tfcn web - lhin home and community...

��

��

��

See page 14

��

See page 12

��

See page 5

South East

��

�

CONTENTS

� ��

� ��

� ��

� ��

� ��

��

��

��

��

��

��

��

��

��

��

��

��

��

��

��

��

��

��

�

��

��

��

��

��

��

��

��

��

��

��

��

��

��

��

��

��

��

��

��

��

��

��

��

��

MESSAGECEO’S WELCOME MESSAGE

World Elder Abuse Awareness Day is recognized annually on June 15 as an official United Nations International Day acknowledging the significance of elder abuse as a public health and human rights issue.

Since its inception in 2006, communities throughout the country and around the world have used this day to raise the visibility of elder abuse, by sharing information

about abuse and neglect and promoting the resources and services that increase seniors’ safety and well-being.

Ontario’s 14 CCACs have a mandate to address the issue of elder abuse. The South East CCAC Elder Abuse Resource Team provides a process to respond to potential victims of abuse and information for CCAC staff supporting seniors at risk.

The South East CCAC supports regional collaboration with partners to pro-mote community awareness, prevention and response to elder abuse through a number of community networks.

We are pleased to work in partnership with the Kingston Council on Aging to support the Elder Abuse Prevention Support Line where seniors can speak confidentially to a trained volunteer peer about abuse.

The South East Community Care Access Centre (CCAC) is pleased to provide this edition of Family Caregiver Newsmagazine to share information about elder abuse. You will find articles about local resources, what to watch for and how to respond to issues of elder abuse.

I hope you will find the tips and tools in this publication helpful in your caregiving role.

Jacqueline Redmond, Chief Executive OfficerSouth East Community Care Access Centre

CCAC VisionProviding outstanding care - every person, every day.

Our MissionTo deliver a seamless experience through the health system for people in our diverse communities, providing equitable access, individualized care coordination and quality health care.

Our Values

Respect We see the worth in others, value their contributions, and treat everyone with dignity and kindness.

Integrity We live our values and act honestly, fairly, and ethically.

Patient Focus We put the patient at the centre of everything we do.

Compassion We support our patients, caregivers, and each other with understanding, empathy, and sensitivity.

Accountability We are open and transparent and take responsibility for our work, our relationships and our results.

Resourcefulness We pursue excellence, knowledge and innovation to deliver the best care and value.

��

��

�

��

ELDER ABUSE

Emergency: Reporting to the Police:If you or a senior you know is in imme-diate danger, dial 9-1-1 for emergency services to assist. You may wish to re-port elder abuse or neglect to the police. Police respond to reports of persons in immediate danger or possible criminal offences including assault, and theft of property.

For Non-Emergency Situations, Referrals and Information: Seniors Abuse Line (SLL) The Seniors Safety Line (SSL) 1-866-299-1011 is a safe, confidential place for older adults and those who care about them to talk to someone about situations where they feel they are be-ing abused or mistreated, or to receive information about elder abuse services in their local areas. Interpreter serv-ices are available in more than 150 lan-guages upon request. Available 24 hours a day/7 days a week in over 150 languages Toll-free: 1-866- 299-1011 www.eldeabuseontario.com

Victim Support Link The Victim Support Line (VSL) is a province-wide, multilingual, toll-free

information line providing a range of services to victims of crime. The VSL offers: Information and referral to support services in your community Access to information about provin-cially sentenced offenders. You can also register for automated notification when an offender’s status changes. Toll-free: 1-888-579-2888 www.attor-neygeneral.jus.gov.on.ca

ConnexOntario ConnexOntario provides free and con-fidential health services information for people experiencing problems with alcohol and drugs, mental illness or gambling. We are funded by the Gov-ernment of Ontario. ConnexOntario operates three help-lines: Drug and Alcohol Helpline

1-800-565-8603 Mental Health Helpline 1-866-531-2600 Ontario Problem Gambling Helpline 1-888-230-3505 www.connexontario.ca

Assaulted Women’s Helpline (AWL) Assaulted Women’s Helpline provides a free, anonymous and confidential 24-hour telephone and TTY crisis tele-phone line to all women in the province of Ontario who have experienced any form of abuse. AWL provides crisis counselling, safety planning, emotional support, informa-tion and referrals accessible 7 days a week, 365 days a year. Toll-free: 1-866-863-0511 www.awhl.org

Reporting Long-Term Care ACTION Line The Long-Term Care Action Line is a service to hear concerns and com-plaints from persons receiving service from Long-Term Care Homes and Com-munity Care Access Centres (CCAC). The Action Line offers service in English and French.Toll free: 1-866-876-7658 or 416-326-6777 (outside of Ontario) TTY 1-800-387-5559 or 416-327-4282 (outside of Ontario) www.health.gov.on.ca

Retirement Homes Regulatory Authority (RHRA) The RHRA is a not-for-profit organiza-tion that oversees retirement homes to make sure the law is being followed. RHRA staff process retirement home licence applications respond to calls about harm to retirement home resi-dents and inspect retirement homes to make sure they meet the law’s stand-ards. If you see or suspect harm or risk of harm to a resident resulting from: Improper or incompetent treatment or care, abuse of a resident by anyone or neglect of a resident by staff of the re-tirement home, unlawful conduct, mis-use or misappropriation of a resident’s money. You must* report it to the Reg-istrar of the Retirement Homes Regu-latory Authority, along with any other relevant information. To make a report, call: Toll free 1-855-ASK-RHRA (1-855-275-7472) www.rhra.ca

Crime Stoppers Crime Stoppers is a civilian, non-profit, charitable organization that brings to-gether the police services of a commu-nity, the media and the community in the fight against crime. For the closest Crime Stopper Program to you, go to the web site below to obtain the clos-est Crime Stoppers Program to you to submit your information.

��If the safety and wellbeing of an older adult is at risk or you feel there is immediate danger

�

You will remain anonymous. You do not appear in court. You may be eligible for a reward of up to $2000. Toll Free: 1-800-222-TIPS (8477) www.canadiancrimestoppers.org

Support Legal Aid Ontario Legal Aid Ontario provides legal assist-ance for low-income people. Services in-clude: legal representation for eligible clients who appear in court without a

lawyer; legal aid applications and infor-mation over the phone; legal resources and referrals to other social assistance agencies; and a certificate program for complex and serious cases. Connects low-income Ontarians to le-gal aid services, assistance and infor-mation. Get legal aid help in over 200 languages. Toll Free: 1-800-668-8258 www.legalaid.on.ca

Advocacy Centre for the Elderly The Advocacy Centre for the Elderly is a community based legal clinic for low income senior citizens. ACE provides direct legal services to low-income seniors, public legal education, and engages in law reform activities. ACE services and activities are in relation to areas of law of special importance to the seniors’ population. Phone: 416-598-2656 www.advocacycentreelderly.org

Law Society Referral Service (LSRS) Law Society Referral Service will pro-vide you with the name of a lawyer or licensed paralegal who will provide a free consultation of up to 30 minutes to help you determine your rights and options. Toll Free: 1-800-268-8326 or 416-947-3330 (within the GTA) www.lsuc.on.ca Source: Elder Abuse Ontario

ELDER ABUSE

��

�

NEWS

Elder Abuse Ontario (formerly known as ONPEA, The Ontario Network for the Prevention of Elder Abuse) is a provincial, charitable, non-profit organi-zation focused on supporting the implementation of The On-tario Strategy to Combat Elder Abuse and has been doing so since 2002.

