Thursday, January 29, 2009

PSW workers in Ontario

Ontario Ministry of Health and Long-Term Care (MHLTC) funding and staffing is based on resident care per resident day.

Patients have an allotted time with a nurse or personal support worker that is funded by the government. But this is only on paper. Clients may require more or less time. This is simply one of those ubiquitous funding formulas.

In August the average paid hours of care was raised to 2.94 hours from 2.16 hours, meaning that a patient in a long term care facility receives at least 2.94 hours of care per day if needed, according to MHLTC. This is just plain wrong. "If needed?" Staff run up a hall, doing regular care for each resident and move on to the next. It is an assembly line of care. There is little time for frills, let alone giving individualized care.

Some residents are paraplegic, some are unable to feed themselves. Others require much supervision, help to get in and out of bed, the changing of incontinence products, dressing and many other ADL. Funding should not be based on this small amount of time. It needs to be geared on a patient to patient basis. Those with Alzheimer's or other dementias, who are paraplegic, and require supervision, should qualify for much more than this.

Also, this funding is not based on PSW care, or the amount of time a nurse may or may not be able to be with a resident. It is based on all of the health care professionals who work in the LTC Home. Physiotherapists, dieticians, all are in the mix.

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