56-a7c9ej.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/660643/original/file-20250409-56-a7c9ej.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/660643/original/file-20250409-56-a7c9ej.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=288&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/660643/original/file-20250409-56-a7c9ej.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=288&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/660643/original/file-20250409-56-a7c9ej.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=288&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/660643/original/file-20250409-56-a7c9ej.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=361&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/660643/original/file-20250409-56-a7c9ej.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=361&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/660643/original/file-20250409-56-a7c9ej.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=361&amp;fit=crop&amp;dpr=3 2262w" alt="Screenshot of My Aged Care website" /></a><figcaption><span class="caption">Not everyone can navigate websites to get information about the care they need.</span> <span class="attribution"><a class="source" href="https://www.myagedcare.gov.au/">Screenshot/My Aged Care</a></span></figcaption></figure> <p>About <a href="https://www.abs.gov.au/statistics/health/disability/disability-ageing-and-carers-australia-summary-findings/latest-release">one-third of older people</a> say they need help to live at home. But to get assistance you need an aged-care assessment and that process too needs improving.</p> <p><a href="https://www.pc.gov.au/ongoing/report-on-government-services/2024/data-downloads/rogs-2024-partf-overview-and-sections.pdf">Waiting times for assessment</a> have blown out, with reported delays of up to <a href="https://www.theweeklysource.com.au/home-care/older-australians-are-increasingly-dying-waiting-for-home-care-packages-to-be-assigned">five months</a>.</p> <h2>Older people prefer to stay at home</h2> <p>There are some concerns the number of new aged-care beds is <a href="https://www.theweeklysource.com.au/aged-care/the-repercussions-of-a-need-for-6600-new-aged-care-beds-in-fy24-colliers">not increasing fast enough</a>. For instance, there are shortages of residential aged care in particular areas such as <a href="https://www.abc.net.au/news/2025-02-13/act-government-shuts-burrangiri-aged-care-respite-facility/104927780">Canberra</a>.</p> <p>But admission times to residential aged care generally <a href="https://www.pc.gov.au/ongoing/report-on-government-services/2024/data-downloads/rogs-2024-partf-overview-and-sections.pdf">have not increased</a> and occupancy rates are <a href="https://www.pc.gov.au/ongoing/report-on-government-services/2024/data-downloads/rogs-2024-partf-overview-and-sections.pdf">declining</a>. This suggests older people <a href="https://www.australianageingagenda.com.au/royal-commission/most-want-home-based-aged-care/#:%7E:text=A%20survey%20of%20more%20than,to%20live%20in%20a%20facility.">would prefer home</a> to residential care.</p> <p>Yet increased demand for home-care packages is <a href="https://www.gen-agedcaredata.gov.au/getmedia/c2339cbc-3e13-4893-9d03-9ca43ecdc55f/Home-Care-Packages-Program-Data-Report-2nd-Qtr-2024-2025">not being met</a>.</p> <p>For those who need more intensive services at home, <a href="https://www.gen-agedcaredata.gov.au/getmedia/c2339cbc-3e13-4893-9d03-9ca43ecdc55f/Home-Care-Packages-Program-Data-Report-2nd-Qtr-2024-2025">waiting times</a> remain stubbornly and unacceptably long because there aren’t enough home care packages.</p> <p>Despite years of complaints, there are still more than <a href="https://www.theweeklysource.com.au/government-policy/home-care-wait-list-climbs-to-over-81000-with-six-month-delays-at-all-levels">80,000 people</a> on the waiting list for care at home.</p> <p>The new <a href="https://www.health.gov.au/our-work/support-at-home/about">Support at Home program</a> will introduce an eight-level system of support. The highest level of home-care funding will <a href="https://www.health.gov.au/our-work/support-at-home/features#key-elements-of-the-new-program">increase to $78,000</a> to bridge the gap between funding for home and residential care. But many more intensive care packages for home care will be needed to reduce waiting times.</p> <p>The Support at Home program also introduces significantly higher out-of-pocket costs for older people. Such costs for everyday services – such as meals, cleaning and gardening – currently funded through the Commonwealth Home Support Program will <a href="https://www.health.gov.au/sites/default/files/2025-02/support-at-home-program-handbook.pdf">increase significantly</a>.</p> <p>Most controversially, there will also be <a href="https://www.health.gov.au/sites/default/files/2025-02/support-at-home-program-handbook.pdf">greater out-of-pocket costs</a> for “independence” services including personal care, social support, respite care and therapy.</p> <h2>Staff shortages still a concern</h2> <p>For aged-care providers, <a href="https://theconversation.com/we-have-too-few-aged-care-workers-to-care-for-older-australians-why-and-what-can-we-do-about-it-232707">chronic workforce shortages</a> are still the biggest problem. Recent <a href="https://theconversation.com/aged-care-workers-have-won-a-huge-pay-rise-what-about-the-cleaners-cooks-and-admin-staff-who-support-them-226236">increases in wages</a> for aged-care workers, including nurses, are a step in the right direction. But wages are still low.</p> <p>It remains hard to attract staff, staff turnover is high and staff are under-trained, risking the quality of care. Shortages are particularly acute in rural areas.</p> <p>The <a href="https://ageingaustralia.asn.au/media-releases/ageing-australia-calls-on-all-parties-to-make-aged-care-an-election-priority/">aged-care industry is calling for</a> streamlined migration, better training and incentives for regional workers to make up the shortfall. But so far no new election announcements have been made.</p> <h2>No real reform</h2> <p>Despite changes we’ll see from July, the organisation and financing of aged care remains fundamentally unchanged.</p> <p>Overall, Australia’s aged-care system is still heavily privatised and fragmented. In <a href="https://www.health.gov.au/sites/default/files/2024-08/financial-report-on-the-australian-aged-care-sector-2022-23.pdf">2022-23</a> there were 923 home-care providers, 764 residential-care providers and 1,334 home-support providers, nearly all in the private and not-for-profit sectors.</p> <p>The Commonwealth continues to manage the sector through a cumbersome combination of highly centralised regulation and prescriptive funding contracts.</p> <p>It has not put into place an effective, regional management structure to plan, organise and govern the sector to drive quality, innovation, equity, responsiveness and efficiency.</p> <p>Nor has the Commonwealth been willing to adequately finance the system either through a levy, a social insurance scheme or via increased taxation. Instead, it’s upping the reliance on user fees to meet the cost of providing services.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/253727/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>By <a href="https://theconversation.com/profiles/hal-swerissen-9722">Hal Swerissen</a>, Emeritus Professor of Public Health, <a href="https://theconversation.com/institutions/la-trobe-university-842">La Trobe University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/big-changes-are-planned-for-aged-care-in-2025-but-youd-never-know-from-the-major-parties-253727">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

Caring

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More young people are caring for a loved one with dementia. It takes a unique toll

