Eldercare 101

Community Care Access Centres

2012-01-16T06:52:00.003-05:00

Community Care Access Centres (CCAC) is the link to care in Ontario. This arm of the Ministry of Health and Long Term care is your best chance for getting government paid for services. However, as our population ages and the demands on this system are stretched, qualifying for these services is becoming more and more difficult.

There are a number of service arms within the system but the gate keeper is the case worker at CCAC. They have access to the various services which include

In Home Care

Wound Care

Dietician

Physiotherapy

Occupational Therapy

Speech Therapy

Long Term Care Placement

Convalescent Care

Adult Day Care

Palliative Care

It is important that you identify what services you require and people who live alone are considered more vulnerable and access to services may be greater.

Influenza and seniors

2011-11-08T20:53:00.002-05:00

You may be wondering why a healthy, young person should consider getting the flu shot. Do it for the people that you love. Compromised immune systems, often the case with seniors, are unable to battle these bugs like a healthy person. If you get the flu, chances are you will pass it to them.

Germs:
are spread by contact (person or surfaces)through droplets from sneezing or coughing
Can project up to 2 metres
live on skin for up to 10 minutes
live on surfaces for up to 48 hours
incubate up to three days meaning you are contagious before you know you are sick

What can you do??
Get the flu shot (always consult physician first)
Wash hands frequently
Wash down surfaces frequently
If you are sick, avoid visiting family until you are better

Help your loved ones by not getting sick.

Failing to provide the necessities of life

2011-03-01T20:59:00.003-05:00

So much for honour thy mother and father. The recent incident of the 68 year old women left by her son and daughter in law, to live in an unheated room since November, is more then sad. I would like to hear what they were thinking when they made this decision. This is one of the worst elder abuse cases that we have heard about. I wonder how many more situations like this are happening right now.....

New medications give hope for those with dementia

2011-01-24T07:28:00.002-05:00

Friday I attended a luncheon with speaker Dr. Sharon Cohen discussing some exciting breakthroughs in the medications for those who suffer from dementia and hope for all of us in the future that may fall victim to this devastating diagnoses. It is great to know that recent discoveries have led to the identification of a clearer diagnoses and also treatment options that both slow and, in some cases, reverse the memory loss associated with the illness. Ask your doctor about the human trials being done and ask when the new medications will be available.

Dating and seniors – encouraging companionship

2011-01-10T21:22:00.001-05:00

The loss of a life long companion leaves a hole in the life of the remaining spouse and can leave adult children unsure of how to fill this gap. Even the most dedicated children are hard pressed to find time in their busy lives to see their parent as much as their parent may want. It should not be a surprise when two people, who have both faced the loss of a spouse, find each other and begin to build a new foundation on their common experience. With good health and financial stability, it can be the best time of their life and this new relationship can provide both companionship and boost confidence. Emotions surrounding this budding relationship can be mixed as everyone tries to maintain loyalty to their deceased family member and allow their remaining parent to continue to live the life they want. Time does heal all wounds. Embrace this new opportunity and with time and encouragement, a family, looking for happiness for their parent, will accept this new person.

Elder Education

2010-10-17T17:31:00.004-04:00

Recently there have have been care conferences and Zoomer Fairs popping up all over the city. Although, illness and aging, are still not a topic that some are comfortable facing, these events are very informative and can save all of us time and money. From how to source care for aging relatives to services and products that allow you to stay in your home, this is vital information that could allow you to take control of what seems like, an uncontrolable situation. More information can be found at www.carp.ca

Appling for long term care placement changes

2010-07-27T20:39:00.003-04:00

As of July 1st, 2010 the process for applying for long term care has changed. Families who would like to consider placing a loved one in long term care need to contact their local Community Care Access Centre (enter postal code to find the right location) http://www.ccac-ont.ca/ and complete an application which is now moving from paper to electronic form. Other changes include that 5 homes can now be applied for at the same time (previously the maximum was 3 homes). A word of warning, make sure that the homes selected are somewhere that your loved one really wants since, should a bed become available at any of these homes, you will be strongly encouraged to take it. Not doing so can lead to a 6 month penalty. Also, under the new long term care act, Retirement Homes can apply for temporary licencing and bring long term care residents into their homes. Details of how this will work and who will fund, still to come.

Be prepared, best defence against long ER wait times

2010-06-03T21:06:00.004-04:00

Although much work has been done to reduce wait times in the Emergency Rooms, the article that appeared on the CBC news site clearly states that we still have a problem.

Wishing that things were different is not enough so preparing for the ER visit is your next best defence. Before leaving for the hospital or once you arrive, ask a family member to bring items that will make your stay more comfort.

