Claim OwnershipStrengthening a Palliative Approach in Long-Term Care
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© 2024 Strengthening a Palliative Approach in Long-Term Care
Description
Individuals in long-term care (LTC) who are reaching end-of-life have unique physical, emotional, social, psychological, and spiritual needs. A palliative approach to care ensures these needs are being met in a compassionate way that enhances the quality of life, limits suffering and provides needed comfort.
This podcast explores the palliative approach to long-term care through conversations with patients, health care professionals, family members, researchers and others who want to improve how we care for people in long-term care.
Production of these podcasts has been made possible through a financial contribution from Health Canada. The views expressed herein do not necessarily represent the views of Health Canada.
Selected by Feedspot as one of the Top 15 Long Term Care Podcasts on the web!
34 Episodes
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"Nurse Practitioners are well positioned to help residents and families navigate their life limiting illness. We have the knowledge and skillset to provide their primary medical care, their maintenance therapies, and the treatment of chronic illness flareups. I think the value add is that we can also integrate this approach and philosophy throughout the continuum of care."Nurse Practitioners play a significant role in long-term care, but many homes do not have one on the team. We spoke with N...
"I think a lot of people, when you say the word palliative, they think the end of life is imminent. And that's not the case at all. These are conversations that should be starting to happen on move in or even before move-in." Sarah Murphy is a licensed practical nurse and the assistant director of care at The Hamlet's long-term care community in Vernon, British Columbia. She has been working long-term care for eight years and has served as a Care Service Lead, Care Coordinator, and now ...
How do we support the elderly and their loved ones as they transition through the phases of end of life? Registered Nurse Ryan Collins talks with us about how the Palliative Performance Scale tool and courses through the SPA-LTC program have helped him adapt care strategies for long-term care residents to ensure that they get the care that's right for them.Ryan Collins is a registered nurse and palliative care champion at a long-term care facility in St. John, New Brunswick. Along with a Bach...
Dr. Melanie Leger is a palliative care physician in Moncton, New Brunswick. She recently developed standardized templates for order sets in palliative, to help guide community and long-term care health professionals as they review and update palliative protocols. The templates also increase efficiency by adding medication quantities and refill orders that can double as a prescription."Some of our nursing homes had order sets, but some didn't. This project made me realize that some of these or...
How do we address the issues of health equity when jurisdictional issues create a gap between two systems of care? We spoke with Holly Prince about the barriers to care for Indigenous peoples, and the importance of equitable access to palliative care within Indigenous communities.Holly Prince is an Anishinaabekwe and a member of Opwaaganisiniing in Northwestern Ontario. She has a Master’s Degree in Social Work and is a Ph.D. Candidate in Educational Studies at Lakehead University....
A Green Care farm is a combination of agricultural activities and a population that could benefit from time in the outdoors. Green Care Farms CEO and Founder Rebekah Churchyard provides outdoor day programs for people with dementia, connecting them with nature on a farm in Milton, Ontario. The program includes planning and planting sensory gardens, and growing food for the local food. She says that research shows that these types of programs can result in a delay in admission to long-term car...
How do we better support family, friends, and long-term care staff as they grieve the death of a long-term care resident? Joe Peters is a funeral director with more than 35 years of experience at funeral homes in Toronto. He has supported many family members and friends through grief, and he has also experienced a wide range of approaches to honoring the deaths of residents in long-term care. Learn more about the Strengthening a Palliative Approach to Long-Term Care project at: https://s...
Living with a disability can add extra complexity in health care settings, especially if communication is a challenge. Carrie Batt draws from her personal and extensive professional experience within the developmental disability sector to offer end of life care, support and planning for people across the disability spectrum. She helps people navigate systems for equitable and quality healthcare, and provides disability-informed end of life and grief support through her business. Seoul Ca...
How do we ensure that Indigenous people receive palliative care that aligns with their culture and spirituality? In this episode, guest host and researcher Mary Lou Kelley has a conversation with Jeroline Smith, a retired nurse, Elder and Knowledge Keeper who has made significant contributions to palliative care for Indigenous people. Jeroline talks about the importance of community, the need for more training and resources, and the need for more long-term care homes in Indigenous communities...