<div class="theconversation-article-body"> <p>Dementia is a growing health problem, affecting more than <a href="https://www.who.int/news-room/fact-sheets/detail/dementia">55 million people</a> around the world.</p> <p>In Australia, an estimated <a href="https://www.dementia.org.au/about-dementia/dementia-facts-and-figures">433,300 people</a> are living with dementia. This figure is projected to rise to 812,500 by 2054.</p> <p>Dementia <a href="https://www.dementia.org.au/about-dementia">refers to brain disorders</a> that are not a normal part of ageing. These disorders, including Alzheimer’s disease, cause a decline in cognitive function and changes in mood, memory, thinking and behaviour. Ultimately they affect a person’s ability to carry out everyday tasks.</p> <p>In Australia, around <a href="https://www.sydney.edu.au/news-opinion/news/2020/10/06/research-backs-home-based-program-for-people-living-with-dementi.html">75% of people with dementia</a> live at home.</p> <p>While dementia care at home has traditionally been associated with older spouses or middle-aged children, it seems an increasing number of young adults in their 20s and 30s, and <a href="https://www.ncb.org.uk/sites/default/files/uploads/files/young_people_caring_for_adults_with_dementia.pdf">even teenagers</a>, are stepping into this role to care for grandparents, parents or other loved ones.</p> <p>In Australia, 3 million people (11.9% of the population) are carers. This includes <a href="https://www.abs.gov.au/statistics/health/disability/disability-ageing-and-carers-australia-summary-findings/latest-release">391,300 under 25</a> – a sharp rise from 235,300 in 2018.</p> <p>How many young carers are specifically caring for a loved one with dementia is unclear, and something we need more data on. Young dementia carers remain largely invisible, with minimal recognition or support.</p> <h2>Unique challenges and the burden of responsibility</h2> <p>Unlike older carers, who may have more financial stability and free time, young carers often must balance caregiving with university, early-career pressures, and personal development, including maintaining social relationships, pursuing hobbies, and prioritising mental welling.</p> <p>In Australia, where <a href="https://aifs.gov.au/media/more-young-adults-living-parents">51% of men and 43% of women</a> aged 20–24 still live with their parents, many young carers will have limited experience in managing a household independently.</p> <p>They’re often thrust into <a href="https://www.ncb.org.uk/sites/default/files/uploads/files/young_people_caring_for_adults_with_dementia.pdf">complex responsibilities</a> such as cooking, housework, managing the family budget, coordinating medical appointments and administering medications.</p> <p>Beyond that, they may need to provide physical care such as lifting or helping their loved one move around, and personal care such as dressing, washing, and helping with toileting.</p> <p>All this can leave young carers <a href="https://www.tandfonline.com/doi/full/10.2147/PROM.S499063">feeling unprepared</a>, overwhelmed and isolated.</p> <p>While general support groups exist for dementia carers and young carers more broadly, few cater specifically to <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9819145/">young adults caring for someone with dementia</a>.</p> <p>This lack of targeted support is likely to heighten <a href="https://www.tandfonline.com/doi/pdf/10.1080/13676261.2024.2390899?casa_token=6Q73sIFsfssAAAAA:1rQ7NyiiHkwTwIk4mkk6d2r5tiUxeXJDCKTfIohKmHzCue9xvuj5r4e8-fowJGQeIYKe6afuO9FT">feelings of isolation</a>, as the young person’s friends struggle to relate to the emotional and practical burdens <a href="https://link.springer.com/content/pdf/10.1186/s12877-020-01976-z.pdf">young carers face</a>.</p> <p>The demanding nature of caregiving, combined with the difficulty of sharing these experiences with peers, means young dementia carers can become <a href="https://journals.sagepub.com/doi/epub/10.1177/14713012211023653?src=getftr&utm_source=tfo&getft_integrator=tfo">disconnected socially</a>.</p> <h2>The psychological toll</h2> <p>These challenges take a profound <a href="https://www.mentalhealth.org.uk/explore-mental-health/statistics/carers-statistics">psychological toll</a> on young carers.</p> <p>Research shows young carers are <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9263065/">35% more likely</a> to report mental health issues than their non-caregiving peers. These can include <a href="https://journals.sagepub.com/doi/pdf/10.1177/1471301220980243">depression</a>, anxiety and burnout.</p> <p>Again, we don’t have data on mental health outcomes among young dementia carers specifically. But <a href="https://www.aihw.gov.au/reports/dementia/dementia-in-aus/contents/carers-and-care-needs-of-people-with-dementia/impact-of-the-caring-role-on-carers">in Australia</a>, 75% of dementia carers reported being affected physically or emotionally by their caring role. Some 41% felt weary or lacked energy, and 31% felt worried or depressed.</p> <p>Also, there are negative stereotypes about ageing – that people turn forgetful, frail, and need constant care. For young carers whose loved ones have dementia, these stereotypes <a href="https://journals.sagepub.com/doi/pdf/10.1111/j.1467-8721.2009.01662.x?casa_token=w0MW7GGY80gAAAAA:szB0XyXKPG_XMqAVyAHLm0Tye8yH3TYXK9X5cFCSIRkorhsNHx4Wgurmy_oAuZKsTsskS6kBw9Vr">can be reinforced</a> by their experience. This could shape young carers’ perceptions of <a href="https://www.tandfonline.com/doi/full/10.1080/13607863.2025.2464705?utm">their own future health</a> and wellbeing and increase anxiety about ageing.</p> <p>Caregiving may also affect <a href="https://www.apa.org/pi/about/publications/caregivers/faq/health-effects">physical health</a>. Research suggests carers often sacrifice <a href="https://onlinelibrary.wiley.com/doi/pdf/10.1111/psyg.12354">healthy habits</a> such as exercise and a balanced diet. What’s more, <a href="https://onlinelibrary.wiley.com/doi/pdf/10.1111/psyg.12354">carers report symptoms</a> including poor sleep, fatigue, headaches and back pain due to the physical demands of caregiving.</p> <h2>Caring for a parent – a role reversal</h2> <p>This emotional burden is particularly acute for those caring for a parent. These young carers are likely to experience the progressive loss of parental support, while simultaneously assuming the <a href="https://journals.sagepub.com/doi/pdf/10.1177/1471301220988231">demanding role of caregiver</a>.</p> <p>A significant portion of young dementia carers support parents with <a href="https://www.aihw.gov.au/reports/dementia/dementia-in-aus/contents/dementia-in-priority-groups/population-health-impacts-of-younger-onset-dementi">young-onset dementia</a>, a form of dementia diagnosed before age 65. These <a href="https://journals.sagepub.com/doi/pdf/10.1177/1471301220988231">young carers</a> face the shock of a diagnosis that defies typical expectations of ageing.</p> <p>The burden may be compounded by fears of <a href="https://journals.sagepub.com/doi/10.1177/0038026119874280?icid=int.sj-abstract.citing-articles.9">genetic inheritance</a>. Young onset dementia often has a <a href="https://www.nia.nih.gov/health/alzheimers-causes-and-risk-factors/alzheimers-disease-genetics-fact-sheet">hereditary component</a>.</p> <p>This means young carers may have a higher risk of developing the condition themselves – a concern spousal carers don’t have. This fear can fuel health anxiety, alter life planning, and create a pervasive <a href="https://pubmed.ncbi.nlm.nih.gov/26560507/">sense of vulnerability</a>.</p> <h2>How we can better support young dementia carers</h2> <p>Despite their growing numbers, young dementia carers <a href="https://www.tandfonline.com/doi/full/10.2147/JMDH.S464195">remain largely overlooked</a> in research, policy and support services. This is partly due to the challenges in engaging this demographic in research, as these young people juggle busy lives <a href="https://onlinelibrary.wiley.com/doi/pdf/10.1002/gps.4502?casa_token=5-Ih4KcUejwAAAAA%3AOvuh8ghI_ednIzRZmHdUl-_C7EQ8IUw2Qp7E0-0Z9abjV0xT6I4WK17V2U8JMCcxMl9yvpawBeT-l7c">balancing caregiving</a> with education and work.</p> <p>Many young carers also <a href="https://pubmed.ncbi.nlm.nih.gov/36353077/">don’t self-identify as carers</a>, hindering their access to support and resources. This could be because of the stigmatising label, or a feeling they’re <a href="https://www.ncb.org.uk/sites/default/files/uploads/files/young_people_caring_for_adults_with_dementia.pdf">not doing enough</a> to qualify as a carer. It could even be because of cultural norms which can frame caregiving as a family obligation, rather than a distinct role.</p> <p>Nonetheless, young dementia carers require <a href="https://www.mdpi.com/1660-4601/20/1/127">targeted support</a> beyond generic caregiving resources.</p> <p>This support might include specialised <a href="https://www.tandfonline.com/doi/full/10.2147/JMDH.S464195">peer networks</a>, educational programs, and practical skills training. Tailored programs and resources should ideally be <a href="https://www.mdpi.com/1660-4601/20/1/127">co-designed with young dementia carers</a> to ensure they meet their unique needs and preferences.</p> <p>With dementia cases in Australia and elsewhere <a href="https://www.dementia.org.au/about-dementia/dementia-facts-and-figures">projected to increase</a>, the demand for informal carers – including young adults – will continue to grow.</p> <p>Without intervention, these young carers risk burnout, social isolation, and long-term health consequences. We must ensure flexible, age-appropriate support for this often invisible group. Investing in young dementia carers is not just a moral imperative – it’s a crucial step toward a sustainable, compassionate care system for the future.</p> <p><em><a href="https://www.dementia.org.au/living-dementia/family-friends-and-carers">Dementia Australia</a> offers a national helpline, information sessions, and a peer-to-peer connection platform for carers.</em></p> <p><em><a href="https://youngcarersnetwork.com.au/">The Young Carers Network</a>, run by <a href="https://www.carersaustralia.com.au/">Carers Australia</a>, offers mental health resources, financial guidance, and respite care information, plus bursaries young carers can apply for to reduce financial pressure.</em><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/249361/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>By <a href="https://theconversation.com/profiles/katya-numbers-784650">Katya Numbers</a>, Postdoctoral Research Fellow & Lecturer, Centre for Healthy Brain Ageing, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> and <a href="https://theconversation.com/profiles/serena-sabatini-2320527">Serena Sabatini</a>, Lecturer in Psychology, <a href="https://theconversation.com/institutions/university-of-surrey-1201">University of Surrey</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/more-young-people-are-caring-for-a-loved-one-with-dementia-it-takes-a-unique-toll-249361">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

Caring

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New details emerge after Gold Coast Hilton Hotel catches fire

<p>New details have emerged after a massive fire erupted at the Hilton Surfers Paradise Hotel on the Gold Coast overnight, prompting the evacuation of hundreds of guests and staff.</p> <p>The blaze originated on the roof of the hotel's western tower at around 2am, with debris falling onto the second-floor restaurant area, notably affecting establishments like Steampunk Surfers Paradise. </p> <p>Emergency services responded promptly, with multiple fire crews arriving to combat the flames. The Queensland Fire Department reported that the fire on the pool deck was extinguished by around 2:20am, and the roof fire was under control by 2:40am. Guests were then permitted to return to their rooms at around 3am. </p> <p>Surfers Paradise resident Joevy Lyn captured dramatic footage of debris tumbling 120m from the roof to the streets below.  Legendary Australian jockey Shane Dye, who was staying on the 34th floor of a neighbouring tower, witnessed the fire firsthand and told the Courier Mail: "Everything was on fire and in flames, I couldn't believe it. It was right outside my window." Dye evacuated his building amid initial confusion, saying that hotel staff were initially unaware of the severity of the situation. </p> <p>Another guest, Leah Nicholson, who was staying at the Hilton with her wife and three-year-old daughter, reported not hearing any alarms but, upon contacting the front desk, was told of the fire. The family then descended 14 flights of stairs to evacuate, only hearing evacuation alarms upon reaching the ground level. </p> <p>Queensland police assisted in the evacuation, and while the cause of the fire remains under investigation, a woman staying at an apartment across the road reportedly said she believed the Hilton sign had exploded.</p> <p>“The H on top of the Hilton building just started to catch on fire and then it all started to explode,” the woman told 7NEWS. “Parts of it started to fall which caught … other parts of the building on fire. It was quite intense.”</p> <p><em>Images: 7NEWS</em></p>

Travel Trouble

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Sad new details emerge in Gene Hackman case

<p>Authorities in New Mexico have shared a grim new update on the shocking deaths of Gene Hackman and his wife. </p> <p>New information has suggested that the Hollywood actor, 95, and his wife, 63, had passed away in their home nine days before their bodies were found. </p> <p>The bodies of the deceased couple, who were married for 24 years, were found by a maintenance worker who spotted their bodies through a window. </p> <p>Authorities are yet to determine a cause of death for both Hackman and Arakawa but have repeatedly ruled out foul play.</p> <p>In an investigation update on Friday, Santa Fe County Sheriff Adan Mendoza said a pathologist had advised that tests for carbon monoxide poisoning were negative.</p> <p>Mendoza also said the pathologist was given an insight into Hackman's last moments due to the activity in his pacemaker. </p> <p>"An initial interrogation was conducted of Mr Hackman's pacemaker. This revealed that his last event was recorded on February 17th, 2025," he told reporters.</p> <p>"It is a good assumption that was his last day of life."</p> <p>However it remains unclear whether Hackman, who was found in the kitchen of the home, or Arakawa, who was located in a bathroom, died first.</p> <p>One of the couple's dogs was also located deceased in the bathroom, while two other dogs were found alive at the property.</p> <p>Alongside Arakawa's body, police found an orange prescription pill bottle in the bathroom and pills scattered across the floor. </p> <p>While a toxicology report has been requested on the pills, as well as other medications found inside the house, the report could take months to be completed. </p> <p>The discovery of the pills was described as "something of concern", with Mendoza telling <em>NBC News</em>: "That's obviously very important evidence at the scene". </p> <p>Hackman appeared in more than 80 films throughout his career, as well as on television and the stage after his breakout role as the brother of bank robber Clyde Barrow in 1967's <em>Bonnie and Clyde</em>, earning him his first Oscar nomination. </p> <p>He won an Oscar for best actor in 1972 for his portrayal of detective Popeye Doyle in <em>The French Connection</em>, and in 1993 won an Oscar for best supporting actor for <em>Unforgiven</em>.</p> <p><em>Image credits: MediaPunch/Shutterstock </em><em>Editorial</em></p>

Caring

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From sunscreen to essential oils, why some personal care products could be harmful to your health