Bring a book, ipod or laptop that can play movies to pass the time

Bring food, water and any medications that may be required prior to admission

Also bring pillows and a blanket....better safe then sorry

Seek medical help if you need it but make sure you make your stay as comfortable as possible.

Aging issues get well deserved ink

2010-05-04T22:41:00.005-04:00

Recently a number of books have been released that reflect the needs of our aging population.The Essential Hospital Handbook helps families navigate the hospital system and advocate for their ailing loved one's.

You could live a long time, are you ready? is another must read since we are all aging but we can learn little from previous generations since there has never been this many people, advancing in age, at the same time, with such a high life expectancy.

And, for my co-author and I, May will be a monumental month with the release of our book Now What? A Practical Guide to Dealing with Aging, Illness and Dying. The book is available at Chapters and can be ordered from our website http://www.officialnowwhat.com/

Written as if you were speaking with your best friend, we offer advise in a friendly, heart-to-heart manner with factual material in easy to read, short passages. Now What?? provides answers to questions you did not even know to ask.

Cost Containment limits CCAC services for seniors

2010-03-17T13:39:00.003-04:00

Last week, just when I thought we were turning a corner on improving the emergency room services and the access to senior services at home, I was completely floored to find out that Community Care Access Centres (CCAC) are putting seniors on wait lists for homecare services and, at the time same, sending them home from the ER without proper care. I cannot understand a system that expects people, who have paid into the health care system for their entire lives, to accept this poor level of service. Should you be aging, or have a family member who is aging, please educate yourself on the services that are available to you and how to access these services or you may find yourself with no one caring for you except your family.

Marketing and Communicating to the "over 50's"

2010-03-03T10:13:00.002-05:00

If you run a business, sell a product or provide a service, it is important to run your business with the “over 50” market in mind. They hold the largest disposable income that our industrialized world has ever seen and it is important to know this customer and make their experience a positive one.

Use a minimum 12 point font size to ensure that older eyes can easily read about what you are trying to sell.

Printed materials are easier to read if there is lots of white space and there is dark type on a light background

Ensure your client care specialists speak clearly and slowly when answering customer inquiries

When designing web pages, make sure there is a magnifier easily visible to adjust type to a larger size

Offer easy access to a live person for questions not easily answered on line or through computerized menus

Clarington Older Adults anything but bored

2010-02-10T12:45:00.004-05:00

The Adults of the Clarington Older Adult Association are vibrant and very connected to their community. They are involved in learning new activities and their 2010 winter guide is filled with great activities. With fitness, dance, art and photography classes to choose from there is little chance of getting bored over the winter months. It is a thriving association with over 800 members with 250 members recently joining. I will have the privilege of speaking to these new members on March 20th and I am thrilled to meet these vibrant, involved members of the community.

Signs of aging bubble to the surface during holiday season

2010-01-11T12:13:00.006-05:00

Here we are in the second week of January 2010. The holidays can be a whirlwind and the return to routine is welcomed by many.

As we reminisce about our family times over the holidays, this may be the time that you realize your parents or relatives are starting to show signs of aging.
Did your Aunt, who lives alone and does not get out much, look un-kept or her house uncharacteristically dirty.
Did your Mom seem distant in the family get together because she was having a hard time hearing?
Did your cousin, who lost her husband last year, still appear to be depressed and having trouble living alone?
If any of these ideas strike a cord with you, don’t sit idly by. You care for these people and there are resources available to help. Open the dialogue and then research what help can be provided. Share your caring ways the whole year through. All the best for 2010.

Gifts seniors you love, will really love

2009-12-09T11:16:00.003-05:00

With the holidays fast approaching, it can be difficult to know what to buy for the seniors that we love. Generally, more household items are not needed, in fact they are probably trying to get rid of stuff. Instead, try giving them items that are practical and add value to their lives:

Tim Horton Gift Cards – with a hand written note saying you will join them once a month for coffee.

Swiss Chalet Gift Cards – no cooking required, a gift we all love to get

Diabetic Socks - great for anyone with circulation troubles

Long Shoe Horn – no more bending over to put on shoes

Magnifier – makes that tiny print easier to see

Blank Cards – give them a year supply of a selection of various occasion greeting cards, saves them going out to buy them

Snow Shovelling/Grass Cutting - pay for a service cover household chores. Gives “peace of mind” to all

Subscriptions – pay for their annual magazine or newspaper subscription

Taxi Gift Card – give them gift certificates to take taxi’s. May really come in handy on a snowy day

Hair Dressers Coupon – inquire about gift certificates for the salon they frequent

We hope this will give you some ideas to show you care and happy holidays everyone!!

