Family Caregiver Newsmagazine April 2017.Pdf

FaThemilyCaregiver NEWSMAGAZINE Let’s Get You Home ... page 13

FREE Making home a safe place... Resolving family conﬂict... Health Links courtesy of page 5 page 8 page 20

South East APRIL 2017 www.thefamilycaregiver.com OPENING THE DOOR TO BATHING CARE

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TEXTURED FLOOR CEO’S MESSAGE The Patients First Act is part of the government’s ongoing work under the Patients First: Action Plan for Health Care which aims to improve OF INTEREST TO SOUTH EAST READERS... the health care system in Ontario. The services offered by Community Care Access Centres (CCACs), will now be delivered by the Local Health Integration Networks (LHINs). Therefore, this will be the final edition of The Family Caregiver Newsmagazine published by the South East CCAC. We have published 10 editions since 2013 and I hope and trust this information has helped family caregivers fulfil their important role. As we sunset the South East CCAC to transition to the South East LHIN, I am proud of the accomplishments of the South East CCAC. I would like to thank our staff, management, board of directors and service providers who have worked in partnership to provide home and community care to approximately 15,000 patients each day. The South East CCAC has consistently performed as a highly rated CCAC in Ontario as expressed by patients and their caregivers in the provincial client and caregiver experience evaluation. These partnerships also lead the CCAC to achieving Accreditation with Exemplary Standing in 2012. 10 Thank you to Caregiver Omnimedia for bringing the idea of The Family Caregiver Newsmagazine to us. This Newsmagazine supports goal six of the Ministry of Health and Long-Term Care’s 10 point plan Making home a safe place for seniors to strengthen home and community care by introducing expanded Un chez-vous plus sûr pour vos ainés ... page 5 caregiver supports to better recognize caregivers’ important role and to empower both caregivers and clients. A special thank you to our readers and the thousands of family Plenty of support available for caregivers caregivers who support loved ones so they are able to remain safe and Les sources de soutien pour les soignants cared for in the community. ne manquent pas ... page 7 Sincerely, Resolving Family Caregiver Conﬂict Jacqueline Redmond, CEO South East Community Care Access Centre Résoudre les conﬂits entre soignants familiaux ... page 8

Home automation for seniors Domotique pour les aînés ... page 10 The FamilyCaregiver Feature: .com Let’s Get You Home (Service Listings) PRESIDENT & PUBLISHER: Donald C. Fenn Le but… vous ramener à la maison! ... page 13 [email protected] EXECUTIVE VICE-PRESIDENT: Terrence J. Morgan [email protected] Living longer at home ... page 18 VICE PRESIDENT / ASSOCIATE PUBLISHER: Stuart Teather [email protected] FINANCE: Ann Fenn After a fall ... page 19 ACCOUNT MANAGER: Rick Billingshurst ART DIRECTOR: Gerri Callahan: [email protected] Health Links provides efficient care CAREGIVER OMNIMEDIA INC. P.O. Box 1060, 2130 King Road, King City, ON L7B 1B1 Les maillons santé offrent des soins efficients ... page 20 Phone: 905.833.6200 Toll-free: 1.800.209.4810 Fax: 905.833.2116 E-mail: [email protected] The Family Caregiver Newsmagazine is published 6x yearly, distributed through Care Coordinators daily and weekly newspapers. TFCN is available through select home care retail partners. Coordonnateur de Soins ... page 23 The information provided in The Family Caregiver Newsmagazine is for informational purpose only. It is not intended to replace or substitute for medical, legal or financial advice. The practical suggestions, advice and tips have been Fifty questions to save time, money & tears ... page 24 tested or reviewed by individuals or organizations involved in Family Caregiving. We welcome your comments and suggestions at [email protected]. Unsolicited manuscripts are invited but will not be returned. Local poet captures the south east heart and soul ... page 25 Publication mail agreement #41116033 Registration number 7207759 Note: Some articles in this publication have originally appeared on www.caring.com and are being reprinted here with permission Marketplace ... page 26 SOUTH EAST EDITION EDITOR: Gary Buffett: [email protected]

April 2017 www.thefamilycaregiver.com 3 ��

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�� Making home a safe place for seniors

PRISCILLA FERNANDES ing them more vulnerable to ER are caused by falls and Home Instead Senior Care Brampton falling and other accidents at other accidents at home, and home. about half of those accidents There’s no place like home. It’s By the age of 60 our pupils could have been prevented. a place of comfort and familiar- are about one-third of the size The most common issues are ity; a place where we feel safe they were at 20 years old. Cou- tripping hazards, storage that and protected. But for seniors, ple that with aging-related eye is too high or too low, and bath- a place they once considered conditions such as cataracts rooms without assistive equip- safe can become dangerous. and macular degeneration ment. Unfortunately, we often don’t and it can be difficult for sen- To start making a home safer think about how we can make iors to spot tripping hazards, for a senior loved one, remove home a safer place for seniors especially in low lighting. It’s potential tripping hazards until they’re returning home also difficult for older adults that could create a slip and fall from the hospital. to detect slick spots on floors situation. Put away throw rugs Seniors already have a high due to a decrease in blood flow and loose mats, and inspect risk of injuring themselves at to nerve endings that reduces large rugs for tears that some- on the mobility of your senior at least once a year can make home, and that risk only in- their sense of touch. And fi- one could trip on. Remove any loved one, it’s helpful to install a difference. creases with the addition of nally, with age, the structures cords as well as any other clut- grab bars next to the toilet or Communication is impor- injuries or illness that further inside the ear change and ter such as books, clothes and shower. tant, and home safety is a impairs their mobility. One of functions decline, affecting shoes to ensure clear pathways Lastly, make sure medica- topic you should both feel the biggest dangers and points the ability to maintain balance for your senior to get around. tions and other items your comfortable discussing. Put of anxiety for family caregiv- and to sit, stand or walk. You should also make it easy senior needs are easily within yourself in their position - it’s ers is that their loved one will It’s important for caregiv- for your senior to move around reach. It’s also important to not easy to admit you need fall, slowing down their recov- ers to understand the signs of the house. Move low tables and be aware of the side-effects of help. Listen to their needs and ery, or worse, creating a new aging and how it affects a sen- other furniture around to cre- their prescriptions. Certain make sure they feel involved injury. ior’s ability to avoid hazards ate wide spaces for mobility. medications or combinations in the process of making their It’s important family car- within the home. Being able Make sure your light fixtures of meds can make them drow- home safe. egivers know how to spot to put yourself in their shoes have at least 60-watt bulbs and sy and could lead to a fall. Be- Be aware that after an acci- safety hazards within the and understand what’s affect- that nightlights are available ing aware of all the factors that dent, seniors may limit their ac- home and what precautionary ing their mobility will help you in hallways, bathrooms and can affect your senior loved tivities for fear of falling again. measures they can take to pre- identify hazards and prevent their bedroom. one’s mobility will give them While being cautious is a good vent accidents from happen- accidents. Sitting down and getting up the support they need to lead thing, it can be overdone. If ing. Making the extra effort to becomes more difficult as we to a quick and full recovery. your senior limits their activi- safeguard seniors in the place The Fight age. Make sure your chairs ties, they could lose strength they spend the most time will Against Falling are the right height for your Being Proactive and flexibility, increasing their help both you and your loved A recent survey conducted senior and that the armrests with Senior Care risk of falling again. Helping one rest at ease. by Home Instead Senior Care are sturdy. A chair is too low To help keep your loved one your senior loved one remain found that 85% of seniors have if their knees are above their safe and prevent home acci- physically active is an essen- The Effects of Aging done nothing to prepare their hips when sitting, and it’s too dents, you should be inspect- tial part of preventing further As we age, our senses dimin- homes for aging. Whether high when their legs don’t ing their living space once a falls and injuries. ish. We rely on our senses to recovering from surgery or touch the floor. If a chair is year for potential hazards. To help families take proac- help us avoid hazards and ori- illness, creating a safe envi- too low you can always add a Home Instead research also tive measure to ensure home ent ourselves safely within ronment for your senior to re- cushion or pillow to raise the found that 53% of home acci- is a safe place for their senior a space. This contributes to cuperate is important. height. dents experienced by seniors loved ones, visit Home Instead increased mobility problems, One of the most common ac- In the bathroom the addi- could have been prevented. Senior Care’s website www. balance issues, and impaired cidents among seniors is fall- tion of non-skid mats in the Even if your senior is not com- caregiverstress.com/senior- motor skills. Unfortunately ing. In fact, according to a re- bathtub and shower floors are ing home from the hospital, safety, which includes helpful for seniors, injuries or illness search study by Home Instead, an easy and cheap way to pre- taking preventative measures tips and resources, including a can further their senses, mak- 40% of trips to the hospital and vent slip and falls. Depending to identify potential dangers handy home safety checklist.