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/asit-kumar-mishra-1458839">Asit Kumar Mishra</a>, <a href="https://theconversation.com/institutions/university-college-cork-1321">University College Cork</a></em></p> <p>Each time you apply sunscreen to your face, you may inhale somewhere between <a href="https://www.mdpi.com/1660-4601/20/11/5944">10 to 30 milligrams of ethanol</a>, the type of alcohol used in alcoholic drinks. While the ethanol in sunscreen may not give you a buzz, it could make you think about what other chemicals you might be exposed to from personal care products.</p> <p>Products that are applied to the face, like sunscreen, can increase the inhalation of some chemicals by ten times or more than you would inhale from your <a href="https://pubmed.ncbi.nlm.nih.gov/34816489/">home air in the entire day</a>.</p> <p>The levels of ethanol in cosmetics and skincare products may be reasonably safe – although it can still dry out the skin, causing pain, redness and swelling, and <a href="https://www.gov.uk/government/publications/ethanol-properties-uses-and-incident-management/ethanol-general-information">irritate the eyes</a>, causing tears, burning and stinging – but personal care products such as shampoos, skin creams, deodorants, cosmetics and perfumes contain fragrances and other volatile organic compounds (VOCs), which can be inhaled, absorbed through skin or ingested and some are more toxic than others.</p> <p>Unfortunately, manufacturers of personal care products <a href="https://link.springer.com/article/10.1007/s11869-015-0327-6">do not have to disclose</a> every fragrance compound used. This is concerning when you consider the potential effects of toxic compounds that <a href="https://pubmed.ncbi.nlm.nih.gov/34816489/">have been detected</a> in the air from personal care products. For example, hair-smoothing products have released formaldehyde, a toxic chemical that can cause <a href="https://www.ncbi.nlm.nih.gov/books/NBK597627/">a range of symptoms</a> from dermatitis to low sperm count. Some perfumes and deodorants have generated monoterpenes, chemicals which <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8912113/#sec1-molecules-27-01716">can prove toxic</a> for some users.</p> <figure><iframe src="https://www.youtube.com/embed/cfloNXKeyX8?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Some of the VOCs found in personal care products <a href="https://pubmed.ncbi.nlm.nih.gov/36976159/">may trigger</a> skin irritation, headaches – and difficulty breathing, which can develop into an asthma attack in some users. The highest or peak concentration of these VOCs are likely to <a href="https://pubmed.ncbi.nlm.nih.gov/22406137/">occur within ten minutes</a> of application. But these concentrations may take up to <a href="https://pubmed.ncbi.nlm.nih.gov/34816489/">two hours to decrease to background levels</a>, depending on your home’s ventilation.</p> <h2>Natural doesn’t mean risk free</h2> <p>But even if the levels of <a href="https://pubmed.ncbi.nlm.nih.gov/20659630/">VOCs in personal care products</a> are kept <a href="https://pubmed.ncbi.nlm.nih.gov/22406137/">within safe limits</a>, they can still cause discomfort and a variety of health issues, including irritation of the eyes and airways, migraines and asthmatic reactions, in those who’re <a href="https://enveurope.springeropen.com/articles/10.1186/s12302-020-00311-y">fragrance sensitive</a>. In the UK, <a href="https://link.springer.com/article/10.1007/s11869-018-00655-8">27% of the population</a> self reports as fragrance sensitive.</p> <p>It makes sense then that some people attempt to avoid potentially toxic synthetic chemicals in cosmetics by opting for “natural” or “clean” personal care products. But, <a href="https://enveurope.springeropen.com/articles/10.1186/s12302-020-00311-y">natural does not mean safer</a>.</p> <p>For instance, essential oils are often used in “natural” personal care products as fragrance. Essential oils, though, are a source of terpenes, some of which can be <a href="https://www.lung.org/blog/essential-oils-harmful-or-helpful">toxic if absorbed, inhaled or swallowed</a>.</p> <p>Indoor concentration of terpenes are often at levels where you can smell them but not high enough to cause <a href="https://pubmed.ncbi.nlm.nih.gov/28126407/">eye or respiratory tract irritation</a>. However, the terpenes from essential oils can react with other chemicals, such as ozone from outdoor air, producing <a href="https://pubmed.ncbi.nlm.nih.gov/32162221/">byproducts like formaldehyde, a known carcinogen</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/22250748/">allergens</a>.</p> <h2>Beauty salon safety</h2> <p>Beauty salons can be particularly risky environments for exposure to VOCs. <a href="https://www.mdpi.com/1660-4601/19/7/4176">Studies have found</a> contaminants such as formaldehyde, ammonia and <a href="https://www.gov.uk/government/publications/toluene-properties-incident-management-and-toxicology/toluene-toxicological-overview">toluene</a>, a potentially harmful ingredient used in many personal care products, at high levels in salons, putting staff who work there at the highest risk.</p> <p>Formaldehyde levels in some salons have reached <a href="https://pubmed.ncbi.nlm.nih.gov/31321727/">above safety limits</a>. <a href="https://www.dcceew.gov.au/environment/protection/npi/substances/fact-sheets/methyl-methacrylate#tabs-2">Methyl methacrylate</a>, which can cause skin irritation, allergic reactions and potential <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3072694/">respiratory issues</a> has been <a href="https://pubmed.ncbi.nlm.nih.gov/30276513/">detected in the air of nail salons</a>.</p> <figure><iframe src="https://www.youtube.com/embed/ydRklqO01fE?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>These contaminants are not necessarily limited to the places in a salon <a href="https://pubmed.ncbi.nlm.nih.gov/23765035/">where a certain product is being used</a>. Beauty salons with poor ventilation are likely to expose workers and customers to <a href="https://pubmed.ncbi.nlm.nih.gov/29494285/">much higher levels of contaminants</a>. Some of the components of personal care products are known, harmful contaminants and carcinogens.</p> <p>Regulations specifically related to ventilation in environments where large volumes of these products are used do reduce exposures. For instance, studies show that after ventilation regulations came into effect in Boston, US in 2011, the <a href="https://pubmed.ncbi.nlm.nih.gov/31622145/">air quality inside nail salons improved</a>.</p> <p>When visiting your nail salon or hair stylist, check with them about their ventilation system and other steps they are taking to reduce exposure to VOCs.</p> <p>To limit exposure to potential VOCs at home when using personal care products, try to open windows and use extractor fans in wet rooms. Be especially careful when applying products to the face or when using a high temperature application – <a href="https://occup-med.biomedcentral.com/articles/10.1186/s12995-018-0213-x">high temperatures can increase emissions</a>.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/248273/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/asit-kumar-mishra-1458839"><em>Asit Kumar Mishra</em></a><em>, Research Fellow in School of Public of Health, <a href="https://theconversation.com/institutions/university-college-cork-1321">University College Cork</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/from-sunscreen-to-essential-oils-why-some-personal-care-products-could-be-harmful-to-your-health-248273">original article</a>.</em></p> </div>

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Incredible footage emerges of plane crashing and flipping upside down

<p>Terrified passengers have recalled the moment they were left "hanging upside down like bats" after a plane crashed and flipped during an icy landing. </p> <p>The Delta Airlines plane was landing at Toronto Pearson Airport during snowy conditions, when the plane touched down and immediately caught fire. </p> <p>Skidding along the runway, the plane then flipped upside down with 80 people onboard before coming to a halt. </p> <p>Video obtained by <em>CNN</em> shows the plane landing hard on the runway, with the plane's rear landing gear buckling upon impact with the snow and erupting into a fireball. </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/reel/DGN-pIIOR-G/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/DGN-pIIOR-G/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by CNN (@cnn)</a></p> </div> </blockquote> <p>According to passengers John Nelson and Peter Koukov, the rollover left travellers hanging aloft until they could be freed. </p> <p>"We were upside down hanging like bats," Koukov said. </p> <p>The man was able to unbuckle himself and stand upright on the ceiling of the plane, but some people needed help getting down from their seats.</p> <p>Officials said on Monday 21 people were taken to hospitals with injuries, including a child in good condition.</p> <p>All but two of them had been released from hospital on Tuesday morning.</p> <p>US man Pete Carlson was on board and told <em>CBC News</em> that it was "really amazing" he and his fellow passengers were alive.</p> <p>"Everything just kind of went sideways," Carlson recalled.</p> <p>"One minute you're landing, kind of waiting to see your friends and your people, and the next minute you're physically upside down."</p> <p>Koukov, a professional skier from Colorado, told the <em>New York Times</em> that the flight was completely normal up until the final descent.</p> <p>"The second that the wheels hit the ground, then everything happened," he said. "The next thing I know, we're sideways."</p> <p>"We ended up completely upside-down. I unbuckled pretty fast and kind of lowered myself to the floor, which was the ceiling. People were panicking."</p> <p><em>Image credits: Instagram</em></p>

Travel Trouble

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How women will shoulder the burden of new care reforms

<p>It’s time to put a ‘gender lens’ on the once-in-a-generation reforms to Australia’s aged care system.</p> <p>There are almost <a href="https://www.gen-agedcaredata.gov.au/topics/people-using-aged-care" target="_blank" rel="noopener">double</a> the number of women compared with men in permanent residential care. </p> <p>Women are also more likely to use home care services. And we do the bulk of unpaid caring for ageing parents and grandparents. In fact, almost 70% of women provide primary care, according to the <a href="https://www.carersnsw.org.au/uploads/main/Files/3.Resources/Policy-Research/Carers-NSW_2022_National_Carer_Survey-Report.pdf" target="_blank" rel="noopener">National Carer Survey</a>. </p> <p>Given these shocking statistics, why is the federal government reducing the quality of care, under its new Support at Home model? This affects women on both sides of the system: as unpaid carers and clients.</p> <p>It’s all to do with pricing. A 10% cap on care management fees will apply from July this year. </p> <p>This means home care service providers may not be able to continue to give older people, who are overwhelmingly women, the level of care they need. </p> <p>“The Aged Care Royal Commission told the sector loudly that Australians expect quality care. The Australian Government went so far to describe what that means in the 2024 Aged Care legislation, so the sector is aghast at the caps on care management, which is critical in supporting vulnerable older people to understand, know and access the support they need to age in place,” Your Side CEO, Danielle Ballantine, says. </p> <p>Capping care management results in the very specialist skills of a care manager being outsourced to family. Inevitably it’s women – especially the sandwich generation – who will shoulder this burden, while trying to hold down jobs and secure their financial future. </p> <p>My sister and I would have been lost without this support when we were caring for Dad in the home, while working full-time and raising our children.</p> <p>Many female carers are forced to cut back their hours of paid work – or leave employment altogether – reducing their earning capacity and financial security. </p> <p>This feeds into the gender pay and superannuation gaps: Women retire with around 25% <a href="https://www.hesta.com.au/stories/bridging-the-gap-for-women-and-super" target="_blank" rel="noopener">less</a> super than men, with many older single women living in extreme poverty.</p> <p>This is undoubtedly an unintended consequence. But it must form part of the federal government’s considerations. “The government is currently consulting with older people, consumer advocates and the sector, with more news on pricing yet to be announced,” Ms Ballantine says.</p> <p>We need women – unpaid carers, aged care workers and clients – to be at the centre of these conversations.</p> <p>Under the proposed changes, most of the services assisting people to be healthy, safe and independent in their later stages of life will be out of <a href="https://www.theweeklysource.com.au/home-care/cut-in-care-management-funding-threatens-high-quality-home-care-say-providers" target="_blank" rel="noopener">reach</a>. </p> <p>Based on the capacity to pay, some older people might not be able to afford a care worker to support them to have a shower. When unpaid carers step in, they often become burned out, increasing the risk of skin tears and falls. Without adequate care management oversight, some of these issues can become life threatening.</p> <p>Is this the way we should be treating older women, many of whom have spent their lives caring for others? </p> <p>Closer to home, is this the future we want for ourselves?</p> <p><em>Image credits: Shutterstock / Supplied</em></p> <p><em><strong>Tracey Spicer AM is a multiple Walkley Award-winning journalist, author and passionate advocate for social responsibility issues. She is an Ambassador for the non-profit aged care provider Your Side.</strong></em></p>

Money & Banking

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Readers response: What does ‘self-care’ look like for you now compared to earlier years?