Elder neglect is abuse

2009-11-16T09:24:00.002-05:00

For the past number of weeks, the Toronto Star has featured articles about Elder abuse. It is a crime of our time and something that the elderly and their loved one’s need to understand. Fallacies that the article noted were:

· Abuse of the elderly occurs more frequently by family members then strangers

· Abuse occurs more often in a home then in a care facility

· Neglect is abuse

· Abuse can be physical, psychological and financial

The Government of Ontario is running a series of ad’s to bring awareness of the problem into the public domain. If you suspect elder please contact the Elder Abuse hotline at 1-866-299-1011 or go to their website at http://www.onpea.org/

Care for Aging Parents and Sandwich Generation makes the grade

2009-10-21T07:50:00.006-04:00

Over the past month eldercare courses have run at both Centennial College and Durham College. There has been a noticeable change in the number of people attending these courses and the information they are looking for.

Adult children in attendance were comforted to know that they were not the only one's with concerns for their aging parents

They were surprised to learn how much there was to know

Did not understand why there was such a disconnect to the available resources

The courses provided a snap shot of the chain events that lead aging parents through illness and the care required to provide a good quality of life. Estate organization tips, as well as information regarding key documents like Powers of Attorney and Wills were also discussed. My hope is that people attending these courses disseminate their knowledge to family members, co-workers, neighbours and friends and we are able to help each other with these critical life decisions. In- house courses are available for your work place or check out our website for upcoming college seminars .http://www.estatemattersinc.com/caringmatterseducation.htm

Bill 139 changes Eldercare

2009-10-02T14:15:00.003-04:00

Bill 139 which, if passed, will come into effect next year, addresses some the concerns expressed in my last blog. People hiring Personal Support Workers through an agency, will have an opportunity to hire them to work for them directly after one year of employment. Additionally, agency "finders fees" would be eliminated and employees would begin to get paid for statutory holidays. Although this will result in a cost to the agencies, and may even lead to cost increases for care, the results are positive for an industry that we need desperately in the coming years.

PSW's - stuck between and rock and a hard place

2009-09-19T12:42:00.003-04:00

In the Toronto Star this week there was an article about some unscrupulous people handing out Personal Support Worker degrees for a little money and providing not much in terms of actual training. I remember in University, taking "Healthcare in Canada" and it discussed the ramifications of Health Care reform and the shift that took place in health care in general.

Nurses were no longer involved in actual care, but, instead, became administrators
"Hands On" care support was given to more Junior staff and, to ensure they did not get too close to any one patient, they were constantly rotated to different floors and different shifts
No longer were 40 hours of paid work guaranteed and benefits were reduced, and in some cases, eliminated all together.

The current problem is a symptom of a much bigger cause. Those who we need the most, when we are sick or dying, we treat the worst. These are tough jobs, requiring 24 hours per day, 7 days a week, 365 days a year of care. It is time that the job reflected the importance and, as a society, we need to provide the respect and support that these healthcare workers deserve.

Fashion for all ages

2009-07-29T14:49:00.006-04:00

Recently we had the absolute privilege of clothing shopping for a very fashion savvy senior. At 97, and a former fashion designer herself, she was tired of having clothing that did not fit, would bunch up and wrinkle when she sat down, and were just not all that comfortable or attractive.

This lady knew exactly what she wanted. Colours and patterns, not humdrum beige and black patternless materials that you see a lot of seniors wearing. Something that would look smart, yet would move with her body and not be too tight going across her Osteoporosis challenged spine.

We started by measuring her and then asking her what she did like that was in her wardrobe. The bright colours seemed to always make her happy, as did the clothing that did not wrinkle up too easy.

After a few hours, we had virtually emptied her closet of clothing too small or just not something she would wear. Taking samples of materials and styles that she did like with us, and armed with the measurements that we had taken, we came back one week later with bags full of clothing. A few nice jackets, that she could mix and match, a number of pairs of pants and a lot of great tops. She was thrilled!!! . Remember, aging in style keeps us all young at heart!

CCAC expands service to seniors

2009-07-17T12:47:00.001-04:00

It is a true pleasure to be able to report that CCAC (Community Care Access Centres) are adding services that they provide for seniors. The addition of assistance, from this vital organization, of placement into Adult Day Care programs, will be a real benefit to members of the community who are caring for their loved one's in home. Adult Day Care is a true God send for people who want to keep their loved one's at home but need some time to themselves and a place for their loved one where they will be cared for and understood. It will be a great asset to have CCAC provide this placement service for their clients. Well done...let's keep adding these kinds of services for our seniors. They deserve all the help they can get.

