1. 23/02/2016Home and Community Care1 Long Term Care Administration Thursday, March 5, 2009

2. 23/02/2016Home and Community Care2 Formal Caregivers Three Levels of Workers 1.Administrative and medical staff. 2.Professional and technical staff (RNs, Care Aides, Dieticians, Physiotherapists, Social Workers, Pharmacists 3.Nonprofessional service workers (housekeepers, dietary aides)

3. 23/02/2016Home and Community Care3 Formal Caregivers Formal Caregivers are Women “Women play a role far greater than men… equally important is the role of women in the formal health system of many countries, where they often constitute the majority of health care providers”. World Health Organization

4. 23/02/2016Home and Community Care4 Formal Caregivers An Aging Workforce RNABC – 45% of RNs are between 45 and 65. By the year 2011 - 9,000 of the 27,500 RNs will be in a position to retire.

5. 23/02/2016Home and Community Care5 Formal Caregivers Nursing Recruitment Strategies Nursing Choice Recruitment website Print Information campaign Career awareness program/speakers bureau Nursing career events for high school students Job-shadowing progams

6. 23/02/2016Home and Community Care6 Formal Caregivers Nursing Recruitment Strategies, cont… Universities Fair Secondary school community involvement program

7. 23/02/2016Home and Community Care7 Formal Caregivers Wages and Salaries – RNs Basic wage rate Shift differentials Incentives to work full time not part time Financial incentives for continuing ed. Home health RNs earn $4.00 less than hospital RNs.

8. 23/02/2016Home and Community Care8 Formal Caregivers The Impact of Stress “In the work and occupational literature, stress denotes the lack of fit between the workers and the environment”. The lack of fit or these pressure points may be related to physical factors or interpersonal conflicts within an organization.

9. 23/02/2016Home and Community Care9 Formal Caregivers Quality of Working Life In-service and opportunities to attend continuing education programs Communication amongst staff and mgm’t Teamwork Involvement in decision making process Staff facilities, dining room, lounge, locker area

10. 23/02/2016Home and Community Care10 Stress Management Strategies Basic stress management policy Review related work procedures and workload Choice of work area (Alzheimer’s SCU) Assessment of caregivers capabilities Review of work expectations Teamwork counselling and training

11. 23/02/2016Home and Community Care11 Stress Management Strategies Supportive supervisory practices Award and recognition programs Professional development opportunities Open door policy – meaningful dialogue between management and staff Shared decision making Commitment to good labour relations

12. 23/02/2016Home and Community Care12 Stress Management Strategies Support of day care programs for children and elders Introduction of policies for flexible work hours and self scheduling Improved personal leave benefits Expanded health plan to cover costs of non-traditional therapeutic products and services

13. 23/02/2016Home and Community Care13 Formal Caregivers The Care Needs The cognitively impaired Mentally and physically challenged People unable to care for themselves The dying

14. 23/02/2016Home and Community Care14 Informal Caregivers What is Informal Caregiving? Provision of a variety of services and types of care such as day-to-day support and personal, emotional, psychological and spiritual care. 1.Day-to-day support (ADLs); housekeeping, meal preparation, home maintenance, banking, shopping, transportation and care coordination.

15. 23/02/2016Home and Community Care15 Informal Caregivers 2.Personal Care: Caregivers help with bathing, eating, toileting and dressing. 3.Emotional Care: Caregivers provide emotional support and reassurance. 4.Psychological care: Caregivers encourage communication,hobbies, getting away for a break and reminiscing about the past.

16. 23/02/2016Home and Community Care16 Informal Caregivers 5. Spiritual Care: Caregivers take the time to listen and talk about life, death, love and forgiveness; spiritual care can involve praying together, reading the Bible or taking the senior to a place of worship.

17. 23/02/2016Home and Community Care17 Informal Caregivers Informal caregivers provide 30% of services Monitor and purchase clothing, personal supplies, equipment needs Help with eating at mealtimes Assist with personal care such as preparing the residents for naps or bedtime

18. 23/02/2016Home and Community Care18 Informal Caregivers Informal Caregivers… Provide emotional comfort and support by encouraging participation in activities and outings. Stay in touch with MDs to ensure that medication needs are met. Advocate on behalf of the resident if there are care problems.

19. 23/02/2016Home and Community Care19 Informal Caregivers Caregiver Advocacy Speaking on behalf of a loved on who no longer can speak for themselves. Caregiver as a Case Manager Coordinate the delivery of all aspects of home care, arranging transportation and handling financial aspects of care.

20. 23/02/2016Home and Community Care20 Informal Caregivers Who are Canada’s Informal Caregivers? Gender Differences between Caregivers Sons and Daughters Spousal Caregivers Typically between 25 and 64 years of age, married with own children and employed full time outside the home.

21. 23/02/2016Home and Community Care21 Informal Caregivers Caregiver Needs Knowledge of disease or chronic condition Emotional and psychological support Working knowledge of the health care system where they live Ready network of essential products and services Flexible, responsive care plan Provision of care for the caregiver

22. 23/02/2016Home and Community Care22 Informal Caregivers Effects of Informal Caregiving Feelings of Isolation and Loss Impact on Personal Health Financial burden Impact on Workplace Stress, Burnout, Guilt

23. 23/02/2016Home and Community Care23 Informal Caregivers Issues and Challenges Lack of Funding within LTC facilities Chronic Shortage of Trained Professionals Lack of Support for Informal Caregivers Lack of Respite Care Alzheimer’s Disease and Related Dementia: An Immense Caregiver Challenge

24. 23/02/2016Home and Community Care24 Informal Caregivers Future Trends and Impact Tax Breaks for Informal Caregivers Technology and Future of Caregiving Caregiving and the Internet: Moving toward self-managed care Tommorrow’s caregivers – baby boomers are ill equipped and unwilling but will be faced with the reality of caring for their parents

25. 23/02/2016Home and Community Care25 Informal Caregivers “Caregiving is everyone’s problem. All Canadians must recognize, acknowledge and reward the privotal role that informal caregivers play in today’s health care system. Informal caregivers must be educated and supported – even cherished – so they can continue their irreplaceable service to Canadian society; now and for many years to come.