<p>We asked our readers what self-care looks like for them during their retirement years. Here's what you said. </p> <p><strong>Anne Henderson</strong> - More time and focus on my strength and fitness, and all of those things that will help with independence in old age. More saying no to society’s expectations … (including whether my 70 year old face and my clothing are acceptable to others)…. my routine has become simpler for this reason, not more complicated. Self care in older age to me is liberation from the shackles of all of the above.</p> <p><strong>Marie Jones</strong> - Definitely focusing on strength and balance hence exercise class and walking. Happy with my grey hair but always moisturising and have toned down make-up. I wear what's comfortable for me.</p> <p><strong>Dawn Dominick</strong> - Endless moisturising of my entire body not just my face any more.</p> <p><strong>Margie Buckingham</strong> - Love having long baths to relax in. Going to the podiatrist every month. Moisturising twice daily. Not wearing makeup unless it’s a special occasion. Wearing comfortable clothes. Considering stopping the every 5 week hair colouring. </p> <div dir="auto" style="font-family: system-ui, -apple-system, BlinkMacSystemFont, '.SFNSText-Regular', sans-serif; caret-color: #080809; color: #080809; font-size: 15px;"><em>Image credits: Shutterstock </em></div>

Beauty & Style

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What’s the difference between heat exhaustion and heat stroke? One’s a medical emergency

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/matthew-barton-1184088">Matthew Barton</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a> and <a href="https://theconversation.com/profiles/michael-todorovic-1210507">Michael Todorovic</a>, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a></em></p> <p>When British TV doctor Michael Mosley died last year in Greece after walking in extreme heat, local police said “<a href="https://www.telegraph.co.uk/news/2024/06/10/michael-mosley-autopsy-symi-greece-death/">heat exhaustion</a>” was a contributing factor.</p> <p>Since than a coroner could not find a definitive cause of death <a href="https://www.theguardian.com/media/2024/dec/20/michael-mosleys-cause-of-death-unascertainable-coroner-says">but said</a> this was most likely due to an un-identified medical reason or heat stroke.</p> <p>Heat exhaustion and heat stroke are two illnesses that relate to heat.</p> <p>So what’s the difference?</p> <h2>A spectrum of conditions</h2> <p>Heat-related illnesses range from mild to severe. They’re caused by exposure to excessive heat, whether from hot conditions, physical exertion, or both. The most common ones include:</p> <ul> <li> <p><strong>heat oedema</strong>: swelling of the hands, feet and ankles</p> </li> <li> <p><strong>heat cramps</strong>: painful, involuntary muscle spasms usually after exercise</p> </li> <li> <p><strong>heat syncope</strong>: fainting due to overheating</p> </li> <li> <p><strong>heat exhaustion</strong>: when the body loses water due to excessive sweating, leading to a rise in core body temperature (but still under 40°C). Symptoms include lethargy, weakness and dizziness, but there’s no change to consciousness or mental clarity</p> </li> <li> <p><strong>heat stroke</strong>: a medical emergency when the core body temperature is over 40°C. This can lead to serious problems related to the nervous system, such as confusion, seizures and unconsciousness including coma, leading to death.</p> </li> </ul> <p>As you can see from the diagram below, some symptoms of heat stroke and heat exhaustion overlap. This makes it hard to recognise the difference, even for medical professionals.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/636118/original/file-20241204-15-qhk6rk.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/636118/original/file-20241204-15-qhk6rk.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/636118/original/file-20241204-15-qhk6rk.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=455&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/636118/original/file-20241204-15-qhk6rk.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=455&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/636118/original/file-20241204-15-qhk6rk.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=455&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/636118/original/file-20241204-15-qhk6rk.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=572&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/636118/original/file-20241204-15-qhk6rk.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=572&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/636118/original/file-20241204-15-qhk6rk.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=572&amp;fit=crop&amp;dpr=3 2262w" alt="Heat exhaustion vs heat stroke venn diagram" /></a><figcaption><span class="attribution"><a class="license" href="http://creativecommons.org/licenses/by-sa/4.0/">CC BY-SA</a></span></figcaption></figure> <h2>How does this happen?</h2> <p>The human body is an incredibly efficient and adaptable machine, equipped with several in-built mechanisms to keep our core temperature at an optimal 37°C.</p> <p>But in healthy people, regulation of body temperature begins to break down when it’s hotter than about 31°C with 100% humidity (think Darwin or Cairns) or about 38°C with 60% humidity (typical of other parts of Australia in summer).</p> <p>This is because humid air makes it harder for sweat to evaporate and take heat with it. Without that cooling effect, the body starts to overheat.</p> <p>Once the core temperature rises above 37°C, heat exhaustion can set in, which can cause intense thirst, weakness, nausea and dizziness.</p> <p>If the body heat continues to build and the core body temperature rises above 40°C, a much more severe heat stroke could begin. At this point, it’s a life-threatening emergency requiring immediate medical attention.</p> <p>At this temperature, our proteins start to denature (like an egg on a hotplate) and blood flow to the intestines stops. This makes the gut very leaky, allowing harmful substances such as endotoxins (toxic substances in some bacteria) and pathogens (disease causing microbes) to leak into the bloodstream.</p> <p>The liver can’t detoxify these fast enough, leading to the whole body becoming inflamed, organs failing, and in the worst-case scenario, death.</p> <h2>Who’s most at risk?</h2> <p>People doing strenuous exercise, especially if they’re not in great shape, are among those at risk of heat exhaustion or heat stroke. <a href="https://www.who.int/multi-media/details/main-heat-vulnerability-factors">Others at risk</a> include those exposed to high temperatures and humidity, particularly when wearing heavy clothing or protective gear.</p> <p>Outdoor workers such as farmers, firefighters and construction workers are at higher risk too. Certain health conditions, such as diabetes, heart disease, or lung conditions (such as COPD or chronic obstructive pulmonary disease), and people taking <a href="https://theconversation.com/is-my-medicine-making-me-feel-hotter-this-summer-5-reasons-why-199085">blood pressure medications</a>, can also be more vulnerable.</p> <p>Adults over 65, infants and young children are especially sensitive to heat as they are less able to physically cope with fluctuations in heat and humidity.</p> <h2>How are these conditions managed?</h2> <p>The risk of serious illness or death from heat-related conditions is very low if treatment starts early.</p> <p><a href="https://www.redcross.org.au/emergencies/prepare/heatstroke-and-heat-exhaustion/">For heat exhaustion</a>, have the individual lie down in a cool, shady area, loosen or remove excess clothing, and cool them by fanning, moistening their skin, or immersing their hands and feet in cold water.</p> <p>As people with heat exhaustion almost always are dehydrated and have low electrolytes (certain minerals in the blood), they will usually need to drink fluids.</p> <p>However, emergency hospital care is essential for heat stroke. In hospital, health professionals will focus on stabilising the patient’s:</p> <ul> <li><strong>airway</strong> (ensure no obstructions, for instance, vomit)</li> <li><strong>breathing</strong> (look for signs of respiratory distress or oxygen deprivation)</li> <li><strong>circulation</strong> (check pulse, blood pressure and signs of shock).</li> </ul> <p>Meanwhile, they will use rapid-cooling techniques including immersing the whole body in cold water, or applying wet ice packs covering the whole body.</p> <h2>Take home points</h2> <p>Heat-related illnesses, such as heat stroke and heat exhaustion, are serious health conditions that can lead to severe illness, or even death.</p> <p>With <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)01208-3/fulltext">climate change, heat-related illness</a> will become more common and more severe. So recognising the early signs and responding promptly are crucial to prevent serious complications.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/240992/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/matthew-barton-1184088"><em>Matthew Barton</em></a><em>, Senior lecturer, School of Nursing and Midwifery, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a> and <a href="https://theconversation.com/profiles/michael-todorovic-1210507">Michael Todorovic</a>, Associate Professor of Medicine, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/whats-the-difference-between-heat-exhaustion-and-heat-stroke-ones-a-medical-emergency-240992">original article</a>.</em></p> </div>

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Women spend more of their money on health care than men. And no, it’s not just about 'women’s issues'

