Between 2016-2017, there were 1.6 million emergency department visits among people over the age of 65. The three most common presentations where chest pain, and musculoskeletal issues related to falls ( Falls Resulting in Patient Harm in Hospitals, 2018). Dementia people living in residential aged care facilities are vulnerable, frail and often have many comorbidities that put them at risk of falls (Fernando et al., 2017). For many of these resident’s hospitalisation, carries it with it a lot of risks. (Bail et al., 2015) Found that urinary tract infections, pressure areas, pneumonia and delirium are preventable hospital acquired complications that place a heavy financial burden on the health care system. Studies show that while people with dementia are at higher risk of hospital readmission, many of these hospitalisations are preventable (Ma et al., 2019).
Mental health relates to any behaviours and conditions which impedes with social functioning capacity to negotiate daily life (WHO | Mental Health, 2019) . Many older people will have some sort of mental health issue at some point, this may be due to illness, grief and loss, financial stress and loss of independence. Between 2017-18, 9.9 billion dollars was spent in mental health and 4.3 million people received mental health services. Mental health is as important as physical wellbeing for elderly people, this is also true for people with dementia (Mental Health Services in Australia, Prevalence, Impact and Burden, 2019). The vulnerable group chosen for this paper is elderly people with dementia living in long term aged care homes and in the community. The national health priority in focus is mental health.