April 2017 www.thefamilycaregiver.com 5 Un chez-vous plus sûr pour vos ainés PRISCILLA FERNANDES Home Instead Senior Care Brampton perte d’équilibre et d’habileté prévision de leur vieillisse- chambres à coucher. par Home Instead a également motrice. Malheureusement ment. Que ce soit à la suite Le fait de s’asseoir et de se révélé que 53 % des accidents On n’est jamais aussi bien pour les personnes âgées, les d’une chirurgie ou d’une mala- relever devient plus difficile subis à domicile par les per- que chez soi. C’est un endroit blessures ou la maladie peu- die, il est important de créer un avec l’âge. Vérifiez que les fau- sonnes âgées auraient pu être confortable, que l’on connaît vent atténuer davantage les milieu sûr pour une personne teuils sont de la bonne hauteur évités. Même si ce n’est pas bien; un endroit où l’on se sent sens, ce qui les rend plus vul- âgée. pour les personnes âgées et après un retour de l’hôpital, en sécurité et protégé. Mais nérables aux chutes et autres Les chutes représentent que les appuis-bras sont bien le fait de prendre des mesures pour les personnes âgées, un accidents à la maison. l’un des accidents les plus solides. Un fauteuil est trop bas préventives une fois par année endroit qui était auparavant À 60 ans, la taille de nos fréquents chez les personnes si les genoux sont plus hauts pour repérer les dangers possi- sûr peut devenir dangereux. pupilles équivaut au tiers de âgées. D’ailleurs, selon une que les hanches quand on est bles peut faire une différence. Malheureusement, il arrive ce qu’elle était à 20 ans. Ce étude de Home Instead, 40 % assis, et il est trop haut si les La communication est im- souvent que nous ne pensions phénomène, associé à d’autres des transports à l’hôpital et à pieds ne touchent pas le sol. Si portante et la sécurité à domi- à rendre plus sûrs les domi- maladies des yeux liées au l’urgence sont dus à des chutes un fauteuil est trop bas, on peut cile est un sujet dont il faut ciles des personnes âgées que vieillissement, comme les cat- et à d’autres accidents surve- toujours ajouter un coussin ou discuter ouvertement. Met- lorsqu’elles reviennent d’un aractes et la dégénérescence nus à la maison, et environ la un oreiller pour l’élever. tez-vous à la place d’une per- séjour à l’hôpital. maculaire, fait en sorte qu’il moitié de ces accidents aurai- Dans la salle de bain, l’ajout sonne âgée — il n’est pas facile Les personnes âgées peut être difficile pour les per- ent pu être évités. Les prob- de tapis antidérapants dans la d’admettre que l’on a besoin courent déjà des risques élevés sonnes âgées de percevoir les lèmes les plus fréquents sont baignoire et dans la douche d’aide. Soyez à l’écoute de de se blesser à domicile et ces risques de trébuchement, par- les risques de trébuchement, contribue à réduire les risques ses besoins et faites en sorte risques ne font qu’augmenter ticulièrement dans les endroits les objets rangés trop haut ou de glissades et de chutes, à peu qu’elle se sente impliquée dans lorsqu’une blessure ou une mal éclairés. Il est également trop bas et les salles de bains de frais. Selon le degré de mo- le processus visant à rendre maladie réduit encore davan- difficile pour les personnes plus non munies d’équipements bilité de la personne âgée, il son domicile plus sûr. tage leur mobilité. L’un des âgées de percevoir les surfaces d’assistance. peut être utile d’installer des Sachez qu’après un acci- plus grands dangers et mo- glissantes en raison de la dimi- Pour commencer à rendre barres d’appui près de la toi- dent, les personnes âgées peu- tifs d’anxiété pour les aidants nution du flot sanguin vers les le domicile plus sûr pour une lette ou de la douche. vent limiter leurs activités par naturels sont les risques de extrémités nerveuses, ce qui personne âgée qui vous est Enfin, les médicaments et crainte de chuter de nouveau. chutes qui peuvent ralentir le émousse le sens du toucher. Et chère, éliminez les risques de autres articles dont la per- C’est une bonne chose d’être processus de guérison ou, pire enfin, avec l’âge, les structures trébuchement pouvant provo- sonne âgée a besoin doivent prudent, mais sans exagéra- encore, être la cause d’une de l’oreille interne changent et quer une glissade et une chute. être à portée de main. Il est tion. Si une personne âgée nouvelle blessure. leurs fonctions diminuent, ce Enlevez les carpettes et les important aussi de connaî- limite ses activités, elle pour- Il est important que les aid- qui nuit à la capacité de garder paillassons mal fixés et vérifiez tre les effets secondaires des rait perdre de la force et de la ants naturels sachent repérer l’équilibre et de s’asseoir, se te- qu’il n’y a pas de déchirures médicaments sur ordonnance. souplesse, ce qui augmente le les risques pour la sécurité à la nir debout ou marcher. dans les moquettes qui pourrai- Certains médicaments ou com- risque de chuter de nouveau. maison, ainsi que les précau- Il est important que les aident faire trébucher quelqu’un. binaisons de médicaments peu- Le fait d’aider les personnes tions à prendre pour éviter que ants comprennent les signes Éliminez les cordons et autres vent la rendre somnolente et âgées qui vous sont chères à des accidents se produisent. de vieillissement et la façon encombrements comme des provoquer une chute. En con- rester actives physiquement En vous efforçant de mieux dont ils empêchent une per- livres, des vêtements et des naissant tous les facteurs pou- joue un rôle essentiel dans la protéger les personnes âgées sonne âgée d’éviter les risques chaussures pour dégager les vant nuire à la mobilité d’une prévention d’autres chutes et là où elles vivent, vous ferez en dans la maison. Et réussissant passages qu’empruntent les personne âgée qui vous est d’autres blessures. sorte que vous et les personnes à vous mettre à leur place et à personnes âgées pour se dé- chère, vous l’aiderez à guérir Pour aider les familles à qui vous sont chères puissiez comprendre ce qui nuit à leur placer. rapidement et complètement. prendre des mesures proac- reposer l’esprit tranquille. mobilité vous serez mieux en Vous devez aussi leur fa- tives afin que le domicile des mesure de repérer les risques ciliter le plus possible les dé- Prendre soin des personnes âgées qui leur sont Les effets du et de prévenir les accidents. placements dans la maison. personnes âgées chères soit sécuritaire, visitez vieillissement Enlevez les tables basses et de façon proactive le site Web de Home Instead En vieillissant, nos sens Pour éviter autres meubles pour créer de Pour contribuer à assurer la Senior Care, à l’adresse www. s’émoussent. Nos sens nous les chutes vastes espaces où il est facile sécurité de vos êtres chers et caregiverstress.com/senior- aident à éviter les dangers et Une étude récente menée par de bouger. Il doit toujours y prévenir les accidents à domi- safety, où vous trouverez des contribuent à notre orienta- Home Instead Senior Care a avoir des ampoules d’au moins cile, vous devriez inspecter conseils utiles et des ressourc- tion spatiale. Cet émousse- révélé que 85 % des person- 60 watts dans les luminaires, une fois par année l’espace où es, comme une pratique liste ment contribue à accentuer nes âgées n’ont rien fait pour et des veilleuses dans les cor- ils vivent pour déceler les ris- de vérification de la sécurité nos problèmes de mobilité, de préparer leur domicile en ridors, les salles de bain et les ques possibles. L’étude menée à domicile.

For more information, visit www.caregiverstress.com/senior-safety

6 www.thefamilycaregiver.com April 2017 Plenty of support Les sources de soutien pour available for caregivers les soignants ne manquent pas What do bereavement, stroke Support groups are offered in tion traitée par le groupe. recovery, brain injury, cancer, different ways: Les groupes de soutien an- Alzheimer’s disease, hepatitis, A self-help support group is imés par des professionnels, mood disorders, ostomy, preg- fully organized and managed qui n’ont pas nécessairement nancy and infant loss have in by its members, who are com- une expérience personnelle common? They all have sup- monly volunteers and have de la question abordée par le port groups available across personal experience in the groupe, mais ont des connais- the South East. There are 36 subject of the group’s focus. sances et une formation spé- support groups listed in South- Professionally operated cialisées. EastHealthline.ca. support groups are facilitated La Société Alzheimer a re- Many organizations offer by professionals who some- cours à une combinaison de ces support group meetings for times do not share the prob- deux approches dans les réun- patients and their caregivers lem of the members but have ions de ses groupes de soutien. and often guest speakers pro- specialized knowledge and Les sources de soutien pour tions tout en sachant qu’elles « Un de nos membres nous a vide insight and information on training. les soignants ne manquent seront comprises par les mem- dit que les groupes de soutien, various topics of interest. The Alzheimer Society pas bres, et parfois je trouve une qu’il y assiste en tant que soi- “Many folks are hesitant to adopts a combination of both Quel est le point commun en- solution à un problème par- gnant seul ou en compagnie de join a support group, so I asked approaches to running support tre le deuil, le rétablissement ticulier que je n’aurais pas pu sa conjointe, sont sans aucun for the experts’ opinion of what group meetings. “One of our après un AVC, les lésions céré- trouver seul. » doute la principale ressource advantages a support group members told us that support brales, le cancer, la maladie « Nous sommes tous dans le à sa disposition, a indiqué Ni- provides. By experts, I mean groups, either as an individual d’Alzheimer, l’hépatite, les même bain et avons tellement cholas. Le dialogue entre les the members of our regular caregiver or with his spouse, troubles de l’humeur, les sto- à gagner à partager nos expéri- participants du groupe, dirigé groups.” says Kristel Nicholas, are without any doubt, the mies, la grossesse et la perte ences et à apprendre les uns par un modérateur, s’avère an Education & Support Co- most valuable asset available d’un bébé? Vous trouverez des autres. Fait surprenant, l’outil le plus précieux pour ordinator with the Alzheimer to him”, says Nicholas. “The dans la région du Sud-Est des nous découvrons à quel point les aider à gérer leur situation. Society. “Here’s what they told cross-talk between group par- groupes de soutien qui traitent les défis auxquels nous som- Les compétences partagées me:” ticipants, led by a moderator, is de toutes ces questions. Il y a mes confrontés sont sembla- par le modérateur du groupe, “A group provides a safe en- the most valuable tool to help en effet 36 groupes de soutien bles. Cela nous donne un senti- les membres du personnel de vironment to express my con- them manage.” The shared répertoriés sur le site Web lig- ment de satisfaction de savoir l’organisme et les participants cerns that are understood by expertise from the moderator nesantesud-est.ca. que nous ne sommes pas seuls sont l’élément crucial qui leur the others and can often find of the group, the staff at the De nombreux organismes à suivre ce cheminement. Je permet de poursuivre leur a solution when we alone can’t agency and fellow participants offrent des groupes d’entraide dois préciser que les nouveaux cheminement avec détermina- find an answer to a specific is the key to moving forward s’adressant aux patients et à membres sont agréablement tion et confiance. » problem. with strength and confidence leurs soignants, et souvent des surpris d’apprendre l’existence N’attendez pas que la par- “We are all in the same boat on this pathway.” conférenciers invités y présen- de ces groupes. » ticipation à un groupe de sout- with much to gain from shar- Do not wait to seek sup- tent des observations et de « Tenez bon, vous ne serez ien soit une mesure de dernier ing experiences and learning port as a last resort. A support l’information sur divers sujets jamais seul dans votre chem- recours. Un groupe de soutien from each other. Surprisingly, group can help you: d’intérêt. inement... participez et main- peut vous aider : we find how much commonal- • Become an expert on your « Bien des gens hésitent à se tenez le cap. Si vous ne vous • à devenir un expert sur vo- ity there is in the challenges we situation. joindre à un groupe de soutien. sentez pas à l’aise au sein tre situation all face. It makes us feel good to • Educate yourself: find out J’ai donc demandé à des ex- d’un groupe, il y aura toujo- • à vous éduquer en décou- know we are not alone in our what’s available in your perts de m’indiquer les avan- urs d’autres groupes qui vous vrant ce qui est offert dans journey. I must note that new community. tages qu’ils en retirent. Par « conviendront peut-être davan- votre communauté members are very pleasantly • Become active: advocate for experts », j’entends les mem- tage. » • à devenir actif en défendant surprised to know that such you and your loved one’s bres de nos groupes réguli- vos droits et ceux de votre groups are available to them. rights. ers, indique Kristel Nicholas, Les groupes de soutien varient proche “Hang in there, you will nev- • Speak with other caregiv- coordonnatrice de l’éducation selon leur approche : • à vous entretenir avec er be alone on this journey....get ers. et du soutien auprès de la So- Les groupes d’entraide auto- d’autres soignants involved and stay with it. If you ciété Alzheimer. Voici ce qu’ils nomes, qui sont très organisés are not comfortable with a par- To learn more about a number m’ont dit : » et gérés par leurs membres. Pour en apprendre davantage ticular group, there are always of support groups in your area « Un groupe offre un envi- Ceux-ci sont généralement des sur les groupes de soutien of- alternate groups available to please visit www.southeast- ronnement sécuritaire où je bénévoles qui ont une expéri- ferts dans votre région, allez à participate with.” healthline.ca peux exprimer mes préoccupa- ence personnelle de la ques- www.lignesantesud-est.ca.

