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1 HomeView Personal Care A m o n t h l y s u m m a r y o f a c t i v i t i e s a n d a n n o u n c e m e n t s r e l a t i n g t o p e r s o n a l c a r e i n W i n n i p e g Volume 3, Number 5 October, 2006 REGIONAL SATISFACTION SURVEY RESULTS We have just received the results of our first regional Resident and Family Satisfaction Survey. The survey was conducted in the Spring of 2006 and 2075 Residents and Families participated in the survey. The overall results showed that 89.1% of those responding were satisfied with the overall service. We are in the process of reviewing the results and will share more information in the next issue of the PCH View. Thank you to all the Residents and Families who were able to take the time to respond to our survey. We expect that these results will provide us with further information about ways in which we can continue to improve our services. ACCREDITATION 2006 The Winnipeg Regional Health Authority will be undergoing an accreditation review process with the Canadian Council on Health Services Accreditation (CCHSA) from November 5 to 10, Personal Care Homes across the region will be participating. The review will help us to measure our services against national standards and identify further opportunities for improvements. There will be 12 surveyors from CCHSA in Winnipeg during that time. Teams of two surveyors will visit each of the Personal Care Homes. During their visit, each of these teams will: Have a short tour of the facility, Meet with residents, families and/or the Resident Council Review various documents Meet with staff including the Resident Care Team, and Meet with the facility leadership team In addition to the time spent at each Personal Care Home, the surveyors will meet with the Personal Care Home Quality Improvement Council, the Personal Care Home Executive Directors Council and conduct a Staff Focus Group. We are looking forward to their visit and sharing the results once we receive their final report. RAI/MDS Phase 2 Project Launch On Friday October 20, 2006 the MDS Phase 2 Project kick-off meeting was held to launch plans for the implementation of Momentum s Care Management and MDS software to 15 Personal Care Homes in the Winnipeg Region. The kick-off provided staff from the PCH sites with an overview of the project and demonstrations of the Momentum software. The MDS Project - Phase 2, is a Winnipeg Regional Health Authority Personal Care Home Program initiative designed to provide a standardized approach to assessing the health and needs of residents living in personal care homes. The MDS Project - Phase 2 will implement the electronic Resident Assessment Instrument (RAI), MDS 2.0 and the care planning application in the remaining 15 Winnipeg region Personal Care Home (PCH) sites. This tool is currently not yet available in St. Amant Centre, a new St. Vital facility and 13 Proprietary facilities in the region. System Components In an electronic Resident Assessment Instrument (RAI), MDS 2.0 was implemented in 25 notfor-profit PCH sites in the Winnipeg region. (MDS Project - Phase 1). The system was developed by interrai, a collaborative network of researchers in over 20 countries committed to improve health care for persons who are elderly, frail or disabled. interrai promotes evidence-based clinical practice and policy decisions through the collection and interpretation of high quality data. Along with the RAI instrument, an electronic care planning application, Momentum Healthware s Care Express application, was also implemented. Who Benefits Residents and their families Health care providers Health care managers/administrators Clinical Benefits Provides improved capability of assessing and planning resident care through an effective and standardized methodology in a timely and sequential approach. Continued on page 2

2 View Project Launch Continued Administrative Benefits A data reporting mechanism promotes consistency of data and care planning within the region. Provides site and regional management with quality indicator data essential for program decisions, appropriate placement, resource/service allocation and quality care planning. The following sites will receive the software over the next two years: Implementation will start in January 2007 and end in June PCH Facilities Beacon Hill Lodge Charleswood Care Centre Extendicare Oakview Place Extendicare Tuxedo Villa Golden Door Geriatric Centre Heritage Lodge Kildonan Personal Care Centre Maples Personal Care Home Parkview Place Poseidon Care Centre River East Personal Care Home St. Norbert Nursing Home St. Vital PCH (new facility) Vista Park Lodge St. Amant Centre MDS is internationally recognized and has become the Canadian Standard in which to assess the needs of residents. Library Poster for Staff at the Personal Care Homes Included in this month s PCH View is a poster you can put up on in your facility or on your unit to tell staff about the Library Services available to all PCH staff in Winnipeg. See page 6 of this issue of the PCH View. Need information on a disease or condition? Developing a new program or care plan? Taking a course? Working on Continuing Competency? Looking for a book, article or video to support patient care or staff training? Find it Library Services For Winnipeg Personal Care Homes J.W. Crane Memorial Library UM Health Sciences Libraries Deer Lodge Centre 2109 Portage Ave. Winnipeg, MB R3J 0L3 Your Gateway to Health Information Phone: Fax: dlclibrary@umanitoba.ca Web: Phone, fax, or us for help. We provide a variety of free services to Winnipeg Personal Care Home staff including: Literature Searches Copies of articles and loans of books and AV materials Table of Contents of select journals Agelit, Web Pick of the Week, & special bibliographies on aging, geriatrics and long term care Onsite training on use of online resources including CPS, Ageline, Pubmed, CINAHL, Cochrane Library plus many others. For further information, or to have a copy of the poster ed, contact Laurie Blanchard, or laurie_blanchard@ umanitoba.ca Borrowing Books & Videos from the J. W. Crane Memorial Library All staff at any Winnipeg Personal Care Home may borrow books from the J. W. Crane Library. You can visit the library in-person, or have items delivered to you through the Medical Carrier. In order to borrow materials, you only need to fill out an application for a University of Manitoba library card and return it to the J. W. Crane Memorial Library. To obtain an application, contact the Library at or at jwclib@ deerlodge.mb.ca. For more information on searching the library s online catalogue, requesting items, and other ways you can use your library card, visit our webpage at umanitoba.ca/libraries/health/deerlodge/ or contact Laurie Blanchard, Outreach Librarian, Long Term Care by phone at , or by at Laurie_blanchard@umanitoba. ca. 2

