The Resident and family are encouraged to participate with staff in assessing, reviewing and revising the care needs for the Resident. Care Conferences are held 6-8 weeks after the Resident is admitted to the Personal Care Home and at a minimum yearly thereafter. The Resident/family is encouraged to attend these reviews and communicate changes in care needs with staff whenever they arise. Families are also welcome to participate in assisting with care provision for the Resident.
The Personal Care Home provides 24 hour nursing care under the overall leadership of the Area Manager. There are Registered Nurses, Registered Psychiatric Nurses, Licensed Practical Nurses, and Health Care Aides working together to provide Resident Care.
Each Resident is visited routinely by a Physician. Transfer to a hospital may be required when medical needs of the Resident can not be met within the Personal Care Home. Transportation costs where appropriate may be the Responsibility of the Resident/family. Please refer to Appendix 1 regarding transportation for the purposes of treatment.
Laboratory and x-ray services are available at the closest Hospital in the Burntwood Regional Health Authority. The attending physician will order the required diagnostic testing for the Resident. Where off site diagnostic tests are required (such as x-ray and ECG) transportation costs where appropriate may be assumed by the Resident/family. Please refer to Appendix 1 regarding transportation for the purposes of treatment. When taking blood samples is required, the diagnostic staff will try and make arrangements to go to the Personal Care Home.
EMERGENCY MEDICAL SERVICES
Ambulance transport is a non insured service in Manitoba. Transportation for treatment or diagnostic tests in a hospital may be paid for under certain circumstances. Please refer to Appendix 1 regarding transportation for the purposes of treatment.
A licensed pharmacist is available for consultation and is involved in regular Resident medication reviews. Most prescribed medication is supplied free of charge to Residents of the Personal Care Home. Residents are not allowed to keep medications of any kind including non-prescription, vitamins or herbal remedies in their room.
Some of the medications occasionally prescribed by a physician are not covered by Manitoba Health, and payment for those will be the responsibility of the Resident. Whenever possible, nursing staff and the pharmacist will work with the physician to consider alternate effective medications which are paid for by Manitoba Health.
The Resident may take only medications that have been ordered by the physician (including non-prescription drugs and herbal preparations)
Please contact the Facility Coordinator / Client Care Coordinator if you have any questions regarding the above information.
Vaccinations / Immunizations:
All residents and staff are encouraged to receive an annual flu shot which is administered at the Personal Care Home. Residents are also offered the pneumococcal vaccine that requires administration only once. In the event of an outbreak of flu or other respiratory illness at the Personal Care Home, precautionary measures may be taken such as administration of antiviral therapy and limiting visitors. Visitors should not come into the Personal Care Home if they are ill in order to protect the Residents.
All visitors should wash their hands upon visitation with residents to help prevent the spread of infection and protect the residents.
An Occupational Therapist and/or Physiotherapist may be available for consultation. If the therapist recommends the purchase of a wheelchair, walker etc., it is the responsibility of the Resident/family to pay for this.
Mental Health Services for the Elderly are available on a consultative basis. Services addressing depression, dementia, anxiety, adjustment disorder or other psychiatric conditions are available through a visiting psychiatric nurse and a consultant psychiatrist.
The Resident/family or nursing staff in consultation with the Resident/family can arrange dental appointments. Cost incurred is the responsibility of the Resident/family. Transportation costs are also the responsibility of the Resident/family. A visit to the dentist prior to admission to the Personal Care Home is recommended.
Note: The Personal Care home does not accept responsibility for loss or breakage of dentures. Residents/families are encouraged to have their dentures engraved by the resident’s dentist/denturist prior to admission.
AND OTHER MOBILITY AIDES
All Residents of the Personal Care Home are required to purchase and maintain their own wheelchairs, walkers and mobility aides. Residents must store these items in their room when not in use.
Please consult with an Occupational Therapist prior to purchasing any walkers, wheelchairs or mobility aides. All walkers, wheelchairs and mobility aides owned prior to admission to the Personal Care Home must be assessed by the Occupational Therapist to ensure safety and suitability.
