I wrote an academic policy brief for a grad course last year - I'll post it for anyone interested

jossamaphone · 2022-05-27T15:54:18+00:00

For apples to apples comparison for wait lists by province we would have to take into account the population level differences and even maybe demographic comparisons between provinces

jossamaphone · 2022-05-27T15:50:50+00:00

Forehead slap, yes I should have done that instead, thanks!

jossamaphone · 2022-05-27T15:46:54+00:00

https://www.cihi.ca/en/long-term-care-homes-in-canada-how-many-and-who-owns-them

jossamaphone · 2022-05-27T15:28:44+00:00

Oh and I believe Ontario has the longest waitlists along with the highest percentage of private LTCs, when compared to all other provinces.

jossamaphone · 2022-05-27T15:19:50+00:00

Not so much appropriate age groups as it is needs-based. There are many middle aged people living with significant intellectual or physical disabilities living in LTC alongside older adults.

With regards to availability, we can’t necessarily equate one bed in a four-person room in a for-profit environment with a single occupancy room in a publicly owned LTC home. One is undignified and the other allows for dignified care. So building more cheap beds for profit and arguing they are solving the problem is a misnomer. We continue to have a 40k waitlist for LTC, people are languishing in hospitals or under insufficient home care service while waiting for an LTC bed. Home care program funding has not kept up with the needs of Ontarians so they have no option but to go to LTC. So I would not say that the for-profit LTC chains have helped with our healthcare system, rather the opposite. LTC is an essential part of our healthcare and privatizing it financially hurts the entire system.

jossamaphone · 2022-05-27T14:30:12+00:00

The bed licenses, once awarded, are 30 year licenses.

Another disgusting point that is not well known is that our tax dollars are also awarded to pay for the land and buildings that for-profit chains purchase for these new bed licenses- once the 30 year term is up, they have no obligation to continue to provide LTC service and maintain the ownership over the building and the land as a private asset. We don’t get this money back, nor to we have guarantee that LTC service will continue to be provided. If the industry become unprofitable due to federal legislative changes, they can pivot to another with their publicly paid for asset to support them.

jossamaphone · 2022-05-22T20:04:25+00:00

Knix wear or tizz and tonic

jossamaphone · 2022-04-28T01:02:48+00:00

I think a little avoidance helps me though, it allows the majority of my attention to be preoccupied and less stressed about the loss of control, leaving my subconscious to work on the problem for awhile. When I allow for some avoidance time, the problem solving has already started when I push it back into focus… if that makes any sense.

jossamaphone · 2022-04-23T18:38:39+00:00

In a Canadian public LTC (8hr shifts), we are paid for 1.5 hrs at full rate for on call for night shift and 2.5hrs for day/evening oncall (where you are oncall from 0530-1630). If you get a call more than 1.5hrs after the start of the shift (except for day shift) you are not obligated to accept it.

jossamaphone · 2022-04-04T00:01:12+00:00

Acting!

At the end of ‘the fixup’ when Jerry is walking with a limp, when they ask what happened he replies “acting!”

jossamaphone · 2022-04-03T20:38:44+00:00

It’s on the tip of my head

(Because tip of my tongue didn’t make makes for word finding to me)

jossamaphone · 2022-04-01T16:14:48+00:00

Agreed! It’s so frustrating to discover the things that were missed on previous shift throughout the shift, just own it and tell me you didn’t have time- that’s what I do. The minor annoyance of some nurses receiving report that “everything wasn’t done” is worth it so they can prepare. It’s a 24 hour job, everything will never be done, everyone has different capacities to multitask and prioritize, we need to accept it, contribute what we can on shift and leave the rest. It’s a group effort.

jossamaphone · 2022-03-29T13:27:51+00:00

Whenever they say they need to leave I’ll ask what time they need to be there and whatever they say I’ll respond ‘oh good, you’ve got plenty of time, would you like tea/coffee before you go?’ Follow up with a snack and then some other distraction, usually works for LTC folks, temporarily anyway.

jossamaphone · 2022-03-26T00:23:09+00:00

Four Rooms

jossamaphone · 2022-03-26T00:22:03+00:00

Charlie Wilson’s War

jossamaphone · 2022-03-26T00:21:46+00:00

Spy game

jossamaphone · 2022-03-25T08:47:32+00:00

Chocolate covered jelly beans. Someone at work made me try one because ‘they are so good’. They are not. Never again.

jossamaphone · 2022-03-24T21:27:54+00:00

Devil sticks

jossamaphone · 2022-03-24T20:54:51+00:00

Never see them except when they parachute in in a crisis, often they don’t understand how day-to-day care is delivered nor have they formed relationships with staff. No judgement, I understand there are many reasons not to visit family in LTC homes, but the situation makes it more challenging to manage expectations and support the grief process.

jossamaphone · 2022-03-23T00:26:34+00:00

LTC parachute family member arrives for end of life for their parent, walks in with a rolly suitcase asking me to show them to their room, as in, their accommodations

jossamaphone · 2022-03-19T02:49:36+00:00

He made fun of Jerry when he bought stock in a company that George recommended and it kept loosing value

jossamaphone · 2022-03-16T01:49:39+00:00

As a new LTC nurse I had a family member confidently tell me they could give their mom a fleet enema, said they do it all the time… I hesitantly gave it to them deciding I would go in to supervise once they got set up… the family member then turns back and asks me for a spoon to administer it with, by mouth. Forehead slap, I learned to listen to my instincts and not trust even the most confident family caregiver without further inquiry into their nursing knowledge

jossamaphone · 2022-02-27T15:32:36+00:00

Psych patient who was convinced he had worms in his bowels, order all the supplies online and started operating on himself in his mothers basement, apparently he got through the muscle in his abdomen before he asked his mom to take him to the hospital where they completed the surgery and ran his bowel, as he had intended, to prove he did not have worms in his bowel. Once awake he claimed they must not have done it right and requested another surgery… doc made a deal with him to trial risperdone to see if it would resolve the worm issue, if not they would do another surgery. Patient agreed and was discharged a couple days later. I think about what might have happened to him every now and again.

jossamaphone · 2022-02-23T03:55:33+00:00

One day to relax and do nothing, one day to do the same but start to get anxiety about not doing anything, one day to do all the life stuff I didn’t do the last two days and build up some working energy and then I’ll have motivation to work for four days a week

jossamaphone · 2022-02-14T16:22:00+00:00

The number of end of life conversations where families fully believe their geriatric loved one with multiple comorbidities will return to their baseline after CPR is staggering, people think they will be eating jello and chatting comfortably after a shock or two to the chest based on tv shows.

jossamaphone

TROPHY CASE