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St. Joseph’s at Fleming. Charitable Not for Profit Long Term Care Facility. Presenter. Vicki Barrow Manager of Support Services Role: Development & Implementation of support services for Residents Admissions Resident & Family Council Auxiliary Recreation/Therapy Services Pastoral Care

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st joseph s at fleming

St. Joseph’s at Fleming

Charitable Not for Profit Long Term Care Facility

presenter
Presenter

Vicki Barrow

Manager of Support Services

Role:

  • Development & Implementation of support services for Residents
  • Admissions
  • Resident & Family Council
  • Auxiliary
  • Recreation/Therapy Services
  • Pastoral Care
  • Social Services
  • Community liaison
presentation overview
Presentation Overview
  • Organizational Background – Key Features
  • Demographics
  • Case Study – Developmentally Delayed
  • Case Study – Intellectually Challenged
  • Innovative Initiatives
  • On-going Challenges
  • Questions
organizational background key features
Organizational Background – Key Features

A unique partnership between:

  • Marycrest Home for the Aged
  • Anson House
  • Fleming College

A model for future partnerships between Long-Term Care and Education

organizational background key features6
Organizational Background - Key Features
  • 8 Resident Home areas of 25 Residents
    • 146,000 square feet
    • Old fashion Town Square that is full of light and artwork
    • Greenhouse
    • Fully contained landscaped courtyards (Patios/balconies)
    • Private/semi/corner suite rooms wired for phone, cable and internet
organizational background key features7
Organizational Background - Key Features
  • A rich learning environment for staff and students that promotes learning & best practices in geriatric and long term care;
  • Fleming College’s Institute for Healthy Aging;
  • Fleming Nursery School located in the Home’s town square that aligns with our intergenerational philosophy of care;
demographics
Demographics

200 Residents:

  • Ages range from 36 to 105
  • Frail elderly
  • Mentally ill
  • Dementia
  • Brain injury
  • Developmentally delayed (3 %)
  • Intellectually challenged (5 %)
resident profiles
Resident Profiles

Supporting the needs and care of the developmentally delayed and intellectually challenged?

The St. Joseph’s at Fleming Approach

case study age 36 developmentally delayed
Case Study – Age 36Developmentally Delayed

Diagnosis

  • Downs syndrome
  • Congestive heart failure
  • Chronic renal failure
  • Benign hypertension/breathing
case study age 36 developmentally delayed13
Case Study – Age 36Developmentally Delayed

Complexity of care needs

  • Communication deficits
  • Physical fragility, Menses
  • Social and emotional fragility – ward of foster care, interactions with others
  • Behaviour management challenges
  • Safety and security
case study age 36 developmentally delayed14
Case Study – Age 36Developmentally Delayed

Interventions:

  • Community Living Partnership
    • Day Programs
    • Service coordination
  • Staff Education
    • Circle training
    • Complexity of care needs
  • Family Relationships
    • Support to foster family
case study age 61 intellectually challenged
Case Study – Age 61Intellectually Challenged

Diagnosis

  • Personality disorder
  • Chronic Obstructive Pulmonary Disease (C.O.P.D.)
  • Obesity
  • Sleep apnea
  • Anxiety disorder
  • Osteoporosis
case study age 61 intellectually challenged16
Case Study – Age 61Intellectually Challenged

Key Issues

  • Inability to make healthy food choices
  • Inability to recognize inappropriate dress
  • Poor hygiene
  • Interactions with Residents
  • At risk with criminal justice services re- theft, ineffective coping mechanisms
  • Communication
case study age 61 intellectually challenged17
Case Study – Age 61Intellectually Challenged

Interventions:

  • Adult Protective Services Partnership
    • Money management
    • Monthly activity coordination
    • Groovy girls – Canadian Mental Health Association
  • Staff education
    • Understanding the mental health challenges, manipulative behaviour, limited intellectual abilities
  • Positive reinforcement programs for appropriate behaviour
innovative initiatives
Innovative Initiatives

S.M.I.L.E Program

Students

Mentoring

In

Long term care

Experience

innovative initiatives cont d
Innovative Initiatives cont’d
  • Joint program between Fleming College and St. Joseph’s at Fleming whereby student obtain course credit for completing the SMILE experience
  • Research, develop and implement therapeutic program for developmentally delayed and intellectually challenged Residents
on going challenges
On-going Challenges
  • Lack of family involvement
  • Engagement of community agencies to augment LTC services
  • Personal finance management
  • Biases of staff, residents, and families
  • Duel diagnosis – e.g. dementia
  • Longer life span
  • Development and sustainability of appropriate programming for a small segment of the Home’s population