Partnership
between hospital and home supports residents
Monday, November 6, 2006 -- Craig Anderson
A partnership between the geriatric psychiatry outreach team from
the Royal Ottawa Health Care Group and long term care home Forest
Hill has resulted in an increased quality of services for the home’s
residents and family, says Sarah Ferguson, Administrator.
The team, composed of a
psychiatrist, psycho-geriatric nurse and social worker, visit the
home monthly, assisting staff in providing care for residents
with dementia.
The team provides education, medication assessment,
counseling and, says Ferguson, generously supports the nursing and
PSW staff wherever necessary.
“This is a program we embrace fully,”
says Ferguson, “it’s a marvelous addition to the care
we give our residents.”
The home is visited by the team’s doctor,
Anne Hennessy, about once a month. She assesses and re-assesses
residents and adjusts medication. Mary-Ann Davis, the psycho-geriatric
nurse, is a bi-weekly visitor, almost “a part of our own team,”
says Ferguson.
Davis’s role is to provide resources and
education for the nurses, and has in recent years offered P.I.E.C.E.S.
dementia training to staff. This dementia training, says Ferguson,
has been a complement to the home’s own gentle dementia intervention
approach known as “Supportive Measures.”
Davis is joined by Carmelina Ciamgila, a social
worker who provides counseling and trains the staff on elder abuse
issues.
Providing care for residents who have challenging
behaviour issues related to dementia can be exhausting on an emotional
level, says Ferguson, and Ciamgila has acted as a supportive ear
and resource for the staff in developing coping mechanisms to deal
with recurring stresses in long term care. Ciamgila has also helped
staff dialogue with family members during difficult times.
The team has been visiting the home for more than
four years. The Kanata-based home was lucky, says Ferguson, as it
was one of the last new build homes in the area to receive the service.
Because of the relationship with the team, residents
at Forest Hill who require a transfer to the hospital’s more
intensive psychiatric services (at the Lady Grey Building) are moved
through the system more efficiently.
This partnership, says Ferguson, is an example
of LHIN integration, and she sees “endless opportunities”
for other similar arrangements.
One local care need for seniors, which has been
brought to the attention of the Champlain LHIN, is the need for
improved services for LTC residents who need specialized dialysis
treatment.
Ferguson would like to see, in particular, peritoneal
dialysis treatment available in area LTC homes. A partnership with
an agency such as the Kidney Foundation, who would provide training,
would be ideal in this case, she adds.
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