3 View End of Life (EOL) Education Brothers 1991; Used with permission of the Robert Pope Foundation The End of Life (EOL) Care Team education sessions for 2006 are underway. These sessions are sponsored by the Personal Care Home Program in collaboration with the Palliative Care Program and members of the PCH Palliative Care Strategy Task Force. The intent of these sessions is to provide End of Life Care Team members with the necessary knowledge and skills to enhance the quality of End of Life Care provided within Personal Care Homes. The sessions cover topics such as symptom assessment and management, characteristics of a good death, grief, bereavement and communication at the end of life. Sessions are open to staff of all disciplines who are members of the individual care teams at the PCH s and those interested in learning more about providing care at end of life. For more information contact either Luana Whitbread CNS PCH Program at or lwhitbread@ wrha.mb.ca or Cathy Scott Admin Secretary PCH Program at or cscott@wrha.mb.ca

4 View End of Life (EOL) Education Schedule 4 EOL Care Team Education Sessions 2006 WRHA PCH Program is pleased to offer this recurring educational series for End of Life Care Team Education. These sessions cover the same content as those EOL Care Team education sessions offered in 05/06, but have been reformatted slightly to meet participant need. Certificates will be issued to participants once they have attended all sessions in the series. Date/Time Location Content Speakers Target Audience Oct 12, to 1630 Holy Family Nursing Home 165 Aberdeen Avenue This session will lay the foundation for the EOL care team. Team members should attend together as session will assist in team development. Principles of quality palliative care What is a good death? Spirituality at the end of life LML Audit Results and Implications Palliative Care Program Overview EOL Team Development Available resources Dr. John Bond, Professor, Family and Social Studies, Faculty of Human Ecology, University of Manitoba Tim Frymire, Clinical Pastoral Education Supervisor, St. Boniface General Hospital Suzanne Wowchuk, CNS, WRHA Palliative Care Program WRHA Palliative Care Program Representative All members of EOL care teams Oct 31, Nov 8, Dec 14, **Revised September 25, 2006 Deer Lodge Centre 2109 Portage Avenue Life & Learning Centre Lions Personal Care Home 320 Sherbrook Street Harvey Hall Meadowood Manor 577 St. Anne s Road This session will highlight symptom assessment and management at the end of life including: Pain Dyspnea Delirium Nausea and vomiting Swallowing issues Dr. Paul Daeninck, Oncologist, Cancer Care Manitoba Lisa Streeter, CNS, Palliative Care Program Kelly Tye Vallis, Speech Language Pathologist, WRHA PCH Program Grief and Bereavement Manitoba Hospice & Palliative Care Representative Communication at the End of Life Fred Nelson, Psychosocial Program Specialist, WRHA Palliative Care Program To register contact Cathy Scott, WRHA PCH Program to: cscott@wrha.mb.ca or Fax: Physicians, Nurses, Pharmacists, other members of team if interested All members of the EOL Care Team All members of the EOL Care Team

