Where should Ontario’s 30,000 new long-term beds go?


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9 comments

  1. Denyse Lynch

    Can we PLEASE, PLEASE, PLEASE, PLEASE, & PLEASE +++++++ STOP talking in circles about options and make informed, quality decisions. We need to implement solutions for caring for seniors and supporting caregivers. We’ve known for ages this crisis in senior care was coming and yet today leaders, planners, organizers, policy makers of health care continue to talk and REPEAT the refrain – “we take this very seriously”.
    My journey, caring for my dad began in 1999 when I moved him from Quebec to Toronto – cared for him in my home, cared for him while he was in a Retirement Home and quit my extremely well paid career to care for him in LTC from 2008 – 2014, until he died. My husband, developed a chronic condition along the way, and I continue to care for him, in 2018. I was/am involved in advocating for quality care for both my loved ones across silo-ed health care elements from primary care, to specialists, mental health care, to hospital admissions, ER & CCAC, Retirement and LTC Home experiences. Additionally, I joined, met with and contributed ideas to family councils, MOH representatives, speak as a Patient Advisor at conferences, looked into and joined carer organizations and completed numerous surveys too many times to count – all asking the “same” questions. I also became a Patient Advisor and am recruited to work on health research and health quality improvement initiatives.
    While I have seen some improvements across some health care elements, I cannot say the same for LTC.
    We “all” know the problems, gaps, barriers, especially carers who bear the physical, financial, social, emotional aspects of caring for loved ones. Organizations dedicated to over-seeing, improving, providing senior care – LTC, government, researchers, policy makers, quality improvement stakeholders are true masters of surveys, studies, commissions and issuing reports filled with data.They are the BEST. However, these stakeholders are just as “silo-ed”, constricted by their thinking and limited in their approach to implementating improvements as the health system has been in providing care to patients. We cannot continue to study, talk; we have all the data needed to make significant improvements.

    No matter the quantity & quality, nor the seriousness, frequency, power of words, language employed and how deeply, profound the talks are and how much they impact those who hear the talks, the lives of our seniors, & carers’ physical, emotional, mental, social & financial health our society’s productivity, economy can never be sustained, let alone improved by TALK. I certainly am interested in knowing, being involved in making these changes, not just talking about them.

    • Peggy Clark

      Absolutely! Well said! And why do parents get paid to take care of infants, but caregivers are not paid to take care of their loved ones that are unable to take care of themselves? Sure, there is a tax break if they live with you (doesn’t begin to make a difference), but not all caregivers live under the same roof. My mother lived on her own until the day she was admitted into LTC with mixed dementia. I was there every day for years doing her finances, groceries, cleaning, laundry, driving to appointments and later cooking, feeding, monitoring with a security camera, etc, etc. How was I able to earn an income while doing all of that? If an elderly person is unable to take care of themselves and requires ongoing assistance – they should receive some compensation to help pay for their homecare – whether that care is provided by a “professional” or a family member.

  2. Henry borkowski

    While client or patient centered care is crucial, the delivery must be flexible enough to properly accommodate couples. The system should not ignore such fundamental relationships. Imagine you’re well into your 90s and still spry and sharp while your slightly younger wife needs nursing care for severe health issues… how can you keep a relationship vital if significantly different levels of support aren’t available contiguously?

  3. Lynne Joly-Crichton

    Without a doubt, Long term care facilities need an RN on all shifts. The residents have mulltiple diagnosis, behaviors, palliative care, intravenous medications , dressings, feeding tube, colostomies, etc etc. The MDS does not capture the time spent with families, to offer support,to explain the behaviors,the progess of theirs illnesses , the medications, their effects,and yet we have to do it:it is their loved one , for who we care. The time spent is approximately , on a daily basis easily 2 hours, but it is not calculated. The CMI does not reflect this , therefore it is my opinion that the use of the CMI is a “political game“and the MOHLTC does not want to know , they can not afford it.

  4. Wendy Renault

    regarding 30,000 beds, great discussion, interesting ideas–many people would like to access assisted living &/or retirement home living, but are unable to afford this–we also need creative thinking for congregate type living with supports that respects privacy, that is affordable (ODSP/or other guaranteed basic incomes like OAS). I love the idea of village as a person transitions through various levels of need for care.

  5. Kathy Pearsall

    We are all sick of this narrative. Show some leadership, for God’s sake.

  6. LISE

    I know that staffing issues have always been a problem every day that I’ve worked. You see I’m the type that has work ethics which means nothing in today’s world. I’m used to working short as it’s an everyday occurrence at one level or another. This means I’ve had to pick up the slack in which means my workload would increase up to double what I was hired for. In one particular scenario: often times I would end up on days being responsible for 100 residents and often this may have included doctor’s days and orders because the other RN was sick and we couldn’t replace and overtime was not authorized but yet I was made responsible for 100 plus two RPN and 12 psw’s. Also, when I was responsible for 100 people and an RN plus RPN would be sick on the same floor with no replacement and not short enough to pull from another floor I’ve also had to do on top of my job function RPN (pass meds plus treatments)- often time you could even add one or two PSW’s that also called in sick. There was no extra pay for wearing so many hats and not even a thank you for holding it together. – Many facilities are in serious need of renovations and don’t even think they would pass inspections but yet the LHIN or the MOH pass them or they inform the facility that they are coming. I do believe that there’s corruption at the LHIN level and at the MOH as they don’t really care or see what’s happening, and or they do and close a blind eye. Many places hire new grads or immigrants that don’t even speak English because it’s cheaper but they don’t stay. Retention is poor with no incentives for anyone.

    I know someone else will take credit for what I’ve said for years now to bring a positive change: I’ve always said that if your going to renovate then add a 5 bed pod for acute care beds to decrease the amount of ‘send to hospital’- with this acute care pod would include telemetry and acute care/ emerg nurses- there’s always a Dr on call, x-rays are now portable, blood work can be done stat, there’s physio, now even mental health assessments are outsourced and done as well, plus maids, and conscious sedation… and so utilize what we have because let’s face it that the acuity in LTC is very high. I do know that this can be successful as family and residents don’t want to go to the hospital and this would be a better alternative than going to be sent to a hospital to be on a stretcher for 6 hours to even be seen or assessed only to be sent back with nothing being done and in my experience the hospital(s) don’t even fill the discharge from hospital form and not even v.s. done prior to leaving the hospital. No, follow up…nothing and so, basically it was an ambulance ride to the hospital and return either the same way or ambutrans, or family brings the resident back. The only thing that can’t be done in an LTC facility is surgery or Hemodialysis.

    These seniors are now orphans, widowers and we are mandated to give them a comfortable end of life care as possible.

    • Kathy Pearsall

      “Quality is improving every year,” according to the industry. Right. This is pure propaganda. In truth, it has never been worse than it is right now, and is about to become really horrendous unless we change everything about long-term care, right now. The government should hold a round table to get other voices around the table, other than continuing to pander to the big corporations.

  7. Marianne Williams

    I am very supportive of the care options that permit healthy seniors to stay out of hospitals and LTC. I am not in favour of leaving care givers to live an unpaid and uneducated psw’s. At this time the respite care options are very limited. The care giver is assigned to be a care giver without the supports needed. Care giver care needs expansion and so does the professional staff that will do that work.

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