The framework of the Strat-egy focuses on service coordi-nation, building local capacity of front-line workers, caregiv-ers, and community networks, by providing public education and training of professionals/service providers and families of seniors, to raise awareness around elder abuse issues.

Elder Abuse Ontario envi-

sions an Ontario where sen-iors are free from abuse, have a strong voice and are safe and respected.

The mission of the organi-zation is to create an Ontario that is free from abuse for all seniors: “Stop Abuse, Restore Respect”

EAO supports a variety of vital community programs and active collaborative initia-tives to promote research, best practices and service delivery around elder abuse and neglect issues. Programs include inter-generational projects/outreach, positive aging initiatives, arts and aging, as well as provid-ing ongoing support to over 57 Regional Elder Abuse Pre-

vention Networks across the province. EAO also encourages and engages in the innovation and advancement of education and training for professionals, caregivers and the public with local, provincial, federal and in-ternational agencies.

A number of local networks also work to raise awareness of elder abuse. South East LHIN region partners from a variety of roles, have come together as lead-ers and service agencies in three community corridors through the “Regional Elder Abuse Plan-ning” network (REAP).

As no one agency owns this important issue, partnership is key to ensuring support is available should a senior find

them self in a situation of abuse or neglect.

The members have commit-ted to sharing of ideas and edu-cational initiatives in their local areas, consisting of the Preven-tion of Elder Abuse Network (PEAN) for Hastings and Prince Edward Counties, the Kingston Council on Aging, the Local Elder Abuse Planning network (LEAP) in the Brockville area, and the South East Community Care Access Centre.

Members from each of these four organizations meet bi-monthly in an effort to keep the issue of Elder Abuse prevention and awareness at the forefront of health and community agen-cies. One of the major initia-

tives the group has supported is the Senior Support Line ad-ministered by the Council on Aging, that has spread to serve the entire south east region with a toll free line – for a non-judgmental hear, or assistance to connect to area supports in situations of abuse.

A number of regional edu-cation events have also been provided directed at service providers supporting seniors, along with a basic website that promotes events and access to network members.

To learn more about how networks are working together to address elder abuse, visit Elder Abuse Ontario on-line at www.elderabuseontario.com.

��

��Elder Abuse is quickly becom-ing an issue that, given the projected demographics, is expected to intensify over the coming years for police serv-ices and communities across the country.

It is anticipated that in the coming years, Hastings and Prince Edward counties will be at the forefront of a population trend that will see a large per-centage of people living in this region reaching the age of 65 years and older, with the larg-est part of this demographic being aged between 79 and 84 years.

With that in mind, statis-tics courtesy of the Ontario Network for the Prevention of Elder Abuse note that between 2% and 10% of older adults are abused in some form. However, those who assist abused older adults and others who work in the field believe the actual rate of abuse is closer to 10%.

The Elder Unit of the Bel-leville Police Service investi-gates all allegations of Elder Abuse –financial, physical, psy-chological or sexual – whether or not it occurs in a private residence, retirement home or long-term care home.

Over the past two years, the EAU has been involved in nu-merous public consultations and presentations not only to raise awareness about the is-sue of Elder Abuse, but to de-velop community strategies and initiatives to combat the problem.

The Belleville Police Serv-ice recognizes this is an issue that will not be solved by po-lice alone, but by teaming up with our community partners and the public.

In addition to working closely with neighbouring de-tachments of the Ontario Pro-vincial Police, the Elder Abuse Unit also works closely to educate front-line workers to help raise awareness of Elder Abuse both in training ses-sions and with local post-sec-ondary institutions.

As well, the EAU offers sup-port for seniors and victims

throughout and following a police investigation through local offices of Victim Services and our peer-to-peer Elder Abuse Prevention support line (1-855-542-1336).

The Belleville Police have access to numerous resources that can assist members of marginalized communities.

The Belleville Police Serv-ice EAU can be reached at 613-966-0882 ext. 2313 or ext. 2315. If anonymity is a concern please contact Crime Stoppers at 613-969-TIPS (8477) or 1-800-222-8477. If you have an emer-gency situation, call 9-1-1.

��

��

��

�

HEALTH CARE

Navigating the health system can be confusing. There are dozens of pro-grams in every community that make Ontario the best place to grow up and grown old. Some programs have simi-lar names but provide different servic-es. This article will give you an under-standing of some of the key services offered in your community.

Family Health Care ProviderA family health care provider can offer you and your family ongoing care such as family health advice, vaccinations, examinations and prescriptions. They also have a complete understanding of your health history.

Use this option when you need • Diagnosis and treatment for com-

mon illnesses and injuries • Support in managing a chronic

condition • A referral to a health care special-

ist • A checkup including routine

screening tests for cancer, etc • Flu shots or other routine vac-

cines

Community Care Access CentresCommunity Care Access Centres (CCACs) are local agencies that pro-vide information about care options in your area. They help people to:

• live independently at home • apply for admission to a day pro-

gram, supportive housing or as-sisted living program, or certain chronic care or rehabilitation fa-cilities

• apply for admission to a long-term care home.

CCACs also provide information about local community support service agencies and can link people to these agencies to arrange services.

CCACs work together, and with phy-sicians, hospital teams and other health care providers to enhance access and co-ordination for people who need care in the community, in supportive hous-ing, or in a Long-Term Care Home.

Anyone can make a referral to a CCAC - an individual requiring service, a family member, caregiver, friend, phy-sician or other health care professional. You may contact your local Community Care Access Centre directly for infor-mation on CCAC services.

Health Care Connect is designed to help you find a family health care provider. To register with the program, simply call 1-800-445-1822. You will need a pen, some paper and your OHIP card when you call Health Care Connect You can also register for Health Care Con-nect online by entering your informa-tion at www.ontario.ca/healthcarecon-nect.

Community Support ServicesCommunity Support Services help you to maintain your safety and independ-ence while living at home. Services are delivered either in your home or in a group setting in your community. Or-ganizations funded by government to provide these services are not-for-prof-it corporations. Some private for-profit companies provide similar services for a fee. There are a wide variety of com-munity support services which may be available in your area.

Community Health CentreEach of Ontario’s Community Health Centres (CHCs) is unique. CHCs of-fer clinical care from doctors, nurse practitioners, nurses, dietitians, so-cial workers and other kinds of health providers under one roof. They offer care to those populations that have, for whatever reason, traditionally faced barriers accessing health care.

CHCs offer culturally-adapted pro-grams for the needs and preferences of the communities they serve including delivering services in many different languages.

Use this option • When you do not have a health

care provider • When you are a newcomer to

Canada • To access health care services

when facing barriers like lan-guage, culture, physical disabili-ties, homelessness and poverty

• If you have mental health or ad-diction issues

• If you require counseling or need some help with housing issues

• When you’re without health in-surance in Ontario.

Family Health TeamA Family Health Team can provide on-going health care through a team of family doctors, registered nurses and other health care providers like dieti-tians and social workers. Each team is set up based on local health and com-

munity needs, and focuses on chronic disease management, disease preven-tion and health promotion.

You can receive a wide range of health services from a Family Health Team, including advice and guidance on living healthier to avoid illness.

Use this option when you need • Diagnosis and treatment for com-

mon illnesses and injuries • Support in managing a chronic

condition • A referral to a health care specialist • A checkup including routine

screening tests for cancer, etc.

Nurse Practitioner-Led ClinicA Nurse Practitioner-Led Clinic can provide ongoing care while help-ing promote disease prevention and healthy living. Nurse practitioners can diagnose and treat common injuries and illnesses, write some prescriptions and order blood and diagnostic tests. You can also find nurse practitioners working throughout the province in Family Health Teams and other types of clinics.