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/mike-armour-391382">Mike Armour</a>, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a>; <a href="https://theconversation.com/profiles/amelia-mardon-1505419">Amelia Mardon</a>, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a>; <a href="https://theconversation.com/profiles/danielle-howe-1492317">Danielle Howe</a>, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a>; <a href="https://theconversation.com/profiles/hannah-adler-1533549">Hannah Adler</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>, and <a href="https://theconversation.com/profiles/michelle-oshea-457947">Michelle O'Shea</a>, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a></em></p> <p>Medicare, Australia’s <a href="https://www.health.gov.au/topics/medicare?language=und">universal health insurance scheme</a>, guarantees all Australians access to a wide range of health and hospital services at low or no cost.</p> <p>Although access to the scheme is universal across Australia (regardless of geographic location or socioeconomic status), one analysis suggests <a href="https://grattan.edu.au/news/healthcare-out-of-pocket-costs-an-agenda-for-international-womens-day/">women often spend more</a> out-of-pocket on health services than men.</p> <p>Other research has found men and women spend similar amounts on health care overall, or even that men spend <a href="https://www.publish.csiro.au/ah/pdf/AH18191">a little more</a>. However, it’s clear women spend a <a href="https://www.publish.csiro.au/ah/pdf/AH18191">greater proportion of their overall expenditure</a> on health care than men. They’re also more likely to <a href="https://grattan.edu.au/news/healthcare-out-of-pocket-costs-an-agenda-for-international-womens-day/">skip or delay medical care</a> due to the cost.</p> <p>So why do women often spend more of their money on health care, and how can we address this gap?</p> <h2>Women have more chronic diseases, and access more services</h2> <p>Women are <a href="https://www.abs.gov.au/statistics/health/health-conditions-and-risks/health-conditions-prevalence/latest-release">more likely</a> to have a chronic health condition compared to men. They’re also more likely to report having multiple chronic conditions.</p> <p>While men generally die earlier, women are more likely to spend more of their life <a href="https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(24)00053-7/fulltext">living with disease</a>. There are also some conditions which affect women more than men, such as <a href="https://theconversation.com/how-biological-differences-between-men-and-women-alter-immune-responses-and-affect-womens-health-208802">autoimmune conditions</a> (for example, multiple sclerosis and rheumatoid arthritis).</p> <p>Further, medical treatments can sometimes be <a href="https://aci.health.nsw.gov.au/__data/assets/pdf_file/0007/967984/CIU-Evidence-Brief-Gender-disparity-and-gender-equality-measures-in-health.pdf">less effective for women</a> due to a focus on men in medical research.</p> <p>These disparities are likely significant in understanding why women <a href="https://grattan.edu.au/news/healthcare-out-of-pocket-costs-an-agenda-for-international-womens-day/">access health services</a> more than men.</p> <p>For example, <a href="https://www.aihw.gov.au/reports/men-women/female-health/contents/access-health-care">88% of women</a> saw a GP in 2021–22 compared to <a href="https://www.aihw.gov.au/reports/men-women/male-health/contents/access-health-care">79% of men</a>.</p> <p>As the number of GPs <a href="https://practices.hotdoc.com.au/blog/the-decline-of-bulk-billing-and-its-impact-on-general-practice-in-australia/#:%7E:text=The%20Medicare%20rebate%20for%20patients,to%20ensure%20their%20financial%20sustainability.">offering bulk billing</a> continues to decline, women are likely to need to pay more out-of-pocket, because they <a href="https://www.aihw.gov.au/getmedia/32ea8a7f-50d5-4047-b70b-92dd63d387b8/aihw-phe239-240-factsheet.pdf.aspx">see a GP more often</a>.</p> <p>In 2020–21, <a href="https://www.aihw.gov.au/reports/men-women/female-health/contents/access-health-care">4.3% of women</a> said they had delayed seeing a GP due to cost at least once in the previous 12 months, compared to <a href="https://www.aihw.gov.au/reports/men-women/male-health/contents/access-health-care">2.7% of men</a>.</p> <p>Data from the <a href="https://www.abs.gov.au/statistics/health/health-services/patient-experiences/2020-21">Australian Bureau of Statistics</a> has also shown women are more likely to delay or avoid seeing a mental health professional due to cost.</p> <p>Women are also more likely to need prescription medications, owing at least partly to their increased rates of chronic conditions. This adds further out-of-pocket costs. In 2020–21, <a href="https://grattan.edu.au/news/healthcare-out-of-pocket-costs-an-agenda-for-international-womens-day/">62% of women</a> received a prescription, compared to 37% of men.</p> <p>In the same period, <a href="https://www.aihw.gov.au/reports/men-women/female-health/contents/access-health-care">6.1% of women</a> delayed getting, or did not get prescribed medication because of the cost, compared to <a href="https://www.aihw.gov.au/reports/men-women/male-health/contents/access-health-care">4.9% of men</a>.</p> <h2>Reproductive health conditions</h2> <p>While women are disproportionately affected by chronic health conditions throughout their lifespan, much of the disparity in health-care needs is concentrated between the first period and menopause.</p> <p>Almost <a href="https://www.jeanhailes.org.au/news/impact-of-pelvic-pain-vastly-underestimated">half of women</a> aged over 18 report having experienced chronic pelvic pain in the previous five years. This can be caused by conditions such as endometriosis, dysmenorrhoea (period pain), vulvodynia (vulva pain), and bladder pain.</p> <p><a href="https://www.aihw.gov.au/news-media/media-releases/2023/2023-september/1-in-7-australian-women-aged-44-49-have-endometriosis">One in seven women</a> will have a diagnosis of endometriosis by age 49.</p> <p>Meanwhile, a quarter of all women aged 45–64 <a href="https://www.jeanhailes.org.au/research/womens-health-survey/menopause-in-australian-women">report symptoms</a> related to menopause that are significant enough to disrupt their daily life.</p> <p>All of these conditions can significantly reduce quality of life and increase the need to seek health care, sometimes including surgical treatment.</p> <p>Of course, conditions like endometriosis don’t just affect women. They also impact <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10501128/">trans men</a>, intersex people, and those who are gender diverse.</p> <h2>Diagnosis can be costly</h2> <p>Women often have to wait <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9518795/">longer to get a diagnosis</a> for chronic conditions. One <a href="https://www.medrxiv.org/content/10.1101/2023.10.12.23296976v2.full-text">preprint study</a> found women wait an average of 134 days (around 4.5 months) longer than men for a diagnosis of a long-term chronic disease.</p> <p>Delays in diagnosis often result in <a href="https://pubmed.ncbi.nlm.nih.gov/33004965/">needing to see more doctors</a>, again increasing the costs.</p> <p>Despite affecting about as many people as diabetes, it takes an average of between <a href="https://pubmed.ncbi.nlm.nih.gov/33050751/">six-and-a-half</a> to <a href="https://pubmed.ncbi.nlm.nih.gov/33004965/">eight years</a> to diagnose endometriosis in Australia. This can be attributed to a <a href="https://pubmed.ncbi.nlm.nih.gov/35928674/">number of factors</a> including society’s normalisation of women’s pain, poor knowledge about endometriosis among some health professionals, and the lack of affordable, non-invasive methods to accurately diagnose the condition.</p> <p>There have been recent improvements, with the introduction of <a href="https://www.health.gov.au/ministers/the-hon-mark-butler-mp/media/historic-medicare-changes-for-women-battling-endometriosis#:%7E:text=In%20addition%20to%20the%20specialised,with%20complex%20histories%20and%20symptoms.">Medicare rebates for longer GP consultations</a> of up to 60 minutes. While this is not only for women, this extra time will be valuable in diagnosing and managing complex conditions.</p> <p>But gender inequality issues still exist in the Medicare Benefits Schedule. For example, both pelvic and breast ultrasound rebates are <a href="https://womensagenda.com.au/latest/the-gender-medicare-gap-is-seeing-women-pay-more-for-ultrasounds-and-other-health-services/">less than a scan for the scrotum</a>, and <a href="https://www.endozone.com.au/treatment/MRI">no rebate</a> exists for the MRI investigation of a woman’s pelvic pain.</p> <h2>Management can be expensive too</h2> <p>Many chronic conditions, <a href="https://www.tandfonline.com/doi/full/10.1080/0167482X.2020.1825374?casa_token=yIlFZg_vJxsAAAAA%3ALwSa5DBMoDDWTiZsU1FC0MLLXkDd_eWBrGa2gr8b6NeRevp4ynlsTD_IMMYV_ek766j2P5C-B4Qy#d1e167">such as endometriosis</a>, which has a wide range of symptoms but no cure, can be very hard to manage. People with endometriosis often use allied health and <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/imj.15494?casa_token=1sc4ZMGvDjIAAAAA%3AIrIY2B-RNVDDnUPMSsHI4axnBiTv-omNDHGlNSpsrm_qbMGY9iQ4htIyco5mj-Qhd7krsp7rfHtcbQ">complementary medicine</a> to help with symptoms.</p> <p>On average, women are more likely than men to use both <a href="https://www.racgp.org.au/afp/2017/may/patterns-of-complementary-and-alternative-medi-2">complementary therapies</a> and <a href="https://www.aihw.gov.au/reports/primary-health-care/general-practice-allied-health-primary-care">allied health</a>.</p> <p>While women with chronic conditions can access a <a href="https://www.servicesaustralia.gov.au/chronic-disease-management-plan?context=20">chronic disease management plan</a>, which provides Medicare-subsidised visits to a range of allied health services (for example, physiotherapist, psychologist, dietitian), this plan only subsidises five sessions per calendar year. And the reimbursement is <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9346321/">usually around 50% or less</a>, so there are still significant out-of-pocket costs.</p> <p>In the case of chronic pelvic pain, the cost of accessing allied or complementary health services has been found to average <a href="https://link.springer.com/article/10.1186/s12905-022-01618-z">A$480.32 across a two-month period</a> (across both those who have a chronic disease management plan and those who don’t).</p> <h2>More spending, less saving</h2> <p>Womens’ health-care needs can also perpetuate financial strain beyond direct health-care costs. For example, <a href="https://www.ncbi.nlm.nih.gov/pubmed/31600241">women with endometriosis</a> and chronic pelvic pain are often caught in a cycle of needing time off from work to attend medical appointments.</p> <p>Our <a href="https://www.researchsquare.com/article/rs-5480104/v1">preliminary research</a> has shown these repeated requests, combined with the common dismissal of symptoms associated with pelvic pain, means women sometimes face discrimination at work. This can lead to lack of career progression, underemployment, and premature retirement.</p> <p>Similarly, with <a href="https://www.superannuation.asn.au/wp-content/uploads/2024/03/ASFAResearch_ImpactofMenopauseOnRetirement_080324.pdf">160,000 women</a> entering menopause each year in Australia (and this number expected to increase with population growth), the <a href="https://www.aph.gov.au/Parliamentary_Business/Committees/Senate/Community_Affairs/Menopause/Report/Chapter_3_-_Impact_on_work_and_the_economic_consequences_of_menopause#:%7E:text=3.1This%20chapter%20explores%20the,on%20partners%20or%20family%20members.">financial impacts</a> are substantial.</p> <p>As many as <a href="https://www.superannuation.asn.au/wp-content/uploads/2024/03/ASFAResearch_ImpactofMenopauseOnRetirement_080324.pdf">one in four women</a> may either shift to part-time work, take time out of the workforce, or retire early due to menopause, therefore earning less and paying less into their super.</p> <h2>How can we close this gap?</h2> <p>Even though women are more prone to chronic conditions, until relatively recently, much of medical research has been <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8812498/">done on men</a>. We’re only now beginning to realise important differences in how men and women experience certain conditions (such as <a href="https://www.annualreviews.org/content/journals/10.1146/annurev-neuro-092820-105941">chronic pain</a>).</p> <p>Investing in women’s health research will be important to improve treatments so women are less burdened by chronic conditions.</p> <p>In the 2024–25 federal budget, the government committed $160 million towards <a href="https://www.health.gov.au/ministers/the-hon-ged-kearney-mp/media/reforming-the-health-system-to-improve-sexual-and-reproductive-care">a women’s health package</a> to tackle gender bias in the health system (including cost disparities), upskill medical professionals, and improve sexual and reproductive care.</p> <p>While this reform is welcome, continued, long-term investment into women’s health is crucial.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/243797/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/mike-armour-391382"><em>Mike Armour</em></a><em>, Associate Professor at NICM Health Research Institute, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a>; <a href="https://theconversation.com/profiles/amelia-mardon-1505419">Amelia Mardon</a>, Postdoctoral Research Fellow in Reproductive Health, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a>; <a href="https://theconversation.com/profiles/danielle-howe-1492317">Danielle Howe</a>, PhD Candidate, NICM Health Research Institute, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a>; <a href="https://theconversation.com/profiles/hannah-adler-1533549">Hannah Adler</a>, PhD Candidate, Health Communication and Health Sociology, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>, and <a href="https://theconversation.com/profiles/michelle-oshea-457947">Michelle O'Shea</a>, Senior Lecturer, School of Business, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/women-spend-more-of-their-money-on-health-care-than-men-and-no-its-not-just-about-womens-issues-243797">original article</a>.</em></p> </div>