How do we make mission statements real ? Pat Morden says that leadership is critical to ensuring that people have autonomy and a sense of purpose to understand the mission.Pat Morden, the 'upcycled' CEO of Shalom Village, is committed to enriching the experiences of those who need to live closer to care and want to live life on their own terms. Pat has worked to achieve this alongside others in a variety of settings, including as a front line nurse, university faculty member, CEO, executive c...
What role do End of Life Doulas play in long-term care, and how can they help residents, family members and long-term care staff during the dying experience? We spoke with End of Life Nurse Educator Olga Nikolajev about the role of an End of Life Doula in long-term care, and how they contribute to quality end-of-life care.Olga Nikolajev is an end of life nurse educator with over 25 years of professional experience as a registered nurse in various healthcare settings, including hospice palliat...
Bahar Karimi believes that compassion is the foundation to a palliative approach to care, and that it starts with ensuring that team members feel valued, safe and cared for. She believes that we need a culture change in long-term care, one that identifies residents' multi-dimensional needs and gives team members the knowledge and tools to provide the best possibly care and quality of life.Bahar Karimi is the Executive Director of Long-Term Care Services and the Chair of Research at Thri...
Speech language pathologists have a unique and important role in a palliative approach to care, especially when it comes to managing risk and maintaining quality of life. Caitlin Buchell is a Speech Language Pathologist working in Manitoba and Northwestern Ontario. She works with individuals with neurological disorders at the end of life to maximize their quality of life and ensure that they're able to communicate. Caitlin also works in palliative care and is the consulting speech langu...
When you think of paramedics, do you think of 911 and emergency services? A community paramedics program in Peterborough is working to provide palliative and social services to seniors at home, with a goal to help them live well at home for as long as they can. Paramedics provide medical, emotional and mental health supports, and can identify individuals who may be at risk. They are also an advocate for patients and caregivers, and develop strong relationships within the community...
A new diversity toolkit is providing resources for long-term care organizations to help raise awareness of issues of equity, diversity and inclusion. The Embracing Diversity: A Toolkit for Supporting Inclusion in Long-Term Care Homes is an interactive resource with print and online components that gives long-term care homes practical steps to nurture diverse and welcoming communities.We spoke with Michelle Fleming and Ashley Flanagan about the toolkit and the importance of understanding ...
"That's where the communication bit really is important. There's still medicine along the way, there's still chronic disease management. but it's the soft skills and the relationships and how you can leverage that to really make that stay for the long-term care resident and their family as peaceful, as comfortable and as high quality for them as possible." Dr. Henry Siu is an associate professor in the Department of Family Medicine at McMaster University. He has a clinical interest in wo...
Courtney Hicks is a PhD student at the University of Waterloo in the School of Public Health Sciences, Aging Health and Wellbeing program. Her research focuses on a palliative approa h to care for persons living with dementia in long-term care settings. For two years, she worked as a Meaningful Connections Coordinator alongside a recreation and leisure team in a long-term care home in southern Ontario. During our conversation, she spoke about her personal and professional experiences with lon...
Essential life lessons from family caregivers: On autonomy, commitment, and diversityIn this final episode, co-hosts Katie and Sibtain consider how the project intersects with their personal and professional lives. During this conversation, they discuss three important take-home messages from those who participated in this podcast series. These messages connect to the themes of autonomy, commitment, and diversity."I want to take these stories and experiences that these caregivers have so grac...
Everyone has their own perspectiveIn this episode, you’ll meet Suzanne, a retired teacher who – along with several siblings – provides care to her mother. As co-hosts Katie and Sibtain ask questions about the experience of sharing the caregiving responsibilities within a large family, Suzanne reflects openly on how everyone – including her mother – has their own perspective! "We are very lucky in that she listens to everyone but says, ‘nope; this is what I want’." – SuzanneLearn more abo...
Some friends become familyIn this episode, Rina shares wisdom from decades of experience supporting a close friend whose physical and cognitive function is changing. She keeps things grounded as she narrates the specific and creative ways she contributes to her friend’s quality of life. When it comes down to it, Rina’s story is about treating others as we’d like to be treated, and about prioritizing the seemingly small yet very important things that mean so much to quality of life.“I always t...
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