If you’re without a family doctor, try Health Care Connect. They can help you find a nurse practitioner or family doctor in your area.

Use this option• As an alternative to a traditional

doctor’s office or walk-in clinic

��Health Care options in your community

��

�

��There are 36 long-term care homes throughout Southeast-ern Ontario. Some homes are privately owned and some are non-profit homes operated by municipalities or charitable organizations. All homes are licensed and inspected by the Ontario Ministry of Health. The standards of care are gov-erned by provincial legislation and each home is accountable for the quality of care, pro-grams and services it provides.

Long-term care homes pro-vide ongoing care to patients whose care needs cannot be met in the community. People may require this level of support due

to disability or declining health. Moving from your fam-

ily home to a long-term care setting can be a challenging transition for everyone. Once you have made this impor-tant decision and confirmed your eligibility, it is now time to find the right home that is best suited to your needs.

Each long-term care home has its own features, ameni-ties and ‘personality’. You or someone you trust should visit the long-term care homes you are considering before you de-cide to apply. You can apply to as many as five homes. CCAC Care Coordinators have exten-

sive experience helping people to research and select the right home for them, and can share valuable advice that will help you narrow down your choices.

The wait times for long-term care homes vary widely, so de-cisions about which homes you are applying to will help deter-mine the amount of time you

will wait for long-term care.The long-term care home

placement process includes a multi-part assessment, in-cluding an assessment by a CCAC Care Coordinator, to ensure there is an accurate record of your medical his-tory, and to help determine eligibility for long-term care.

Once a room in a chosen long-term care home becomes available, you will be contacted by your CCAC Care Coordina-tor, and you will have 24 hours to consent to the admission. If you move to a home that is not your first choice, you may stay on the waiting list for your other choices, if you wish.

Although the Ministry of Health and Long-Term Care pays for the care you receive, you are responsible for ac-commodation costs, which are standard across Ontario. Rates are typically reviewed annually by the Ministry of Health and Long-Term Care.

To view a listing of long-term care homes visit our sitewww.SouthEastHealthline.ca.

LONG-TERM CARE

For Safety Planning and learning about local resources,dial the toll free Seniors Safety Line: 1-866- 299-1011Operates 24 hours - 7 days a week in over 150 languages

Other agencies that can help include:OPP: 1-888-310-1122 / Senior Crime Stoppers: 1-800-222-TIPS (8477)��

• To schedule a checkup including routine screen-ing tests for cancer, etc.

• When you need support in managing a chronic condition.

Walk-in/After Hours ClinicAt a Walk-in or After Hours Clinic you can see an experi-enced nurse or doctor, often without an appointment. They offer convenient access to ad-

vice, assessment and treat-ment for minor illnesses and injuries such as cuts, bruises, minor infections, sprains and skin complaints.

Always call the clinic first to see if you need an appoint-ment.

Use this option when • You’re in a non-urgent

situation • Your family doctor’s of-

fice is closed or if you

don’t currently have a family doctor

• You need care for minor illnesses and injuries including infection and rashes, fractures, emer-gency contraception and advice, stomach upsets, cuts and bruises, and burns and strains.

Public Health UnitsThere are 36 public health units in Ontario. Health units

administer health promotion and disease prevention pro-grams to inform the public about healthy life-styles, com-municable disease control including education in STDs/AIDS, immunization, food premises inspection, healthy growth and development in-cluding parenting education, health education for all age groups and selected screening services.

Each health unit is governed

by a board of health, which is an autonomous corporation under the Health Protection and Promotion Act, and is ad-ministered by the medical of-ficer of health who reports to the local board of health. The board is largely made up of elected representatives from the local municipal councils. The ministry cost-shares the expenses with the municipali-ties.

��

��

CAREGIVING

��When faced with the challenges of family caregiving, particularly caring for your elderly parents, there are hundreds of answers but what are the questions? With the help of many in the caregiving field we have put the following together:

1. When was the last time you talked with your parents about their plans for the future?

2. What decisions have they made?

3. What specific plans has your family made for a sudden illness or emergency?

4. How frankly—and how recently—have you talked to your siblings and other family members about the realities of caring for your parents?

5. If a parent becomes ill or incapacitated, who will be the primary caregiver, or will it be a shared responsibility?

6. Which other family members can you count on to be involved in your parents’ care?

7. If you are the primary caregiver, how do you feel about that responsibility?

8. If you are married, how does your spouse feel about your commitment to your parents?

9. What are the names and phone numbers of your parents’ primary care physician, dentist, lawyer, accountant etc.

10. When was the last time you talked with your parents’ doctor?

11. Do your parents have a company health benefit plan?

12. Do you know where your local community care access centre is?

13. Do you know what services they provide for you?

14. Do you know the differences among care facilities? Can you briefly outline the following: Independent living/retirement home; Assisted living residence; nursing home?

15. What is the monthly price range for care facilities in your area?

16. What is your parents’ monthly income including pensions, investments and interest income? If you don’t know, find out.

17. If your parent or family needs home health care, call your local Community Care Access Centre at 310-2222 for information on how to proceed.

18. Do your parents have long-term care insurance, if so, what does it cover?

19. What are the options for home health care in your area

20. Do you see your parents often enough to adequately assess how they are doing?

21. If your parents need ongoing care, would one of the children move near them, or would they move near one of the children.?

22. If your parents refuse to move form their hometown and none of the children can move near them, what are your plans?

23. How would you describe your relationship with your parents?

24. If there are major issues, what can you do now to help resolve them?

25. Do your parents have any of these problems? Physical

limitations; Inadequate diet; memory loss; isolation; substance abuse?

26. Are your parents still driving?

27. Should your parents be still driving?

28. If one or both of your parents should not be driving, what can you do to get them to stop?

29. Do your parents have wills and do you know where they are kept?

30. Have their wills been updated recently?

31. Where are the financial documents kept, and have you reviewed them with your parents?

32. Do your parents have a safe-deposit box?

33. Is your name on the box, and do you have a key for it?

34. Do you or one of your siblings have durable power of attorney that allows you to act legally in your parents’ names?

35. Do you or one of your siblings have health care power of attorney that allows you to make health care decisions in your parents’ name?

36. Do you or one of your siblings have co-signing power at the bank?

37. Do your parents have a directive to physicians (living will) that states their preferences for end-of-life decisions as being placed on a feeding tube or ventilator?

38. Have they signed a do-not-resus-citate order that would serve as direction to the medical staff?

39. What is the name and phone number of the family minister, priest, or rabbi?

40. Would your parents prefer a traditional funeral, memorial service, graveside ceremony, or no service at all?

41. If they want a service, would they prefer to have it in a church or a funeral home?

42. What specific readings, music, or scripture would each like included in his or her service?

43. Do they want an open or closed casket?

44. Do your parents have a pre-need burial plan that includes burial plot, casket, and funeral service costs? Where are these documents kept?

45. What do they want inscribed on their grave markers or tombstones?

46. If your parents prefer cremation, do they want their ashes buried or scattered?

47. If they want their ashes scattered, when and where do they want this done?

48. Do they want to be organ donors and have they signed the forms to make that possible?

49. In case there is a disagreement among family members, do you have their funeral preferences in writing and where is this document kept?

50. Do you have the biographical information and photographs you will need for your parents’ obituaries?

��

NEWS

Whether it is a parent, and old friend or a spouse, visiting someone you love with dementia can be difficult. People don’t know what to say or do. They feel un-certain and embarrassed. Some people just disappear all together. The follow-ing tips for making visits easier comes from Ryleysforum. I’m sure you’ll find her advice helpful. Enjoy!

