St. Joseph’s at Fleming Charitable Not for Profit Long Term Care Facility
Presenter Vicki Barrow Manager of Support Services Role: n n n n Development & Implementation of support services for Residents Admissions Resident & Family Council Auxiliary Recreation/Therapy Services Pastoral Care Social Services Community liaison
Presentation Overview n n n n Organizational Background – Key Features Demographics Case Study – Developmentally Delayed Case Study – Intellectually Challenged Innovative Initiatives On-going Challenges Questions
Organizational Background – Key Features A unique partnership between: Marycrest Home for the Aged n Anson House n Fleming College n A model for future partnerships between Long-Term Care and Education
Organizational Background Key Features n 8 Resident Home areas of 25 Residents n 146, 000 square feet n Old fashion Town Square that is full of light and artwork n Greenhouse n Fully contained landscaped courtyards (Patios/balconies) n Private/semi/corner suite rooms wired for phone, cable and internet
Organizational Background Key Features n n n A rich learning environment for staff and students that promotes learning & best practices in geriatric and long term care; Fleming College’s Institute for Healthy Aging; Fleming Nursery School located in the Home’s town square that aligns with our intergenerational philosophy of care;
Demographics 200 Residents: Ages range from 36 to 105 n Frail elderly n Mentally ill n Dementia n Brain injury n Developmentally delayed (3 %) n Intellectually challenged (5 %) n
Resident Profiles Supporting the needs and care of the developmentally delayed and intellectually challenged? The St. Joseph’s at Fleming Approach
Case Study – Age 36 Developmentally Delayed Diagnosis Downs syndrome n Congestive heart failure n Chronic renal failure n Benign hypertension/breathing n
Case Study – Age 36 Developmentally Delayed Complexity of care needs Communication deficits n Physical fragility, Menses n Social and emotional fragility – ward of foster care, interactions with others n Behaviour management challenges n Safety and security n
Case Study – Age 36 Developmentally Delayed Interventions: n Community Living Partnership Day Programs n Service coordination n n Staff Education Circle training n Complexity of care needs n n Family Relationships n Support to foster family
Case Study – Age 61 Intellectually Challenged Diagnosis Personality disorder n Chronic Obstructive Pulmonary Disease (C. O. P. D. ) n Obesity n Sleep apnea n Anxiety disorder n Osteoporosis n
Case Study – Age 61 Intellectually Challenged Key Issues Inability to make healthy food choices n Inability to recognize inappropriate dress n Poor hygiene n Interactions with Residents n At risk with criminal justice services retheft, ineffective coping mechanisms n Communication n
Case Study – Age 61 Intellectually Challenged Interventions: n n n Adult Protective Services Partnership n Money management n Monthly activity coordination n Groovy girls – Canadian Mental Health Association Staff education n Understanding the mental health challenges, manipulative behaviour, limited intellectual abilities Positive reinforcement programs for appropriate behaviour
Innovative Initiatives S. M. I. L. E Program Students Mentoring In Long term care Experience
Innovative Initiatives cont’d n Joint program between Fleming College and St. Joseph’s at Fleming whereby student obtain course credit for completing the SMILE experience n Research, develop and implement therapeutic program for developmentally delayed and intellectually challenged Residents
On-going Challenges n n n n Lack of family involvement Engagement of community agencies to augment LTC services Personal finance management Biases of staff, residents, and families Duel diagnosis – e. g. dementia Longer life span Development and sustainability of appropriate programming for a small segment of the Home’s population
Questions
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