www.southeasthealthline.ca www.lignesantesud-est.ca

April 2017 www.thefamilycaregiver.com 7 Resolving Family Résoudre les conflits Caregiver Conflict entre soignants familiaux Family relationships can be lead to disputes. For example, Seek outside help. Les relations de famille ne sont soignant, toutefois, vous devez complicated at the best of times. if it is agreed that you will be Sometimes you will need jamais faciles, même en temps également tenir une discus- When you add the stressful responsible for the financial assistance from outside of normal. Lorsque la nécessité sion importante chaque fois responsibility of caregiving aspects of caregiving, make the family. A third party de prendre soin d’un proche, qu’une décision doit être prise. into the mix and you may find sure you know exactly what mediator or facilitator can responsabilité particulière- Lorsque vous participez à de yourself in a difficult situation. is expected of you. Do you guide your family through ment éprouvante, est ajoutée à telles discussions, n’oubliez Below are some tools you can pay the household bills, the these difficult discussions, l’équation, vous pourriez être pas d’accorder à chaque mem- employ to protect yourself and mortgage, all banking, etc.? keep you focused, and assist mis à rude épreuve. Vous trou- bre de la famille du temps pour your loved ones from these Or are you only responsible the family in maintaining verez ci-dessous des stratégies exprimer son point de vue sans additional stressors. for a portion of those duties? respectful communication. A pour vous éviter, à vous et à être interrompu. C’est une Make sure you and your family période difficile pour toutes Have crucial conversations. have clear expectations about les parties concernées, et en It is inevitable that difficult each other’s roles and leave no donnant à chacun le temps de topics will arise when planning room for interpretation. s’exprimer et de se faire enten- and caring for family members. dre, vous contribuez grande- Who will pay for what? Who Continue the dialogue. The ment à l’établissement et au will be responsible for what? caregiver role is often ongoing maintien de bonnes relations. These and other questions can and there will be a need to Assurez-vous de prendre en contribute to hurt feelings and continue communicating. compte les intérêts de chacun perceived unfairness. Have a Family members should lorsque vous prenez des déci- family meeting, including the carve out time for updates sions; il en résultera des en- care receiver, to discuss these and conversations about the tentes durables et fondées sur important topics. The best caregiving plan. By keeping le respect. time to have these discussions the lines of communication is when you enter into a open you will prevent Entendez-vous sur les dé- caregiving role; however any unnecessary escalation of tails. Lorsque vous en arrivez time a decision is to be made issues. It is also useful to go à une décision au sujet des re- a crucial conversation should over the caregiver plan and Meaghan Welfare, Director of Conflict Engagement sponsabilités relatives au plan take place. When participating make necessary modifications de soins qui seront assumées in discussions remember to let to roles and responsibilities mediator offers a confidential vos proches, ces sources de par chaque personne, assurez- all members of the family have and the changing needs of the and unbiased approach to stress additionnelles. vous de discuter des détails. En uninterrupted time to share care receiver. addressing conflict situations précisant et en définissant les their perspectives. This is a that allows all members of Ayez des conversations im- détails de chaque tâche, vous difficult time for all and giving Care for the Caregiver. the family to be heard and portantes. Il est inévitable réduirez le risque de malen- people the space to speak When you are in good health, their concerns addressed. que des sujets de conversa- tendus à l’avenir qui pourrai- and be heard goes a long way physically and emotionally, A meditator can be hired tion pénibles soient soulevés ent entraîner des disputes. S’il to building and maintaining conflict situations will be inexpensively and may lorsque vous préparez un est convenu que vous serez relationships. Be sure to much easier to manage. Know save the family future costs plan de soins pour un proche responsable des aspects fin- consider everyone’s interests yourself and what you need to associated with the conflict of et lui prodiguez des soins. anciers des soins prodigués, when making decisions, this be healthy and ready to be in caregiving. Qui s’occupera des factures? par exemple, assurez-vous de will allow for long lasting and a caregiver role. Ensure you Comment les responsabil- savoir exactement ce que l’on respectful agreements. are taking time to rejuvenate Meaghan Welfare is the Direc- ités seront-elles réparties? s’attend de vous. Est-ce que and regenerate yourself tor of Conflict Engagement Ce genre de question peut fr- vous payerez les factures du Sort out the details. When during these difficult times; and is committed to helping oisser les gens et leur donner ménage et l’hypothèque? Est- you have come to a decision after all you must be healthy individuals and organizations l’impression d’avoir été traités ce que vous vous chargerez about who will be responsible to effectively care for others. to embrace workplace conflict de manière inéquitable. Or- de toutes les opérations ban- for what in the caregiving plan, If you are feeling burnout to increase employee satisfac- ganisez une réunion de famille caires, etc.? Ou ne serez-vous ensure you are discussing out, depleted, or are suffering tion and organizational effec- (à laquelle participera la per- responsable que d’une partie the details. By outlining from Compassion Fatigue, a tiveness. For more informa- sonne recevant des soins) de ces tâches? Assurez-vous and defining the details of family conflict may agitate tion about Meaghan and her pour discuter de ces questions que vous et les membres de the responsibilities you are you further. Never forget, services visit her website at cruciales. Il serait préférable votre famille avez des attentes less likely to have future that your own health is top www.conflictengagement.ca d’avoir ce genre de discussion claires au sujet de vos rôles misunderstandings that could priority. [email protected] dès que vous adoptez le rôle de Continued on page 9 8 www.thefamilycaregiver.com April 2017 Résoudre les conflits Continued from page 8 les modifications vous redynamiser et de vous tielle et respectueuse, donnant nécessaires aux ressourcer pendant cette péri- ainsi à chaque membre de la rôles et responsa- ode difficile; après tout, vous famille l’occasion de se faire bilités de chaque devez être en santé pour pou- entendre et de discuter de ses partie. N’oubliez voir bien soigner les autres. préoccupations. Vous pouvez pas non plus de Si vous vous sentez surmené embaucher un médiateur à tenir compte des ou épuisé, ou si vous souffrez peu de frais et ainsi éviter les besoins change- de l’épuisement de la compas- coûts éventuels associés au rè- ants de la per- sion, la survenue d’un conflit glement de conflits découlant sonne recevant de famille pourrait exacerber de la prestation de soins. des soins. la situation. N’oubliez jamais que votre propre santé est une Meaghan Welfare est direc- Soignez le soign- priorité absolue. trice de l’entreprise Conflict ant. Lorsque vous Engagement. Elle est déter- êtes en bonne Obtenez de l’aide. Vous aurez minée à aider les particuliers santé, physique- parfois besoin de demander et les organismes à accepter ment et émotion- l’aide d’une personne en dehors les conflits au travail afin respectifs et ne laissez aucune du temps pour les mises à jour nellement, il vous est beaucoup de la famille. Un médiateur ou d’augmenter la satisfaction place à l’interprétation. et les conversations au sujet plus facile de composer avec facilitateur indépendant peut des employés et l’efficacité de Poursuivez le dialogue. Le du plan de soins. En mainten- les situations conflictuelles. guider votre famille lors des l’organisme. Pour obtenir plus rôle de soignant est souvent ant la conversation, vous em- Apprenez à vous connaître et discussions difficiles et favoris- de renseignements sur Mea- un rôle de longue haleine, et il pêcherez une escalade inutile déterminez ce dont vous avez er la tenue de communications ghan et les services qu’elle sera nécessaire de continuer à des conflits. Il est également besoin pour rester en santé et respectueuses. Un médiateur offre, consultez son site Web. communiquer. Les membres de important de passer en revue être prêt à assumer le rôle de gère les situations conflic- www.conflictengagement.ca la famille devraient réserver le plan de soins et d’apporter soignant. Prenez le temps de tuelles de manière confiden- [email protected]

Lorsqu’un travailleur de la santé à domicile vous rend visite chez vous...

Tous les travailleurs de la santé à domicile doivent présenter une pièce d’identité au patient ou à son soignant à chaque visite.

Cette pièce d’identité doit comprendre le nom du travailleur, celui de l’organisme qui fournit les services ainsi qu’une photo.

Le travailleur doit également montrer cette pièce d’identité avant d’entrer dans le domicile du patient. S’il ne la montre pas, demandez-le-lui!

Veuillez communiquer avec votre coordonnateur de soins du CASC ou fournisseur de services si vous avez des questions.

April 2017 www.thefamilycaregiver.com 9 Home automation for seniors Previous columns in Renova- market to support homecare tion Contractor have dem- providers must understand onstrated the increasing the mobility and functional importance of the seniors’ needs of homecare delivery market to our industry. How- and the growing wish by the ever, many in the homecare vast majority of Canadians industry believe this market to age in place. There is a lot is being overlooked by reno- to learn about the needs and vators. Statistics show there options available to assist young at heart and everyone lighting helps prevent falls, pliances can be controlled are more than 1,000 people family caregivers keeping in between. a major concern of seniors, from a smartphone while out- turning 65 every day in this aging parents, children with Smart-home technol- and lights can be programed side the home. Floors can be country. There are now more disabilities, and seniors with ogy isn’t just for tech-savvy to come on automatically at vacuumed, and the contents Canadians over 65 than there mobility issues safe and inde- homeowners or early adop- nightfall. of your refrigerator can be are under 15. This means the pendent in their homes. ters anymore. Smart-home Sensors can track home- checked, all from remote lo- seniors market is a sleeping No one in 2016 wants to products are providing com- owners’ movements and take cations. giant, and one that’s wak-ing be labelled “old.” We must fort, convenience, and safety. note of stumbles or stillness, Smart thermostats allow up with a huge appetite for change the discussion relat- There are also some tradi- both of which could indicate temperatures to be adjusted home modification. ed to renovation and aging. tional home modifications a medical emergency. Some to match schedules, receive In many cases assistance alerts, and analyze energy us- to these seniors is being age so users can lower their pro-vided by family caregiv- While new technology can seem intimidating, day-to-day expenses. ers. There are currently 8.5- Besides the formal home mil-lion family caregivers in home-automation can be a major help for automation devices listed Canada, up from 2.5-million in seniors looking to age in place above, low-tech products are 2003. Another 2-million family moving towards high-tech, members will take on that re- The dialogue must include that make it easy to thrive in sensors can relay that infor- with walk-in tubs and spas sponsibility in 2017. The very renovators, homeowners, place, regardless of age. mation to family caregivers that offer easy access to the fact that a family caregiver and healthcare professionals, Wi-Fi-enabled door hard- outside the home when these tub, and once inside, the is needed to support a fam- and be about adding features ware allows people to lock conditions exist. smart technologies allow the ily member is an indication that enhance our lives today or unlock doors remotely, Voice-activated devices user to enjoy controlled aro- that the household could ben- through livability, inclusive- receive alerts when someone provide hands-free control matherapy, consistent water efit from some form of home ness, and universal design. enters their home (such as a over the home, making it pos- temperature, and the ability modification. Statistics show There are many myths homecare worker), and share sible to adjust the thermo-stat to lay back and relax after a more than 40 percent of fami- around aging in place. People virtual keys with friends or while carrying a load of laun- hard day’s work. These de- ly caregivers will modify their want to “thrive in place,” and family caregivers. dry, turn on the bath-room vices also allow easy access home and/or their loved ones whether they are 25, 45, 65, or Smart-home security gives lights without leaving bed, for those with physical chal- home for inclusive living. 85, our homes are where we do people and their care-givers and even text to-do lists to a lenges, including those using Family caregivers, occupa- the things we love to do, with the peace of mind; extra features smartphone – all without lift- wheelchairs or other assist- tional therapists, and other people we love to do them with. such as smart fire alarms ing a finger. ance devices. home healthcare profession- Looking at aging in place and leak detectors increase Smart appliances can also We can all agree that it is als are important players in through a new lens that ac- safety and indepen-dence in play an important role. These important to plan ahead to making sure the best choices knowledges how we live – not the home. include toilets that clean address the needs of an ag- are made when it comes to just how long we live – will Lighting sets the mood for themselves, and stoves that ing population. There are home modifications. usher in a new generation of a dinner party or lights up can monitor themselves and a number of government Contractors looking to get home improvement projects the way to the bathroom for advise the owner when they funding programs available, into the home modification that benefit the young, the unsteady seniors. Adequate have been left on. These ap- Continued on Page 11

10 www.thefamilycaregiver.com April 2017 Domotique pour les aînés Alors que les nouvelles technologies peuvent sembler intimidantes, la domotique peut constituer une aide de premier plan pour les aînés qui souhaitent vieillir à domicile.