Anyone who has visited someone in hospital or in a long term care setting can relate to the initial stress of visit-ing! I feel like somewhat of an expert when it comes to visiting! (Considering on my first visit the words that were exchanged were: “You can just turn around and walk right back out!”)

Even now after I have visited all day I often return home to phone calls say-ing “Where are you? You said you were coming here today!” Needless to say memorable or not, we soon both couldn’t get enough of each other.

Visiting can be very traditional. You visit, you bring gifts! Gifts ARE lovely. Here are some suggestions:

• a treat, (usually just enough to eat during the visit) you don’t want to invite a tummy ache, unwanted ill-ness or creatures.

• a short story, Readers Digest, The Sears Catalogue,

• a calendar with great photos• Flowers or a plant

• a journal and pen• a puzzle• Dominoes

OR

You could be somewhat unconven-tional and start a real conversation by bringing:

• a photograph or two ( ideally from the past)

• a newspaper clipping (controver-sial, or interesting)

• fun and pretty stick and peel wall decals

• some recipe cards (make it your goal to ask for advice)

• hand lotion (Try it right then and there)

• Large type words to favourite songs or poems

• a memory box of relevant items from the past, to initiate conversa-tion (something job or hobby re-lated like a small tool, screws, etc. or baking tools, baseball glove and ball, gardening tools.)

• Magnifying glass and small box of items to observe

• a tea set (to enjoy a proper tea time together)

• a Guest book, for visitors to sign, or use as a journal

• a large print list of well known

jingles or proverbs. (The rain in Spain...)

• variety of cards with self ad-dressed stamped envelopes. You could file them by the month that the event happens in.

• nail polish, manicure set or tem-porary hair color Hi lites (enjoy your own private spa day)

• a pet ( most LTC centres have easily met regulations regarding bringing your own dog)

• a gift of scents. (Did you know smell has the strongest and most direct connection to memory.) Some scents that evoke memo-ries are: Microwave popcorn, cin-namon bun, clean pillowcase, Old Spice aftershave, perfumed sa-chets, candied fruit, fresh baked ginger cookies, sawdust! Maybe build or paint a birdhouse togeth-er.

• If you come empty handed do not worry. The gift shop on the premises offers snacks, drinks and note paper, even ice cream!

If all else fails, chances are you will find your first conversation starter right at the door to the room! Some Long term care homes have a glass showcase just outside the resident’s room that will give you visual cues as to the person’s interest. Start up a conversation based

on the items in that case. Someday ask for the key and together re decorate the items in it. There are no rules about what goes inside it.

Next, enter the room and look around, be somewhat snoopy, look for visual cues of interest. A knitting project, a picture of cats, a forgotten cup of tea can cause you to think of things to say. If the room doesn’t provide enough articles for conversation then consider leaving the room. A new conversation abounds with a change of scenery.

IF all else fails bring a real conver-sation starter with you. Good ones are children, neighbours, and friends. The best by far is a stranger! My sister brought a stranger once and the gossip never ended!

RyleysforumFor more practical tips check out Alzhe-imer’s Ideas That Help on Facebook, the link is https://www.facebook.com/Ryleysforum?ref=hl

��

��

��

��

��

��

��

��

Mobile Personal Emergency Response.Anywhere, anytime.

��

Two-way conversation + GPS location alerts

��

Where does your health care start? a) In your family physician’s office? b) When you arrive at a hospital’s emergency room? c) When you get admitted to hospital? d) When you get back home?

You will hopefully recognize the er-ror in the question.

Your health care shouldn’t “start” or “stop” anywhere. Your health care system should be there wherever and whenever you need it, no matter the setting. What’s more, information about your care should travel between your health care providers, so that eve-ryone is up to date on your care plan and medications.

However, we know this ideal situ-ation hasn’t always been the case in Ontario.

In order to address the challenges with transitions in care, the South East Community Care Access Centre (CCAC) is actively involved in the planning and implementation of seven Health Links across the South East LHIN.

The South East CCAC has been par-ticipating in each of the seven Health Links through steering committees, various working groups, and testing innovative ideas in multiple communi-ties.

We know that five per cent of pa-tients in Ontario account for two-thirds of health care costs. These are most often patients with multiple, complex conditions. When the hospital, the fam-ily doctor, the community care access centre, the long-term care home, com-munity organizations and others work as a team, the patient receives better, more coordinated care.

Providers will design a care plan for

each complex patient and work togeth-er with patients and their families to ensure they receive the care they need wherever they are.

Each complex patient will:• Have an individualized, coordi-

nated plan• Have care providers who ensure

the plan is being followed• Have support to ensure they are

taking the right medications• Have a care provider they can call

who knows them, is familiar with their situation, and can help.

For an example of how a community Health Link can make a difference in a patient’s life, read Bernice’s Story:Bernice is a senior who lives at home independently.

A personal support worker from the Community Care Access Centre (CCAC) visits once a week and her chil-dren are regular visitors.

One day Bernice falls and gashes her arm. She calls 9-1-1 and is taken to a hospital in ambulance. Bernice is treat-ed in hospital and sent back home.

Her family doctor isn’t notified and Bernice receives no follow up care. When the personal support worker comes she’s surprised to find out that Bernice was injured.

1 year passesBernice falls again and breaks her hip. She is sent to the hospital by ambu-lance.

She waits three days in the emer-gency room.

When a space opens up, Bernice is transferred to another hospital for sur-gery.

Bernice recovers in hospital for the

next six months. She catches Methicillin-resistant

Staphylococcus aureus (MRSA), an in-fection common in hospitals.

As a result of her declining health, Bernice sells her house and moves to a long-term care home.

ResultTo care for Bernice over the next five years will cost the health system close to $500,000.

Her Potential Story with Health Links:EMS provide first aid and her primary care provider is notified.

Because Bernice has a number of chronic conditions and health needs, Bernice falls into the category of a “complex patient” and as her primary care provider is part of a Health Link, she is captured through this work. Ber-nice’s primary care provider discussed the creation of a coordinated care plan with her and as part of Bernice’s care plan, her doctor makes a geriatric as-sessment referral. Bernice’s children go with her to the appointment and learn how they can improve Bernice’s functional ability.

Bernice attends a falls prevention program, where she makes new friends

and starts going to bingo. One day, while leaving bingo, Ber-

nice falls on the ice and breaks her leg. She is taken to her local community hospital.

Hospital staff call the designated referral hospital and Bernice is trans-ferred right away for surgery. Bernice’s primary care provider is notified of Bernice’s situation.

Following her successful surgery, Bernice is transferred back to the com-munity hospital, where she recovers.

1 week passes She is discharged to a transitional care program with a complete discharge plan.

1 month passes Bernice is back at home with ongoing support to help maintain her functional ability.

ResultTo care for Bernice in her home, with access to health care in the community, will cost the health care system about $100,000 over the next five years.

Bernice’s story was taken from the Ministry of Health and Long-Term Care website – Transforming the Health Care System

��

HEALTH LINKS

“The clinic was much more convenientfor me than home care”

“I would highly recommend the service”

Outstanding care from knowledgeable, professional and courteous staff

CCAC Nursing Clinicsdeliver outstanding care in the community

“I am 82 years old and I have never been looked a�er so professionally as I was at your clinic.”