MECHANICAL LIFT SLINGS
If the Resident requires the use of a facility owned mechanical lift, the Resident/Family is responsible for the purchase of two (2) personal slings for this purpose. These slings last for approximately two years under regular use and will need to be replaced after this time or if deemed to be worn or unsafe during regular inspections by facility staff.
EYE CARE, GLASSES
The Resident/family or nursing staff in consultation with the Resident/family can arrange eye appointments. Cost incurred is the responsibility of the Resident/family. Transportation costs are the responsibility of the Resident/family. Residents should have their eyeglasses engraved prior to admission.
Note: The Personal Care Home does not accept responsibility for loss or breakage of glasses.
The Resident/family or nursing staff in consultation with the Resident/family can arrange audiologist appointments. Costs incurred are the responsibility of the Resident/family. Transportation costs are the responsibility of the Resident/family. Hearing aids should be engraved prior to admission. The Resident/family is responsible for the purchase of batteries.
Note: The Personal Care Home does not accept responsibility for loss or breakage of hearing aids.
The Resident/family or nursing staff in consultation with the Resident/family can arrange foot care appointments. Foot care charges are the responsibility of the Resident/family. Transportation costs are the responsibility of the Resident/family.
RESIDENT CARE CONCERNS
Resident Care conferences are held on a regular basis. The purpose of these conferences is to plan care that addresses the Resident’s needs. Residents and families are encouraged to attend an annual care conference.
Please contact the nurse in charge regarding day-to-day care issues.
We encourage you to discuss with us any care concerns you may have. Most concerns can be addressed to your satisfaction. To ensure that concerns are dealt with properly and promptly, Residents/families are asked to direct their questions or concerns to the nurse in charge or the Facility Chief executive officer/Director of Nursing. All complaints are handled in a sensitive and confidential manner. Further concerns may be directed to the Area Manager. A Resident Satisfaction Questionnaire is distributed annually to all residents or to a family member if the Resident is unable to complete the form on their own. We strive to improve care and services and your comments are important to us.
The Personal Care home adheres to a Zero Tolerance for abuse in reference to Residents, staff, family or visitors. To ensure Resident safety, the Personal Care Home has a process in place for receiving reports of alleged abuse against a Resident. Please contact the Chief Executive Officer/ Director of Nursing if you have concerns or complaints regarding any abuse, so appropriate action can be taken.
You may also notify the Province of Manitoba’s Protection for Persons in Care office. The Protection for Persons in Care Act is an extra safe guard built into Manitoba’s health care system. The Protection for Persons in Care Office can be accessed by phoning 1-866-440-6366.
The Personal Care Home promotes a “least restraint” approach for those Residents whose behaviors are assessed as being potentially unsafe. At all times, staff must consider the safety needs of all individuals at the Personal Care Home.
If safety/restraint devices should become necessary, a comprehensive assessment of need shall be conducted. This will include consultation with the Resident or Alternate Decision Maker. Except in an emergency, an order is required for the use of all restraint devices.
HEALTH CARE DIRECTIVE
The Personal care home recognizes the right to specify, in writing, the level and type of health care that an individual wishes to receive in the event they are unable to express their desires. This document is known as a Health Care Directive (Government of Manitoba Health Care Directives Act).
Advance Care Planning is a way to prepare for the decisions that will need to be made about an individuals’ future or potential end of life care and medical treatment and will respect the content of the Health Care Directive where one exists.
Residents and families are encouraged to complete such a Health Care Directive so that the Resident’s wishes can be respected. It is important to discuss this type of information and decision with a doctor. If the Resident already has a Health Care Directive prepared, please bring the original copy on admission so that it can be placed in the medical record.
Where the resident does not already have a Health Care Directive prepared, he/she will be provided the opportunity to choose the preferred level of care upon admission to The Personal Care Home. The Resident/proxy will be given the opportunity to specify in writing the type of care they wish to receive in the event of declining health.
The indicated degree of intervention may be changed at any time at request of the Resident or proxy/decision maker. If there is any sudden change in the Resident’s condition, discussion with the next of kin or proxy/decision maker will occur.