Re-visioning Long-term Care – The BC Perspective

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Presentation transcript:

Re-visioning Long-term Care – The BC Perspective BC Seniors Advocate Re-visioning Long-term Care – The BC Perspective U[ www.seniorsadvocatebc.ca 1-877-952-3181

Who is in Residential Care in BC? RAI Characteristics Seniors in Residential Care Over 85 years of age 56% Average age 85.1 Female 65% Married 19% Diagnosis of Alzheimer's or other dementia 61% Diagnosis of psychiatric condition or mood disorder 30% Moderate to severe physical impairment 70% Moderate to severe cognitive/memory impairment 62% Combination of complex conditions indicating high or very high need for facility level care 82% Exhibits aggressive behaviour 33% Uses wheelchair 53% Received 9 or more different medications in the last 7 days 51%

Trends in Residential Care in BC ↓ LOS (although new evidence shows slight ↑) Acuity stable over last 7 years 30-40% no dementia < 20% married Lower income on average

What is happening in residential care? (CIHI e-reports Q1 2016)

Drugs in Care (CIHI e-reports Q1 2016)

Use of Antidepressants (CIHI e-reports Q1 2016)

Medications: The BC Experience 30,000 seniors admitted between Jan. 2011 – Dec. 2015 32.4% of residents with no history of antipsychotic use prescribed within 180 days of admission (69.7% of these were taking within 7 days) 28.6% of residents with no history of antidepressant prescribed within 180 days (52% of these were taking within 7 days) 50.7% prescribed a benzodiazepine within 180 days 32.2% of these had no history (66% of these were taking within 7 days)

Re-visioning Residential Care Move from: Staff-centric Medicalized Risk-averse Safety dominated Homogenized

Re-visioning Residential Care Resident-centred: Respect communities of interest Tolerate, accept and embrace differences of residents Accept decisions for risk (wheelchair vs. walker) Lens of “home” not institutional (med carts, linoleum, bus carts) Staff: right #; right people; right training Listen to seniors about what they value 34

“It’s my home” Survey seniors – quality of life vs. clinical outcomes – current survey in BC possible model Work with families and involve them to understand loved ones’ wishes Honesty: Better not perfect 34

Contact www.seniorsadvocatebc.ca Toll-free: 1-877-952-3181 In Victoria: 250-952-3181 Open Monday to Friday, 8:30am - 4:30pm Translation services available in more than 180 languages. info@seniorsadvocatebc.ca facebook.com/SeniorsAdvocateBC @SrsAdvocateBC