��

FEATURE

�he Power of Attorney document (the “POA”) has long been viewed as

one way in which a person can legally protect their health and their financial interests by planning in advance for when they become ill, infirm or inca-pable of making decisions. The POA is also seen as a means to minimize fam-ily conflict during one’s lifetime and prevent unnecessary, expensive and avoidable litigation. In certain circum-stances, however, POA documents may cause rather than prevent conflict.

“While a POA document can be used for the good of a vulnerable adult or an incapable person, there can be a dark side to what is in fact a very power-ful and far-reaching document,” says Kimberly Whaley, Certified Specialist In Estates And Trust Law with Wha-ley Estate Litigation, a Toronto based Trusts & Estates boutique litigation firm.

“More often than not it becomes apparent that the grantor never fully understood and/or put much thought into the extent of the powers being be-stowed, whether the chosen attorney truly had the ability to do the job and fulfill his/her duties, or whether the at-torney chosen could truly be trusted to act in an honest and trustworthy manner. Consequently, there exists a significant risk that a vulnerable or in-capable person may fall victim to abuse as a result of having a POA.

“Although this is a somewhat bleak assumption, given the many cases of abuse that come in and out of our of-fices, in our estimation there are very likely a high number of attorney-inflict-ed abuse cases that simply go unmoni-tored or unnoticed by our legal system. And, it is in this way that a POA can be used to the detriment of the very indi-vidual who granted the power.”

What is a Power of Attorney?In summary, a POA is an instrument that facilitates the maintenance or control over one’s affairs by enabling the grantor of the power to plan for an extended absence, infirmity, and even incapacity. Proper, thoughtful, prepa-ration allows the grantor of a POA to require an Attorney to take legal steps to protect the grantor’s interests and wishes, within the confines of the gov-erning legislation.In Ontario, there are three types of POAs:(1) the general form of a POA for Prop-

erty (2) the Continuing POA for Property (3) the POA for Personal Care

What are the different types of Power of Attorney documents?1. The General Power of Attorney:

Power of Attorney ActThe Powers of Attorney Act has only three sections. This Act governs gen-eral Powers of Attorney but without imposing formality on the document. The general Power of Attorney contem-plated by this Act does not survive the incapacity of the grantor.

2. The Continuing Power of Attorney for Property

A Continuing Power of Attorney for Property (or “CPOAP”) is commonly used to ensure that the financial affairs of a person are looked after in circum-stances where that person is unable to look after them on their own, tempo-rarily, as agent, and permanently when incapable.

3. Power of Attorney for Personal Care

A POA for Personal Care can be used to grant powers exercised during inca-

pacity only. A Power of Attorney for Personal

Care (POAPC) enables the (capable) grantor to appoint a person or persons to make personal care decisions on their behalf in the event that they are found to be incapable of being able to do so on their own. A person/grantor is considered incapable of their personal care if unable to understand informa-tion relevant to health care, nutrition, shelter, clothing, hygiene, or safety, or if unable to appreciate the reasonably foreseeable consequences of a decision or lack of a decision respecting same.

“When making decisions on an in-capable person’s behalf, the Attorney for Personal Care is required to make those decisions in accordance with the Substitute Decisions Act (SDA),” says Whaley. “In addition, an Attorney must use reasonable efforts to act in accordance with the wishes or instruc-tions of the incapable person (deter-mined while capable) or otherwise act in the incapable person’s best inter-ests. To act in the incapable person’s best interests, the attorney as substi-tute decision maker must consider the

values and beliefs of the grantor in question, their current incapable wish-es, if ascertainable, whether the deci-sion will improve the grantor’s stand-ard and quality of life or otherwise either prevent it from deteriorating or reduce the extent or rate at which the quality of the grantor’s life is likely to deteriorate, and whether the benefit of a particular decision outweighs the risk of harm to the grantor from alter-nate decisions.

“A POAPC is generally considered a flexible vehicle for assisting the gran-tor with personal care decisions when and if it becomes necessary to do so. Indeed, it is increasingly viewed as a planning tool for the end of a person’s life.

“The downside of the POAPC is that all too often the document does not contain detailed enough instructions or, alternatively, the instructions pro-vided are far too detailed, as to cause confusion. Attorneys for personal care should be informed that written wishes and oral wishes have equal weight, and that later capable wishes take prec-edence over earlier wishes. It is at this

��Choosing the right attorney is an important decision

��

FEATURE

juncture that discussion with family members can be beneficial, noting of course that the attorney must ensure that the incapable person’s independ-ence is fostered. The attorney must also assist in choosing the least restric-tive or intrusive courses of treatment or action. It is important to understand that an Attorney for Personal Care is not a care provider but rather, a deci-sion maker.

“Another problem often faced by at-torneys concerns the appointment of too many attorneys. Often the attor-neys cannot easily work together. Of-ten the governing document is drafted such that it makes the appointment joint and several and one, or more of the appointed attorney’s acts severally without keeping the other(s) informed, yet curiously the other(s) are liable for the joint and several acts of the one at-torney.”

The Specific Duties of an Attor-ney for Personal CareThe Attorney for Personal Care must exercise powers diligently and in good faith. As with an attorneyship for prop-erty, attorneys for personal care are required by law to foster the incapable person’s independence, to encourage the incapable person to participate in personal-care decisions to the best of his or her ability and to consult with the incapable person’s supportive fam-ily and friends and with the persons who provide personal care to the inca-pable person. Attorneys are required to keep thorough and detailed records of any and all decisions taken, includ-ing a comprehensive list of health care, safety, shelter decisions, medical re-ports or documents, names of persons consulted, dates, reasons for decisions being taken, record of the incapable person’s wishes, and so on.

Attorney Disasters and Situa-tions of AbuseA POA is an extremely powerful docu-

ment which enables an attorney to do virtually anything on the grantor’s behalf in respect of property that the grantor could do if capable, except make a Will. Consequently, there are a number of ways in which a POA docu-ment can be used to the detriment of a grantor. Some common scenarios in which we the procurement or use of a POA go awry, and to the detriment of an older adult who is vulnerable or de-pendent are:1. The grantor grants a POA while in-

capable of doing so;2. The POA is fraudulently-procured

from a vulnerable or physically de-pendent grantor by an individual with improper motives, as a result of exerting of undue influence, or in a situation of suspicious circumstanc-es, for the sole purpose of abuse, ex-ploitation, and personal gain;

3. Disputes and accounting discrepan-cies arise concerning the specific dates upon which the POA document became effective; the date of inca-pacity of the grantor; and the extent of the Attorney’s involvement;

4. The POA is fraudulently or impru-dently used, for the sole purpose of self-interest of the Attorney and/or used in a way that constitutes a breach of fiduciary duty;

5. The Attorney makes unauthorized, questionable or even speculative investment decisions, or decisions lacking in diversity;

6. The Attorney fails to take into con-sideration the tax effects of the At-torney’s actions or inactions;

7. The Attorney fails to seek profes-sional advice where necessary or appropriate;

8. The Attorney inappropriately deals with jointly held assets or accounts;

9. The Attorney misappropriates the grantor’s assets.

10. If more than one, one attorney acts without the knowledge, approval, or acquiescence of the other(s) either under a Joint or Joint and Several

POA.

How to Choose the Right AttorneyChoosing the right attorney for prop-erty is perhaps the most important decision a person can make in order to protect his or her property or person in the event that he or she becomes una-ble to do so,” said Whaley. “In choosing an attorney, a grantor should consider whether a potential attorney has the values of honesty, integrity and ac-countability.”

