"Aged care is more than wiping bums and giving medication" - a qualitative study of the sensory support care needs of older Australians with hearing and/or vision impairment.

Abstract

Older adults with hearing and/or vision impairment often face challenges in accessing appropriate support within home care services. This study investigated the hearing and/or vision support care needs of older Australians receiving home care, and assessed whether these needs were met. Semi-structured interviews were conducted with 13 home care recipients (mean age 81.2 years, range 71-94) reporting hearing (<i>n</i> = 3), vision (<i>n</i> = 4) or dual sensory impairments (<i>n</i> = 6), and three family members. Interviews explored physical, psychological, and communication needs, healthcare system interactions, and support requirements. Data were analysed using Braun and Clarke's thematic analysis. Four themes were identified: (1) understanding individual circumstances is fundamental to personalised hearing and vision care, (2) importance of support networks, (3) enhancing device use and communication, and (4) maintaining home life and connection to community. Participants reported difficulties with device management, communication, and accessing appropriate care. The study revealed poor coordination between hearing/vision specialists and home care providers, alongside inadequate assessment and response to sensory needs within existing services. Older Australians with hearing and/or vision impairment have distinct practical and psychosocial support needs that are not consistently addressed in current home care services. Findings suggest the need for integrated sensory care assessments and improved coordination between hearing/vision professionals and home care providers.