Long Term Care placement requires forward thinking

2009-06-29T08:53:00.006-04:00

In this weekends paper, there was an article regarding Jean and Gord Vigars who live in St. Thomas, ON. Due to declining health Jean was moving to a Long Term Care facility however, there was only one available bed in the system, which meant that Gord, would being living alone for the first time in nearly 70 years. The question is, why can't they move into the same facility together??

The reason is that, although the Community Care Access Care system gives priority to couples during placement, this couple would have needed to put their names on a waiting list years ago to ensure that they could go where they wanted, together.

Until changes are made to the way that placements are assigned, I tell my clients that if you want to stay together, or even if you are alone and want to live at a specific long term care facility, you need to ask your Community Care Access placement co-ordinators how long the wait times are, to get into the home of your choosing and act now.

Geriatric Floor - Graceful way to age

2009-06-22T16:19:00.003-04:00

Anyone who has had an elderly person ill recently knows that being sick and elderly can be a very difficult combination. My friends and clients know, all to well, my concerns with the way our elderly are treated in many hospitals. I am pleased to compliment Scarborough Grace Hospital on their use of a Geriatric Ward to care for our chronically ill, aging population. On the floor, there are both volunteers and extra staff who ensure that, not only the physical needs of the patients are cared for, but basic aspects of daily living, too, are covered. There is always lots of people around to help and their courteous and friendly manner relieves tension for people at a very stressful time. More hospitals, particularly with our aging population, need to consider a special ward with highly specialized care for the chronically, ill and aging patients. Now....if we could just fix the wait times in the emergency rooms for our seniors but that is another topic for another day. Hats off to Scarborough Grace!

Elders need caring family and advocates

2009-06-05T14:35:00.003-04:00

On the weekend there was an article discussing that Scarborough's Craiglee Nursing Home is now being temporarily run by Extendicare after the original owners went into Receivership. This Long Term Care Home was sited with major violations in patient care including the discovery of worms in a patients wound. This is an appalling case of neglect but I want people to know that not all homes are created equal. Standards set by the Ministry of Health and Long Term Care would not allow for this kind of neglect but standards only count when people running organizations are able and willing to meet or exceed the standard. This also speaks to the greater issue that our Elderly need family and advocates to oversee their care even when placed in a facility.

Seniors and $950 million for Toronto LRT

2009-05-18T23:00:00.007-04:00

As the Government announces a $950 million infusion of cash to fuel the creation of a raised light rapid transit line (LRT) in Toronto, I hope that the increasing needs of seniors will be factored in.

Think about it, a large amount of our population is senior and increasing exponentially and simultaneously, as the scheduled completion date, for the first section, in 2013 approaches rapidly.

Will seniors, using walkers, scooters and wheelchairs be part of the design….not only the car design, but also the platform and the access to the middle street design?

With more and more seniors, either unable to drive or unwilling, this new system needs to address their physical abilities.

If done right, this new system could provide mobility for many into their 80's. Let's get this right and keep our senior population mobile, able and independent as long as possible.

H1N1 brings back SARS memories

2009-05-13T10:40:00.009-04:00

Over the past few weeks, as people around the globe prepared for a possible H1N1 pandemic, my thoughts turned to SARS. Although my own Dad did not die of SARS, his demise was certainly hastened due in part to SARS.

Being unable to visit loved ones in the hospital due to contagious diseases, certainly puts even greater pressure on the health care system, to ensure that the people you love will be in good hands.

In my own situation, because I was not allowed to enter the hospital to visit my Dad, I was unable to ensure that he was eating. Once I did force my way in, I found out that he was not eating and, in fact, was unable to eat due to a sprained wrist and arthritis . This led to high levels of toxins from too much medication and not enough food.

As concerns for H1N1 continue to grow, I would recommend being vigilant with hand washing for any aging relatives that you may have. Should they need to go to the hospital, do not assume that you will be allowed to visit and, if you cannot visit, give thought as to how some of their basic aspects of daily living will be provided.

Covering your assets

2009-02-02T15:04:00.003-05:00

Previously long term relationships with bank tellers and branch managers meant that, when a loved one died, your loss was met with concern and condolences. Changes to bank policies are tying the sympathetic hands of caring employees within these institutions.

Increasingly, the death of long time, as well as short term, bank customers, leads banks to freeze bank accounts, disallowing access to funds until a probated Will is produced, a process which can take months. Instead of accepting legitimate and valid Wills, many banks are requiring that the estate trustee be appointed first. Sadly, unknowing, grieving customers, expecting sympathy and understanding, are being met with red tape which, instead of assisting the grieving families, instead is tying up needed assets at a most critical time.