The SDA requires that an attorney be over the age of 18 in order to exercise decisional authority. Before naming an attorney in a POA document, it is im-portant to consult the person in ques-tion and ensure that he or she is willing to act. Some individuals will choose to appoint a trust company as an attorney. Such companies perform the services of an attorney for a fee. They are some-times preferred to individuals as they are able to dispense their services im-partially and are held to a standard of professional accountability.

It is important to note that granting a new POA cancels any previous power of attorney document and as such, be-fore granting a new POA, a grantor should ensure that there is no pre-ex-isting POA document they wish to keep in existence.

It is possible, but not necessary, to appoint more than one attorney to act jointly and/or severally. This means that a grantor could appoint two or more attorneys to make decisions to-gether, or enable each attorney to act separately on their behalf. Unless it is specified in the POA document that at-torneys are allowed to act separately, statutory law assumes that jointly ap-pointed attorneys must make decisions together.

It is also possible to assign differ-ent responsibilities to separate attor-neys. You can also assign one attorney to act on your behalf and a substitute attorney to act for you should death

or another event prevent the attorney first named to act. It is important, when deciding whether to appoint more than one attorney, to consider any potential for conflict between the attorneys. Any conflict down the road can lead to delay in decision-making or even lengthy and expensive litigation that is counter to a grantor’s personal and financial well-being.

A person who is a grantor’s health care provider may not be appointed to be his or her attorney for personal care unless the person is the grantor’s spouse, partner or relative. Similarly, a person who provides residential, social, training or support services for com-pensation may not be appointed his or her attorney for personal care unless that person is the grantor’s spouse, partner or relative.

With proper, thoughtful prepara-tion, the POA can legally protect health and financial interests while minimiz-ing family conflict and preventing un-necessary, expensive and avoidable litigation.

To learn more visit the Resource Cen-tre at www.whaleyestatelitigation.com.

��

The Power of Attorney Project is a two year technology-based project that brings together a wide variety of experts from various industries and disci-plines to educate adult chil-dren and seniors about Power of Attorney issues.

“This national, inter-gen-erational, public education project is a “supported call to action” for families to start talking about their Power of Attorney issues and take de-finable steps towards their own greater peace of mind”, says Mary Bart, Chair of Car-egiving Matters.

There are currently six project videos and 18 podcasts on the site. By the end of the project more than 40 podcasts

will be aired. “In this Podcast series, legal, financial and social service experts share their knowledge and give indi-viduals and families an oppor-tunity to have their questions addressed, increase their understanding and develop skills and strategies to help them deal with some of the complex and difficult issues of aging. This project brings together a wide variety of ex-perts from various disciplines to educate adult children and seniors on such topics as sen-ior care, elder abuse, power of attorney, health and safety, housing options, tax issues / credits, financial planning, in-surance options, estate plan-ning and funeral planning,”

said Bart.Each podcast features a

specific topic and a new guest expert in a causal conversa-tional, question and answer format. The content is brief, easy to understand and wide-ranging. Each podcast is in-tended to provide general information only and is not intended to be a substitute for seeking personalized legal, financial or other advice. The goal is to raise issues for audi-ence to consider and then fur-ther explore on their own, in their own local communities with their own local experts.

To learn more about this project and participate in the discussion, please visit www.caregivingmatters.ca.

��

NEWS

��

It’s one of those days- we all have them. Today I am going to visit Mom.

I was going to go this morning, right around 10am when she’d be finished her breakfast so it wouldn’t interfere with the exercise class she attends on her better days. But 10 o’clock came and went and now it is after 12 noon and I still haven’t put my coat on.

A sense of sadness is hanging over me today. The last few weeks our visits haven’t been good. There haven’t been those little jewels of connection, those moments where I still can see the twin-

kle in her eye and know that she is still “in” there. Instead she has either been frantic and paranoid or distant and mumbling. I find myself throwing in that extra load of laundry, checking my email one last time, wrestling with the dread that has settled in my bones.

Today I don’t want to visit my mom.

What a horrible thing to say, to think, to write…but it is true. I swal-low a little guilt. It doesn’t mean I don’t love my mom. It doesn’t even mean I won’t go – I will. But some days it is dif-ficult to muster up the smile when all we see is sorrow. We all have days like

this and that is ok.On days like these I remember with

clarity my mother’s words a few years back as we stood in an antique shop down the street from her home. It was during one of those “If something ever happens to Dad” talks. We were chat-ting about the idea of Mom coming to live with us. “We all get along, you could help us and we could help you – it just makes sense.” I said. With that prophetic-mother look in her eyes she said calmly, “You don’t know what you are saying. As people get older they can get less fun. I may not be the per-son I am today.” Those words are ring-

ing inside me today. She knew. She had lived long enough, watched

her parents and others long enough to know what I know today. Life is frag-ile.

She also knew that every day was a sacred. She knew that there were no guarantees and that was ok with her. That day year’s back, she wanted to enjoy my company, to window shop and laugh – not plan for future days that may never come.

So after I post this I will finish my lunch, get on my coat and share this sacred day with mom. Maybe, just maybe, I’ll see the twinkle.

��

��

��

��

��

��

��

��

NEWS

The S.E. Ontario Lived Experience Net-work began in September 2013 with the hiring of Sharon Osvald, the daughter of a mother with vascular dementia, as the Lived Experience Network Co-ordinator working in partnership with Behavioural Support Services of Provi-dence Care and the Alzheimer Socie-ties of South Eastern Ontario.

Since its creation, this network has grown to over 280 people from across the entire south east region including an online lived experience café with discussion boards and live chat events. The network exists to meaningfully engage older adults and their families and care partners, living with demen-tia and similar diagnoses, in the devel-opment and evaluation of programs and services. Advisory conversations take place through:

1. Collaboration with the three S.E. Ontario Alzheimer Societies of lived experience persons for on-going advisory conversations.

2. Face-to-face and telephone con-versations.

3. Virtual Conversations through The Lived Experience Café at www.dementiacrossroads.ca

Care partners of those living with dementia or other related diagnoses report feeling:

• They don’t know where to find answers or services

• No one is listening to them• Helpless and no one caresWe believe to create meaningful

services and supports, the voice of those using these services must be heard. Our goal is to create a virtual Lived Experience network – a “knowl-edge bank” of persons living with de-mentia and their care partners across the South East region sharing their ex-periences - to be that voice.

What do you mean by Lived Experi-ence?“Lived Experience refers to both the individual affected by age related cog-nitive impairment, dementia or simi-lar diagnoses, as well as their family members and people directly involved with the individual on a personal level; providing emotional support, assisting in decision making and/or providing in-formal caregiving (past or present).

These people may be friends, family members or other informal carers who (along with the individual) are able to share their observations, input and sug-gestions for change ( both clinical and non- clinical) about the quality of the various interactions and touch points

experienced between the individual and the medical community, across the entire continuum of care.”

This ongoing project may involve the sharing of personal stories, send-ing letters and emails, but it is so much more than that! This is an opportunity for people to have an advisory role - sharing insights and suggestions for change that will be directed to profes-sionals who plan and provide services and supports in long term care, hospi-tals and primary care.

How can you be involved?1. Take part in one of our discussion

forums or Live Chat Events and share your advice and observa-

tions.2. Contact Sharon or your local

South Eastern Ontario Alzheimer Society to find out how you can be part of a group that speaks with Sharon in person.

3. Provide Sharon with your con-tact, background info and story - to be part of any future “specific” conversations or focus groups that may arise.

Phone / Email / Write Sharon Osvald and begin your own personal conversa-tion with your suggestions for change.