Les anciens articles parus portants qui s’assurent que les chez soi sous un angle nouveau dans Renovation Contractor meilleurs choix sont effectués qui reconnait notre manière de ont démontré l’importance lorsqu’il s’agit de modification vivre – et pas seulement comb- croissante du marché des per- de résidence. ien de temps nous vivons – fera sonnes âgées dans notre in- Les entrepreneurs qui cher- surgir une nouvelle généra- dustrie. Cependant, nombreux chent à pénétrer le marché de tion de projets d’améliorations sont ceux qui, dans l’industrie la modification de résidence résidentielles dont les jeunes, des soins à domicile, pensent pour soutenir les fournisseurs les jeunes de cœur et toutes que ce marché est ignoré par de soins à domicile doivent les autres personnes pourront les rénovateurs de résidences. comprendre la mobilité et les tirer avantage. Home automation Les statistiques indiquent que, besoins fonctionnels de l’offre La technologie de la maison chaque jour, plus de 1000 per- de soins à domicile ainsi que intelligente ne s’adresse plus Continued from Page 10 sonnes fêtent leurs 65 ans au le souhait croissant émanant uniquement aux propriétaires how-ever many simply do not bers to better serve our aging pays. Il y a maintenant plus de la vaste majorité des Cana- férus de technologie ou les know about these programs. population. Family Caregivers de Canadiens de plus de 65 diens à vieillir chez eux. Il y a pionniers. Les produits de la Similarly, people are unaware are the focus of Don Fenn’s ans qu’il y en a de moins de beaucoup à apprendre au sujet maison intelligente procurent of the benefits of modifying King City, Ont.-based market- 15 ans. Ces chiffres signifient des besoins et des options of- confort, commodité et sécu- the home, or even what home ing and media firm, Caregiver que le marché des aînés est fertes pour aider les proches rité. Il y a également des modi- modifications will provide the Omnimedia, as they act as the un géant endormi — un géant aidants à garder des parents fications résidentielles qui fa- best solution for their needs. advocate between dozens of qui s’éveille… avec un énorme vieillissants, des enfants cilitent l’épanouissement chez Collaboration between companies, 8.5-million fam- appétit pour la modification de handicapés et des aînés ayant soi, indépendamment de l’âge. renovators and occupational ily caregiv-ers, contractors, résidence. des problèmes de mobilité en Les portes équipées de la therapists in this area is clear- and the healthcare system. Dans de nombreux cas, toute sécurité et indépendants technologie Wi-Fi permettent ly needed. There is little use in The 13-year-old firm also pub- l’aide apportée à ces person- dans leur foyer. aux personnes de les ouvrir hiring a renovator to install a lishes The Home Modification nes âgées est fournie par les En 2016, personne ne sou- ou de les fermer à distance, de bathroom grab-bar when the Guide and has been running proches aidants. Il y a actuel- haite être affublé de l’étiquette recevoir des alertes lorsque person would be better served Home Modification Confer- lement 8,5 millions de proches « vieux ». Nous devons chang- quelqu’un pénètre chez elles by installing a walk-in tub. Oc- ences and Aging in Place sem- aidants au Canada; ils étaient er la discussion en lien avec la (p.ex. un auxiliaire en soins de cupational therapists conduct inars for the past 5 years. 2,5 millions en 2003. Deux mil- rénovation et le vieillissement. santé à domicile), et partager a detailed review of the condi- lions de membres de familles Le dialogue doit inclure les des clés virtuelles avec des tion of the person needing as- Caregiver Omnimedia, along supplémentaires endosseront rénovateurs, les propriétaires amis ou des proches aidants. sistance and can “prescribe” with several related busi-ness- cette responsabilité en 2017. et les professionnels des soins La sécurité des maisons the features in the home that es and not-for-profit home and Le simple fait qu’un proche de santé. Il doit en outre por- intelligentes offre aux per- will make it more user-friend- community care provid-ers aidant soit nécessaire pour ter sur l’ajout de caractéris- sonnes et à leurs aidants la ly. The renovator can make including the March of Dimes soutenir un membre de la tiques qui renforcent notre tranquillité d’esprit; des cara- the changes happen. Canada, CMHC, Toronto Re- famille est une indication que vie aujourd’hui, par le biais de ctéristiques supplémentaires, To learn more about Home habilitation Institute, Cana- le ménage pourrait tirer profit l’habitabilité, l’inclusion et de comme les alarmes incendie Modification Canada go to dian Standards Association, d’une forme de modification la conception universelle. intelligentes et les détecteurs HomeMods.ca. To learn about Ryerson’s Institute of Ageing, de résidence. Les statistiques Il y a de nombreux mythes de fuites augmentent la sécu- how to contract for home reno- American Standard, and con- indiquent que plus de 40 % au sujet du vieillissement à rité et l’indépendance à domi- vations go to HiringAContrac- tractor based firms such Acces- des proches aidants modifier- domicile. Les gens désirent « cile. tor.com and RenoMark.ca. sible Daily Living are working ont leur domicile et/ou celui s’épanouir chez eux », et, qu’ils L’éclairage crée l’ambiance out the details for a national des personnes qui leur sont aient 25, 45, 65 ou 85 ans, la pour un dîner de fête ou éclaire The Canadian Home Builders’ coalition, “Home Modification chères. maison est l’endroit où l’on fait le passage pour se rendre aux Association (CHBA) and Car- Canada,” to serve as a one- Les proches aidants, les er- les choses que l’on aime avec toilettes pour les aînés insta- egiver Omnimedia co-authored stop clearing house for trained gothérapeutes et les autres pro- les personnes avec qui nous bles. Un éclairage adéquat this article to encour-age col- contractors, occupational ther- fessionnels des soins de santé aimons les faire. aide à prévenir les chutes, laboration between our mem- apists, and consumers. à domicile sont des acteurs im- Considérer le fait de vieillir Continued on Page 12 April 2017 www.thefamilycaregiver.com 11 Domotique pour les aînés Continued from Page 11 une préoccupation importante jouer un rôle important. Ils chez les personnes âgées. Il incluent les toilettes qui se peut en outre être programmé nettoient automatiquement pour se mettre en marche au- et avertissent le propriétaire tomatiquement dès que la nuit lorsqu’ils sont encore en tombe. marche. Ces appareils peuvent être contrôlés depuis un Pourquoi l’ergothérapie téléphone intelligent lorsque est-elle importante pour la l’on est hors de chez soi. Les modification résidentielle? sols peuvent être nettoyés et Le rôle des ergothérapeutes le contenu du réfrigérateur peut être incalculable pour peut être vérifié… le tout à le processus de modification distance. résidentielle. En effet, ils aid- Les thermostats intelli- ent à trouver l’ajustement gents permettent d’ajuster les optimal entre la personne et températures pour que celles- son domicile, en identifiant ci puissent s’aligner avec un les modifications prenant en horaire, la réception d’alertes compte la nature changeante et la consommation d’énergie de la maladie ou de la capac- pour que les utilisateurs puis- ité. À son tour, cela peut op- sent diminuer leurs dépenses timiser la qualité de vie et le quotidiennes. temps passé à vivre à la mai- En plus des appareils de do- son. motique ci-dessus, les produits Indépendamment de de faible technologie évoluent la recommandation ou de vers la haute technologie, avec l’intervention, l’ergothérapie des spas et des baignoires à offre des solutions pratiques porte. Une fois à l’intérieur, pour améliorer l’engagement la technologie intelligente dans les activités de tous les permet à l’utilisateur de prof- jours et la qualité de vie, ren- iter d’une aromathérapie con- forcer la sécurité et réduire trôlée, une température d’eau résidentielle, ou même quelles ser un contrat en vue d’une Modification Guide. Elle a le stress et la pression de constante et la possibilité de modifications offriront la rénovation résidentielle, ren- aussi organisé des séminaires l’aidant. s’allonger et de se relaxer meilleure solution pour leurs dez-vous à HiringAContrac- consacrés à la modification Les capteurs peuvent après une longue journée de besoins. tor.com et RenoMark.ca. résidentielle et au vieillisse- suivre le mouvement des pro- travail. Ces appareils offrent La collaboration entre ment à domicile au cours des priétaires et prendre note des également un accès facile aux les rénovateurs et les er- La Canadian Home Build- 5 dernières années. chutes et des immobilités, les personnes ayant des difficultés gothérapeutes dans ce do- er’s Association (CHBA) et Caregiver Omnimedia, ainsi deux états pouvant indiquer physiques, y compris les per- maine est clairement néces- Caregiver Omnimedia ont que plusieurs entreprises une urgence médicale. Des sonnes utilisant un fauteuil saire. Il n’est pas très utile corédigé cet article pour en- connexes et fournisseurs de capteurs peuvent relayer ces roulant et d’autres dispositifs d’embaucher un rénovateur courager la collaboration en- soins à domicile et dans la informations aux proches d’assistance. pour installer une barre tre nos membres pour mieux communauté sans but lucra- aidants hors du domicile, Nous pouvons tous conve- d’appui alors que la personne servir notre population vieil- tif, y compris March of Dimes lorsqu’existent ces conditions. nir qu’il est important de bien serait mieux servie par lissante. Les proches aid- Canada, le CMHC, le Toronto Des dispositifs à activation planifier à l’avance pour répon- l’installation d’une baignoire ants sont le point focal de Rehabilitation Institute, le vocale permettent de con- dre aux besoins d’une popula- à porte. Les ergothérapeutes l’entreprise de marketing et Groupe CSA, le Ryerson’s In- trôler la maison. Cela permet tion vieillissante. Un certain mènent un examen détaillé média basée à King City (On- stitute of Ageing et American d’ajuster le thermostat, tout nombre de programmes de de l’état de la personne ayant tario) dirigée par Don Fenn, Standard. Des entreprises en portant un panier de linge, financement gouvernemen- besoin d’aide et peuvent « pre- Caregiver Omnimedia. À ce d’entrepreneurs comme Acces- en allumant les lumières sans taux sont offerts. Cependant, scrire » les caractéristiques titre, ils défendent les intérêts sible Daily Living se penchent devoir quitter son lit, et même bon nombre d’entre nous ne de la maison qui la rendront de douzaines d’entreprises, de sur les détails d’une coalition texter des choses à faire à un sont pas au courant de ces plus facile à utiliser. Pour en 8,5 millions de proches aid- nationale (Home Modification téléphone intelligent… le tout programmes. De la même apprendre davantage sur la ants, d’entrepreneurs et du Canada) pour servir de guichet sans bouger le petit doigt. manière, les gens ne sont pas Home Modification Canada, système de soins de santé. Ce- unique pour les entrepreneurs Les appareils ménagers in- au courant des avantages rendez-vous à HomeMods. tte entreprise fondée il y a 13 formés, les ergothérapeutes et telligents peuvent également découlant de la modification ca. Pour savoir comment pas- ans publie également le Home les consommateurs.