Here are 5 things you can do to aid your family in accessing your bank accounts when you pass away.

1) Educate yourself on the probate policies for each financial institution that you deal with.

2) Probate policies are inconsistent within the financial industry so it pays to shop around.

3) Ask for copies of these policies from banking personal to ensure that when policies are amended, you have copies of what you did agree to.

4) Ask key banking personal to explain what would happen to your accounts should you pass away and vocalize your expectations so that there are no surprises.

5) Where appropriate and after advisement from a lawyer and accountant, add a family members name to your accounts.

These assets belong to you and, although there are times when these policies have avoided potential problems for families, for the majority of the population, this is a case where the needs of the many are being negatively impacted by the few.

Hospital is no place to be when sick and senior

2008-08-06T14:26:00.002-04:00

Growing up I always believed that a trip to the hospital meant that I would not only be cured of what ailed me but that my personal comfort, as well as my health, would be catered to. From my own experience with aging family members and that of the seniors that I work with, I know that this is not necessarily the case. Increases in the number of people using the system combined with the frailty of the people entering our hospitals, has led to minimum care being provided to each patient. If you are elderly or have an aging relative here are three things you need to know.
1) Personal care for an aging relative falls to the family. For example, most hospital staff will not shave patients meaning the family or privately sourced care givers are required to do this.

2) It falls to the family to monitor many of the basic functions such as eating and mood changes in their aging relatives.

3) Hospitals are not staffed adequately to assist patients to and from the bathroom meaning many seniors, unsteady on their feet or weak from illness, are placed in incontinent products to minimize risks of falling.

Should your loved one be deemed as unable to care for themselves and live independently, after they leave the hospital, long term care may be recommended by hospital staff. As a family member, caring for an aging parent or relative, here are three things you need to know.

a) Your loved one must be considered “bed ready” meaning ready for discharge from the hospital, prior to any applications being submitted for long term care.

b) Many hospital policies have been changes and now require that a family select a bed in a long term care facility, which has availability, as one of their facility choices even if they do not really want to go there.

c) Many hospitals are opting to charge patients who stay in their beds longer then the hospital deems warranted. This cost can range from $50 per day up to $700 per day.

So what can you do?

1) Ensure that aging relatives have a family member or advocate with them when they go to the hospital and ensure that this person is authorized to speak with medical staff re: care options.

2) Bring Powers of Attorney for Care to the hospital and add names to the hospital contact list that you want authorized to inquire about your care and make care choices should you be incapacitated.

2) Don't accept a bed at a long term care facility where you do not want to live. It is difficult to get moved once you are placed.

3) Look for a respite bed at a facility where you may want to stay versus a permanent placement.

4) Select an interim placement at a retirement home which provides a high level of assisted living.

Aging and illness

2007-07-27T12:36:00.002-04:00

Dealing with illness in the family has a great impact on the entire family. The person who is ill is scared and in many cases may be facing serious illness for the first time in their life. Their loved ones, be it their spouse or their children, find themselves charting unknown territory with a whole host of unknown medical terms, treatment choices and very little time to make life altering decisions. Here are some helpful tips that may make the difference in the life of your loved one.

Illness can strike anyone at anytime. Elderly people, especially those with pre-existing conditions such as diabetes and high blood pressure, may be putting themselves at greater risk by waiting too long to seek medical attention. If there is any major change in your health, do not wait to seek medical attention. Treatments, especially surgery, are higher risk procedures for seniors and people with a compromised immune system or other pre-existing conditions. For the medical team charged with a persons care, they will want to ensure that all tests and non-invasive treatment options are explored before moving to this higher, more risky level of treatment. These tests take time and, if the person is not in immediate danger, it may be several days before a final treatment decision is made. While these tests and decisions are being made, the ill person will be hospitalized. They may find themselves hospitalized for longer then expected due to the length of time required to stabilize them and get their body to be ready for surgery. Although the procedures for surgery have improved significantly, it is still a risk and no medical team wants the cure to put the person at greater risk.

Unforeseen complications arise from anesthetic, drug reactions and side effects from drugs. An additional risk may be caused by just being in a hospital environment where the exposure to germs and other viruses is increased. A body already stricken by illness can be further compromised.

Family members find themselves trying to manage their already hectic day-to-day schedules while now dealing with the added need to visit their family member in hospital. Hospital staff is stretched to the maximum and many families find that the only way to ensure that the comforts of their family member are met is to be there to do things themselves.

We know our own bodies and we know when something is not right. If you believe that something is seriously wrong, seek immediate care. The health care system is there to be used and the best gift you can give to your family members is to seek treatment and do not put it off thinking that you will get better on your own.