5 5 View New Books at the J. W. Crane Memorial Library All staff at any Winnipeg Personal Care Home may borrow books and audiovisuals from the J. W. Crane Memorial Library. You may visit the library in-person, or have items delivered to you through the Medical Courier System. In order to borrow materials, you only need to fill out an application for a University of Manitoba library card and return it to the J. W. Crane Memorial Library. To obtain an application, contact the Library at or at dlclibrary@umanitoba.ca. For more information on searching the library s online catalogue, requesting items and other ways you can use your library card, or on other library services like literature searches and house calls, visit our webpage at health/deerlodge or contact Laurie Blanchard, Outreach Librarian, Long Term care by phone at , or by at laurie_blanchard@umanitoba.ca. The following is a sample of some of the new material recently arrived at the J. W. Crane Memorial Library. To request any of these items, call or dlclibrary@umanitoba.ca Assisted dining : the role and skills of feeding assistants. Bonnie L. Walker. Washington, DC: American Health Care Association, The American Health Care Association has prepared this manual to help facilities train staffs to comply with new CSM (Centers for Medicare & Medicaid Services) guidelines. The authors, Bonnie Walker, PhD, and Claire Cole, MA, RN, C, have written chapters corresponding to the topics in the federal regulations. The manual not only discusses feeding techniques and how to feed residents with differing abilities, but also teaches how to respond to emergencies, infection control, communications, residents rights, and other topics. The approximately 100-page book is illustrated, and technical terms are defined in a sidebar. Every chapter ends in a page of suggested activities and a 10-question multiple choice quiz. Caring with Confidence: A handbook for training in dementia care for nursing and care assistants in continuing care homes. Cheshire, Great Britain: The JRW Group, c2002. How to Say It to Seniors: Closing the Communication Gap with Our Elders. New York: Prentice Hall. Call Number : BF 637 C45 S686h How To Say It To Seniors: Closing The Communication Gap With Our Elders by David Solie (an expert in geriatric psychology and the CEO/Medical Director of Second Opinion, a life insurance brokerage corporation) is a practical and accessible guide to communicating effectively with older adults. Author David Solie provides invaluable insights and practical advice to gaining the trust and cooperation of the elderly, offering assistance to them without taking over the conversation, understanding the need of legacy with respect to the elderly, and learning how to listen and what to listen for. While especially recommended to professionals and para-professionals working with the elderly in matters ranging from business, to health, to daily living, How To Say It To Seniors is also of immense value to non-specialist general readers wanting to talk more effectively and to greater purpose with their own elderly parents, This handbook has been designed to raise the awareness of nursing and care assistants of various issues involved in caring for older people with dementia. It provides up-to-date information on dementia and its effects on the person and offers suggestions and practical tips for good practice. The training handbook contains six modules with case scenarios, a quiz, tips for good practice and training exercises. Each module can stand alone or form a part of a wider training programme. Modules include: Dementia; Communication; Daily care; Challenging and aggressive behaviour; Abuse; Relatives and informal carers.

6 View Library Services For Winnipeg Personal Care Homes 6 Need information on a disease or condition? Developing a new program or care plan? Taking a course? Working on Continuing Competency? Looking for a book, article or video to support patient care or staff training? Find it J.W. Crane Memorial Library UM Health Sciences Libraries Deer Lodge Centre 2109 Portage Ave. Winnipeg, MB R3J 0L3 Your Gateway to Health Information Phone: Fax: dlclibrary@umanitoba.ca Web: Phone, fax, or us for help. We provide a variety of free services to Winnipeg Personal Care Home staff including: Literature Searches Copies of articles and loans of books and AV materials Table of Contents of select journals Agelit, Web Pick of the Week, & special bibliographies on aging, geriatrics and long term care Onsite training on use of online resources including CPS, Ageline, Pubmed, CINAHL, Cochrane Library plus many others.

7 7 View Caregiving with Confidence is designed for caregivers of older adults, including family caregivers and professional care providers. Your opportunity to learn new skills and strategies and to learn how to take care of yourself, to keep yourself strong and balanced. Canad Inns Fort Garry January 24, :00 p.m. Keynote speaker - Senator Sharon Carstairs Bringing Buds to Blossom, The Growth of Palliative Care in Canada Open to the General Public January 25, :00 a.m. 4:30 p..m. Conference for registered participants Learn More About: Homecare - when does it work well? what are the challenges? Hands-on Skills such as lifts and transfers, nutrition/hydration, etc. Having Difficult Conversations Relief and Renewal for Caregivers Recognizing Elder Abuse Building a Support Network Dealing with Stress Much, Much More To register or for more information please contact us: Rupert's Land Caregiver Services 168 Wilton Street Winnipeg, MB R3M 3C or rlcs@mts.net See brochure & registration form included with the October issue of the PCH View.

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