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"Brace for impact": Qantas passengers recall terrifying emergency landing

<p>Passengers onboard a Qantas flight have recalled the terrifying moment their plane rerouted as they were told to brace for impact. </p> <p>Flight QF1929 was only 40 minutes into its trip from Brisbane to Adelaide when the plane was forced to turn around due to a brake issue. </p> <p>Tudor Vasile was onboard the terrifying flight, and told <a href="https://www.9news.com.au/national/qantas-flight-heading-to-adelaide-diverted-to-brisbane-brake-issue/e9242066-1248-404c-b68b-bcc62633e96d" target="_blank" rel="noopener"><em>9News</em></a> his fellow passengers were fearing the worst. </p> <p>"The captain jumped on the mic and said 'brace for impact, brace for landing, brace for landing'," Vasile said.</p> <p>"We were just waiting for that big explosion to occur."</p> <p>Footage of the moments before landing showed passengers in the brace position as cabin crew members repeated told them to "stay down, heads down".</p> <p>Vasile said the fear was palpable as the plane made a rapid approach to the runway.</p> <p>"Everyone was looking at each other and going into brace position ... You could feel goosebumps and everyone was starting to panic at some stages, wondering what the hell was going to happen next."</p> <p>The pilot made a textbook landing before engineers rushed to examine the plane, as Vasile said, "I tell you, that was one hell of a joyride."</p> <p>Another passenger Kurt Gray added, "You sort of picture the worst but they crew, they just looked after us so well."</p> <p>Qantas confirmed to <em>9News</em> there had been a problem with the landing gear brakes and the flight landed back in Brisbane shortly before 10am on Tuesday, just 40 minutes after take-off.  </p> <p>"A flight from Brisbane to Adelaide returned to Brisbane shortly after take-off due to an issue with landing gear brakes," a spokesperson said.</p> <p>"The aircraft landed normally and is being checked by engineers. We understand that this would have been a distressing experience for customers and we thank them for following the instructions of the crew."</p> <p>"We are working hard to get customers on their way as quickly as possible. We will follow up with all customers to provide our support."</p> <p><em>Image credits: Nine</em></p>

Travel Trouble

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Planning for old age? Here’s what the aged care changes mean for you

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/anam-bilgrami-1179543">Anam Bilgrami</a>, <a href="https://theconversation.com/institutions/macquarie-university-1174">Macquarie University</a></em></p> <p>Last week, Parliament passed sweeping reforms to Australia’s aged care system. These “<a href="https://www.health.gov.au/ministers/the-hon-anika-wells-mp/media/once-in-a-generation-aged-care-reforms">once-in-a-generation</a>” changes, set to begin next year on July 1, aim to improve how care is provided to older Australians at home, in their communities and in nursing homes.</p> <p>The new Aged Care Act focuses on <a href="https://insideageing.com.au/new-aged-care-act-passes-parliament-ushering-in-historic-reforms/">improving quality and safety, protecting the rights</a> of older people and ensuring <a href="https://www.myagedcare.gov.au/news-and-updates/big-changes-aged-care-sector">the financial sustainability</a> of aged care providers.</p> <p>A key change is the introduction of a new payment system, requiring wealthier people to contribute more for non-clinical services.</p> <p>If you – or a loved one – are planning for aged care, here’s what the changes could mean for you.</p> <h2>What to expect from the home care overhaul</h2> <p>Over the past decade, there’s been a noticeable shift towards “ageing at home”. The number of Australians using home care has <a href="https://www.gen-agedcaredata.gov.au/getmedia/2fbaacd8-1fbf-4ef5-ab1c-72dfc4c727bf/People-using-aged-care-fact-sheet-2023.pdf?ext=.pdf">more than quadrupled</a>, surpassing those in nursing homes.</p> <p>To meet growing demand, the government is adding <a href="https://www.health.gov.au/ministers/the-hon-anika-wells-mp/media/press-conference-parliament-house-25-november?language=en">107,000 home care places</a> over the next two years, with a goal to reduce wait times to just three months.</p> <p>Starting July 1 2025, <a href="https://www.health.gov.au/our-work/support-at-home/about">Support at Home</a> will replace the <a href="https://www.myagedcare.gov.au/help-at-home/home-care-packages">Home Care Packages</a> program. The table below shows some of the key differences between these two programs.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/636472/original/file-20241205-19-phkljj.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/636472/original/file-20241205-19-phkljj.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/636472/original/file-20241205-19-phkljj.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=546&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/636472/original/file-20241205-19-phkljj.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=546&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/636472/original/file-20241205-19-phkljj.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=546&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/636472/original/file-20241205-19-phkljj.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=686&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/636472/original/file-20241205-19-phkljj.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=686&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/636472/original/file-20241205-19-phkljj.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=686&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption><span class="attribution"><span class="source">Department of Health 2024</span></span></figcaption></figure> <p>Home Care Packages are currently delivered under <a href="https://www.myagedcare.gov.au/help-at-home/home-care-packages">four annual government subsidy levels</a>, covering care and provider management costs. Under Support at Home, <a href="https://www.health.gov.au/our-work/support-at-home/features">the number of home care budget levels will double to eight</a>, with the highest level increasing to A$78,000.</p> <p>This aims to provide more tailored support and accommodate those needing higher levels of care.</p> <p>Under the new system, recipients will receive quarterly budgets aligned to their funding level and work with their chosen provider to allocate funds across <a href="https://www.health.gov.au/sites/default/files/2024-11/support-at-home-service-list.pdf">three broad service categories</a>:</p> <ul> <li> <p>clinical care, such as nursing or physiotherapy</p> </li> <li> <p>independence support, including personal care, transport and social support</p> </li> <li> <p>everyday living assistance, such as cleaning, gardening and meal delivery.</p> </li> </ul> <p>Clinical care services will be fully government-funded, as these are crucial to supporting health and keeping people out of hospitals.</p> <p>But recipients will contribute to the costs of independence and everyday living services under a new payment model, reflecting the government’s stance that these are services people have traditionally funded themselves over their lifetimes.</p> <p>This will replace the basic daily fee and income-tested care fee that some people currently pay. Contributions will vary by income and assets (based on the <a href="https://www.servicesaustralia.gov.au/who-can-get-age-pension?context=22526">age pension means test</a>) and by service type.</p> <p>Support at Home also includes additional funding for specific needs:</p> <ul> <li> <p>older Australians with less than three months to live will receive priority access to $25,000 in funding over 12 weeks</p> </li> <li> <p>up to $15,000 will be available for assistive technologies and home modifications, <a href="https://www.health.gov.au/sites/default/files/2024-09/support-at-home-fact-sheet.pdf">eliminating the need</a> to reserve home care budgets for these.</p> </li> </ul> <h2>What if I or my loved one is already receiving a Home Care Package?</h2> <p>If you were receiving a package, on the <a href="https://www.health.gov.au/our-work/hcp/about/how-it-works">waiting list</a>, or assessed as eligible for one on September 12 2024, the government’s “<a href="https://www.health.gov.au/ministers/the-hon-anika-wells-mp/media/once-in-a-generation-aged-care-reforms#:%7E:text=in%20aged%20care-,A%20no%20worse%20off%20principle%20will%20provide%20certainty%20to%20people,greater%20contribution%20to%20their%20care.&amp;text=When%20Home%20Care%20participants%20transition,and%20retain%20any%20unspent%20funds.">no worse off</a>” principle guarantees you won’t pay more under the new system.</p> <p>Current recipients will have their Support at Home budget aligned with their existing package, and any unspent funds will roll over.</p> <h2>How nursing home fees will change</h2> <p>Australia’s nursing home sector is struggling financially, with <a href="https://www.australianageingagenda.com.au/executive/sectors-annual-financial-report-lands/">67% of providers</a> operating at a loss. To ensure sustainability and support upgrades to facilities, the government is introducing major funding changes.</p> <h2>What stays the same?</h2> <p>The Basic Daily Fee, that everyone in nursing homes pays, set at 85% of the basic age pension (currently <a href="https://www.health.gov.au/sites/default/files/2024-09/schedule-of-fees-and-charges-for-residential-and-home-care.pdf">$63.57 a day</a> or $23,200 annually), will not change.</p> <h2>What’s changing?</h2> <p>The government currently pays a Hotelling Supplement of $12.55 per day per resident to cover everyday living services like cleaning, catering and laundry ($4,581 annually).</p> <p>From July 1 2025, this supplement will become means-tested. Residents with annual incomes above $95,400 or assets exceeding $238,000 (or some combination of these) will <a href="https://www.health.gov.au/sites/default/files/2024-09/response-to-the-aged-care-taskforce-residential-care-contributions.pdf">contribute partially or fully</a> to this cost.</p> <p>Currently, residents with sufficient means also pay a means-tested care fee <a href="https://www.myagedcare.gov.au/aged-care-home-costs-and-fees">between $0–$403.24</a> per day. This will be replaced by a “<a href="https://www.health.gov.au/sites/default/files/2024-09/response-to-the-aged-care-taskforce-residential-care-contributions.pdf">non-clinical care contribution</a>”, capped at $101.16 daily and payable for the first four years of care. Only those with assets above $502,981 or incomes above $131,279 (or some combination of these) will pay this contribution.</p> <p>Importantly, no one will pay more than $130,000 in combined contributions for Support at Home and non-clinical care in nursing homes over their lifetime.</p> <h2>Changes to accommodation payments</h2> <p>The way nursing home accommodation costs are paid is also changing from July 1 2025:</p> <ul> <li> <p>residents <a href="https://theconversation.com/lump-sum-daily-payments-or-a-combination-what-to-consider-when-paying-for-nursing-home-accommodation-207405">who pay</a> their room price via a refundable lump sum will have <a href="https://www.health.gov.au/sites/default/files/2024-09/response-to-the-aged-care-taskforce-accommodation-reform.pdf">2% of their payment retained annually</a> by the provider, up to a maximum of 10% over five years. For example, a $400,000 lump sum payment would result in $360,000 being refunded if a person stays five years or more, with the provider keeping $40,000</p> </li> <li> <p><a href="https://www.health.gov.au/sites/default/files/2024-09/response-to-the-aged-care-taskforce-accommodation-reform.pdf">daily accommodation payments</a> (a rent-style interest charge) will no longer remain fixed for the duration of a person’s nursing home stay. Instead, these payments will be indexed twice annually to the Consumer Price Index</p> </li> <li> <p>providers will be able to set room prices up to $750,000 without government approval, an increase from the current $550,000 limit.</p> </li> </ul> <p>People with lower means (those who are fully subsidised by the government for their accommodation costs) will not be affected by these changes.</p> <h2>What if I own my home?</h2> <p>The treatment of the family home in means testing for nursing home costs will <a href="https://www.health.gov.au/sites/default/files/2024-09/response-to-the-aged-care-taskforce-residential-care-contributions.pdf">remain unchanged</a>.</p> <p>Its value is only assessed if no “protected person” (such as a spouse) lives in it, and even then, it’s capped at $206,039 (as at September 20 2024).</p> <h2>What happens to current nursing home residents?</h2> <p>The new rules for contributions and accommodation will apply only to those entering nursing homes from July 1 2025.</p> <p>Existing residents will maintain their current arrangements and be <a href="https://www.health.gov.au/ministers/the-hon-anika-wells-mp/media/once-in-a-generation-aged-care-reforms#:%7E:text=in%20aged%20care-,A%20no%20worse%20off%20principle%20will%20provide%20certainty%20to%20people,greater%20contribution%20to%20their%20care.&amp;text=When%20Home%20Care%20participants%20transition,and%20retain%20any%20unspent%20funds.">no worse off</a>.</p> <h2>Feeling overwhelmed?</h2> <p>These reforms aim to improve care delivery, fairness and sustainability, with the government emphasising that many older Australians – particularly those with <a href="https://www.health.gov.au/ministers/the-hon-anika-wells-mp/media/once-in-a-generation-aged-care-reforms#:%7E:text=in%20aged%20care-,A%20no%20worse%20off%20principle%20will%20provide%20certainty%20to%20people,greater%20contribution%20to%20their%20care.&amp;text=When%20Home%20Care%20participants%20transition,and%20retain%20any%20unspent%20funds.">lower incomes and assets</a> – will not pay more.</p> <p>The government has provided case studies to illustrate how <a href="https://www.health.gov.au/sites/default/files/2024-09/case-studies-support-at-home_0.pdf">home care</a> and <a href="https://www.health.gov.au/sites/default/files/2024-09/case-studies-residential-care_0.pdf">nursing home</a> costs will differ under the new system for people at various income and asset levels.</p> <p>Still, planning for aged care can be daunting. For more <a href="https://www.myagedcare.gov.au/financial-support-and-advice">tailored advice and support</a>, consider reaching out to financial advisors, <a href="https://www.servicesaustralia.gov.au/aged-care-specialist-officer-my-aged-care-face-to-face-services?context=55715">services</a>, or online tools to help you navigate the changes and make informed decisions.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/244816/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/anam-bilgrami-1179543"><em>Anam Bilgrami</em></a><em>, Senior Research Fellow, Macquarie University Centre for the Health Economy, <a href="https://theconversation.com/institutions/macquarie-university-1174">Macquarie University</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/planning-for-old-age-heres-what-the-aged-care-changes-mean-for-you-244816">original article</a>.</em></p> </div>

