Ft. my friend/advocate @creyola ⤵️
A Long-Term Tragedy thelocal.to/a-long-term-tr… via @thelocalhealth
"In 2018, Paul moved to Pickering, down the street from his daughter. For 18 mos, she was his primary caregiver. “Dad was losing his mobility,” Cathy says. “And I was hurting myself trying to lift him.”
"As his condition worsened, she forced herself to confront a painful fact: Paul needed more help than she could give."
I hear these stories all the time from the all too often women who try their damned best to step in and care....but its incredibly taxing work and sometimes a physical impossibility.
What's worse is the guilt these often female family caregivers feel when these horrid things happen and you blame yourself (when we all know it isn't their fault). It's really heartbreaking.
"And so, as research by the sociologist Pat Armstrong reveals, Ontario’s chain nursing homes became adept at cutting corners. This meant crowding patients four to a room, scrimping on cleaning services, contracting external caterers to bring in prepared meals rather....cont.
....than cooking onsite, doing laundry in massive industrial machines (the kind that destroy everything except synthetic fabrics), and allowing stockpiles of medical supplies, including PPE, to run perilously low. “There was only just enough of everything,” says Armstrong.
"The biggest cost-saving measures were in the area of labour. Medical professionals (including nurses) are expensive, whereas low-skilled personal support workers (PSWs) can be hired for a mere $20 an hour. In Ontario nursing homes, PSWs comprise 58% of the workforce...
....and perform almost all of the front-line care. The majority of them work part time, often without job security or benefits. During busy shifts, a single PSW might find herself taking care of 40 residents at once, and (cont)
....the work often resembles an assembly line, with a set number of tasks to be completed in a limited timeframe."

Yep.
Such great work with this piece @SimonLewsen.

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More from @DrVivianS

26 Nov
Here we go ...watching @TheAgenda with @spaikin and my friends @AmitAryaMD and @SharleenStewart.

This will likely be a long thread as I drink my nightly glass of vino and tweet tweet tweet.
.@spaikin poses the question to all "Are we doing better this wave". T/F?
@SharleenStewart - says FALSE.
They didn't prepare over the summer. They only provided empty verbal commitments. Critical staff shortages remain, if not worse since 30% of staff aren't returning to work.
.@AmitAryaMD agrees.
@DLDunc416 says homes are better off this wave because of a faster response from gov't for support (ummm say what??).
@DrSamirSinha Says there is a greater recognition NOW of how vulnerable the sector (from who exactly?? NOT this government).
Read 30 tweets
24 Nov
The experts (Pat Armstrong and Marcy Cohen) paper recommends @JustinTrudeau (feds) take the following action as soon as possible:

•Ensure everyone has access to care based on need, without financial barriers, and with minimum wait times for admission to a LTC home.
•. Establish and enforce minimum staffing levels in long-term care facilities, accompanied by decent working conditions and recruitment strategies to attract and retain staff;
Read 8 tweets
23 Nov
Just read this @TorontoStar OPED by @drbobbell.

Points for properly pinpointing key transmission factors.

Points deducted for missing the mark RE: Profit-making process and impact on staffing.

My thoughts below. thestar.com/opinion/contri…
To start. We agree that rising community transmission & ward rooms/improper cohorting were key factors for outbreaks.

You did, however, miss the fact inter-facility movement between homes by precariously employed staff helped set ablaze the wildfire that occurred in wave 1.
Also, ask yourself: Why did for profit (FP) providers buy up old homes and fail to update them over the years?

They knew they had to but didn't.

You don't think that had anything to do with diverting those funds to exorbitant executive salaries and shareholder dividends?
Read 24 tweets
30 Sep
1/8 A THREAD.

Ok so I've finally reviewed the LTC Fall Preparedness Plan, which should have been the LTC SPRING/SUMMER Preparedness Plan (but what can you do at this point).

Here are some things that stood out to me:
health.gov.on.ca/en/pro/program….
2/8. 💰

I still can't believe that homes are only receiving this huge lump sum of $405 million for IPAC, PPE + Staffing NOW (which makes you wonder what they received prior).

That said, WHY must the province pay for items that profit-rich for-profit homes can pay themselves??
3/8 TESTING.

What EXACTLY is this TESTING PLAN?
This only says how many staff have EVER been tested.

How often are they tested?
Is this uniformly stipulated across all homes or do individual homes decide?

The LACK OF TRANSPARENCY re: testing has always been a problem.
Read 10 tweets
29 Sep
Thanks to @robferguson1 for capturing some of my presser thoughts! The hammer is coming down on Monday....all LTC Families must clearly sign up to be 'caregivers' for their loved ones in care if they haven't done so yet......
thestar.com/politics/provi…
ps. @fordnation confused many of my LTC families suggesting a sign up process...this bit from the presser is not new. Most of you have been in & already underwent the training/designation. This was just him urging anyone who has not done so yet to do it before Monday!
"AdvantAge, a not-for-profit group that lobbies for better seniors’ care, said the $540 million is long overdue and “desperately needed.”
Read 4 tweets
29 Sep
As I told @Shawn_Jeffords after today's presser, the government finally displayed PUBLIC recognition of the value that essential family caregivers bring to the table.
I'm happy our 5 months of SCREAMING nonstop for change has finally sunk in.
⤵️
globalnews.ca/news/7366700/o…
"Vivian Stamatopoulos, an associate professor at @ontariotech_u specializing in family caregiving, said the new restrictions on visitors show the government has learned from some mistakes it made during the initial months of the pandemic, when all visitors were banned.
"Allowing family members into homes as essential caregivers can help address staffing problems, she said.

“Family caregivers are there and can help as a band-aid solution in the interim to hiring professionals,” Stamatopoulos said.
Read 4 tweets

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