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Published on Sunday, 29 November -0001 16:00
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Written by editor
NationBuilder r1
Dear Paov --
On Wednesday, we released The Place
of Assisted Living in BC’s Seniors Care System: Assessing the Promise,
Reality and Challenges report with the
Canadian Centre for Policy Alternatives and the Hospital Employees’
Union.
Assisted living was introduced in 2002 as a less institutional
environment for seniors with less complex needs than long-term care.
It offered the promise of greater independence and being able to live
in a more home-like environment—which are important and highly valued
by seniors. Drawing on interviews in different parts of the province
with 28 care aides, Licensed Practical Nurses (LPNs), front-line
managers, residents and family members, the
study offers a preliminary assessment of the quality and
appropriateness of assisted living services, the conditions for both
residents and workers, and the legislative and regulatory frameworks
that govern assisted living.
Click
here to read... the report
The key findings portray symptoms of a crisis in our fragmented,
under-regulated, and largely privatized system of home- and
community-based health care:
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Many seniors have care needs that are not met due to
affordability challenges, particularly in private-pay units
(where the senior or their family pay the full cost and are
charged for each additional service beyond the basic minimum
required). For example, LPNs and care aides reported residents using
towels as adult diapers or for wound care, skipping meals not included
in basic food packages, or wearing dirty clothing because laundry
detergent was too expensive or residents could not afford to buy new
clothes.
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A significant number of seniors in assisted living residences
do not appear to qualify for assisted living under provincial
legislation, which requires that residents are able to direct
their own care and independently respond in case of an emergency. LPNs
and care aides overwhelmingly reported struggling to meet the needs of
residents with moderate to advanced dementia or significant mobility
limitations – but who were nevertheless living on their own in both
publicly-subsidized and private-pay assisted living.
- The assisted living model allows residents to make the choice to
“live at risk” in order to remain independent, but it can easily
become a way for operators to cope with or justify low staffing
levels, and too often leaves residents in situations that
border on neglect.
- In subsidized and especially private-pay assisted living,
front-line staff reported being unable to do what they
ethically know they should as a result of institutional
constraints like low staffing levels, a lack of resources and the
philosophy of allowing residents to “live at risk.”
- Front-line staff participating in this study reported a
high rate of ER visits and hospital admissions of
residents in assisted living, particularly due to falls.
British Columbia Health Coalition · 3102 Main St, 302,
Vancouver, Unceded Coast Salish Territories, BC V5T 3G7, Canada
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