Money & Banking

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Woman opts to end her own life while waiting for aged care help

<p>A heartbroken son has shared the devastating story of how his chronically-ill mother decided to end her own life rather than endure a months long wait for aged care funding. </p> <p>After a hearing of the Senate Inquiry into the Aged Care Bill, it was determined that tens of thousands of Australians are waiting to receive their home care packages after being approved for the financial support. </p> <p>Home care packages, which are government-funded through MyAgedCare allow Australians to access support in their own home, including nursing, food preparation, cleaning and help with personal hygiene.</p> <p>It is intended to stave off or avoid moving into costly residential aged care, allowing elderly Australians to remain at home longer. </p> <p>However, 2GB's Ben Fordham spoke to one devastated man about his mother Ellen's struggle with accessing her funds, as she ultimately died waiting for her support. </p> <p>"My mum suffered severe COPD for several years while she was waiting for an upgraded package," Mark told the program. </p> <p>COPD is short for chronic obstructive pulmonary disease - a progressive inflammation in the lungs and airways that makes it difficult to breathe.</p> <p>"Her pride wouldn’t allow any of her boys to take care of her or to bathe her so she got approved for the assisted dying and actually a few months ago proceeded with (it)."</p> <p>He added, "She passed while waiting for the upgraded package."</p> <p>Fordham was devastated by the call and the suffering of so many vulnerable people. </p> <p>"We are chasing answers from the Australian government on this because people are dying while waiting for home care packages," he said.</p> <p>"When you’ve got Ellen choosing euthanasia instead, you know that you’ve got a serious problem."</p> <p><em>Image credits: 2GB </em></p> <p class="mol-para-with-font" style="font-size: 16px; margin: 0px 0px 16px; padding: 0px; min-height: 0px; letter-spacing: -0.16px; font-family: Inter, sans-serif;"> </p>

Caring

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"No one cares": Albo roasted over Spotify Wrapped

<p>At the end of each December, music streaming service Spotify share their results to each individual user of their most played songs of the year. </p> <p>As is tradition, many people share their results on social media, sparking worldwide commentary about people's listening habits over the last 12 months. </p> <p>Joining in on the fun this year was Prime Minister Anthony Albanese, who took to Instagram to share his top five songs he had on repeat in 2024. </p> <p>His top song was <em>Australia</em> by G-Flip, with each of his top five tracks coming from Australian artists, such as Angie McMahon, and bands Lime Cordiale, Hockey Dad and King Stingray. </p> <p>Despite his representation for local music, many were quick to call out Albo for sharing his Spotify Wrapped at all. </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/p/DDK7lLHTrAF/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/DDK7lLHTrAF/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Anthony Albanese (@albomp)</a></p> </div> </blockquote> <p>“No one gives a frig what’s on your Spotify list. What they want to hear is what you are actually doing to bring the cost of living issues down and what you are doing with the housing affordability crisis,” read one brutal comment under his post. </p> <p>“No one cares. Do your job,” another person said, while someone else wrote, “The country is f***ed & your tweeting about Spotify #priorities.”</p> <p>“WTF? my electricity bill just went up 20% this morning and you’re show me this !!” another added. </p> <p>One comment simply wrote, "Explains why he hasn’t had time to listen to those who voted for him."</p> <p><em>Image credits: Instagram/LUKAS COCH/EPA-EFE/Shutterstock Editorial</em></p>

Music

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Historic Aged Care Bill passes Parliament

<p>Older Australians will now receive greater support to live at home for longer among other reforms to aged care. </p> <p>On Monday, the Albanese Labor Government's Aged Care Bill passed Parliament, meaning that older Australians and their loved ones will have access to a better quality system. </p> <p>The bill will provide in-home help and improve conditions and protections for those living in aged-care facilities from July, with older people and their loved ones having a greater say about the care and services they receive.</p> <p>These include protections to speak up when they're not satisfied with a service, and better equipping providers to handle complaints more effectively. </p> <p>Around 1.4 million Aussies will receive support for nursing, occupational therapy and day-to-day tasks to help them live independently in their homes by 2035. </p> <p>The new $4.3 billion Support At Home system has been put in place with the hopes of improving home care wait times and will provide for home modifications and assistive technology to help older Australians maintain their independence for longer. </p> <p>The $5.6 billion package will be one of the largest improvements to the sector in 30 years, according to Aged Care Minister Anika Wells.</p> <p>“This act means that people will be the beating heart of a strengthened aged-care sector that replaces fear with trust,” she said. </p> <p>To help fund the cost of care, those not already in aged or home care will have to make contributions for non-clinical care costs, but the amount they pay would depend on their income and assets. </p> <p>The most anyone would pay for these independence and everyday living costs would be e $130,000 after the the lifetime contribution cap was raised from $76,000.</p> <p>The Commonwealth will remain the main funder of aged care. </p> <p>While the government will spend $930 million over the next four years, the new structure will save the budget $12.6 billion over the next 11 years.</p> <p><em>Image: Shutterstock</em></p>

Retirement Income

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Man dies after months-long wait for at-home care

<p>A man has died after his almost year-long wait to receive his government-approved at-home care. </p> <p>Cyril Tooze, 86, was <a href="https://oversixty.com.au/health/caring/man-decides-to-end-his-own-life-after-waiting-for-at-home-care" target="_blank" rel="noopener">approved</a> for a Level 4 Home Care Package in January, but almost one year on, he was still waiting for access to the money to fund daily assistance with physical, medical and social tasks. </p> <p>After sharing his story with <em>7News</em> in October, Tooze candidly admitted that he was pursuing the avenue of voluntary assisted dying, saying at the time, "There is no hope."</p> <p>Just weeks later, Tooze has passed away. </p> <p>While in hospital after suffering a fall, Mr Tooze passed away on Friday, weighing just 46kg. </p> <p>Independent federal Mayo MP Rebekha Sharkie, who advocated for Mr Tooze to receive his government funding, said it had been an honour to have known him.</p> <p>"The man that I knew, he had such courage and such dignity to the very end," she said.</p> <p>"To the very end he wanted his situation to shed light and provide a human story for the 76,000 other older Australians who, just like him, are deteriorating, having accidents and injuring themselves while waiting for a Home Care package that they've been assessed as needing."</p> <p>"Despite a new Act being passed in the House of Representatives with urgency, there is no plan from the government to address the blown-out waiting list and the reality is that people are dying while they're waiting for Home Care."</p> <p>Federal aged care minister Anika Wells said her thoughts were with Mr Tooze's family and friends "as we mourn their loss but appreciate Cyril's life and his commitment to helping older Australians."</p> <p><em>Image credits: Nine</em></p>

Caring

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How to complain about aged care and get the result you want

