Mar 23, 2026

Why “fussing” might be the heart of quality aged care

Why “fussing” might be the heart of quality aged care

I recently overheard a family member of a resident say to the homemaker how pleased she was that I was so attentive and took care of her mother.

The response from the homemaker was somewhat derogatory in that she replied, “Oh yes, he likes to fuss over residents”. If fussing over residents constitutes providing person-centred care, then I would agree that I do fuss over residents to make them feel safe, valued and truly cared for.

My approach to providing care for people living in residential facilities emphasises the importance of creating a safe and secure environment. This foundation is critical for fostering trust and confidence in the relationship between residents and caregivers.

By ensuring that residents feel protected and valued, we can cultivate deeper connections that enhance their overall wellbeing and quality of life.

Trust serves as the foundation upon which “real care” begins and flourishes within the fabric of a healthy, loving and supportive relationship. By collaborating to establish daily routines and discussing sleep preferences, we can build a rapport that strengthens the bond of friendship.

Engaging individuals through stimulating activities such as music, song and dance will enrich their experience, ensuring they feel included and purposeful in our shared moments.

Thomas Kitwood originally identified five fundamental needs for individuals living with dementia: attachment, comfort, identity, inclusion and occupation. However, I believe that these needs resonate universally, transcending physical or mental conditions.

Every person, regardless of their life circumstances, requires a sense of being wanted, valued and safe, especially when they are transitioning into new environments, surrounded by unfamiliar faces, neighbours and routines.

To elevate the standard of care I provide, I strive to fully understand the individual I am supporting, exploring their background, the essence of who they were and who they are now. I take the time to appreciate their preferences, whether it be their favourite foods, preferred levels of attention or need for personal space.

Moreover, attending to spiritual and emotional needs is crucial. This attention nurtures a sense of wellbeing that resonates within a person’s psyche, contributing to a fulfilling life.

Providing care that is uniquely tailored to each individual, encompassing both their physical needs and their emotional landscape, is a privilege.

I make it a priority to listen actively to the person and assess what type of care they wish to receive. If gaining their trust means offering a little extra “fuss”, I am wholeheartedly committed to doing so.

My goal is to create a warm and inviting atmosphere that feels like home, perhaps their final home, a sanctuary of dignity, comfort and compassion.

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  1. Hil Belle,
    The homemaker is the supervisor carer in the facility.
    Hope that answers your question.

  2. I couldn’t agree more about the five fundamental needs being applied to everyone. Such an important concept for everyone supporting another to remember and also look after those needs within themselves.

  3. You must have felt quite sad hearing that remark Michael, but you’ve responded with bells on. True care is what you give, nothing less, and that’s what folks want. Well done for being such a real caring person. X

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