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The article offers information on a changed model of care, supported by a partnership with Dementia Training Australia, has helped Ananda aged care transition to the new aged care quality standards and improve the confidence of its staff to provide practice dementia care. Topic include provide balance duty of care with the quality of life of residents and a dignity of risk approach, where some consensual risk is seen as beneficial to quality of life.

The article offers information on the standards for the continuous improvement programs for the old-aged people with dementia. Topics discussed include information on the significant role of the nomenclature of the Resident Focused Care Advocate (RFCA); discussions on the RFCA's aim of delivering resident-focused care; and the information on the use of task-oriented approach in terms of resource management.

An editorial is presented on the research from different perspectives on human communication and embraces the embodied, multilingual and culturally diverse nature of oracy. It offers a counter narrative to such reductive discourses, and expose the inequalities that such perspectives produce, perpetuate, and uphold. An overview of the classrooms in multilingual contexts in South Africa, the U.S., Zambia, Australia with standard English dominated curricular mandates is presented.

Objective:This study investigates communication challenges faced by Filipino patients with chronic diseases when engaging with healthcare professionals (HCPs). Design:Nine focus groups were conducted between November 2010 and June 2011. Results: Two main categories of themes were identified: patient-related and HCP-related factors. Patient-related factors included three subthemes: (1) lack of confidence in their English language abilities in clinical situations; (2) cultural attitudes; and (3) strategies used to improve communication. Older Filipinos with chronic disease were anxious about their lack of ability to explain their symptoms in English and were concerned that asking questions was conveying distrust in the HCPs. Most of the elderly simply nodded their head to indicate they understood even if they did not, for fear of being thought ‘stupid’. Many participants preferred Filipino GPs or have a relative interpret for them. Two subthemes were related to HCPs including (1) not being listened to and (2) assumptions of understanding. HCPs were thought to assume English language skills in Filipino patients and therefore were not careful about ensuring understanding. Conclusions: These findings highlighted the need for HCPs to be more aware of ‘grey areas’ in English-language proficiency and the cultural lens through which migrants understand health. [ABSTRACT FROM AUTHOR]