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Long Term Care Administration


History and Evolution of Long Term Care. Group Presentation Prep Time ... grasshopper shall drag itself along, and the caperberry shall fail; because man ... – PowerPoint PPT presentation

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Title: Long Term Care Administration

Long Term Care Administration
  • Agenda
  • Thursday, January 15, 2009
  • News Stories
  • Study of Aging
  • BC Ministry of Health
  • Coffee Break
  • History and Evolution of Long Term Care
  • Group Presentation Prep Time

History and Evolution of Long-Term Care
  • Long Term Care Administration
  • January 15, 2009

History and Evolution of Long Term Care
History and Evolution of Long Term Care
  • Gerontology is the study of aging. It is to be
    distinguished from geriatrics, which is the study
    of the diseases of the aging (medical studies).
    Gerontology covers the social, psychological and
    biological aspects of aging.
  • Gerontology includes these and other endeavors
  • studying physical, mental, and social changes in
    people as they age.
  • investigating the effects of our aging population
    on society.
  • applying this knowledge to policies and programs.
  • As a result of the multidisciplinary focus of
    gerontology, professionals from several fields
    call themselves "gerontologists".

History of Evolution of Long Term Care
  • The term "gerontology" was introduced in 1903 by
    Elie Metchnikoff, a Nobel laureate and professor
    at the Pasteur Institute of Paris.
  • In North America, the emergence of gerontology as
    a scientific movement can be traced to a small
    group of leaders who, in the mid-1930s,
    recognized that the health of the American
    population was undergoing a change from
    domination by infectious diseases to chronic
  • The Gerontological Society of America was founded
    in 1945, and the International Association of
    Gerontology about five years later.

History and Evolution of Long Term Care
  • Earliest References to the Aging Process?
  • King Solomon
  • Ecclesistes Chapter 12
  • 1 Remember then thy Creator in the days of thy
    youth, before the evil days come, and the years
    draw nigh, when thou shalt say 'I have no
    pleasure in them'
  • 2 Before the sun, and the light, and the moon,
    and the stars, are darkened, and the clouds
    return after the rain
  • 3 In the day when the keepers of the house shall
    tremble, and the strong men shall bow themselves,
    and the grinders cease because they are few, and
    those that look out shall be darkened in the

History and Evolution of Long Term Care
  • 4 And the doors shall be shut in the street, when
    the sound of the grinding is low and one shall
    start up at the voice of a bird, and all the
    daughters of music shall be brought low
  • 5 Also when they shall be afraid of that which is
    high, and terrors shall be in the way and the
    almond-tree shall blossom, and the grasshopper
    shall drag itself along, and the caperberry shall
    fail because man goeth to his long home, and the
    mourners go about the streets
  • 6 Before the silver cord is snapped asunder, and
    the golden bowl is shattered, and the pitcher is
    broken at the fountain, and the wheel falleth
    shattered, into the pit

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BC Ministry of Health
Ministry of Health
Ministry of Health
Ministry of Health
  • 2006 Budget Spending

Ministry of Health
  • Budget 2006
  • More than 100 million over three years for
    operating costs associated with government's
    commitment to add 5,000 new residential care,
    assisted living, and supportive housing beds with
    home support by December 2008.
  • This builds on the 75 million in each of 2005/06
    and 2006/07 that was provided in the
    September Update to strengthen and modernise the
    full range of health care services for seniors,
    including purchasing temporary residential care
    and assisted living beds, increasing home support
    hours, enhanced adult day care, falls prevention,
    palliative care, health promotion programs, and
    acquisition of specialised equipment.

BC Ministry of Health
  • Our mission is to guide and enhance the
    province's health services to ensure British
    Columbians are supported in their efforts to
    maintain and improve their health.
  • The Ministry of Health works together with BCs
    health authorities to provide quality,
    appropriate and timely health services to British
  • The ministry sets province-wide goals, standards
    and performance agreements for health service
    delivery by the health authorities. 

Home and Community Care
  • Home and community care services provide a range
    of health care and support services for eligible
    residents who have acute, chronic, palliative or
    rehabilitative health care needs.
  • These services are designed to complement and
    supplement, but not replace, the efforts of
    individuals to care for themselves with the
    assistance of family, friends and community.