Email: [email protected] office: 613-475-9943www.dementiacrossroads.ca

��

Gathering Input and Building Relationships: CONSULT 1. Face to Face Advisory Conversations: co-facilitated with the Alzheimer

Societies (all across the South East), and other arranged advisory conversations via LTC Family Council or independent groups.

2. Phone Calls: Received through referrals from Providence Care, the Alzheimer Societies, Long Term Care Homes, BSTU, online finds and word

of mouth from lived experience network participants. 3. Online Conversations: Monthly online themed lived (typed) chat events

(The Lived Experience Café) and discussion boards www.dementiacrossroads.ca

Networking and Knowledge Exchange: GROW 1. Knowledge Exchange: Sharing the findings of the lived

experience network as invited to speak or co-facilitate community educational events, conferences and

workshops. 2. Networking: Sustaining and developing relationships

and partnerships with existing / new community partners through face to face meetings and an online presence. 3. Recruitment: Continuously sustaining and recruiting

new lived experience network membership.

Sharing the Findings: INFORM 1. BSS Leadership Team: Sharing key themes regarding the system and items specific to Providence Care BSS and the Alzheimer Societies directly with leadership team for

knowledge translation. 2. The Lived Experience Resource Exchange: Sharing key themes surfaced from advisory conversations in monthly email to 60+ community partners and service

providers who wish to participate. 3. Engage: Creating conversations by gathering questions from BSS , community

partners and service providers to ask lived experience network participants in live chat events and sharing back those findings .

4. System and Community Design: Participation in ongoing local, regional and provincial committees, working/ research groups as lived experience/family/patient engagement rep, sharing the voice of the lived experience network in the planning

and evaluation of services.

The Lived Experience Network – How It Works?

The Lived Experience Network – How It Works?

��

NEWS

CCAC care coordinators can work with you to help people get the right care, at the right time, in the right place. They:

• support the development of a patient-specific, integrated care plan across the continuum of care. This may include, as necessary, case conferences, system navigation (referral to other providers), and the establishment and monitoring of care

• help ensure that all care providers across the system have the relevant information about the patient’s status at the same time, facilitating a cross-system conversation

• are specialized to support unique patient populations, including, but not limited to, patients facing end of life, complex wounds, and multiple co-morbidities

• work closely with contracted care providers to support a high-quality patient experience

Community Care Access Centres (CCACs):Helping patients navigate the health care system

Medications & Memory: Friend or Foe?

Café

Scientifique

A Café Scientifique is an exciting, interactive, and informal format where you will enjoy learning conversations about this topical issue.

This is a Canadian Institutes of Health Research funded event.

WHEN: June 18, 2015 from 6:00pm - 8:00pm WHERE: Trenton Seniors Club 105

61 Bay Street, Trenton, ON Snacks & refreshments will be provided.

PRESENTERS: Chris Frank, MD, FCFP, Family Medicine Specialized Geriatrics, Providence Care

Dallas Seitz, MD, FRCP, Geriatric Psychiatrist Seniors Mental Health, Providence Care

Melissa Andrew, MD, M. Ed., FRCP, Geriatric Psychiatrist Seniors Mental Health, Providence Care

Sudeep Gill, MD, MSc, FRCP, Geriatric Medicine Specialized Geriatrics, Providence Care

Come and enjoy an information evening on the risks and benefits of medications for older adults living with dementia.

Medications are prescribed to people with dementia for several reasons: management of cognitive symptoms; management of behavioural symptoms; and treatment of other chronic health conditions. As with all medications there are intended purposes as well as side effects.

Join a team of local experts to have a conversation

and learn more about medications and memory!

To reserve your attendance please contact Heather at the

Alzheimer Society Hastings Prince Edward 613-962-0892

Risks & Benefits of Medications for Older Adults with Dementia

��1) Are your parents’ taking care of them-

selves? Pay attention to their appear-ance. Failure to keep up with personal hygiene and basic grooming could in-dicate dementia, depression, or physi-cal impairments.

2) Are your aging parents experiencing memory loss? Everyone forgets things from time to time. Modest memory loss is a fairly common part of aging. There is a difference though, between normal memory loss and the type as-sociated with Alzheimer’s disease and other types of dementia. If your par-ents are forgetting common words, getting lost in familiar surroundings or unable to follow directions, sched-ule an evaluation with their doctor.

3) Are your parents safe in their own home? Do a home safety assessment

and watch for any red flags.4) Are they safe on the road? Driving

can sometimes be challenging for old-er adults. To help your aging parents maintain their independence suggest hiring a driver, taking a cab or using other transportation options.

5) Have your parents lost weight? Losing weight without trying could be a sign that something’s wrong. Schedule an appointment with their doctor.

6) Are they able to get around? Pay at-tention to how they walk. If they are unsteady on their feet, they are at risk of falling.

7) Are your aging parents in good spir-its? Note their moods and how they are feeling.

www.thefamilycaregiver.com

��

HEALTH CARE

��

A community’s strength is its ability to look after its older adults — safely and with com-passion.

For over 12 years our com-pany, Caregiver Omnimedia, has heard directly from fami-lies about what they want from their health care system and we heard two inseparable truths: there is an abiding al-legiance for universal health-care but also the belief that it needs to be transformed to meet 21st century needs.

To be put in more practi-cal terms, there are a large number of boomers who are concerned about mobility, costs, access to community services, and dependence on their families for their future care. They are very concerned about where they will live in order to sustain their own in-dependence. As a result, the demand for more options in age-appropriate housing is in-creasing substantially across Ontario and Canada.

Aging in Place/Aging at Home/Living IndependentlyWhen we hear these terms, we think of being able to spend the rest of our lives in the comfort of our own home as opposed to living in a health or nursing facility. But once we get be-yond that thought, what does

it mean? What exactly does aging at home encompass?

Imagine an orchestra — up front you have your string sec-tion, the second level is your woodwinds. Then there is the brass section. And in the back is your percussion. Despite all these instruments and sec-tions, together they are an orchestra playing one piece of music.

An Aging in Place Campus could be your symphony of service. Rather than strings you have healthcare, including geriatric care managers, per-sonal support workers, regis-tered practical nurses, thera-pists. Instead of woodwinds you having unique housing choices, co-housing, support-ive housing, some medical cot-tages, and some long term care housing options. They each have their own specialty but not their own tune. Instead, they have come together to provide us with something much more innovative and transformative ….an attractive and manageable life choice…..an Aging in Place Campus sim-ilar to a university campus.

The Federation of Canadian Municipalities stated in their

2013 Report on Canada’s Ag-ing Population. “Small towns and rural communities, where 23% of Canadian seniors live, will face unique social, envi-ronmental, and healthcare challenges that can impact on quality of life different from those in larger urban popula-tions. Seniors who wish to age in place in rural communities face greater barriers to re-main in their homes, stay ac-tive, and remain engaged with their communities.”

Over the past few years, most municipalities have put into place many covenants which allow for sustainable development, and which make it easier to build real solutions for the future and Ontario could become a showcase for rural communities around the world.

The Transitional GenerationIn understanding the challeng-es of our rapidly aging market and that there is no typical senior or mature market it is important to consider STAGE not AGE. In other words, those in this population sector remain more likely to define themselves by their life stage

rather than their physiological age.

There has been much said and written about the Silent Generation (1925- 1942) and the Baby Boomers (1946-1964)--- their differences and prefer-ences. Members of the silent generation retain their recall of experiences surrounding the events of World War II and the Great Depression, main-tain self-reliance in overcom-ing hardships, and value a regular predictable schedule.