12 www.thefamilycaregiver.com April 2017 Let’s Get You Home

HEATHER JENKINS, BSC PT Home First Implementation Specialist Kingston General Hospital

People are living in their own homes longer as they age, but they are sometimes living with complex medical issues and limited social supports. Car- egivers are often elderly themselves, and may be without connection to the array of services available. There is an opportunity to help create connections for these individuals and their caregivers to the supports that can keep them living well at home. This is especially true after an admission to hospital. Hospitals in our region and across the province are putting the Home First philosophy into action. Home First is a philosophy that aims to keep patients - specifically high needs seniors - safe in their homes for as long as possible with community supports. It creates a common understanding amongst all members of the health care team that every patient admitted to the hospital should expect to return home, and be provided the opportunity to make any long term living decisions from there. There is growing evidence to support providing patient care in the home. Studies have shown that care in the In addition to increased patient risk, tween hospitals, Community Care Ac- caregiver relief. home can maintain an individual’s backlogs have significant effects on the cess Centre (CCAC) and Community Every patient who is admitted to independence while reducing the de- rest of the healthcare system. The role Support Services facilitate shifting the hospital should expect to return home. mand for care in a long-term care home of acute care is to be responsive to the location of care from hospital to com- Through communication and educa- where there can be long wait lists for needs of those who are acutely ill, or munity whenever possible. Home First tion, patients and families can better beds. Long-term care waitlists contrib- who require the services of a hospital. works because of the strength of these understand the rationale and benefits ute to backlogs in the hospital for pa- If hospital beds are full, access to those partnerships. behind Home First so they do not feel tients who have completed their acute services is delayed, causing people who The CCAC plays a part in Home First as if they are simply being forced out care stay are waiting in hospital for ad- are sick to wait on stretchers in crowd- given their role as system navigators of the hospital. They can also gain the mission to a long-term care home. ed and noisy emergency departments, for patients that are sent home. Work- knowledge necessary to empower them There are risks to a patient remain- and wait times for elective procedures ing with the in-hospital team includ- to manage their own care and be more ing in the hospital after their acute- to increase. ing the patient/family to identify and involved in their own recovery. care episode has ended. These risks Being able to meet the often special- address the challenges to discharging include contracting infectious disease, ized healthcare needs of a large com- home, CCACs provide a wide variety of Did you know? physical/mental deterioration and so- munity requires close collaboration services that enable patients to remain • Long-term care placements occur cial isolation. Home First ensures that between community and regional hos- safely in their home. In keeping with much more often from the commu- every effort is made by the health care pitals as well as other organizations the Home First approach, CCAC may nity than from the hospital team to first maximize a patient’s func- to ensure that patients can access the increase support and capacity for high • Many patients discharged from hos- tion and promote their independence, care they need. needs seniors in the community. pital under Home First remain at then involve and engage the patient Tapping into community resources Community Support Services will home and do not go to Long Term and family in decision-making to en- that make discharge to home or other deliver vital in-home practical services Care sure adequate resources are in place community destinations possible is to assist with the instrumental activi- • On average, 143 long-term care beds to support the person to go home when critical to the success of the Home ties of daily living such as meal deliv- become available in the South East their acute care needs have been met. First approach. Active partnership be- ery, home help, transportation, and LHIN per month.

April 2017 www.thefamilycaregiver.com 13 Easy access to reliable data...

SouthEasthealthline.ca is an innovative website that puts accurate and up-to-date Lennox and Addington, Hastings, Brighton, and Prince Edward County. Users can information about health services at the fingertips of consumers and health care choose to receive local information first or search the entire South East region. providers across the South East region of Ontario. SouthEasthealthline.ca provides Health Events, News, Careers and Library sections provide other avenues to much easy access to a reliable source of data, and empowers consumers to find the serv- needed health services information. SouthEasthealthline.ca adheres to industry ices they need close to home. standards to ensure the site and its content is of the highest quality.

Over 4,000 service listings describe organizations and programs serving people who We are pleased to share listings for transportation and homemaking services from live in Leeds, south Grenville, south Lanark, Frontenac, Kingston and the Islands, SouthEasthealthline.ca to help you manage your caregiving role.

Transportation Community Care for South Hastings Community and Primary Health Care KINGSTON, FRONTENAC, (including accessible, Non-accessible Non-accessible LENNOX ADDINGTON 345 Herbert St, Gananoque, non-accessible and volunteer) 470 Dundas St E, Belleville, AT HOME Support Services ON K8N 1G1 ON K7G 2Y7 Non-accessible 613-382-1175 HASTINGS, PRINCE 613-969-0130 Kingston, ON K7L 3N6 613-453-6794 EDWARD, QUINTE WEST Community and Primary Health Bancroft Community Transit Deseronto Transit Accessible and non-accessible Care Van Just For Seniors Canadian Cancer Society - - Transportation for Special Needs Non-accessible Transportation to treatment Accessible and non-accessible 48A Brant St, Deseronto, ON K0K 1X0 2235 Parkedale Ave, 613-396-4008 Non-accessible PO Box 727, Bancroft, ON K0L 1C0 Brockville, ON K6V 6B2 496 Days Rd, Kingston, ON K7M 5R4 613-332-2732 (North Hastings Cty) 613-342-3693 ext 2034 613-384-2361 613-403-2209 (Belleville Mohawks of the Bay of Quinte - and South Hastings) Community Wellbeing Centre Community Home Support - Lanark Cty Comfort Keepers Home Healthcare Accessible Non-accessible Services 50 Meadow Dr, Deseronto, Bancroft Community Transit 2 Gould St, Smiths Falls, ON K7A 2S5 Non-accessible ON K0K 1X0 613-283-6745 - Youth Transportation 1786 Bath Rd, Kingston, ON K7M 4Y2 613-967-3603 613-634-2273 Accessible and non-accessible Community Home Support - Lanark Cty PO Box 727, Bancroft, ON K0L 1C0 Prince Edward County Community Non-accessible Frontenac Transportation 613-332-2732 Care for Seniors Association (The) 40 Sunset Blvd, Ste 100, Non-accessible Non-accessible Perth, ON K7H 2Y4 1004 Art Duffy Rd, Sharbot Canadian Cancer Society - 74 King St, Unit A, Picton, ON K0K 2T0 613-267-6400 Lake, ON K0H 2P0 Transportation to Cancer Related 613-476-7493 613-279-2044 Appointments - Non-accessible Gananoque Wheels Of Care 121 Dundas St E, Belleville, Accessible and non-accessible Kingston Access Services - Access Quinte Access Transportation 375 James St, Gananoque, Bus and Kingston Area Patient ON K8N 1C3 Accessible and non-accessible 613-962-0686 ON K7G 2Z1 Shuttle ( KAPS ) 97 Front St, Trenton, ON K8V 4N6 613-382-4831 Accessible and non-accessible 613-392-9640 Central Hastings Support Network PO Box 424, Kingston, ON K7L 4W2 Lanark, Leeds and Grenville 613-542-2512 Accessible and non-accessible Victorian Order of Nurses Canada Addictions and Mental Health Bpx 13, Madoc, ON K0K 2K0 - Hastings Northumberland Prince Non-accessible Land O Lakes Community Services 613-473-5255 Edward - VON Community Care 25 Front Ave W Unit 1, Accessible and non-accessible Quinte West Brockville, ON K6V 4J2 12497A, Hwy 41, Unit 1, Community Care - North Hastings Non-accessible 613-342-2262 Northbrook, ON K0H 2G0 Non-accessible 80 Division St, Trenton, ON K8V 5S5 613-336-8934 PO Box 132, Coe Hill, ON K0L 1P0 613-392-4181 Lanark Transportation 613-337-5357 Accessible and non-accessible Lennox and Addington Seniors 40 Sunset Blvd, Ste 126, Outreach Services Volunteer and Information Quinte Perth, ON K7H 2Y4 Accessible and non-accessible Community Care - North Hastings - Hastings and Prince Edward Accessible and non-accessible 613-264-8256 12 Richmond Park Dr, Transportation Solutions Website Napanee, ON K7R 2Z5 PO Box 1786, Bancroft, ON K0L 1C0 www.hpetransportation.ca Mohawk Council of Akwesasne 613-354-6668 613-332-4700 ext 222 199 Front St, Belleville, ON K8N 5H5 - Home Care and Home Support Cell: 613-332-8735 613-969-8862 Accessible and non-accessible Modern Taxi 101 Tewesateni Rd, Accessible and non-accessible Community Care Northumberland LEEDS, GRENVILLE Akwesasne, ON K6H 5R7 665 Montreal St, Kingston, Accessible and non-accessible AND LANARK 613-936-1508 ext 1067 ON K7K 3J3 PO Box 561, Brighton, ON K0K 1H0 Canadian Cancer Society - 613-475-4190 Transportation to treatment Synfast Corporation - Brockville Northern Frontenac Community Services Non-accessible Transportation Service Community Care for Central Hastings Accessible and non-accessible Accessible and non-accessible 105 Dufferin St, Ste 201, PO Box 250, Sharbot Accessible and non-accessible Perth, ON K7H 3A5 Box 204, Brockville, ON K6V 5T2 613-345-7272 Lake, ON K0H 2P0 Box 201, Madoc, ON K0K 2K0 613-267-1058 613-279-3151 613-473-9009 Westport Lions Club - Mobility Van Community and Primary Health Care Service Ontario Family Matters - Community Care for South Hastings Non-accessible Accessible and non-accessible Transportation Non-accessible 2235 Parkedale Ave, 245 Mountain Rd, Westport, Accessible PO Box 622, Deseronto, ON K0K 1X0 Brockville, ON K6V 6B2 ON K0G 1X0 1433 Avondale Cres, 613-396-6591 613-342-3693 ext 2032 or 2034 613-273-8677 Kingston, ON K7P 2V2 613-484-5942 14 www.thefamilycaregiver.com April 2017 ...to help you in your caregiver role

Southern Frontenac Victorian Order of Nurses Canada Home Instead Senior Care Dianne Robinson - Homemaker Community Services - Hastings Northumberland 260 Hearst Way, Ste 210, 7131 Cty Rd 2, Napanee, ON K7R 3K6 PO Box 43, Sydenham, ON K0H 2T0 Prince Edward Ottawa, ON K2L 3H1 613-354-3230 or Cell 343-363-6607 613-376-6477 80 Division St, Trenton, ON K8V 5S5 613-599-6906 1-855-285-2992 Elizz - All Things Caregiving Independent Living Services 410-1471 John Counter Blvd, Victorian Order of Nurses Canada LEEDS, GRENVILLE - Greater Kingston Site 324 Main St E, Merrickville, Kingston, ON K7M 8S8 AND LANARK ON K0G 1N0 613-530-3400 Accessible and non-accessible Bahay CAREgiver Services - 1469 Princess St, Kingston, 613-246-1670 Caregiver Placement Agency For The Love of Seniors ON K7M 3E9 238A Brock St, Kingston, ON K7L 1S4 613-634-0130 Kennedy Kleaning 919 Hudson Dr, Kingston, 613-549-0833 556 O’Connor Dr, Unit 123B, ON K7M 5V4 Homemaking Services Bayshore Home Health Kingston, ON K7P 1N3 613-766-7936 PO Box 277, Brockville, ON K6V 5V5 613-305-3202 613-345-3371 Kennedy Kleaning HASTINGS, PRINCE L L & T ( Lana’s Love and Trust ) 556 O’Connor Dr, Unit 123B, EDWARD, QUINTE WEST 7284 Dixon Rd, Brockville, Kingston, ON K7P 1N3 Bahay CAREgiver Services - Bayshore Home Health Caregiver Placement Agency 52 Abbott St N, Smiths ON K6V 5T2 613-305-3202 238A Brock St, Kingston, ON K7L 1S4 Falls, ON K7A 1W5 613-926-1757 613-549-0833 613-283-1400 Land O Lakes Community Services Mohawk Council of Akwesasne 12497A, Hwy 41, Unit 1, Bayshore Home Health CBI Home Health Services - Department of Health Northbrook, ON K0H 2G0 81 Millennium Pkwy, Ste 2A, 774 Baker Crescent, Ste A, 101 Tewesateni Rd, 613-336-8934 Belleville, ON K8N 4Z5 Kingston, ON K7M 6P6 Akwesasne, ON K6H 5R7 613-962-7229 613-384-7891 613-936-1508 ext 1067 Limestone City Home Healthcare Services CBI Home Health Services Comfort Keepers Home Ontario Family Matters 1379 B Princess St, Kingston, 81 Millennium Pkwy, Unit D, Healthcare Services 1433 Avondale Cres, ON K7M 3E4 Belleville, ON K8N 4Z5 1786 Bath Rd, Kingston, ON K7M 4Y2 613-634-2273 Kingston, ON K7P 2V2 613-767-4204 (24 hrs daily) 613-962-3426 613-484-5942

