Planning for Long-Term Care Where Do I Start?
Total Page:16
File Type:pdf, Size:1020Kb
Planning for Long-Term Care Where do I start? The Mississauga Halton Local Health Integration Network (LHIN) is your single point of access to information about, and to apply for admission to, long-term care homes. You cannot apply directly to the long-term care home. Each Mississauga Halton LHIN patient is assigned a care coordinator who collaborates with patients, families, caregivers and/or substitute decision makers to assist patients in making health care choices and achieving their short and long-term health care goals. Your Mississauga Halton LHIN care coordinator will: • Provide you with information about long-term care homes • Provide information about financial options, if required • Complete an assessment at your home or in hospital and determine Tip your eligibility • Help you with the application forms and coordinate the application It’s a good idea to process to facilitate access to long-term care talk to someone • Provide information on alternatives to long-term care homes, such as supportive/assistive housing, retirement homes and you trust and let seniors apartments them know what • Empower you or your decision-makers with the information you need you want your to make an informed decision on a long-term care home that suits your needs and interests life to look like in • Place you, if necessary, on the waiting lists of the long-term care the future should homes you select you not be able to • Offer you a bed in a chosen long-term care home when one make decisions becomes available for yourself. If you need more information or would like to discuss the long-term care process in the Mississauga Halton LHIN region, please call (toll free) 1-877-336-9090. 2 | Planning for Long-Term Care What are my options? Care in your home Before you think of leaving your home for a long-term care destination, the Mississauga Halton LHIN will help you to explore all your options to be supported at home. If you need help with day-to-day tasks, such as bathing and cooking, you may be able to stay in your home with the support of home care services and/or care in the community. Care in your community The Mississauga Halton LHIN will connect you to community services that are right for you. You can take advantage of a variety of support services available in your community, whether you’re receiving care in your home, or managing on your own. Our knowledgeable staff provide the key link between you and all the available community-based services to help you achieve your best possible health care and wellbeing. Community-based services such as meal services, friendly visiting, adult day programs and many more, may enable you to stay in your home longer than you thought possible. But if you do determine that you need more comprehensive support, here are some options to consider: • Retirement homes are a good fit if your care needs don’t require 24-hour nursing availability, specialized services and government subsidized care. • Convalescent care may be the right level of care if your medical condition requires nursing care and other resources on a 24-hour basis. Typically, complex continuing care is necessary when care needs cannot be met in long-term care. • Short-stay is ideal if all you need is a brief stay in a long-term care Home while your caregiver or loved one is on vacation or taking a rest, or while you are recovering from an illness or surgery (this is also referred to as respite care). • Long-term care homes may be what you need if you have exhausted all the services in the community and it has become too much of a challenge for you or your caregiver for you to stay in your own home. If you are a veteran you may be eligible for Veterans Affairs “Priority Access” long-term care beds. Planning for Long-Term Care | 3 How do I know when it’s time to apply to long-term care? There is no simple rule to tell when it’s time to apply for long-term care. Each person has a unique blend of care needs and available resources. Making a decision about when to seek long-term care Common signs that it is time to requires time and planning because there are a number of factors consider long-term care: to be considered. • Struggles with patient’s resistance to care and Here are some factors to consider while determining if you/ medications your loved one needs more help: • Limited appropriate respite • What level of care do I need? options (i.e. overnight, in-home) • Has there been a change in care requirements? • Interrupted sleep for the • What are my personal preferences/values? caregiver • What help can family and friends provide? • Patient/family verbal • What services am I eligible for? expressions of coping concerns • What services are available in the community? • Change in medical stability • What can I afford? • Change in family support • What to do and who to turn to in a crisis situation? • Caregiver illness What does long-term care provide? Long-term care homes provide a wide range of services for people who can no longer live independently, including: Long-term care home • Nursing and personal care eligibility criteria: • Regular and emergency medical care by the on-call • Patient is 18 years or older physician • Valid Ontario Health Card • Treatment and medication administration (OHIP) • Assistance with activities of daily living • Exhausted publicly funded community-based service • 24-hour supervision options • Room and board, including laundry services • Risk to self or others • Pastoral services • Frequent monitoring and • Social and recreational programs assistance needed All long-term care homes are funded by the Ministry of Health • Can have his/her care needs and Long-Term Care and governed by legislated standards. met in a long-term care home 4 | Planning for Long-Term Care Tips for Touring Homes Touring long-term care homes can help you/your loved ones make decisions about which home is right for you. Review the list of tips below to help you make the most of your long-term care home tours. 1. Bring patient whenever possible. 2. Visit the long-term care home a couple of times, if possible. 3. Speak with the residents while on tour and chat with the resident families to see how they feel about the home. 4. If the patient needs a secure unit (locked unit), ask to tour this unit. 5. Make a note of general impression of the home, the room, caregiver training and support, prevention and response to abuse, volunteers, care plan is tailored to the resident preferences and lifestyle. 6. Review the activity calendar. There are several resources available to patients and families to help them make an informed decision when applying to long-term care. Please refer to www.healthcareathome.ca/mh for more information. Select “Getting Care” from the top menu bar, and scroll down to “Long- Term Care.” Resources include: • Video explaining the application process • Video tours of the Mississauga Halton LHIN region’s 27 long-term care homes to help the selection process if you cannot visit the homes in-person • Published wait times and costs Planning for Long-Term Care | 5 How do I apply? 1. Request for a placement assessment can be made by: • Family Physician, Service Provider, Adult Day Program Coordinator, Family/Patient, Neighbour (Note: physician referral is NOT required) 2. Once a long-term care placement request has been made, the patient is assigned to a Mississauga Halton LHIN care coordinator who will visit the patient’s home to complete a placement application, and determine eligibility for long-term care. • If the patient is in hospital, a hospital Social Worker or Discharge Planner will start the application process; however, a Mississauga Halton LHIN hospital care coordinator completes the placement application and determines long-term care eligibility. 3. The patient (or his/her Power of Attorney-POA or Substitute- Decision-Maker-SDM) must cooperate with the care coordinator to provide the most accurate information in the assessments of his/ her health needs. Important notes: • Eligibility for long-term care is based on provincial regulations, set out by the Ministry of Health and Long-Term Care. • Each long-term care applicant can select up to five homes. • Applications are sent by the Mississauga Halton LHIN to chosen long-term care homes. • Long-term care homes respond to each application, deciding whether to accept or reject applicant. 6 | Planning for Long-Term Care Accepting or Rejecting Bed Offers Bed Offer Process Expectation: Patients inform the Mississauga Halton LHIN of their decision to accept or reject a bed offer within 24 hours of receiving the offer. If bed offer is accepted: • Patients are expected to move in the next day. • Patients may hold bed for up to five days, but must occupy the bed by the fifth day or he/she loses the placement – accommodation fees may be applied. • Patients can remain on the waitlist for his/her preferred choices while residing in a long-term care home. • The Mississauga Halton LHIN will follow-up with the patient and/or family/caregiver to confirm patient’s interest in preferred choices – usually at eight weeks to allow for the six-week care conference with the long-term care home. If accepted by the home, the patient is placed on a waitlist. Please note that long-term care homes generally do not notify families of acceptance to the waitlist. It is best to follow up with your Mississauga Halton LHIN care coordinator to find out whether you/your loved one has been accepted and placed on a waitlist.