Boomers on the other hand, happily embrace change, have grown up demanding things be done on their terms, and are redefining the very con-cepts of aging and retire-ment. Many Boomers of the “sandwich generation,” are caught between raising their (sometimes adult) children and caring for elderly parents, physically and financially—a phenomenon that is affecting the future of Ontario as it is the rest of the world.

Somewhere between these two generations a hybrid is developing and it has become to be known as the TRANSI-TIONAL GENERATION. They are demanding a new way of

living. Transitional Care Com-munities; Pocket communities; Med Cottage Communities; and Co- Housing Communities, are just a few of the names that describe this new way of com-munity care and living.

As the need for long term care grows along with the aging population’s declining health, this transitional gen-eration expects to enjoy active, healthy lifestyles for as long as possible. One major fac-tor which defines transitional development is “community.” One where residents are not only neighbours, but friends who act like family.

Several factors determine when one leaves their primary home, and everyone agrees there is “no right time,” but many factors contribute to a decision, such as:

• The Economy—downsiz-ing to put some dollars in your pocket

• Financial Planning—home is too large to maintain

• Family – move to be clos-er to the grandchildren

• Health –family wants comfort knowing that should health care cri-sis arise your loved one will be cared for in a continuum where home and community care is provided but not neces-sarily in a nursing home or long term care facility that can be miles away from home.

Don Fenn is the president of Caregiver Omnimedia, and was awarded the Queens Jubilee Medal in 2012 for his contributions to home care and family caregiving in Canada.

A solution to how we live and care for each other in the future

��

��

��

��

��

��

��

��

��

CCAC VALUES

��Our VisionOutstanding care – every per-son, every day.

Our MissionTo deliver a seamless experi-ence through the health sys-tem for people in our diverse communities, providing equi-table access, individualized care coordination and quality health care

RespectWe see the worth in others, value their contributions, and treat everyone with dignity and kindness.

IntegrityWe live our values and act honestly, fairly, and ethically

Patient FocusWe put the patient at the cen-tre of everything we do.

CompassionWe support our patients, car-egivers, and each other with understanding, empathy, and sensitivity.

AccountabilityWe are open and transparent and take responsibility for our work, our relationships and our results.

ResourcefulnessWe pursue excellence, knowl-edge and innovation to deliver the best care and value.

Self-Manage Your Attendant Services Direct Funding Program

DIRECT FUNDING is an innovative, Ontario-wide program that funds adults with permanent physical disabilities to become employers of their own attendants. These employees assist with routine activities of daily living, including dressing, bathing and toileting.

Choice• Recruit attendants based on your

individual requirements• Schedule your workers to meet

your daily living needsControl• Receive monthly funds to hire,

direct and manage your own attendants

Flexibility• Have your needs met

where it’s convenient for you — at home, work, school or in the community

www.dfontario.cacall (416) 599-2458 or 1-800-354-9950 ext. 235

��

��

��

planning

��

��

��

��

��

��

All home health care workers are to show identification to the patient ortheir caregiver every time they visit.This identification will include thename of the worker, the name of the organization they work for and a photo.This identification should be shownbefore they enter the home. If the worker does not show you their identification – ask!

Please contact your South East CCAC Care Coordinator or Service Provider if you have any questions .

NEWS

��Advance Care Planning is about making choices for the future now, while you are capable of mak-ing decisions. It is also about giving someone you trust the information and authority to act on those wishes for you.

When and where: Wednesday June 10 , South Frontenac Services Community Services Office, 4295 Stagecoach

Road, Sydenham: 2:00-4:00 p.m. Wednesday June 17, Verona Lions Centre,

5404 Verona Sand Street, Verona: 2:00-4:00 p.m.

To Pre-register (seating is limited) contact The South Frontenac Community Services Of-fice at 613.376.6477

Refreshments will be served.

��

��

��

��

��

��

��

��

The South East CCAC provides access to community care. This includes care in the home and alternate settings such as clinics.

Since the first clinics opened in 2009, the CCAC has tracked the patient experience and 98 per cent of patients have said their overall experience with the clinics has been positive in terms of convenience and care received. Virtually all of the patients surveyed said the nurses were knowledgeable and competent and they re-ceived their care promptly at the appointed time.

“These are not walk-in clin-ics but they are a convenient option for people who are eli-gible to receive nursing serv-ices from the CCAC,” said Jac-queline Redmond, CEO of the South East CCAC. “One of the key benefits for patients is that they can make an appointment to receive their care at a time that is convenient for them rather than waiting at home for the nurse.

“Clinics are a win-win for patients and the health sys-tem. Not only do patients rate the experience favourably, in a clinic nurses can provide health services to as many people as possible in the com-munity, which can decrease

the number of people who have to visit an emergency room or be admitted to hospital. Our research also shows that typi-cally patients require two vis-its less when they receive care in a clinic versus in the home for the same treatment.”

If a patient is able to leave the home for other appoint-ments, they are eligible and expected to attend a CCAC nursing clinic. Effective use of clinics ensures nurses are able to see those homebound individuals who need care at home at their most vulnerable time.

“We are very pleased with how well the clinics have worked out in terms of patient outcomes and satisfaction while achieving effective use of system resources, said Red-mond. “Many people still think of the CCAC as homecare but we have moved far beyond that and we provide access to community care in a variety of settings. It is an asset to the communities we serve that we are able to offer clinic care to more people.”

The South East CCAC runs nursing clinics in Bancroft, Bel-leville, Brockville, Gananoque, Kingston, Perth, Picton, Pres-cott, Smiths Falls, Trenton, Napanee and Northbrook.

��

��

��

��

��

��

��

��

��

��

��

HOME CARE

��

��

��

��

Recognizing a StrokeSometimes symptoms of a stroke are difficult to identify. Unfortunately, the lack of awareness spells disaster. The stroke victim may suffer severe brain damage when people nearby fail to recognize the symptoms of a stroke.

Now doctors say a bystander can recognize a stroke by askingTHREE SIMPLE QUESTIONS:S *Ask the individual to SMILET *Ask the person to TALK and SPEAK A SIMPLE SENTENCE (Coherently)

R *Ask him or her to RAISE BOTH ARMSIf he or she has trouble with ANY ONE of these tasks, call emergency number immediately and describe the symptoms to the dispatcher.

NEW SIGN OF A STROKE STICK OUT YOUR TONGUE!Ask the person to ‘stick’ out his tongue. If the tongue is ‘crooked’, if it goes to one side or the other that is also an indication of a stroke.

NURSING CARE

Connecting you with care Brought to you by the South East Community Care Access Centre and our partners to connect you with the health information you need to help stay safe in your community

The SouthEasthealthline.ca is a website that provides information about health services available in your community

SouthEasthealthline.ca provides easy access to a reliable source of information to help you find the services you need close to home

Health Careers News and Events

Health and Community Services

Visit www.southeasthealthline.ca

The South East CCAC can also provide information by calling 310-CCAC (2222)

and our connect you with the health information you need to help stay safe

The SouthEasthealthline.ca is a website that provides information

HEALTH SERVICES FOR SOUTH EAST

Health Care Options Your Health• Health Care Facilities • Aboriginal• Health Care Professions • Children and Parenting• Home Care and Assisted Living • Men • SeniorsHealth Topics • Women• Abuse and Sexual Assault • Youth• Addictions• Diseases and Conditions Making Choices• End-of-Life Care • Basic Needs and Social Supports• Environmental and Workplace Health • Blood, Organ and Tissue Donations• Mental Health • Complementary and Alternative Medicine• People with Disabilities • Health Coverage and Care Planning

tfcn web - lhin home and community...

Documents