Home and Community Care, cont
  • In-home services, for eligible clients, include
    home care nursing, rehabilitation, home support
    and palliative care.
  • Community-based services include adult day
    programs, meal programs, as well as assisted
    living, residential care services and hospice
  • Case management services are provided in both the
    home and community.

Home and Community Care Services
  • support clients to remain independent and in
    their own homes for as long as possible
  • provide services at home to clients who would
    otherwise require admission to hospital or would
    stay longer in hospital
  • provide assisted living and residential care
    services to clients who can no longer be
    supported in their homes and
  • provide services that support people who are
    nearing the end of their life, and their
    families, at home or in a hospice.

Home and Community CarePhilosophy
  • home and community care services will promote the
    well-being, dignity and independence of clients
  • palliative care services will provide the best
    possible quality of life for people nearing the
    end of their life and their families
  • clients and their families should have the
    information required to make their own decisions
    about lifestyle and care and
  • clients have the right to make their own care

Community Care Services
  • Home Support
  • Choice in Supports for Independent Living
  • Home Care Nursing and Community Rehabilitation
  • Adult Day Centres
  • Caregiver Relief/Respite
  • Assisted Living
  • Residential Care
  • Group Homes
  • Family Care Homes

Community Care ServicesHome Support
  • Home support services are designed to help
    clients remain independent and in their own home
    as long as possible. Home support provides
    personal assistance with daily activities, such
    as bathing, dressing, grooming and light
    household tasks that help to maintain a safe and
    supportive home.
  • If home support assistance is recommended, a case
    manager will help the client determine the
    assistance that will best suit their needs and
    will make the necessary arrangements.

Community Care ServicesChoice in Supports for
Independent Living (CSIL)
  • Choice in Supports for Independent Living (CSIL)
    is an alternative for eligible home support
    clients. CSIL was developed to give British
    Columbians with daily personal care needs more
    flexibility in managing their home support
  • CSIL is a "self-managed model of care". Clients
    receive funds directly for the purchase of home
    support services. They assume full responsibility
    for the management, co-ordination and financial
    accountability of their services, including
    recruiting, hiring, training, scheduling and
    supervising home support workers.

Community Care ServicesChoice in Supports for
Independent Living (CSIL)
  • Who is Eligible for CSIL?Eligible clients
  • require daily personal assistance
  • have the ability to direct all aspects of their
    care or have a client support group to do so and
  • have demonstrated the ability to manage care

Community Care ServicesChoice in Supports for
Community Independent Living (CSIL)
  • Getting Help Managing CSIL ServicesSeniors and
    people with disabilities who are unable, or not
    always able, to direct their own care can obtain
    CSIL funding through the formation of a client
    support group.What is a Client Support
    Group?A client support group consists of five
    people who have registered as a non-profit
    society for the purpose of managing support
    services on behalf of a CSIL client. Family
    members, friends, neighbours, an advocate, family
    physician or others may be members of the client
    support group.The client support group takes on
    all the responsibilities of an employer. CSIL
    funds go directly to the group to purchase home
    support services on behalf of their client.

Community Care ServicesChoice in Supports for
Independent Living (CSIL)
  • Payment to Family MembersHome and community
    care recognizes that families have the primary
    responsibility of caring for and assisting family
    members. Families remain the most important
    source of support for clients.CSIL clients have
    greater flexibility in their care options and the
    opportunity to pay some family members as
    caregivers. Family members who do not live with
    the client, such as siblings, aunts or cousins,
    may be eligible. Although family members who do
    live with clients are not usually eligible, some
    exceptions may be made.

Community Care ServicesHome Care Nursing and
Community Rehabilitation
  • Home care nursing and community rehabilitation
    are professional services, delivered to clients
    in the community by registered nurses and
    rehabilitation therapists. Nursing care is
    available on a non-emergency basis for British
    Columbians requiring acute, chronic, palliative
    or rehabilitative support. Rehabilitation
    therapists can also provide assessment and
    treatment to ensure a client's home is suitably
    arranged for their needs and safety.
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