Tuesday, February 22, 2011

Home care, ALC patients

A man, sent home from a Toronto hospital to his Muskoka home, doesn't get the Home Care he is promised. I was in the same position - advocating for my parents, when Mom was discharged in 2003.
However, the discharge nurse kept us waiting for a couple of hours in Toronto until they found someone to provide home care for mom.

Home care consisted of a nurse who would check in on frail seniors, checking Mom's surgery site, changing the dressings.

On the way home, Dad had a petite mal seizure. Then, in his kitchen he had a gros mal seizure, and his brain tumour was identified. He had surgery later that spring, and that is when I began searching for a job closer to my parents home.

This family,
 http://www.thestar.com/news/article/941699--home-care-promised-by-hospital-never-arrives
should not have been forced to accept that their father was able to manage at home, with a catheter and just having had surgery. Adult children and caregivers have been taken advantage of by those who want to send Alternate Level of Care (ALC) patients home.
Who do we blame for this? For they ought to be held accountable. CCAC Case Managers who are pressured? Hospital staff, similarly pressured to send patients home?

Many cannot manage at home. Many couples are fighting chronic health issues, and one cannot be in charge of the other as both belong in long-term care. Home Care in places, like remote locations, like Central Ontario, Muskoka, do not have the nurses necessary for the Home Care services they need.

'Sunnybrook halted the practice late last year after the Advocacy Centre for the Elderly warned it contravened the Health Insurance Act.'
You cannot be forced to go to a long-term care home without your consent unless you are not mentally capable, at which time your substitute decision-maker will make the decision for you. Fortunately, the threats of 'paying $1800 day' have proven to be wrong, immoral and illegal.


Daughter copes at home with two ailing parents



Home care promised by hospital never arrives

When Harold Chamberlain was discharged from hospital last May, his son was concerned the 81-year-old was still too fragile to go home. Harold’s cancerous bladder and prostate had just been removed and his urine now collected in a pouch through an opening in his abdomen.


When Sou Ping Tsoi fell and fractured her cheekbone, her family decided it was time to call for help. The 90-year-old suffers from dementia.
CCAC, who controls access to home care, could not come up with more support. With politicians promising 'AGING AT HOME' strategies, there simply isn't the budget for those who cannot afford to pay for it. Those with money purchase services from home care for-profit agencies. 
Adult day programs, for seniors with dementia, exist in the big cities, but not in the country. 
It is a community support group, one of 750 not-for-profit agencies across Ontario, that operate using volunteers, client co-payments and a shoestring budget to provide care for 750,000 seniors and their families.
Of Ontario’s $43.5 billion in health care spending last year, only 1 per cent, or $540 million, was spent on community support groups. Yet, for those who must work, it is the rural areas whose residents suffer from lack of home support. Leaving ill family members home alone is not an option.

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