Community and Primary Health Northern Frontenac Community Care for Central Hastings Saint Elizabeth Health Care Community Services Box 201, Madoc, ON K0K 2K0 Care – Home Help Brokerage 2235 Parkedale Ave, 1916 Pitt St, Ste 5, Cornwall, PO Box 250, Sharbot 613-473-9009 Brockville, ON K6V 6B2 ON K6J 5H3 Lake, ON K0H 2P0 613-342-3693 613-936-8668 ext 5381 613-279-3151 Community Care for South Hastings PO Box 622, Deseronto, ON K0K 1X0 Community and Primary Health KINGSTON, FRONTENAC, Ontario Family Matters 613-396-6591 Care - Home Help Brokerage LENNOX AND ADDINGTON 1433 Avondale Cres, 345 Herbert St, Gananoque, Community Care for South Hastings AT HOME Support Services Kingston, ON K7P 2V2 ON K7G 2Y7 Kingston, ON K7L 3N6 613-484-5942 470 Dundas St E, Belleville, 613-382-1175 ON K8N 1G1 613-453-6794 613-969-0130 ParaMed Home Health Care Community Home Support - Lanark Bahay CAREgiver Services - 786 Blackburn Mews, County - Home Help Brokerage Community Care Northumberland Caregiver Placement Agency Kingston, ON K7P 2N7 40 Sunset Blvd, Ste 100, 613-549-0112 PO Box 561, Brighton, ON K0K 1H0 Perth, ON K7H 2Y4 238A Brock St, Kingston, ON K7L 1S4 613-475-4190 613-267-6400 613-549-0833 Patti Miller - Personal Kennedy Kleaning Community Home Support - Lanark Bayshore Home Health Support Services 556 O’Connor Dr, Unit 123B, County - Home Help Brokerage 76 Stuart St, Kingston, ON K7L 2V7 57 West St, Enterprise, ON K0K 1Z0 Kingston, ON K7P 1N3 2 Gould St, Smiths Falls, ON K7A 2S5 613-542-4242 613-358-2985 613-305-3202 613-283-6745 CBI Home Health Services Quality Care Health Services Ontario Family Matters Cozy Living Home Care (Groupe Santé CBI ) 1096 Crossfield Ave, 1433 Avondale Cres, 189 Coutts Bay Rd RR5, 774 Baker Crescent, Ste A, Kingston, ON K7P 0G7 Kingston, ON K7P 2V2 Perth, ON K7H 3C7 Kingston, ON K7M 6P6 613-531-0265 613-484-5942 613-482-3338 613-384-7891 Seniors Association ParaMed Home Health Care Elizabeth’s Senior Support Services Kingston Region 786 Blackburn Mews, Comfort Keepers Home 825 Eden Grove Rd, Healthcare Services 56 Francis St, Kingston, ON K7M 1L8 Kingston, ON K7P 2N7 Lansdowne, ON K0E 1L0 613-969-5258 1786 Bath Rd, Kingston, ON K7M 4Y2 613-548-7810 613-876-3848 or 613-659-4145 613-634-2273 Southern Frontenac Prince Edward County Community Elizz - All Things Caregiving Care for Seniors Association (The) 410-1471 John Counter Blvd, Community Care for South Hastings Community Services 74 King St, Unit A, Picton, ON K0K 2T0 Kingston, ON K7M 8S8 PO Box 622, Deseronto, ON K0K 1X0 PO Box 43, Sydenham, ON K0H 2T0 613-476-7493 613-530-3400 613-396-6591 613-376-6477 ext 306 TLC Laundry - Wash and Fold Service Enriched Homecare Cozy Living Home Care Victorian Order of Nurses Canada 182 Dundas St E, Trenton, 6545 New Dublin Rd, 189 Coutts Bay Rd RR5, 1469 Princess St, Kingston, ON K8V 1L6 Addison, ON K0E 1A0 Perth, ON K7H 3C7 ON K7M 3E9 613-965-1222 613-340-7375 613-482-3338 613-634-0130

April 2017 www.thefamilycaregiver.com 15 Le but… vous ramener à la maison!

HEATHER JENKINS, BSC PT physique ou mental et Home First Implementation Specialist l’isolement social. La phi- Kingston General Hospital CCAC Nursing Clinics losophie Chez soi avant tout permet d’abord de deliver outstanding care in the community Les personnes qui vieillissent vivent s’assurer que l’équipe dorénavant plus longtemps dans leur soignante déploie tous les demeure, mais elles ont parfois des efforts nécessaires pour problèmes médicaux complexes et peu maximiser le fonction- de soutien social. Souvent, les soign- nement d’un patient et ants sont des aînés eux-mêmes et n’ont favoriser son autonomie. “I am 82 years old and I aucun lien avec la gamme de services Elle permet ensuite de disponibles. Il est toutefois possible de mobiliser le patient et contribuer à créer des liens entre les la famille et de les faire have never been looked personnes, leurs soignants et les serv- participer aux prises de ices de soutien qui peuvent les aider à décisions pour veiller à a�er so professionally vivre à la maison plus longtemps. Cela ce que les ressources per- est particulièrement vrai après une ad- tinentes soient en place as I was at your clinic.” mission à l’hôpital. pour appuyer la personne Les hôpitaux de notre région et de dans son retour à la mai- l’ensemble de la province mettent en ac- son une fois ses besoins tion la philosophie Chez soi avant tout. en matière de soins actifs Celle-ci a pour but de garder les patients satisfaits. – particulièrement les aînés ayant des En plus d’augmenter les besoins élevés – en sécurité dans leur risques pour les patients, demeure aussi longtemps que possible l’engorgement entraîne au moyen de services de soutien com- d’importants effets sur le munautaire. Grâce à Chez soi avant reste du système de soins tout, les membres de l’équipe soignante de santé. Les soins actifs ont pour rôle de à la communauté chaque fois que cela devrait s’attendre à retourner à la ont une compréhension commune du répondre aux besoins des personnes en est possible. Si Chez soi avant tout fonc- maison. Grâce à la communication et concept selon lequel chaque patient phase aiguë d’une maladie ou exigeant tionne bien, c’est grâce à ces partenari- à l’éducation, les patients et familles admis à l’hôpital devrait s’attendre à re- des services hospitaliers. Si les lits des ats. peuvent mieux comprendre la raison tourner à la maison et à avoir, à partir hôpitaux sont pleins, l’accès à ces serv- Le CASC assume une partie de d’être et les avantages de la philosophie de là, l’occasion de prendre des déci- ices est retardé, les personnes malades l’approche Chez soi avant tout compte Chez soi avant tout, plutôt que d’avoir sions quant à ses conditions de vie à doivent attendre sur des civières dans tenu de son rôle de navigateur dans le l’impression d’être simplement forcés long terme. des services d’urgence bondés et bruy- système pour les patients qui retournent de quitter l’hôpital. Ils peuvent aussi De plus en plus de données appuient ants et les temps d’attente pour les in- à la maison. Travaillant avec l’équipe in- acquérir les connaissances nécessaires la prestation des soins au domicile du terventions non urgentes augmentent. terne de l’hôpital, y compris le patient et pour prendre en charge leurs propres patient. Des études ont démontré que les La capacité de répondre aux besoins la famille, pour cerner et relever les dé- soins et participer davantage à leur soins à domicile peuvent permettre à la en matière de soins de santé souvent fis associés au retour à la maison après rétablissement. personne de maintenir son autonomie, spécialisés d’une grande collectivité le congé, les CASC offrent une grande tout en réduisant la demande du côté exige une étroite collaboration entre les variété de services qui permettent aux Saviez-vous que…? des foyers de soins de longue durée, où hôpitaux communautaires et régionaux, patients de demeurer à domicile en • Les placements en soins de longue il peut y avoir de longues listes d’attente ainsi qu’avec d’autres organismes pour toute sécurité. Respectant l’approche durée sont beaucoup plus souvent pour les lits. Les listes d’attente pour assurer aux patients l’accès aux soins Chez soi avant tout, les CASC peuvent initiés par la communauté que par les soins de longue durée contribuent à dont ils ont besoin. augmenter le soutien offert et la ca- l’hôpital. “The clinic was much more convenient l’accumulation dans les hôpitaux de cas L’accès aux ressources communau- pacité des personnes âgées ayant des • Beaucoup de patients qui reçoivent de patients pour qui les soins actifs sont taires qui rendent le retour à la maison besoins élevés dans la communauté. leur congé de l’hôpital dans le cadre terminés, mais qui attendent un place- ou à d’autres destinations communau- Les services de soutien communau- de l’approche Chez soi avant tout for me than home care” ment dans un foyer de soins de longue taires possible à la suite d’un congé est taire offrent à domicile des services pra- demeurent à domicile et ne vont pas durée. indispensable à la réussite de l’approche tiques essentiels pour les principales dans un foyer de soins de longue du- Il existe des risques pour le patient Chez soi avant tout. Un partenariat actif activités de la vie quotidienne comme la rée. “I would highly recommend the service” qui reste à l’hôpital une fois son épisode entre les hôpitaux, le Centre d’accès aux livraison des repas, les services d’aide • En moyenne, 143 lits de soins de aigu terminé. Ces risques comprennent soins communautaires (CASC) et les familiale, le transport et le répit pour les longue durée deviennent disponibles la possibilité de contracter une maladie services de soutien communautaire fa- soignants. chaque mois dans le territoire du RL- infectieuse, la détérioration de son état cilite la transition des soins de l’hôpital Chaque patient admis à l’hôpital ISS du Sud-Est. Outstanding care from knowledgeable, professional and courteous staﬀ 16 www.thefamilycaregiver.com April 2017

“I would highly recommend the service” NEWS

CCAC Nursing Clinics deliver outstanding care in the community

“I am 82 years old and I have never been looked a�er so professionally as I was at your clinic.”