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/jacqueline-wesson-1331752">Jacqueline Wesson</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/lee-fay-low-98311">Lee-Fay Low</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>It can be hard to know what to say, or who to talk to, if you notice something isn’t right for you or a loved one in residential aged care.</p> <p>You might have concerns about personal or medical care, being adequately consulted about changes to care, or be concerned about charges on the latest bill. You could also be concerned about theft, neglect or abuse.</p> <p>Here’s how you can raise issues with the relevant person or authority to improve care and support for you or your loved one.</p> <h2>Keep records</h2> <p>You can complain about any aspect of care or service. For instance, if medical care, day-to-day support or financial matters do not meet your needs or expectations, you can complain.</p> <p>It is best to act as soon as you notice something isn’t right. This may prevent things from escalating. Good communication helps get better results.</p> <p>Make written notes about what happened, including times and dates, and take photos. Try to focus on facts and events. You can also keep a record of who was involved and their role.</p> <p>Keep track of how the provider responded or steps taken to resolve the issue. Write notes of conversations and keep copies of emails.</p> <h2>Who do I complain to?</h2> <p><strong>Potential criminal matters</strong></p> <p>If you have concerns about immediate, serious harm of a criminal nature then you should contact the police, and your provider immediately. These types of serious incidents include unreasonable use of force or other serious abuse or neglect, unlawful sexual contact, stealing or unexpected death.</p> <p>The provider may have already contacted you about this. They are required to report such <a href="https://www.agedcarequality.gov.au/consumers/serious-incident-response-scheme">serious incidents</a> to both the Aged Care Quality and Safety Commission within 24 hours, and to the police.</p> <p><strong>Other matters</strong></p> <p>For other matters, talk to the care staff involved. Try to find out more detail about what happened and why things went wrong. Think about what you expect in the situation.</p> <p>Then talk to the most senior person in charge, to see if they can make changes so things don’t go wrong in the future. This person may be called the nursing unit manager, care manager or care director.</p> <p>Providers must acknowledge and investigate your complaint, tell you their findings and actions taken, and follow up to see if you are satisfied.</p> <p>If you would like support to talk to the provider, the <a href="https://opan.org.au">Older Persons Advocacy Network</a> can help. This free service provides independent and confidential support to help find solutions with the aged-care provider. The network can also help you lodge a formal complaint.</p> <h2>How to I lodge a formal complaint?</h2> <p>If you are not satisfied with the way your provider responded, you can lodge a complaint with the <a href="https://www.agedcarequality.gov.au">Aged Care Quality and Safety Commission</a>.</p> <p>Be prepared to submit the facts and events, plus emails and correspondence, you have already collected. Think about what you want to happen to resolve the complaint.</p> <p>Each complaint is handled individually and prioritised depending on the risks to you or your loved one. The commission will start its processes within one business day when complaints are urgent. The resolution process took <a href="https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2020-21.pdf">an average 40 days</a> in 2020-21.</p> <p>You can complain confidentially, or anonymously if you feel safer. But the commission may not be able to investigate fully if it’s anonymous. Also, there are limits to what the commission can do. It cannot ask providers to terminate someone’s employment, or provide direct clinical advice about treatment.</p> <p>Sometimes the commission has issued a “non-compliance” notice to the provider (for a failure to meet quality standards), and action may again <a href="https://www.abc.net.au/news/2022-05-02/aged-care-complaint-about-southern-cross-care-young/101009716">be limited</a>. So it is a good idea to check the <a href="https://www.myagedcare.gov.au/non-compliance-checker">non-compliance register</a> beforehand to see if your provider is listed.</p> <h2>What do others complain about?</h2> <p>From October to December 2021, <a href="https://www.agedcarequality.gov.au/sites/default/files/media/acqs-sector-performance-data-oct-dec-2021.pdf">about a third</a> of Australian nursing homes had a complaint made to the commission against them. Some had more than one complaint. More than half of these complaints were lodged by family, friends or other consumers.</p> <p>The top reasons for complaints were about:</p> <ul> <li> <p>adequacy of staffing</p> </li> <li> <p>medication administration or management</p> </li> <li> <p>infectious diseases or infection control</p> </li> <li> <p>personal and oral hygiene</p> </li> <li> <p>how falls are prevented and managed</p> </li> <li> <p>consultation or communication with representatives and/or family members.</p> </li> </ul> <h2>What if I’m still not happy?</h2> <p>If you’re not happy when you receive the commission’s outcome, you can request a review with 42 days.</p> <p>You can also request the <a href="https://www.ombudsman.gov.au">Commonwealth Ombudsman</a> to review the complaint if you’re not satisfied with the commission’s decision or the way the commission handled your complaint.</p> <h2>Remember, you have a right to complain</h2> <p>The <a href="https://agedcare.royalcommission.gov.au">Aged Care Royal Commission</a> spotlighted the neglect and substandard care that can occur in nursing homes. Despite attempts to <a href="https://www.health.gov.au/resources/publications/concepts-for-a-new-framework-for-regulating-aged-care">lift the standard of aged care</a>, we know residents and carers still have concerns.</p> <p>Residents, and their representatives or families, have a legal <a href="https://www.agedcarequality.gov.au/consumers/standards/resources">right to speak up and complain</a>, free from reprisal or negative consequences. This right is also reflected in the <a href="https://www.agedcarequality.gov.au/consumers/consumer-rights">Charter of Aged Care Rights</a>, which providers are legally required to discuss with you and help you understand.</p> <h2>Moving to another facility</h2> <p>If you have exhausted all avenues of complaint or feel conditions have not improved, you may decide to move to another provider or facility, if available. This option may not be possible in rural areas.</p> <p>This is a difficult decision. It takes time, as well as financial and emotional resources. Starting again with a new provider can also be disruptive for everyone, but sometimes it may be the right choice.</p> <hr /> <p><em>Contact the <a href="https://opan.org.au">Older Persons Advocacy Network</a> on 1800 700 600, the <a href="https://www.agedcarequality.gov.au">Aged Care Quality and Safety Commission</a> on 1800 951 822 or the <a href="https://www.ombudsman.gov.au">Commonwealth Ombudsman</a> on 1300 362 072.</em><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/180036/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/jacqueline-wesson-1331752">Jacqueline Wesson</a>, Senior Lecturer (Teaching and Research), Discipline of Occupational Therapy, School of Health Sciences, Faculty of Medicine and Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/lee-fay-low-98311">Lee-Fay Low</a>, Professor in Ageing and Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-to-complain-about-aged-care-and-get-the-result-you-want-180036">original article</a>.</em></p> </div>

Retirement Life

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How can I make summer style part of my self-care routine?

<p>Taking care of yourself doesn’t have to be complicated. With summer just around the corner, it’s a great time to refresh your self-care routine with small changes that help you feel your best. </p> <p>One easy way to do this is by choosing clothing made from breathable Australian cotton and linen. They keep you cool, feel great against the skin and make looking put-together effortless. In this guide, we’ll show you how your summer wardrobe can fit into your self-care routine, featuring pieces from Sussan, a retailer known for easy, comfortable styles that last all season.</p> <p><strong>Simplify your day with matching sets</strong></p> <p><img src="https://oversixtydev.blob.core.windows.net/media/2024/11/Sussan01.jpg" alt="" width="1280" height="720" /></p> <p>A big part of self-care is simplifying your day as much as possible, and that includes your clothing choices. Summer is the time for relaxed, unfussy outfits that don’t require a lot of planning. <a href="https://www.sussan.com.au/clothing/sets" target="_blank" rel="noopener">Matching sets</a> are perfect for this because they take away the guesswork. Everything is already coordinated, which saves you time and makes your mornings easier.</p> <p>A soft denim skirt made from Australian cotton paired with a lightweight tee is breathable and practical for warm days. These pieces help you stay comfy when running errands or enjoying time with friends.</p> <p><strong>Stay cool all day in linen dresses</strong></p> <p><img src="https://oversixtydev.blob.core.windows.net/media/2024/11/Sussan04.jpg" alt="" width="1280" height="720" /></p> <p><a href="https://www.sussan.com.au/clothing/linen/linen-dresses" target="_blank" rel="noopener">Linen dresses</a> are an easy go-to for keeping cool and comfortable during hot summer days. The fabric is light, breathable and perfect for warm weather, which is why it’s a great fit for everything from weekend barbecues to beach walks. With styles like shirt dresses, minis, midis and maxis, there’s plenty of variety to match whatever the day calls for.</p> <p>Styling a linen dress is also simple and practical. With the right accessories, it can easily shift from a casual daytime outfit to an evening look. Style it with a hat for an easy brunch outfit or a trip to the markets. To dress it up, add a light jacket and some jewellery, like a pair of earrings or a statement necklace.</p> <p><strong>Unwind with breathable loungewear</strong></p> <p><img src="https://oversixtydev.blob.core.windows.net/media/2024/11/Sussan03.jpg" alt="" width="1280" height="720" /></p> <p>Practising self-care through summer style can be as simple as choosing clothes that help you relax and feel comfy all day long. This is easy to achieve with loungewear made from pure linen and linen blends.</p> <p>Look for lightweight loungewear tops, pants and shorts that feel soft on the skin and keep you cool as you move through your day. For a summer-ready look, pair a linen top with matching shorts for warm afternoons, or switch to linen pants for a little more coverage on cooler evenings.</p> <p><strong>End your day in Australian cotton sleepwear</strong></p> <p>Winding down at the end of the day feels easier when you’re wearing clothes that make you feel calm and cosy. <a href="https://www.sussan.com.au/shop-the-edit-sleepwear/australian-cotton-sleepwear" target="_blank" rel="noopener">Australian cotton sleepwear</a> in soft, breathable fabrics is a great option as it sits lightly on the skin and keeps you comfortable during warm nights.</p> <p>You can mix and match Australian cotton pyjama tops, tanks, shorts and pants or wear nighties to match your mood and comfort level. These versatile let you settle in and enjoy quiet evenings at home.</p> <p><strong>Wear what feels good this summer</strong></p> <p><strong><img src="https://oversixtydev.blob.core.windows.net/media/2024/11/Sussan02.jpg" alt="" width="1280" height="720" /></strong></p> <p>Updating your summer wardrobe with comfy, breathable pieces is an easy way to bring self-care into your routine. With matching sets, linen dresses, loungewear and soft Australian cotton sleepwear from <a href="https://www.sussan.com.au/" target="_blank" rel="noopener">Sussan</a>, you can have more time to focus on yourself and enjoy the season your way.</p> <p>Start refreshing your wardrobe with these pieces that feel good to wear, and use your summer style to prioritise self-care!</p> <p><em>Images: Sussan</em></p> <p><em>This is a sponsored article produced in partnership with Sussan</em></p>

Beauty & Style

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Tragic new details emerge about baby's death in Bali

<p>Tragic new details have merged about the sudden death of a toddler, who <a href="https://oversixty.com.au/travel/travel-trouble/profound-grief-baby-dies-during-family-holiday-in-bali" target="_blank" rel="noopener">died</a> while on a family holiday to Bali.</p> <p>According to Indonesian police, the 14-month-old boy drowned in a villa swimming pool at Villa Besar in Kerobokan, north of Kuta in Bali. </p> <p>Police spokesperson Avitus Panjaitan told <em><a href="https://www.dailymail.co.uk/news/article-14017027/Tragic-new-details-emerge-cause-Australian-babys-death-Bali.html" target="_blank" rel="noopener">Daily Mail Australia</a></em> that the family did not report the death to police, and officers only found out details after interviewing resort staff.</p> <p>Staff reported that the family had returned to the villa from a water park in the evening shortly before the alarm was raised that a baby was drowning in the pool just minutes later. </p> <p>The staff recalled seeing a woman pull the baby from the water and desperately performing CPR to revive the child, but by the time paramedics arrived on the scene, the child was already deceased. </p> <p>In the wake of the tragedy, the child's father Brendan Sharp shared a gut wrenching update on Facebook, describing his son as a "one of a kind" child who filled every room with laughter and light.</p> <p>"He was always happy and cheerful, lighting up the room with whomever was there," he said.</p> <p>"His cheekiness and affection were like no other, and he was always dancing and having fun with a side of cheeky."</p> <p>"You were so special my boy - keep shining like the star you are and keep an eye on all of us down here," he said.</p> <p>A <a href="https://www.gofundme.com/f/help-grace-and-brendan-cope-with-the-loss-of-their-baby-boy" target="_blank" rel="noopener">GoFundMe</a> page has been set up by the family to help cover the funeral, and to allow parents Grace and Brendan time to grieve without financial pressure.</p> <p><em>Image credits: Facebook / GoFundMe</em></p>

Travel Trouble

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