“The clinic was much more convenient for me than home care” “I would highly recommend the service”

Outstanding care from knowledgeable, professional and courteous staﬀ

“I would highly recommend the service” Living longer at home …it takes collaborative planning

SUE LANTZ own home. Given our longer care consultant within home burden and providing more acting on our stated wishes/ In most surveys conducted lifespans, this means living and community care for sen- certainty and direction on preferences. in North America, seniors up to 25-30 years after retiring iors, I have learned that very how best to organize the state a desire to age in the from formal paid work. Yet, few people have a vision and supports we will need. Co-Locate - By deliberately community and stay in their during my career as a health- a concrete plan about “how” • We can take advantage of choosing where to live, we they will “Age in Place”. technologies to maintain can situate ourselves in a way our health - by communi- that simplifies the logistics Barriers to Planning cating and coordinating of getting help (or provid- While my consulting practice effectively with our doc- ing help). By co-locating near is about Collaborative Aging, tors, caregivers and other people we trust and like, and I am also an aging boomer. health providers. near to day-to-day amenities And boomers are notorious (e.g. bank, drug store, grocer- for avoiding the topic of aging, Collaborative ies), we set ourselves up to and procrastinating on the Planning Strategies more easily access resources, personal decisions related to Boomers want to continue receive and provide help to aging. This age-denying and having satisfying and fulfill- others, and be more socially avoidant approach means that ing lives as we age and live connected in ways that main- we also forfeit what we most longer in our homes and com- tain emotional well-being. highly value: choice. It also munities. Once we accept the means that we leave the deci- fact that we are aging, we can Co-Consume - In choosing sions until a crisis situation more comfortably create our to co-locate with others in occurs (e.g. a fall, or a health own action plans. An effec- a building or desired age- crisis) resulting in reactive tive aging plan is informed by friendly neighborhood, this transitions versus proactive the best research, conversa- also allows us to consider plans and choices. Crisis de- tions with friends and family shared or cluster models cisions can also be costly (for members and, the input and of organizing and paying us, for the healthcare system, advice of high quality experts for needed services- which and our families) and stress- (e.g. legal, financial, medical, can save money. Some of the ful for all involved. etc.). This is an iterative proc- services that could be shared ess, and plans will continually are housing (e.g. co-owner- Benefits of Planning need to be updated. To guide ship or renting together), Here are just a few of the your thinking, the following transportation, home help, benefits of taking a proactive are three collaborative plan- medical appointment com- When a home health care and collaborative approach to ning strategies to consider: panions, grocery shopping, planning for living longer as meals, errands, garden help, worker visits your home... we age, at home: Co-Plan - Planning begins and home care. • It can save us time and with defining and articulat- By researching and devel- All home health care workers are to money - by arranging sim- ing our lifestyle and quality oping our individual plans show identification to the patient or their ple and practical ways of of life preferences, and the and sharing our ideas and caregiver every time they visit. situating ourselves to ef- related supports to achieve wishes with others, we are ficiently meet our future these preferences. The plan essentially creating a Collab- This identification will include the name of the needs. also involves figuring out orative Aging Plan. In doing worker, the name of the organization they • We can optimize our who our caregivers might be, this planning, we increase our work for and a photo. housing solutions - by organizing finances, and pre- potential for success in lead- making informed choices paring our home to be safe ing longer and active lives, This identification should be shown before about a moving to a new and accessible. The plan must while using our resources they enter the home. If the worker does not place, or carrying out home also include stating our health wisely - to age in the place of show you their identification – ask! renovations that ensure care wishes in an Advance our choice! that our homes are outfit- Care Plan, so that when the Please contact your South East CCAC ted for aging in place. time is right – our caregiver Sue Lantz, BA, MPA Care Coordinator or Service Provider • Our caregivers will have support network is equipped Founder and Managing if you have any questions . an easier experience – by to carry out their respective Director, Collaborative Aging reducing their worry and roles, including if required, www.collaborativeaging.com

18 www.thefamilycaregiver.com April 2017 After a fall How to safely pick up a loved one (or yourself)

BY ANNE-MARIE BOTEK down by their feet.(Keep The answer to this complex in mind, your loved one question depends on a vari- needs to be the one doing ety of situational factors— the physical work of get- the most important factor is ting up. You’re just there to whether or not the person was help guide them and keep injured by their tumble. When them steady, not lift their in doubt, it’s always safest to weight.) call 9-1-1 for help. Longtime • Help your loved one roll caregiver and AgingCare Ex- over onto their side, assist pert, Carol Bradley Bursack them into a kneeling posi- also suggests seeking out tion. If they suffer from caregiver training courses, sore knees, a towel placed (A chair would be ideal.) Even though one-third of doctor about the event. He which typically cover topics underneath the knees can • Roll onto your hands and adults age 65 and older expe- or she can make sure you or such as how to safely assist a make them more comfort- knees, then crawl or drag rience a fall each year, fewer your loved one didn’t sustain fallen loved one. able. yourself over to the piece than half of these individuals any invisible injuries as a re- There are some general • Move the chair closest to of furniture. tell their physician about it, sult of the fall, and suggest guidelines that can help you their head directly in front • Get into a kneeling posi- according to the Centers for ways to prevent unnecessary get a loved one upright—with- of where they are kneeling tion and place your arms Disease Control and Preven- tumbles. out hurting them or yourself so that they can place their on a stable area of the tion. Falls are often seen as You should also tell at least in the process. Keep in mind, hands on the seat, evenly. piece of furniture (e.g. the embarrassing indicators of one friend or family member these strategies should only • Ask your loved one to lean seat of the chair). an adult’s decline and their about the fall, so that they can be used when you know your on the seat as they bring • Bring one knee forward impending dependency on be on the lookout in case you loved one hasn’t been in- one leg forward and place and place your foot on the others for assistance, so it’s or your loved one need help in jured. that foot on the floor. floor. natural to want to keep such the future. If falls are becom- • Move the second chair di- • Using your arms and leg incidences a secret. ing more frequent, you might Tips for picking up rectly behind your loved simultaneously, push your- Regardless of whether it was also want to consider invest- someone that has fallen one, then ask them to use self up and pivot your bot- you (the caregiver) who expe- ing in an emergency alert • Stay calm and help your their arms and legs to push tom around until you’re rienced the fall or your loved device or an automatic fall loved one to remain calm themselves up, then sit sitting on the piece of fur- one, it’s essential to notify a detection system. by encouraging them to back into the second chair. niture. take slow, deep breaths. You can use your hands to • Stay sitting until you’re • Examine them for inju- keep your loved one steady, confident you can move �� ries—bruises, possible but keep your back upright around without hurting sprain, broken bones. and make sure they are do- yourself or falling again. • If they have a serious in- ing the physical work to lift • If you find that you are un- jury (e.g. a broken bone), themselves. able to get up after falling, �� then don’t move them. Call • Notify their doctor that stay calm and try to alert ��Personal Response System 9-1-1, and keep your loved they’ve had a fall. someone to your predica- one as warm and comfort- ment. While you’re waiting “When others can’t be with you, help is just a button push away, 24 hours a day, 7 days a week” able as possible until help How to get back up for help, endeavor to keep arrives. after you have fallen warm and move around • If they aren’t badly hurt • Stay calm. slowly to avoid placing too Ask us about the new Philips and they want to get up, • Examine yourself for in- much sustained pressure NEW Automated Medication Dispenser proceed slowly and stop at juries—bruises, possible on any one area of your any point if they become sprains, broken bones. body. Brockville: 613-342-9991 stuck or too tired to get all • If you are confident you • Notify your doctor that Kingston: 613-542-9643 the way up. haven’t broken any bones you’ve had a fall. Toll-Free: 1-877-565-0008 • Find two sturdy chairs. or experienced a serious in- �� Place one next to your loved jury, search for the nearest Why falls should �� one’s head and the other piece of sturdy furniture. never remain secret April 2017 www.thefamilycaregiver.com 19 Health Links provide coordinated, efﬁcient and effective care to patients with complex needs

Established by the Ministry of for Health Links is the Coor- changes that Health Links pa- Health and Long-Term Care dinated Care Plan (CCP) that tients are noticing and is also in 2013, Health Links have define how providers, patients one of the keys to their suc- proven to be an innovative and their families will work cess. When different health approach to providing timely together to coordinate and care providers work as a team care to high-needs patients deliver care for Health Link to care for a patient, they can by better coordinating local patients. Each CCP is devel- better coordinate the full pa- health care resources. These oped with direct input from tient journey through the are most often patients with the patient. CCPs reflect pa- health system, leading to bet- multiple, complex conditions. tients’ stated goals, needs and ter care for patients.” Health Links put family preferences and are written With greater collaboration care providers at the centre of in clear, accessible language, between patients and existing the health care system. With using the patient’s own words local health care providers, improved coordination and where possible. including family care provid- information sharing, patients “We believe strongly in ers, specialists, hospitals, receive faster care, spend less this model of care and it is long-term care, home care and time waiting for services and one of the reasons the South other community supports, are supported by a team of viders, including family care but rather each Health Link East LHIN continues to sup- patients benefit from better, health care providers at all providers, specialists, hos- is led by pre-existing organi- port Health Links across the more coordinated care. levels of the health care sys- pitals, long-term care, home zations such as Family Health region,” said Paul Huras, CEO tem. care and other community Teams, Family Health Organi- of the South East LHIN. “Be- To learn more about Health Health Links encourage supports. zations or Community Health ing supported and connected Links in your area visit www. greater collaboration between Health Links are not new Centres. to services in the community southeasthealthline.ca and existing local health care pro- separate health providers, A critical success factor is one of the most important search Health Links. Les maillons santé offrent des soins efﬁcients, efﬁcaces et coordonnés aux patients ayant des besoins complexes

Mis sur pied par le ministère rapidement des soins, de pas- mes de santé familiale ou les « Nous adhérons ferme- inement du patient dans le de la Santé et des Soins de ser moins de temps à attendre centres de santé communau- ment à ce modèle de soins et système de soins de santé, ce longue durée en 2013, les d’avoir accès à des services et taire. c’est l’une des raisons pour qui se traduit par de meilleurs maillons santé se sont avérés d’obtenir des soins de la part Le Plan de soins coordon- lesquelles le RLISS du Sud- soins pour les patients. » une approche novatrice à la d’une équipe de fournisseurs nés (PSC) est un facteur es- Est continue de soutenir les Grâce à une plus grande prestation de soins en temps de services de santé à tous les sentiel pour le succès des maillons santé d’un bout à collaboration entre les four- voulu aux patients ayant des échelons du système de soins maillons santé. Il définit la l’autre de la région, indique nisseurs de services de santé besoins élevés en assurant de santé. manière dont les fournisseurs Paul Huras, directeur général locaux, y compris les fournis- une meilleure coordination Les maillons santé encour- de soins de santé, les patients du RLISS du Sud-Est. Le fait seurs de soins familiaux, les des ressources en soins de agent une plus grande collab- et leur famille collaboreront d’être soutenus et mis en rap- spécialistes, les hôpitaux, les santé locales. Il s’agit princi- oration entre les fournisseurs pour coordonner et prodigu- port avec les services dans la soins de longue durée, les palement de patients atteints de services de santé locaux, y er les soins aux patients des communauté est l’un des plus soins à domicile et autres d’affections multiples et com- compris les fournisseurs de maillons santé. Chaque PSC importants changements que soutiens communautaires, plexes. soins familiaux, les spécial- est élaboré avec la partici- remarquent les patients des les patients reçoivent de meil- Les maillons santé pla- istes, les hôpitaux, les soins pation directe du patient. Il maillons santé. Il s’agit par leurs soins coordonnés. cent les fournisseurs de de longue durée, les soins à reflète les objectifs, besoins ailleurs d’un des éléments soins familiaux au centre du domicile et autres soutiens et préférences déclarés du clés de leur succès. Lorsque Pour en apprendre davantage système de soins de santé. communautaires. patient et est rédigé dans un différents fournisseurs de sur les maillons santé dans Une meilleure coordination Ils sont plutôt dirigés par langage clair et accessible, soins de santé travaillent en votre région, allez à www.lig- et un meilleur échange des des organismes de soins ex- utilisant les propres mots du équipe pour soigner un pa- nesantesud-est.ca/ et tapez « renseignements permettent istants comme les équipes de patient dans la mesure du tient, ils sont en mesure de maillon santé » dans la boîte aux patients de recevoir plus santé familiale, les organis- possible. mieux coordonner le chem- d’interrogation.

20 www.thefamilycaregiver.com April 2017 ��

�� Self-Manage Your Attendant Services Direct Funding Program

DIRECT FUNDING is an innovative, Ontario-wide program that funds adults with permanent physical disabilities to become employers of their own attendants. These employees assist with routine activities of daily living, including dressing, bathing and toileting. Choice • Recruit attendants based on your individual requirements • Schedule your workers to meet your daily living needs Control • Receive monthly funds to hire, direct and manage your own attendants Flexibility • Have your needs met where it’s convenient for you — at home, work, school or in the community

www.dfontario.cawww.dfontario.ca callcall (416)(416) 599-2458 or or 1-800-354-99501-800-354-9950 ext. ext. 235 235 CILT

Centre for Independent Living in Toronto Independent Living: Promoting a New Perspective on Disability

Abilities ad_FamilyCaregiver.indd 1 15-06-01 10:56 AM Self-Manage Your Attendant Services Direct Funding Program Care Coordinators Care Coordinators are the heart and soul of home and community care. They not only manage your initial contact and assessment when you are new to the CCAC, they also ensure that you receive, and continue to receive, the ongoing care you need, when you need it.

Who are Care DIRECT FUNDING is an innovative, Coordinators? Ontario-wide program that funds adults CCAC Care Coordinators are regulat- ed health professionals with expertise with permanent physical disabilities in nursing, social work, occupational to become employers of their own therapy, physiotherapy or speech attendants. These employees assist with therapy, who work directly with patients in hospitals, doctor’s offices, routine activities of daily living, including communities, schools and in patients’ dressing, bathing and toileting. homes.

What do Care Coordinators do? Choice Care Coordinators are connected to • Recruit attendants based on your every part of the health-care system individual requirements and can serve as your single-point of contact in obtaining services and infor- • Schedule your workers to meet mation. Care Coordinators use their pro- your daily living needs fessional health knowledge and assessment skills to understand your need, and then work with you to de- How do I connect with a care professional, a family member or Control individual needs, making recommen- velop a care plan that is right for you Care Coordinator? friend, or even by you, yourself. Simply • Receive monthly funds to hire, dations based on your needs and goals. – whether it’s nursing care, meal deliv- Care Coordinators are assigned to you get in touch with your local CCAC and direct and manage your own We work hand in hand with you and ery, a day program, or help finding a once you become a patient of the CCAC. we’ll help you get started. your family to find out what care you family doctor. Referrals can be made by a health- attendants Flexibility • Have your needs met where it’s convenient for you Coordonnateur de Soins — at home, work, school or in the community Les coordonnateurs de soins sont le glementés détenant des compétences aider à obtenir des services et des ren- son de repas, d’un programme de jour cœur et l’âme des soins à domicile et des en soins infirmiers, en travail social, seignements. ou d’aide pour trouver un médecin de soins communautaires. Ils ne font pas en ergothérapie, en physiothérapie ou Les coordonnateurs de soins uti- famille. www.dfontario.ca que gérer votre premier contact avec en orthophonie, qui travaillent directe- lisent leurs connaissances profession- le CASC et l’évaluation initiale de vos ment avec des patients en milieu hos- nelles dans le domaine de la santé et Comment puis-je entrer en contact call (416) 599-2458 or besoins dans le cadre d’une première pitalier, dans les cabinets de médecins, leurs compétences en évaluation pour avec un coordonnateur de soins? 1-800-354-9950 ext. 235 visite, ils veillent aussi à ce que vous les collectivités et les écoles, de même comprendre vos besoins personnels, Lorsqu’une personne devient patient receviez et continuiez de recevoir les qu’à domicile. de même que pour formuler des recom- du CASC, on lui affecte un coordon- soins continus dont vous avez besoin mandations reposant sur vos besoins nateur de soins. Un patient peut être lorsque vous en avez besoin. Que font les Coordonnateurs et vos objectifs. aiguillé par un professionnel de la de Soins? Nous faisons équipe avec vous et santé, un membre de la famille, ou un CILT Qui sont les Les coordonnateurs de soins sont en votre famille pour déterminer quels ami ou peut tout simplement faire la Coordonnateurs de Soins? lien avec chaque élément du système soins il vous faut et pour élaborer un démarche lui-même. Il vous suffit de Les coordonnateurs de soins des CASC de soins de santé et peuvent vous ser- programme de soins personnalisé, qu’il communiquer avec votre CASC local et sont des professionnels de la santé ré- vir d’unique point d’accès afin de vous s’agisse de soins infirmiers, de livrai- nous vous aiderons à commencer. Centre for Independent Living in Toronto Independent Living: Promoting a New Perspective on Disability April 2017 www.thefamilycaregiver.com 23

Abilities ad_FamilyCaregiver.indd 1 15-06-01 10:56 AM Fifty questions that will save you time, money & tears

When faced with the challenges of 13. Do you know what services they memory loss; isolation; substance 39. What is the name and phone family caregiving, particularly caring provide for you? abuse? number of the family minister, for your elderly parents, there are priest, or rabbi? hundreds of answers but what are the 14. Do you know the differences 26. Are your parents still driving? questions? With the help of many in among care facilities? Can you 40. Would your parents prefer a the caregiving field we have put the briefly outline the following: 27. Should your parents be still traditional funeral, memorial following together: Independent living/retirement driving? service, graveside ceremony, or home; Assisted living residence; no service at all? 1. When was the last time you nursing home? 28. If one or both of your parents talked with your parents about should not be driving, what can 41. If they want a service, would they their plans for the future? 15. What is the monthly price range you do to get them to stop? prefer to have it in a church or a for care facilities in your area? funeral home? 2. What decisions have they made? 29. Do your parents have wills and 16. What is your parents’ monthly do you know where they are 42. What specific readings, music, 3. What specific plans has your income including pensions, kept? or scripture would each like family made for a sudden illness investments and interest income? included in his or her service? or emergency? If you don’t know, find out. 30. Have their wills been updated recently? 43. Do they want an open or closed 4. How frankly—and how 17. If your parent or family needs casket? recently—have you talked to home health care, call your local 31. Where are the financial your siblings and other family Community Care Access Centre documents kept, and have 44. Do your parents have a pre- members about the realities of at 310-2222 for information on you reviewed them with your need burial plan that includes caring for your parents? how to proceed. parents? burial plot, casket, and funeral service costs? Where are these 5. If a parent becomes ill or 18. Do your parents have long-term 32. Do your parents have a safe- documents kept? incapacitated, who will be the care insurance, if so, what does it deposit box? primary caregiver, or will it be a cover? 45. What do they want inscribed shared responsibility? 33. Is your name on the box, and do on their grave markers or 19. What are the options for home you have a key for it? tombstones? 6. Which other family members can health care in your area you count on to be involved in 34. Do you or one of your siblings 46. If your parents prefer cremation, your parents’ care? 20. Do you see your parents often have durable power of attorney do they want their ashes buried enough to adequately assess how that allows you to act legally in or scattered? 7. If you are the primary caregiver, they are doing? your parents’ names? how do you feel about that 47. If they want their ashes responsibility? 21. If your parents need ongoing 35. Do you or one of your siblings scattered, when and where do care, would one of the children have health care power of they want this done? 8. If you are married, how does move near them, or would they attorney that allows you to make your spouse feel about your move near one of the children.? health care decisions in your 48. Do they want to be organ donors commitment to your parents? parents’ name? and have they signed the forms to 22. If your parents refuse to move make that possible? 9. What are the names and phone form their hometown and none of 36. Do you or one of your siblings numbers of your parents’ the children can move near them, have co-signing power at the 49. In case there is a disagreement primary care physician, dentist, what are your plans? bank? among family members, do you lawyer, accountant etc. have their funeral preferences 23. How would you describe your 37. Do your parents have a directive in writing and where is this 10. When was the last time you relationship with your parents? to physicians (living will) that document kept? talked with your parents’ doctor? states their preferences for end- 24. If there are major issues, what can of-life decisions as being placed 50. Do you have the biographical 11. Do your parents have a company you do now to help resolve them? on a feeding tube or ventilator? information and photographs health benefit plan? you will need for your parents’ 25. Do your parents have any 38. Have they signed a do-not-resus- obituaries? 12. Do you know where your local of these problems? Physical citate order that would serve as community care access centre is? limitations; Inadequate diet; direction to the medical staff?

24 www.thefamilycaregiver.com April 2017 Local poet captures the south east heart and soul Robert Ferriman debuts his poetry The Roses Are Loveletters In The Sand Free He walked this beach If only Our Love In a small store She then turned around that they once knew had a second chance there standing in line and opened the door He would soon discover Then perhaps again Love A small child stood And quietly closed it She walked it too, We would find Romance, just biding her time, while leaving the store,

He walked this stretch Sincerely I’m still Yours The child looked up That change she gave that they once walked Tenderly She did sign at a tall stand you isn’t nearly enough While holding Her hand From this moment on Then at the change Mister he said that as they both talked, and for all time, in her small hand, girl’s got it rough,

He found Himself alone He then knelt down Can I help you They’re for her Mother at their favorite spot and in His hand the friendly clerk said who died last year Where He’d given Her These words He wrote A look of confusion And once every week this ring He’d bought, into the wet sand, her expression he read, she’s always in here,

He now looked down And I Love You How much are these She’s only just six and in Her hand with all My Heart she held a Rose she’s on her way These words He found Not just a piece The clerk looking down To bring those flowers written in the sand, each and every part, quickly gained his repose, where she’ll softly pray,

I Love You Darling As He got up Will this be enough She always is short with each passing day She was standing there out holding her hand for whatever she’ll bring And in My Heart Her tear stained Face And surely this clerk But that doesn’t matter that’s where You’ll stay, said I still care, he would now understand, or change a thing,

I miss You more Just two Loving Messages He took the change Because you see Mister as time goes by written in each hand she handed to him between you and me And just for You Are linked forever through He handed her Roses For this little girl these tears I cry, “ Loveletters In The Sand “. she kindly thanked him, “ The Roses Are Free “.

April 2017 www.thefamilycaregiver.com 25 MARKETPLACE

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12514-HH-Rose-FamilyCaregiver.indd 1 12514 - Ministry Of Finance - Family Caregiver Magazine - English - Rose / Independence - 10.75” x 12.5” 11/30/12 2:25 PM Find

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HEALTH SERVICES FOR SOUTH EAST

Health Care Options Your Health • Health Care Facilities • Aboriginal • Health Care Professions • Children and Parenting • Home Care and Assisted Living • Men • Seniors Health Topics • Women • Abuse and Sexual Assault • Youth • Addictions • Diseases and Conditions Making Choices • End-of-Life Care • Basic Needs and Social Supports • Environmental and Workplace Health • Blood, Organ and Tissue Donations • Mental Health • Complementary and Alternative Medicine • People with Disabilities • Health Coverage and Care Planning

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